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13187 SW RAPTOR PLACE a W _a W Aa "a A su 13187 SW Raptor Place CITY OF TIGARD BU" DING INSPECTION DIVISIOt' MST 2.&71 24-Hour Inspection Line: 6K .175 Business Line: 639-4,, t BUP Date Requested /�1 - ] -AM-----PM BLD Location_ r V �-L, Suite Contact Person _ Ph ? 37 PLM -- - ----- Contractor _- Ph — SWR --- - - - - ----- BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain 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 - - - PLUMBIIJG Post& Beam Under Slab Top Out ---- - - - - _ Water Service Sanitary Sewer Rain Drains AS PART FAIL M ANICAL 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 [ )Please call for reinspection RF _.- [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk / r EXt Other Date/-•� 7_�/__ InSector P Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUIII DING INSPECTION DIVISION MST 20z 24-Hour Inspection Line: 639- 15 Business Line: 639-41, BLIP Date Requested 12 __—AM PM BLD Location /97 Suite MEC Contact Person Ph PLM ContractorPh 7 -72 L SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: FPS Foundation 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 PAR1 FAIL - PLUMBING___ Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PARI_ FAIL MECHANICAL Post& Beam Rough In Gas Line Smoke Dampers Final PAS5--P#*,l FAIL �CT R I TCf Service �M§h In UG/Slab Low Voltage Fire Alarm 71 FASPART FAIL MTE Backfill/Grading Sanitary Sewer Storm Drain Reinspection fee of$ required before next inspection Pay at City Hall. 13125 SW Hall Blvd Catch BasinPlease call for reinspection RE. Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dates, L) I bInspector Ext Other 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 1 BUP — Cate Requested \2 -2 Q AM PM BLD ----..� — _ p--- Location i`��s�; 1�o 'a{1_-_ Suite --_— MEC Contact Person — Ph _ _-_ PLM Contractor— _ Ph _ --_ SWR _— IBUILDING - Tenant/Owner --_�_ - EL.0 Retaining Wall ELR Footing Access — Foundation FPS Fig Drain - — Crawl Drain Inspection Notes — SGN !_ Stab ---- _------ -- - --- ... - - - SIT Post& Beam — -- - Ext Sheath/Shear Int Sheath/Shear Framing Insulation ------- Drywall Nailing Firewall --_-_--------------- Fire Sprinkler - - - ---.... - --- - - -- ---- --- -- .. ----- -- --- - Fire Alarm - - Susp'd Ceiling -- --_--___-_-.- _ Roof _ Misc: ") PART FAIL - -- - --- --- - -._ - -- -- — -_ - - -- -- - PLUMBING Post& Beam Under Slab Top Out — Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL_ MECHANICAL Pcst&Beam Rough In Gas Line --- --- --------_ Smoke Dampers PkRT FAIL. — ELECTR!CA_L --- —`-- Service Rouv;i In - --- UG/Slab Low Voltage --- — Fire Alarm PASS PART FAIL --_ —_. . ...—_-- BITE _ __—_ - 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:_- _-__ -- ( J Unable to inspect-no access ADA Approach/Sidewalk Date Z '' Inspector Other __ p - "`��- Ext Final - — 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 STREAMLINE ELECTRICAL 6025 EAST 18TH S1 REET VANCOUVER, WA 98661 Electrical Signature Form Permit #: MST2001-00184 Date Issued: 8/6/01 Parcel: 2S 104DA-09100 Site Address: 13187 SW RAPTOR PL Subdivision: QUAIL HOLLOW - WEST Block: Lot: 077 ,Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached rowhouse in Building #3.Setbacks as per sheet A10.10 Plan B-S Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNLIR: ELECTRICAL CONTRACTOR BROWNSTONE HOMES STREAMLINE ELECTRICAL 12670 SW 68TH PKWY #200 6025 EAST 18TH STREET PORTLAND, OR 97223 VANCOUVER, WA 98661 Phone #: 503-598-7565 Phone #: 360-993-5080 Req #: LIC 116514 ELE 34A32C SUP 4061S AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 kAAAAAAAAAAA♦ A AAAAAAAAAAAAAAAA ",AAAAAAAAAAAAA F 4 � .. o b ► a t7 � N ► 4 ► a CL rD '► C7 � ro ! 4 7 ` O 00.4 All ! ! rb 9 ► 4 Q , s a r.1 d o � � ► 4 r � tf (- p ° ! cro ► 4 ;° p CD Oil poll � N � p � a �rNk � R ® r7l _ �.l Ori ► c . ► ! ! 4 C;f10. � ! 44 4 ► a ► irvvvvvvvvvvvvvvvlrvvvvv♦•ivvvfvvvvvivvvvvvvvvI a r N T• � � O a m o ' b a a' r n rD � n � Er E 70 � rp CDn O O S D O a 0 � a � v p y ` � x a 7' 70 City of Tigard Washington County Oregon Voluntary Compliance Agreement and Temporary Certificate of Occupancy To: Ron Estey 12670 SW 68`h Parkway Tigard, OR 97223 Re: Temporary Certificate of Occupancy I, Ron Estey, as responsible person for 13187 SW Raptor Place Tax Map 2S104DA, Tax Lot 09100, agree to the following conditions: A temporary Certificate of Occupancy is hereby issued on a conditional basis for a period not to exceed 30 days from this date, by which time the. following conditions must have been met and approved by inspection by the City o Tigard Building Department: Permit MST2001-00184 must be comple+ed and approved, including all outstanding corrections, ancillary permits and fees. Specifically Approved final plumbing Inspection and CWS final approval. I understand the City will withhold action until January 26, 2002. Upon compliance with all above conditions, this case will be closed and the Certificate of Occupancy will become permanent. I further understand that if these conditions are not complied with fully, I may be served with a Summons and Complaint without further notice for violation of requirements set forth in the Oregon One and Two Family Dwelling Specialty Code( Inial approval required prior to occupancy). Signed: 1 j _-=--� -- ,� Date: , Signed: ��t �U� Date:_41I- spection Supervisor) CITY OFT I GAl�D ___ MASTER PERMIT PERMIT#: MS 1-2001-00184 DEVELOPMENT Sinn U %ES DATE ISSUED: 8/6101 -- 13125 SW Hall Bivd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13187 SW RAPTOR PL PARCEL: 2S104DA-09100 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4.5 BLOCK: LOT: 077 1RISDICTiON: TIG REMARKS: New SF detached rowhouse in Building#3.Setbacks as per sheet A10.10 Plan B-S BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS _ REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 173 of BASEMENT: of LEFT: SMOKE DETECTORS: v TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 735 of GARAGE: 428 of FRONT PARKING SPACES. TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: 580 if RIGH1. VALUE: $130,630 60 OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,488 00 of REAR PLUMBING SINKS: t WATER CLOSETS: 2 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN. 1qq TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER''NES: 100 SF RAIN DRAINS: 2 CATCH BASINS: TUBISHOWERS. 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: I MECHANICAL FUEL TYPES FURN-c 100K: 1 BOIL/CMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN>•100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: I 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: 2 PUMPORRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp 201 400 amp: tat W/O SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600:mp: 401 600 amp: EA ADDL OR CIA: 1 SIONALIPANEL: IN PLANT: MANU HMISVCIFOR: 601 • 1000 amp: 601•ampe•1000v: MINOR LABEL: 10004 amptvolt: PLAN REVIEW SECTION Reconnect only: >-4 RES UNIT& SVCIFDR>=225 A.: >600 V NOMINAL. CLS AREAISPC OCC ELECTRICAL•RESTRICTED ENERGY r A.SF RESIDENTIAL B.COMMERCIAL _ AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: ALL ENCOMS BOILER: HVAC: LANDSCAPE/1RRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL. OTHR: HVAC: DATArTELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: TOTAL FEES: $ 5,68:3.49 Owner: Contractor: This permit is subject to the regulations contained in the BROWNSTONE HOMES BROWNSTONE HOMES,LLC Tigard Municipal Code.State of OR. Specialty Codes and 12670 SW 68TH PKWY#200 12670 SW 68TH PKWY all other applicable laws All work will be done in PORTLAND.OR 97223 PORTLAND,OR 97223 accordance with approved plans This pennit will expire if work Is not started within 180 days of issuance,or if the work is suspended for rTlore than 180 days ATTENTION Phone: Phone: Oregon law requires you to followrules adopted by the Oregon Utility Notification Center. Those rules are set Reg$. LIC 124627 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 81 Underfloor insulation Electrcal Service Low Voltage Firewall Insp Appr/Sdwlk Insp Sewer Inspection Plm,undslab Insp Electrical Rough In Gas Line Insp Rain drain Insp Electrical Final Footing Insp PLMiJnderfioor Framing Insp Gas Firep?ace Roof Nailing Mechanical Final Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Water Line Insp Plumb Final Slab rad Plumb Top Out Exterior Sheathing Inst Gyp Board Insp Water Service Insp Final Inspection 11711-1I Issued By Permittee Signature : :� .�.�....-- --__ 1_. Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day f / CITY OF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: 8/6/01 1-00126 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4111 DATE ISSUED: 8/6/01 PARCEL: 2S104DA-091 UO SITE ADDRESS; 13187 SW RAPTOR PL SUBDIVISION: QUAIL HOLLOW- WEST ZONING: R-4.5 BLOCK: LOT: 077 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO, OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached rowhouse. Owner: v FEES BROWNSTONE HOMES Type By Date Amount Receipt 12670 SW 68TH PKWY#200 PORTLAND,OR 97223 PRMT CTR 816/01 $2,300.00 27200100000 INSP CTR 8/6/01 $35.00 27200100000 Phone: 503-598-7565 Total $2,335.00 Contractor: _�.._. Phone- Reg #: Required InspectionsA 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 rot 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 thrc ugh OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. ' Issued by: E_. Permittee Signature: Call�(503) 639 4175 by 7:00 P.M. for an inspection needed the next business day Sto14 2ov — /► / -'(0 Building Permit Application M Datereceived: .. . , /0 permit no.:yf??C /' City of 'Tigard City of rJgnrd Address: 13125 SW IlalI Itivd,Tigard,OR 97223 Projecl/appl.no.: Expire date: Phone: (503) 639-4171 Dale issued: By:.a'-`f/ I Receipt no.: Fax: (503) 598-19(4) Case file no.: Payment type: Land use approval: l&2 family:simple Complex: d I &2 family dwelling or accessory O Commercial/industrial U Multi-family New arostructiun U Demolition U Addicion/alteration/replacement U Tenant improvement U Fin prinkler/alarm U ther t Job address: < (( !1 KI /-,,/, - /- ;�_ Bldg.no.: Suite no.: - - Lot: I Block: Subdivision: pi,r L_ fj ow tPc:sT Tax map/tax lot/account no.: Project name:_Qtj A L W Description and location of work on premises/special conditions: QL��.__ !V v)'_t 1UN 1,4111111131 1 Name: _ �t3MEy ' ' ' Mailing address: I`u40 e of LSt;b R",e O 1 &2 family dwelling: City: p -T A State:CX ZIP: 7az3 Valuation of work........................................ $ ............ Phone: Fax: 18 lot 1 E-rnail: - No.of bedrooms/baths............. ............. Owner's representative: M f?/ pADe-% Total number of floors................3.............. -- Phone: 35775 I ax:5-7q 319'_ E-mail: New dwelling area(sq.ft.) .....Lt. .40...... _ Garage/carport area(sq.ft.)......"R4........ Name,: A Covered porch area(sq.ft.) .........`............. Mailing address: Deck area(sq.ft.) ................4....5o F� City: State: l,Il': Other structure area(sq.ft.)......................... Phone: F ttx: E-mail: Commercial/industrial/multi-family: t Valuation of work........................................ $ Existing bldg.area(sq.ft.) ........I................. _ Business name: A t;. . -- New bldg.area(sq.ft.) Address: City: _ State: ZIP: Number of stories........................................ Tyle 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 1111 t licensed with the Oregon Construction Contractors Board under Name: C-7 ,� d provisions of ORS 701 and may be requited to be licensed in the Address: \�q 'Ct7F.1D t 1oS� jurisdiction where work is being performed.If the applicant is ZIP: fa I exempt from licensing,the following reason applies: CitState:w Contact person: ANMEPlan no.: — Phone:766- 4 - Fax:a 4, -&6 E mail: -- Name:WQIF-51W. Contact person: Wlllt Fees due uptm application ........................... $ Address: H t3(15 Date received: City: _ State:()rZIP 9 7W Amount received ......................................... $ Phone;ft -9633 1 Fax: ''- E-mail: Please refer to fee schedule. 1 hereby certify 1 have read and examined this application and the Not all Jurisdictions accept credit cartes,please all Jurisdiction for mace information attached checklist.All provisions of la sand ordinances governing this O was n MasterCard work will be compli it whe ifled herein or not. credit card number: Expires Authorized signature:_ Date: 3 S d Name of candhnlder a shown on credit car Print name:_ r. tV Q C A Ut _ _— $ Cardholder signature Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-461.1(MCOM) Mechanical Permit Application Date received: Pc-.rmit no. City of Tigard Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: keccipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building Permit no.: F)-&2 family dwelling or accessory U('ununcrca 1/uulusui;tl U Multi-family U Tenant improvement qj New construction El Addition/alteration/replacement U Other. _ _ 1 1,113 Lill I1 Job address: ) C- Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Sutte no.: value of all mechanical mauls,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value S ��� ` Lot: - Block: Subdivision:Q A11 ow *See checklist for important application information and Project name: (�.)F1� �I t� •1(�V��' — Jurisdiction's fee schedule for rc;i�lential permit ice. City/county: 1CaRY >� ZIP: 22 1 1 Description and location o(work on premises: ;W 1 1 siFer(ea.) Total Est.date of completion/inspection: Deacri Qty. Ntw.nnly Rcs.only VAQ Tenant improvement or change of use: Air handling unit CFM`fin Is existing space heated or conditioned?U Yes U No 1r con iuonmg(sue an ream ) Is existing space insulated?U Yes U No terauon of existing system10,00- of er compressors State boiler permit no.: Business name: -til) ���aJ Ott;A N 1 }Ct�r�r HP Tans—_BTU/H Address: fc L"('A'ln9 Fireismoke damper uct smoke electors City: cJfl-"1 F� Stateif C ZIP:c(7 290 eat pump(site P an required) Fax:' nsta rep ace urnac urner__ Phone: - 5`( 77S I l41 E mall: -' Including ductwork/vent liner U Yes U No _ CCB no.: A � _ Instal rep ac re ocate i—eaters-suspended, City/metm sic.no.: DD 60 1 02 wall,or floor mounted _ Name(plt ase print): H M►1} a. Zent ora, ranee at cr an furnace of eraUon: CON]A(7TP1:11.SON Absorption units ___ BTU/H _ Chillers ___ HP Name: 11 t A - Co lessors - HP Address: f 1rE tomenta exhaust and ventilation: City: State: ZIP: Appliancevent ( _ Phone: Fax: E-mail: arae gust _ floods,Type res. tci e azmat hood fire suppression system - Name: Exhaust fan with single duct(bath fans) :x gusts stem apart from eaten or A Mailing address: — p pug an on(tip to outlets) City: Stale: ZIP: T __LPG __ NO )C—Oil _ Phone: Fax: Email ve to each additiotial over 4 outlets rocrosp p g(sc ematicrequir�— Number of outlets Name: S rA M 1c aL A AC-0ei, Other Ilsiaea ppIWFWe or equipment: Address: Decorative fireplace City_ State: ZIP: Insert- type Fax E-mail: Woodstov pe et stove _ I'ttonc: Other: Applicwtt's signature Date: Name (print): — --- - Permit fee.....................$ Na d1)uridicuaa wcep credit cards.plew call futildictlnn for mm ir>famaria,. Notice: this permit application Minimum fee................$ •_—_ U Via U b::,ster ard expires it a permit is not obtained Plan review(at — %) $ credit card number: -- — within ISO days atter it has been Slate surcharge(11%)....$ —� NNW u on t era 7R� accepted as complete. TOTAL $ -� l erd r dprarrre ^__ Arawnt 4"17(6011COM) MECHANICAL. PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATInN: FEE: Description: Price Total $1.00 to$5,000_00 _Minimum fee$_7_2.50 Table 1A Mechanical Code Ory (Ea) Amt- $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or Including ducts&vents_ 14.00 -_ fraction thereof,to and including 2) Furnace 100,000 BTU+ _ $10,000.00. includingducts E vent> -_ 17.40 $10,001.00 to$25,000.00 a $148.50 for the first$10,000.00 and 3) Floor Furnace C T $1.54 for each additional$100.00 or including vent 14.00 -� fraction thereof,to and including 4) Suspended heater,wall heater - $25000.00. 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 $145 for each additional$100.00 or 6.80 fraction thereof,to and including 6) Repair units $50,000.00. _ 1 1215 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond �1 fraction thereof. footnotes below. Comp* 7)<3HP;absorb unit ASSUMED VALUATIONS15 8)_ PER APPLIANCE: to unit 15 3- iP;absorb -_ _ 14.00 Valu© Total k t t 100k l0 500k BTU _ 25.60 Description: _ Qt Ea Amount 9)15-30 HP;absorb - Furnace 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 furnace Including vent _ 955 unit>1.75 mil BTU 87.20 Suspended heater,wall heater or 955 floor mounted heater 12)Air handling unit to 10,000 CFM I 10.00 _ Vent not Included In applicance' 445 13)Air handling unit 10,000 CFM+ rmI1 - 17.20 Repair units 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 1000 to 100k BTU - 15)Vent fan connected to a single duct �1 3-15 hp;absorb.unit, 1,700 680 101k to 500k BTU - - 15-30 hp;absorb.unit,501k to 1 2,310 - 16)Ventilation system not Included In mil.BTU appliance permit - 10.00 30 50 hp;absorb.unit, 3,400 T �- 17)Hood served by mechanical exhaust 1-1.75 mil.BTU - 10.00 >50 hp;absorb.unit, s 5,725 18)Domestic Incinerators 17.40 >1.75 mil.BTU -- 19)Commercial or Industrial type Incinerator Alr handling unit to 10,000 cfm- 656 Air handling unit>10,000 cih» 1 170 69.95 Non-portable era rate cooler , 65g r20)Other units,Including wood stoves Vent fan connected to a single duct 446 - -10�- Vent system not Included In 658 21)Gas piping one to four outlets 5.40 _ appliance permit 22)More than 4-per cutlet(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, 658 --8'/.State Surcharge Inserts,etc. Gas i in 1-4 outlets 380 Each additional outlet 63 25'4 Plan Review Fee(of subtotal) Required for ALL co imerclal permits only j( TOTAL COMMERCIAL , S TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: cher Inspections and FM: 1 Inspections outside of normal business hours(minimum&sige-two hours) $7.1 50 per hour 2 Inspections for which no fee,s specifically Indicated (minimum charge-half hour) S72 50 per hour 3 Additional plan review required by charges,additions or revisions to plans(minimum charge-onn-rwlt hour)572.50 per hour "State Contractor Boller Certification requlred for units>200k BTU "Resldtntial A/C requires site plan showing placement of unit. I\dsts\forrns\mech-fees.doc 10/11/00 Electrical Permit Application City of T ig>i rd Nn,�eatlePpl.no. - eapire bate: -- - Irre/nfr•nI Addreaa: 13135 SW Nall Blvd,Tlprd,OR 97227 Datefeaum: --— B Phtme: (50'1)6'49.4171 Pelt. (Sbl)596 1960 Cue ftY tw. Pgmen!tyyr Land use approval: 2 fmnily dwcllias of am-clsory Q Com"itislArulutthd U Multi family U Tenant improwtMnt New cotrtlttetion l]Add0M1altcrtttti0nJrrplaCenwnt U pticr U Partial Job W&I": + l Bids,no. Suite no. ?u!rn n. Irn/°carwnl no.. ___-- 1Dt; B1CCk: $ubtflv�{t7p: Ptvjec+num_I No I I o�l !�k'ti�tton end la'.ation of wtxttix!n►ernlrea►�E1,,y ��a,."►�f1t.r9t na.1 .. CaUmated dere of ctm etitntllna �tNl; w aN dot E4ltalnaaaMma' S t eatn,]„j,�—�l,p„�S.i=1ir._ -- �",rlyMw t�trn* ....fi 2 r i+t `, It,�bllt Mil laar.r�dlaA�n�r Chy! V rwouv .r LStalte wA Z1P. 98661+ . aft I 5- k CCA baa llc,nnr34-932C , c itnael»r,y,l..»+f—a.� CI M1Mnn llc.W.; Ltlnttre eagle ,r t+r re/kim1Ul — Proh muwf. w°n4-1—uwllira r lw�n 1n�i(ifrlMa, dn�n tMnr� kN) l.tarnMln ►Ilrntt°aer►°bcMMtc � 1W u11��M 1rc r 2 NMu(ptln t�u�+ae0nu� --NK — ettT a w lSoo n.N CI ?�� _ 91abe;CN ZJP'w� [ t•r — is gyp ,[ Put> a 1-;trail: vsoa (y�vtl0►in-flalMtirx+ ypllation a inp mala on pm1►etty 1 own "rte' wltirfi u twl( �, a e I Sant,rte ereAan�e aoclnS M YulaaaU'e eMrft✓raatrrteMaatles tao.n7orplf.a (M5 e47,/!9 479, 7r1 T 1 = TJX �b vrrrt °np 7 Or/a Oi Vw! 77 1 f itl ai w —4—r-Pomo Now-, __—_ - ---- •--- A V"for OrW10 C neM is with puma o f of I mmk e or fwdr r!rh bmft�h drouh f Sttd1 TiP w h:Enr+r d .;lnot/t ow" of Mritw a feeds Ir IMV brant h ctrtalt: 2 FMtt�tfa; Email; ({a,.ddalotu�'ntndt nrtuir, .-- (wtrl fr w�sreeiarar M�a�- - oleolor r.w�1 urp►.atlarweM+ o lfeaal.•w heu►q P.'��'' w"`"`r j r Wllht[ 1 Q Iar*►�awt'��il«,jN.1ru11°1't a 1 '.�f(ttt*[tl loatNen Irtrdt►dwellMtp O Ro11d1geve I0,000trpW.f►rlfberor 31F!°orrewirtlr) r1 lMwde• ray p Pym ft rw ISM Veit■Wrnwrrl nrnw fawAswUI rnlrer m ane ltrWA 10 altarrlun.r>er rwfenc� U hnttalyoV•retler Ite►! D llrrtlws.e0Q on"of more D OvvO•�wM a/w V9 fwrron 1]Mulvhclrnrl wVrtKtNM a�v rer► �1 rVr Mr rf U 9Vw6M$Mw4llhr — re rm of/Iona wlth my of fde aA..+. tmT,Mi"_*�_ - TM eM1�aea ei�l antklabk a wm eewwwoon twllc.. rbro -- - lr,doa Thlr pternif apKl4lash Permit fee................_..—s�..�.�° MM rrrp air'!aar owe•wu.P fbr rro fMrrnnaea OWr UbtrwC'r!I enpim If a Perms n"ebak"d MOM inview(a Mtn teo d°yt 0W It heti bean Steta a,echlrte(S9i):. S .�_ ■ �.4,efydMcreepNu IQTAL .... _.__ ....3 __ (0,,T0 3',Vd aAai,J313 34I-1Wr.3d-S 5� :Zl 1900"So..,i_Id Misr-06-01 03:05P Wolcott P'i urTrb i nrrl 503 667 9091 P.01 01/06/01 TUR6 14.41 WAX 50:1 594 1960 CITY hF 'ricwj �oU: Plumbing Permit Application City of Tigard Date received Parmlt no..f1'` 9ewo pairai(no.. Building permit no.. i nddresx: 13123 9W H411 Davd.Tiger 1,OR 171221 City - CityoJ'Tirard Mont: (,ar03)639.4191 hoiecAffl.no. expusdate: Fax: (501)39!41960 Dateiscued- By. Receipta, --- LArW use.approval: —-- ..,------_ Ccyc rile no. W Payment type`-- U I At 1 farnlly d^clling ur acce%gmy U Comm,rciallindultnrl j Mu:e•faindy CI 1 rmw tmpmvrmcnl Q New cuastrULUOII C) Addiw n/iltcrrttlo mplaceirent U Frod twice U Uti*r Jeb addreds: LI_ _ //- J Uewriptlon ��. j.Qfy_. Firelew. ToWel ( Bldg n : .:j 9tato no.: — - �!^ B1•esti 1rGtally dweWnt.Duly: Bldgu.. IoUaccouut n() hctudve IN n-foaoath utility co ms Tdon) Tu SFR(1)bath L � Black SubdWillon: ut. aiw111111,rne: _ . Flt di----- -1 (.)ba C:tyicoun _ 21F: Hach atld'►tioita aWknchen Description and locauun of work on pmrnbesi Site utWtlm: Catch b+tna/ane dram Est,date of ctxa le[(oNlns _unn �- a tywcll_ leac ine acne rain Fc+oUnraln noJin. t.)M Maki,11193 j �lsnurlctu �xne unFitae+ business same: W �Addrras: ,O. 2 O O. 7 Rain r_utn connector— _ _ Gty: pit V-,&rr. 9tatcQ IFr _ T+Tdt mewer(no-lfo ft:) .W Moor 503-44*7-11 Vfax (8,41-911 it I E•nlall; yLvau-aw,, Stonn sewcr(no_lin.n." CCB no. 23x'11 Plumb,bus.mg.to:`L4-L o V Pp Water service(no.lin 1�' — C1ty rnet�+ W lie no.: Futwe or Nest Contractor's representative 1141111111m: .- Ab�w non valve _ U hack ow preveatir print nynt a� !-� ac water valve - ind ClotF s w-L hci -- Name• — ----- -- ._ - i+, wnt er Address: �iittk�ng triuntain(sl - City, State :IP: cctorsTmp --- —� Phone: Fax E Expansion wnk Is I Is I ixture/sewcrcid - Narne(print): Flan Dor si /bub — _ —..--- ,� she dlslws Matlinit.rddrtss: _—_ dose brbb City. ' ^ State tip Ptlunt', fnn: F trail nlcscc tot/ RiK trap . Qwue: inoalletrunliesrdential mamlenatwe only: Tht actwil inslallauun will be mask 1-y me of the maintenance and repair ilia de by my regular noire!-tui, etxnmetsial�_ employee on the pa+peny I uwo ixt per URS Chapter 147 -Sini (s),bUm1,x), awls owner's slignoture: - -- - Date' ump ---- - — --- -----� ' u are nwcr ower pen — �-- �•— Urinal A_J_d_rcrs. _— City ----�lalejLlP. Wit — Phone:- _ �wr; — F-mail. _ otal — 44W Wt)* urdt xai�luefraceaatamalt.mm�niinn h"inimumree.... .........E - -/1r_!-dr 'vo'ix !iris prnnit appircaLon Plan mvitw(at _96; S -- U Vita O Muteit'arnr res if a rceTrit is aut obuin-d 7 ' crasiiareaowlai ►,u,na within 180 days aRrr it has Nan date wn:hatFc(8%) _. ,gut pied m.omple.e TOTAL ..... ........ .....5 —Air ov-M 1 �Vp. I Mal"-06-01 03:05P Wolcott- PlUrnbiriq 503 667 9891 P.07! 03:'06/111 'MU 11:12 I'AX 501 .59A 196D CIT'1 OF TIC0V (Q 003 PLUMBING PERMIT FEES: RII 'TOTAL Now 1 and 24hrnlly dwe11111690 only: T -~ FIXTt�RLE IlnQlyldui!I_- OTY ' eat : AMOUNT (hOhrd•s all pfumbinp'#IKturel In rS1nk - 18 hI the dwelllny and the 11100 fl., QTY 41 (el(Jr' AMQ�NY Levator/ ' !� 1eeOft ) I (I batl6l oonneclion)�� e ' �'• 4...20 �b or'ub/ShtMer Co b 0wo 2 bet11 _ _ $350.00 .6) -s f— Three(3)bfU _ — i39�00 I{�$F,;wer Ony �— I - W'stir Clew _Ni1 �--gQOTOTA_L lIJrk1s1 vim- a eYr AT1i9URCIIARO! !, c'Uhwa.nfr l5 eo PLAN REVIRW 45%OF SUBTOTAL Oarbaga CAPOW Laundry-fray.•._�_ 16 t0 osrunq Mach•n� I --IMF FI00rOrdiry out 5111k r -`- _ 16 f0 PLEASE COMPLETE: Al' 16.t0 N.ler heeler O comps on o uKo,ind tet ` uan f C'•es piping tegwns•SCOW6116 Jnrh:fKV 4in I I� Flxrure Typt•' New Movftid Repleted Removed) Ca ed erns _ MFG I+or10"lawSeryit» 46 0 in —�--�- Lsvet ..F;�_ e D{ewSarvsolm ewer ' u or t,biShower Combinallor e eJ•pnowor mR'- 18,i 0 Water ClosetOnnknq omUin - ra _.� OF. 45Pecly) leuo �hwaMer �-- Laundry Room lr -- — washms Maits logr rain! �Nt' 94ywr-1st1!�100 b7 IO G j• Sewer each edditio-+el 100' A6 t0 4' 6.)C war Mester Water 5:rveo•Isiibo` — Other FaWros Wa'er Service ■ach and td7MJl 200 48 10 S Form b RHn Drain• +.n 10o' � 55• -_.- t;torm 6 Rain fair•each adoll anal 100' 48.10 - --- Commerd Becl1 Flow rew�ilan Deo • 46 W �_ —+ - __ _Ja dant;l t;pcRncw Prevention .avAcs, 2T 65 ^ Catch 13itrn r� - -- IMpWion 01 E.-sling PNmbinq or pecrly 290 1 Re uesrtd Ina�ectlone _ 1fi• COMMENTS R[GARDING a90VE: 4, i, single familydweeinq ee 2 ------- -- G,cese Traps --- t8 - -- dUANTITY TOTAL - ieortrtnc ogee dlepern n pw•M1 u I _ __ - - — *SUBTOTAL -A%STATE SURGHAROE PLAW REVIEW 2SNR OF RL BTOTAL �^ T TAL f 'r41m�,m PR.m11 fN Is 11:So•4%su+o•+..hag..ncRo+R,,.d 41141 eee.ro. PVvMS+�OCw•ce,wnGt1 a 134 L9.11k%stoic sImns,ge rRAJ NRv GRTrnRra41 eu111rngR reaur.e p11+s wNh 4ort+e1•a w+L,r fUerfn,410 lion•r'.Rr,. 1\dstS1(orcnslpim-keS doe I0/10/00