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8475 SW ROSS STREET A FLOT FLAN N 00039 '50" - W ;. 5. 92' N 89 20 10 E I r OT 1*21 HAMPTON GOUfRT WATER METER .-22. 34 '-. 00 WATER LINE �' Gg R-1 2 ,51 11 D A 85 — '— SANITARY SELUER �'2, •�Q .QQ gD--- — — — STORM DRAIN TAX SOT 0- - - - - - - - - - - " - - t. OF- STRFE7 0 MANHOLE ACCESS EASEMENT - - - - - - 5W RO55 STREET ® CATCH 5Ag1N (62 S. F. ) S.E. 1/4 OF SECTION 11, T.2, R.1UU, W.M. /7� PROPOSED FOR THE Br:NEFIT OF ADJACENT STREET TREES CITY OF TIGARD STREET LIGHT PROPERTY OWNER TO THE NORTH WASHINCiTON COUNTY, OREGON WYORANT DETAIL A SCALE: 1 '= 30' dr- �.t� �� I, C�J 2 N8920� imE I — 63.®2 `r . . .. . . . . . . .— . . 219.58 ACCESS EASEMENT • ' III / SEE DETAIL B ABOVE I a Lam. _--w ttt _ STREET VACATION (D . NO. 99- 1538, 8/4/99) / _— _ _ _ _ _—.— _ = _ _ _ _ ----1­7 lip - - - - - - - - - - --------- �~ Ln P•4RC � i d t PARCEL 1_ r• r . d f ° 00.21 AC. .15 AC. -r _ - - _ -- - '�-- - - - - - _ — - - — - - - - - - -- - -- jam- - / pi �,- > ►° --- / OpAl 6 11 / / �� ,� N I / FIN. FL 2023' y� ^•�°�% / '/ n71n j O CSA E FLR. • 201.01ECEIV - �O , aa ■ 01.6' ... ._ ._gg-- / � Q_ � FINFLR. 20 �' . —SS— ..—GARAGE FLR. c ; 00i N 00010 d s ,+�� 2. 50 ' 00 , , ,. - N89 20 10 E 80. 24, - - L o • ° ° Z�l � � L O 414' '2$� • ° - - �' I h C ° j r♦ d \ • vJ ' SIDEI�JA�KA °a G �� o o S89720 '10 w 78. 70 CURB PROVIDE EROSION ,✓� PR CONTROL FENCE -- ,iACCESS EASEMENT PER COMMUNITY � / -�-� '- EROSION PLAN �—''- --� (2046 S. F. ) __----�` - - -- --- -- -- --�--� - FOR THE BENEFIT OF PARCEL 1 T ° C -- � � �FTAII A '— � S -- SCALE: 1 0 NOTICE: IF THE PRINT OR TYPE ON ANY T�_►-i � { I � I � i ( I � I I � � II � � I � III � ► � � � 11 � I IIII Ir�T1-I- 1�rT 7 r�r � 1ll IIIIIII I ! i III III III 11r rlljlll III III Ill ��.�. �� jlrT-l �. ili ► � i � Ir ili �' ( ( I I l III , IMAGE IS NOT AS CLEAR AS THIS NOTICE, � I _7 $ g - ---- IT IS DUE TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENT - -- -- -- - - - -- -- --- — - - --- -- - -- -- — --- - , E 6Z SZ LZ 9Z 15Z fiZ EZ ZZ I Z UFZlitill `_1111 i �3 [ LI 9T SI fit EI ZI I T OI 6 S L 9 Si E Z T �Itl131M II I T lllilllil IIII IIII I!11 IIII Ilii IIII IIII IIIA Ill�llli II,I II,I IIII ..,III. llll IIII. lilt Illi ll!! III_ II I��I .III IIII IIII IIII ����illII ���� IIII IIII IIII X111 ���� Till fill 1 Illll 111 IIII ���� 4 8475 SW Ross Street CITY OF TIGA,RD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BUP Received _ _ -__._._ __- Date Requested_ 9// _ AM PM BUP Location __ _.v`-� l.� Suite --------- - -- MEC — Contact Person —� - `1_1 r 4tr_ — Ph( ) /y—.�O� _ PLM Contractor __, Ph( ) _ SWR - BUILDING Tenant/Owner _r __- ELC Footing FoundationAcceSSTITe ELC Ftg Drain _ � �q ' , e[ ELR Crawl Drain l Slab Inspection Wes: SIT Post&Beam - - - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Other: Final PASS PART FAIL -- --- PLUMBING Post R Beam --- ---- Under Slab Rough-In Water Service Sanitary Sewer — — — Rain Drains - ---- - _ Catch Basin/Manhole — Storm Drain - --- Shower Pan Other. — a A _ PART FAIL - - CHAN!CAL _ Post& Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL — - --- — _ --- -- -- ---- -- ELECTRICAL Service Rough-In UG/Slab _— --- ----- — Low Voltage Fire Alarm --- - - Final [J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART -FAIL _ SITE _ — Please call for reinspection RE: _ Unable to inspect-no access Fire Supply Line ADA 11 Approach/Sidewalk n�'t^ v "-- Inspector, .. - Ext --- 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 INSPECTION DIVISION Business Lind: (503) 639-4171 BUP Received — - __-__ Date Requested ��1 7 AM - PM BUP _ -- - - _ Location __ 1 7 S_ —Suite MEC - - ---- Contact Person 11 t Ph(__._._..__) t3 PLM Contractor_—__-- _ _- _ Ph( ) c;� > SWR BUILDING_ TenantiOwner _ - ELC - Footing -- Foundation ELC Access: Ftg Drain ELR Crawl Drain - - Slab inspection Notes: SIT - Post S Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation to 15 s CC!!' Drywall Nailing - Firewall Fire Sprinkler - - - -- — Fire Alarm ,r1Z. Susp'd Ceiling -- Roof Other: -- Final PASS PART FAIL PLUMBING Post& Beam Under Slab -- ---------- Rough-in -------Rough-In Water Service Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain Shower Pan Other• MqZ - - - PASS PART _ - — ----- IIAECAWAL Post i£Beam -- -- '_ — - Rough-In --_ Gas Line Smok6Dampers ?na PART FAIL AL Service - ------- Rough-In UG/Slab �— --- - - �— Low Voltage FlaLAIarm - �� PART FAIL Reinspection fee of$ -_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S Please call for reinspection Unable to inspect-no access Fire Supply Line ADA 17/U Z.� Approach/Sidewalk Date _____.___ Inspector Other Final DO NOT REMOVE this Inspection record from tae Job site. PASS PART FAIL LAAAA♦AASAAAAAAAAAAAAAA.AAAAAAAAAAA,&AAAAAAA AAi� W i C) ► m Lo r� r y ► ' CL- y ► c..i rtrD ► ti r ' C - ► y _ ► ;cid . ''� ''� ► . t1 p a y �" � `ice•� b ► � tT' is .j�' ► o o ► ,q ► ► �rvv�vvivvvvv���i►�vvvvvivvvvvvv�s sys�vvvvr►��' gQO� .LN3WdOl3A3d 90I1d213N99 1996 L'CZ COS XV:I Lt :ZT NOR Z0`90,AD N it d 71 S C rd � r M O con N 5� . O` v N \ N � O c � o r � N z 1 V i CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONT. INC PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2.002-00004 Date Issued. 2i2 i i02. Parcel: 2S112CB-HCP02 Site Address: W421 SW ROSS ST Subdivision: HAMPTON CT-MLP2001-00009 Block: Lot. 002 Jurisdiction: TIG Zoning: R-7 Remarks: Construction of New SF detached residence. 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, ATTN: Building Dept. No plumbinn inspections will be authorized until this completed form is received OVVNF R PLUMBING CONTRACTOR: GENERATION DEVELOPMENT WOLCOTT PLUMBING CONT. INC 1219 SF IVON ST. PO BOX 2007 PORTLAND, OR 97202 GRESHAM. OR 97n?n Phone t'. 503-233-9443 Phone #: 667-1781 Reg #: I Ir 23847 PI M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Sinature o��thori . Plumb - 9 er If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PRAIRIE ELECTRIC INC 6000 NE 88TH S-i•REET VANCOUVER, WA 98665 Electrical Signature Form Permit #: NIST2002-00004 Date Issued: 2/27102 Parcel: 2S112CB-HCP02 Site Address: 08421-SW ROSS ST ;� y �C �ysyi Subdivision: HAMPTON CT-MLP2001-00009 Block: Lot: 002 Jurisdiction: TIG Zoning: R-7 Remarks: Construction of New SF detached residence. 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 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 ELECTRICAL CONTRACTOR GENERATION DEVELOPMENT PRAIRIE ELECTRIC INC 1219 SE iVON ST. 6000 NE 88TH STREET PORTLAND, OR 91202 VANuOUVER, WA 9866b Flhc�ne 11 503-233-9443 Phone #: 360-573-2750 Req #: sup 3562S LIC 60178 ELE 37-491C AN INK SIGNATURE IS REQUIRED ON THIS FORM �N% x Signat re of Supervising Elect ician If you have any questions, please call (503) 639-4171, ext. # 310 CITYOF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S27102 -00003 DATE ISSUED: 2127/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S 112CB-HCP01 SITE ADDRESS; 08475 SW ROSS ST SUBDIVISION: HAMPTON CT-MLP2001-00009 ZONING: R-7 BLOCK: LOT: 001 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYNE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection permit for new SF residence. SEE CASE NOTES FOR REFUND EXPLANATION, Owner: FEES GENERATION DEVELOPMENT Type By Date Amount Receipt 1219 SE IVON ST. — PORTLAND, OR 97202 PRMT CTR 2127/02 $2,300.00 27200200000 INSP CTR 2/27/02 $35.00 27200200000 Phone: 503-233-9443 Total $2,335.00 Contractor: Phone: Reg#: Required Inspections This Applicant agrees tD comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date isF-ued The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the s^.cui acy of the side sewer lateral:.. !f 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' Perm Issued by. 1. (r �'t J`� _ Permittee Signature: i Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day � CITY w(O F TIGAR D -- -Y----MASTER PERMIT (V' PERMIT#: MST2002-00004 DEVELOPMENT SERVICES DATE ISSUED: 2/27/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 0W21-SW ROSS ST PARCEL: 2S112CB-HCP02 SUBDIVISION: HAMPTON CT-MLP2001-00009 ZONING: R-7 BLOCK: yy 7.5 .5 N/ / .� LOT:GG2-c- f JURISDICTION: TIG REMARKS: Construction of New SF detached residence. path 1 BUILDING REISSUE: -- STORIES: FLOOR AREAS —REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: �-4 FIRST: 902 sl BASEMENT: st LEFT: 10 SMOKE DETECTORS Y TYPE OF USE: sr FLOOR LOAD: 40 SECOND: 1.202 sr GARAGE: 374 at FRONT: 22 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: of RIGHT: 5 VALUE: S 200.992 BO OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2.104 00 of REAR: 34 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CArCH BASINS. TUBISHOWERS: 2 GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS, OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIUCMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1 (1A5 FUSIN>•100K: I UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADn'L INSPECTIONS 1000 SF OR LESS: I 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp: 201 •400 amp: 1st WIO SVCIFDR: 00 SIGNIOUT LIN LT PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR. SIGNALIPANEL: IN PLANT: MANU HWSVCIFDR: 601 • 1000 amp: 601+81nps•t000v: MINOR LABEL: 1000+amolvolt PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS, 9VCIFQR>•223 A.: >600 V NOMINAL CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL _ AUUIO R STEREOVACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOWPAGING OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: L.ANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: BLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA,TELE COMM: NURSE CALLS: TL'TAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,432.93 This permit Is subject to the regulations contained In the GENERATION DEVELOPMENT Tigard Municipal Code,State of OR. Specialty Codes and 1219 SE IVON ST. 19,19 bi f 4opi "or all other applicable laws All work will be done in PORTLAND,OR 97202 pc kT L-nry'-�) 1'A' y7 A";L 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 Rep N: L-0 " f fc t,,/, 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 IW°PECTIONS Erosion Control Insp 8, Post/Beam Mechanics Mechanical Insp Shear'Nall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Ext4rlor Sheathing Insl Rain drain Insp Plumb Final Footing insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final Inspection Foundation Insp Footing/Foundation Dr: Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Post/ al PLM/Underfioor Fralni,Tg Insp Gas Fir3place Electrical Final Permittee Signature - y Call (503)09-4175 by 7:00 p.m. for an inspection needed the next business day Building Permit Apoication Elly of Tigard '�L? Date received ,'c�7-- Permit no.: ' ,` ¢u City n/Tigard Address: 13125 SW Hall Blvd,'T Bard,OR 97 3 l'rolccUappl.no.: Expire date: Phone: (503) 639-4171 Date issued: By Receipt no.: Fax: (503) 598-1960 Case filer,o.: Payment type: Ladd list' approval: 1&2 family:Simple _ I Complex: ` TYPE OF PERMIT U 1 &.2 family dwelling or accessory U Conunercial/industrial U Multi-family U New construction U Dentoli(ion U Add ition/alte rat ionheplace nielit U•Tenant improvement U Fire sprinkler/alamu U Other: 1 Joh address: y (U;�'--� _ _ Bldg.no.: Suite no.: Lot: 1 2'7 Block: Subdivision: t• r(�, y , (� TTax map/tax lot/account no.: Z`ii1 C.1�(1761.E Project name: DescriVion and location of work on premises/special conditions: ICU.-;' /L ct C Tic -a c_,F Alt a- (M NER FOR SPECIAL t` -- -_ — ---- — — h INFORMATION, (Flood plain,septic capacity,solar. Mailing address: ( Z� ,; T 1 At 2 family d„elling: y: Cit - .^7c r4-4-1 iuttr ZIP y 7ttc:y Valuation of work........................................ h. Z r Phone: ,� �. Fnx: X. . S�t. mall: No.of h drooms/baths................................. _ J, 11 .3 Owner's represent:ui�c •Total umher of floors .......... Phone: 51 ,'f F,t� f ,. M�: -- biew welling area(sq.ft.) ................•.....•... L APPLICANT Garage/carport area(sq.ft.)......................... Name: Covered porch area(sq.ft.) ......................... Mailing address: Deck area(sq. Ii.) ........................................ - City: c: ZIP: Other sttvcuur arca(sq.ft.)......................... Phone:. - 1 l ar i< tiartail: �,,( 4otl�Mercial/indrtstrialhnultf-famih: ` . 1 r Valuation of work........................................ Business name: Existing bldg.area(sq.ft.) ............ ..... l/)L t, t rsrT/!7. r Cs i r e�'.'�/il!�J f r•.c - -- «— Address: Z I t' 1 V _ New bldg.area(sq. ft.).....................\ C., , City: -Aa o p State:o” ZIP:i`- z o L.- Numlxr of stot9es........................................ Phonc:(-pl3 Fax: ; �,'i(< E-mail: Type of construction.................................... Occupancy group(s): Existing: CCB no.: ----- - — New: -- City/metro lic. no. Notice:All contractors and subcontractors are required to ix• licensed with the Oregon Construction Contractors Board under Name: c�' ^� ,t +' , provisions of ORS 701 and may tx requited to he licensed in the Address: , . �: ' qc 5 ,, �. Jurisdiction where work is being performed. It the applicant is Cit r. , ,., exempt from licensing,the following reason applies: State:, ZIP: 1 Contact person: I'lan m — Phone: Fax: 1l in.itl Name: Contact person: Fees due upon application ........................... $ Address: Bate received: City: State: ZIP: Amount received ......................................... $_ Phone: Fax: T: mail: Please refer to fee schedule. hereby certify I have read and examined(his application and the Not all jurisdictions accept credit canis,pleace rill jurisdiction rot intwe inirrAmation. attached checklist. All provisions of laws and ordinances governing this U visa U MasterCard work will be complied with,whether specified herein or not. Credit rard number Authorized signature:_ Date: Name of rd'holder as shown on credit card F.spires Print name:J.�_ _ �� Cardholder siAnatute i kmouni Nolice:'lliis permit application expires if a permit is not obtained within !"d days after it has been accepted as complete. W-4611(Nt X'OM) One- anifl Two-Family Dwelihng • • ) ".p ' " Itefcrcnccno. Building l crnut Application Ct�•,.�:>r dist Cit y of T Igi11d J Fla mtcal U Plumbing U Mechanical \-H). ,. 13125 SW Hall Blvd,'Ct+',­1, OR 972'� Jt)thrr I'hone: (503) 639.4171 ^-- -- ITox: (Silt) S0S 11)(10 1P K01"I1 ' �PLAN REVIEW Yc-- Not NIA I Land Ilse acll.tnS cnrttpleled. 'I,I IuoSdtcuon micro fill curetment reticu 2 7.oning.flood pl.0 I.0 k1l u)ce punas•Sctsnnr tinil dr.itrnamnn tu.'.rtu (hSmnt.clL 3 Verifleation of aprrroved plaulttt. 4 hire district.,—.—_.--approial required. 5 Septic system permit or aulhori,noun fill renndcl I.Stsung syslcno capacity -- 6 Sewer permit. _—---- - — , 7 Water distrlct approval. _ 9 Soils report.Must carry onginal applicablee stamp and signature on file or with application. 9 Erosion control U plan U permit required.Include drainage way protection,silt fence design and location of _ catch-basin prr.tcction,etc. _ IU ' 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 sheet attached to the plans with cross references between plan location and details. flan recuts cannot he completed it copyright violations exist. if Site/plot plait drawn to scale.The plan must show lot and building setback dimensions;fimperty corner ciculwi•t it Iherr tS nu)tr than;t•I-fl.c!(1"tUIni(htll•r'elllial,plan MUNI show contour lines at 2-h.intmals):Ioamon utcax mall;utd diorw;tJ:Ite)tptinl of 1,1111L fill(*tinclu( mg decks),luc;ttron of tcclfs/lull Sy Stems:utility I4x;aionS,direcUnn indic,)hn: !111 arr;r,hui1dn11!.cutrrate aura;percentage of covera}rc,nnlx•rsnnn arca;existing Snttclures on site:and stulace driut,n': _ 12. Foundat loll plan.Shots dimen';iunS,anchor halts,an% hold downs and reinforcimt pads,connecmon detatlN. tcnt ,,ve and location. I i Floor plaits.Shute all dtnunsionS, tuont tdenUficaltun.tsnulow tiro,location of ,moke detectors, water heater. furnace, ventilation Ltns,plumhint.17xlurrS,halctutteS Mid deck~ 10 tnchvti aho\c grade,etc. 1-1 ('ross section(s)and details.Show all framing-member sites and spacing such as Mutt beams,headers,joists,sub Iloor, \v-dl construction,roof construction. More than one cross section may he required to clearly portray constntcmort Shote details of all wall and roof sheathing,roofing,raxol slope•ceiling height,siding material,footings and foundatnnt. Stan _ fireplace construction, thermal insulation,etc. 15 Elevatkm views.Provide elevations for flew consmYtction;minimum of two elecatiuns for addition"and rena+ufel, Exterior elevations must reflect the actual grade it the change in grade is greatet Ilan lout loot at huddinc entelope. full-size sheet addendunis showing tiotmdahun elevations with cross reIetc nLc�it a,,ceptahlc. —_ 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indtc,ue dct1111 and llealiOtl,,;for non-prescripliv�_path analysis provide specification"and calculauunS to rnVince•ring Standards. 17 Floor/roof framing. Provide plans for all floors/rouf tisscn)hlies,indicamng member siziry. .,:;:crag,and hearing locations,Show attic ventilation. 19 Basement and retaining walls.Provide cross sections and derails showing placement of --char. Fill engineered systems,lace iter 22,"Gngince;'s calculations." _ 19 Ream calculations. Provide two sets of calculations using current code design values for all hran.s and multiple joists over 10 feet long and/or any hcam/joist carrying if non-uniform load._ 20 Manufactured floor/roof truss design details. _ 21 Energy('ode compliance.Identify the prescriptive path or provide calculations. A gas-piping scheiratic is required for four or noore appliances,.. _ _ _-- 22 Engineer's calculations.When required or provided,Ii.e.,shear will tom uu,.•).h:dl lic <ianiped h, an engineer or architect licensed in Oregon and shall he shown to be applicable it, i JURisDicriONAL 23 Nice(5)site plans are required for Item I 1 above. Site plans must he k-112" x 1 1"of I I-x 17". 24 Two I')sets each are required for Items 16, 19,20& 22 above. 25 Building plans shall trot contain red lines or tape-ons. 'Alirrored"building plans will he not accepted. 26 "Reversed" building plans must meet criteria outlined in the Permit&System Development fees document. - 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan must include street tree size,type& location per C'ily of Tigard Street'Tree List hxxiklet. Checklist must be completed before plan review start date. Minor changes or notes on submitted plains rat he in hlue or black ink. Red int: is reserved fior department use only. 440-404 OKucx)sl) Mechanical Permit Application -- 7aue ccivcd: I'ernulno.: rjl4 Ci of Tigard dappl.no.: Expircdate: City of Tigard Address: 13125 SW Ilall Blvd,Tigard,OR 97223 sued: ti, Receipt no.: Phone: (503) 639-4171 -- _ Fax: (503) 59R-1960 Case file no.: I'ngment type- Land use approval: Building pernucno. I & ?family dwelling or accessory U Commercial/industrial U Mulli-family U'I'enant improvement U New cowliu(non U Ad(lition/alteration/replacement U Other: 'KI, VALUA-11 ION SCIIEDI�LE .1011 SUI F IN.FORNIATION CONI NI I.R( Jot)address: Z j, i / c ' 4 Indicate equipment quantities in boxes hclow. lodicale the della) Bldg.no.: I Suite no.. value of all mechanical materials,equipment,labor,overhead. Tax map/tax lot/account no.: profit.Value$ i__.------- I'm. Block: _]Suhdivisionj f{,Veri.y (:,,eT 'See checklist for important application information and Project name: (, , i f r— jurisdiction's fee schedule for residential permit fee City/county: v „�, l( , [ ZIP: Wo A Description and location of work on premises: bVAY-(l� fr�_ -�"_�t k.lt r volt parr. _ Iee(ea.) Tolai Est.date of completion/inspec(ion: Descri ion Qty. Res.only Res.only Tenant improvement or change of use: Air handling unit A'I'M Is existing space heated or conditioned?U Yes ANo Air conditioning(site plan require -) 1�crisiinl, .p:i(r in,ulaled?U Yes N No Alteration of existing 14VAUsystern 101 to B of I cr compressors Business name Stale boiler pertril no.: Hp Tons IITU/H Address: t-'Z lAwlFiFe7smoke dampers/duct stnoa etectors City: _ State: /< ZIP: j'7 n/qlical pump(site plan required) --UTU7rr— Install/replace furnace urner Phone:,_;�,t Fax: -mail. mail. _ Including ductwork/vent liner U Yes U No CCB no.: Installheplaccirelocate eaters-suspended, City/metro lic.no.: wall,or floor mounted Name(please tint): Vent fora Nance other than furnace e gent on: Absorption'pits -- BTU/H Name: ( �,�y _ chillers-- HP Address: — - ('omrell I HP -- ;nv momenta ex ust a vent ton: City: State: ZIP: Appliance vent _ Phone: Fax: E-mail: hyerex aust _ffao _%7ypc I rT I eT-7 icicTero z m a t hood fire suppression system Name: Exhaust fan with single duct bath fans) Mailing address: atm or asiTiT City: state: ZIP: Fuel piping and distribution(up _ rl cts) Type: LIX; __ Ni; (;ii _ Phont.: Fax: E-mail: �uel ,i,int each additional Duet 4 outlets rocesspiping(sc ematicrequire() "Name: Number of outlets v 1 er st app spec or equ piienti Address: _ __ tkcurauvefi_replace City: _ State: ZIP: Tale"- type Phone: Fax: E-mail. Woodstove/pellet stove _ Other: Applicant's signature: Date: 011ber. Name (print): Not dl)urislicWxa xcepr emlia earn,please call Jurisdiction fur more informaticm Permit fee.....................$ Notice:'This pen-nit application �--��--_— U Viso U Mastercard no Minimum fee................$ _ Crede cud number �. _ _ expires Kit permit is not obtained Plan rev iew(al _ %) within IAO days after it has been Num of urdholdrr u shown on credit card — accepted State sun l:Arge(R96).. .$ $ ted as completeTOTAL .......................$ cigodef dputwe Amount_ 4404617(60WMM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: Price Total Table 1A Mechanical Code Qty (Ea) A $1.00 to$5,000.00 Minimum fee$72.50Amt $5,001.00 to$10,000.00 $72,50 for the first$5,000.00 and 1) Furnace to 100,000 BTI.I $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. including ducts&vents _ 1740 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $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 1400 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit 6.80 $1.45 for each additional$100.00 or fraction thereof,to and including 6) Repair units $50,000.00. 12.15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler I Hea! Air $1.20 for each additional$100.00 or For Items 7-11,see nr Pump Cond fraction thereof. footnotes below. Comp Minimum Permit Foe 100K to 100K$72.50 SUBTOTAL.: $ 7) absorb unit BTU 14.00 8%State Surcharge $ 8) 15 absorb unit 100kk to 500k BTU 25.60 t t _ �_ 25•/.Plan Review Fee of subtotal 9)15-30 HP;absorb Required for ALL commercial permits only 10)$ unit.5-1 mil BTU 35.00 TOTAL COMMERCIAL PERMIT FEE: $ 30absorb unit 1-11.7.75 mil BTU 52.20 unit 11)>501 IP;absorb - unit>1.75 mil BTU 87 20 ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM MOO -�� Value Total 13)Air handling unit 10,000 CFM+ T Description: Oty Ea Amount 17.20 Furnace to 100,000 BTU,including 955 14)Non-portable evaporate cooler ducts&vents _ _ 10.00 Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duct ducts&vents 1 6.80 Floor furnace including vont 955 16)Ventilation system not included In Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted heater 17)Hood served by mechanical exhaust Vent not Included In appiicance 445 10.00 _ permit 18)Domestic Incinerators Re�afr units _ _ 805 17.40 <3 hp;absorb.unit, 955 191 Commercial or Industrial type Incineratorto 100k BTU _ _ _ 89.95 3-15 hp;absorb.unit, 1,700 20)Other units,including wood stoves 101k to 500k BTU 10.00 15-30 hp;absorb.unit,501 k to 1 2,310 21)Vas piping one to four outlets mil.BTU __ 5AU _ 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 mil.BTU 1 00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 3U8T0TAL: $ >1.75 mil.BTU Air handlin unit to 10,000 cfm 656 - `- 8%State Surcharge $ Air handling unit>10,000 cfm 1,170.._ - Non-portableevaporatetioler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 446 i_ Vent system not Included in 656 - - appliance permit anical exhaust Other Inspections and f Hood served bmech656 ees: Y _ -- 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator 1,170 $62 50 per hour Commercial or industrial Incinerator 4,590 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) Other unit,Including wood stoves, 656 $62 50 per hour inserts etu. _ 3 Additional plan review required by changes,additions or revisions to plans(minimum Gas piping 1.4 outlets 360 _ charge-one-hall hour)$62 50 per hour Each additional outlet 63 Slate Contractor Boller Certllicatlon required for units>200k Bi U. TOTAL COMMERCIAL "Residential A/C requires site plan showing placemen:of unit. VALUATION: All New Commarclal Buildings require 2 sets of plans I:\dsts\forms\mech-fees.doc 12/26/01 Electrical Permit Application Date received: Permit no.' r ' � (JG s/ city Of llgard Project/appl.no.: Expire date: City Address: 13125 5W Hall Blvd,Tigard,OR 9722; [)ale issu ryed: By: Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ TYPE OF PERMIT V 1 8c 2 family dwelling or accessory U Commercial/industrial UMulti-family U Tenant improvement JtfNew cons,niction U A(I(lition/alteration/rcpl,tcenlcill U Other: U Partial Joh address: `�`l t c.J c�` , Bldg. nu.: Suite nu.: Tax map/tax lot/account no,: Lot: Block: ISubdivisiow. JAA*ylo c;i•_.'a ..— Project name: Description and fixation of work on premises: JWI`--Kk f LE--rttrRt_ rL, _ 51•L..C.rf4.�+. fit'`, Estimated date of coniplction/inspxction: Fee M:n Job no: Urscriptiun Qh. Ica•I Intal no.imp Busimam nam c: VA 12L 8 New rexidential single or roulti fervid%per /�ddregs:, " r+ dwellingullit.lilt Indkeutlaclm(1Rarape City: State:t •1.11': 3 Serviceinclrulr•d. l-- I0(H)sy It Ie" -- 4 Phone:' ,c)t;V Fax: E-mail: Each additional 500 sq.ft.or portion thereof CCB no, (,; 7 Elec.bus.lie.no: ' - N 9"� Limitcdencrgy,residcntinl 2 City/metro lie.no.: Lintiiedenergy,noii-t"idential 2 Ench manufactured home or modular dwelling signature of su rvtsutg clttntcian(required) Date - Service and/or feeder 2 — License no; Servicesorfeeders-installation, Sop.elect.name(prim i alleralion or relocation: 1 2)f)amps or less ` 201 amps w 41x)amps 2 Name(print):�rf.Je c; IJ -� (_U rJ'f�N, 401 antpsto60flamps 2 Mailing address: _ 601 amps to 1000 amps ` City: Stall": Over 10(h;amps or volts 2 Phone: Fax: I:-mail: Reconnect only 'temporary services or feeders- Owner installation:The installation is being made on property I own Installation alteration,or relocation: which is not intended for sale,lease,rent,or exchange according to _tN)atnps III less _- ORS 447,455,479,670,701. 201 amps to 400 amps Owner's si mature: - Date: _ 4o it,(,IN)ams - Branch circuits-new,alteration. or esitensl•m per pane!: Name: A Ice for brunch circuits with purchasc of --- - Addrers: service or fader fee,each branch circuit - - r til ter 7R. Fce for branch circuits without purchase City: .1 P.__._- _ _1 " - of service or feeder fee,first brunch circuit: Phone: I ,n f. mail: L.ach additional branch circuitI'L%N RVV11-Ay(Please check all that apph 11 . M Ise.(Service or feeder not Included): I.ach pump of uriltation circle U Service over 22ti amps cmnuncrcod U I Icaldr-ca+c lauhty outoutline hghang ' U Service over 320 amps-rating of l&2 U Ilarards l ouocation signal circuit(q)Each sign or r (it a linrtted energy panel. familydwellings Ulluildingovermool)square feet luutor F U System over 600 volts nominal more residential units in one structure nitc:cion,or extension* _ U Building over three stories U Feeders,400 amps or itmte *L)'cn tion -- —- -----— U(kcupat load over 99 persons U Manufactured structures or RV park Fitch addltlona+inspection over the allowable In any of the above: _)I pteFOightingplan U Othcr __ Per inspection Submit___sets of plans with am of the above. Investigation fee Tile above are not applicable to temporary construction service. Other - --- - Permit fee..................... _�_ -----Not all Jurisdir•ux+s wCept credit cards,please call jurisdiction for nimr informarion Notice:ices 0 Stypermit application obtained Plan review(al —_ 91) U Visa U Mm;tetC'ard p permityState surcharge(8%) ....$ Credit card number �_---_.---__--_- ---1�L within l Au days after it has been accepted as complete. TOTAL .......................$ . Name of csidholdrr uiho'wn on c . it cid S _ Cardholder signature Amouni 4"15(WWOxr i ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: NLY Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL _ p Restricted Energy Fee.......................... . 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 t Audio and Stereo Systems' Each additional 500 sq It or portion thereof $33.40 _ t Burglar Alarm Limited Energy $75.00 Each Manurd Home or Modular ❑ Dwelling Service or Feeder $90.90 2 Garage Door Opener' St vices or Feeders E] Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 201 amps to 400 amps $106.85 2 Vacuum Systems' 401 amps to 600 amps $160.50 _ 2 601 amps to 1000 amps $240.60 _ 2 Other Over 1000 amps or volts $454.65 _ 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system................................................. ....... $75.00 200 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. F-] Audio and Stereo Systems Branch Circuits New,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 _ 2 Data Telecommunication Installation b1 The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 Each additional branch circuit $6,65 ❑ HVAC Miscellaneous Instrumentation (Service or feeder not included) Each pump or irrigation circle _ $5340 _ ❑ Intercom and Paging Systems Each sign or outline lighting $5340 Signal circuit(s)or a limited energy panel,alteration or extension _ $7500 ❑ Landscape irrigation Control' Minor Labels(10) $12`.;00 Medical Each additional inspection over the allowable in any of the.:l^,.z ❑ Per inspection _ $6250 Nurse Calls Per hour _ $62 50 _ In Plant $73 75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ _ ❑ Other 8%State Surcharge $ -_ _—Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses aro required Licenses are required for all other Installations front of application. - Fees: Total Balance Due $ Enter total of above tees 5 _--- ❑ Trust Account# -_ 8%State Surcharge = Total Balance Due = All New Commercial Buildings require 2 sets of plans. i:\dsts\forms\elc-fees.doc 08/30/01 Plumbing Permit Application Datereceived: Permit no.:JVIS ,;ky) UCt'1J City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 CirynfTigard Phone: (503) 639-4171 F'rojccUAppl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case file no.: Payment type: 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tcnant impn)vement New construction U Add ition/al leralion/replacement U FAA service U Othrr. JOB SUFFINFORMATION Job address: �� ,J J� UcscriptionQlv. I�cc(ea.) '['otal Bldg.no.: Suite no.: - Nerd 1-and 2-famlly dwellings only: (includes too A.for each utility. connection) Tax map/tax lot/account no.: SFR(1)bath Lot: i Block: Suhdivision:} A,4Ajp rp-J (.Cstit2 SFR(2)bath _ Project name: SFR(3)bath _ City/county: ZIP: Each additional bath/kitchcn Description and location of work on premises:Tree V1,Pt& 111teutillities: z fj:-cam, `- I—K,(c...0 e2, C atch hasin/area drain Est.date of completion/inspection: - Drywalls/leach line/trench drain — �— Footing drain(no.lin.ft.) _ Manufactured home utilities Business name:Lc._x "T`1 -4 L(01- V Manhc:cs Address: ) J r , Rain drain connector City:. 14F / tit State: (/� ZIP:! ; . _ Sanitary sewer(no.lin.ft.) _ Phone:;)3. ,'i_`,. % Fax E-mail: Storni sewer(no, lin.ft.) Fater service(no. lin.ft.) CCB no.: ,a y Plumb.bus,reg.no: - i /L' City/metro tic.no.: _ Fixture or Item: Absorption valve _ Contractor's representative signature: _ Back flow preventer Print name: Date: Backwater valve Basins/lavatory Clothes washer Name: ----- —- _ - Dishwasher _ Address: Drinking fountains) City: State: 'LIP: _ Ejectors/sump Phone: Fax:_ l' mail Expansion tank Fixture/sewer cap _ Fluor dtains/Iloor sinks/hub Name(print): _ FluGarbage disposal Mailing address: Hose bibb _ City: State: ZIP: Ice maker _ Phone: fax: E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s).basin(s),lays(s) Owner's si mature; Date: Sum Tubs/shower/shower an Urinal Name: _ Water closet Address: Water heater City: - __�__ —� Other: - State: ZIP: Phone: ^-- Fax: F main otal Nal all)tuidlctioru mecepi credit cards, lease call jurisdiction rix more Inforrnotion Minimum fee( ................$ —�_--.-- p i Notice:'lltis permit application plan review(al U Visa U MasterCard expires if a permit is not obtained State surcharge(8 ) Credit card numlxr _ a--_� / - within 180 days after it h ....as been — plrca TOTAL .......................$ Name M cardholdrr ascii cwvn on eredlt cod � accepted as complete. —'—' S _ Cardholder ilpiature Amain 440.1616(6MICQM) PLUMBING PERMIT FEES: PRICE TOTAL Now 1 and 2-family dwellings only: FIXTURES (individual) QTr ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sulk 1660 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory _ 16.60 �_- for each utility connection _ One 1 bath _ $249.20 _ Tub or Tub/Shower Comb. 16.60 Two(?j 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 _PLAN REVIEW 25%OF SUBTOTAL _ Garbage Disposal 16.60 TOTAL Law dry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 - PLrASE COMPLETE: 3" 1660 4" 16.60 Water Healer O conversion O like kind 16.60 Quantity b I Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/- permit. Capped MFG Home New Water Service 46.40 SinkLav MFG Home New San/Storm Sewer 46.40 Tub or Tub or Tub/Fltower Hose Bibs 16.60 Combinati�on _ Roof Drains 16.60 Shower Only Drinking Fountain 16.60 — - Water Closet Urinal Other Fixtures(Specify) 16.60 Dishwasher -Garbage Disposal -Laundry Room Tra Washing Machine Floor Drain/Sink: 2" Sewer-1 at 100' 55.00 3„ - - -- Sewer-each additional 100 4640 4" Water Service-1st 100' 55.00 Water Heater Water Service-each additional 200' 46 40 i (Sper Fixtures _ Specify) Storm 8 Rain Drain-1 at 100' 55.00 Storm R Rain Drain-each additional 100' 46.40 -- Commercial Back Flow Prevention Device 46.40 -- Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Specially 62.50 Requested Ins ections perthr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 - Grease Traps 1660 -----— -- QUANTITY TOTAL Isometric or riser diagram is required If — O_uontNy Tolal is >P _ —v" ------— - "SUBTOTAL - 8%STATE SURCHARGE - - ----- "PLAN REVIEW 25%OF SUBTOTAL _ Required only it fixture qty total is>9 — TOTAL a *Minimum permit fee Is$72 50+9%state surcharge,except Residential Backflow Prevention Device,whIch:s$3e 25+B%state surcharge ..All New Commercial Buildinrs require 2 sets of plans wtth Isometric or riser diagram for plan review. i:\dsts\forms\plm-fees.doc 12/26101 SEE 35MM ROLL #20 Fl7R OVER- SIZ..dED DOCUMENT