Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Case File
r. . 1 I. PROVIDE A MINIMUM 8' DEEP GRAVEL 545E FOR ALL DRIVEWAY ARE.;S_ 2. MAXIMUM DRIVEWAY SLOPE SHOULD BE VERIFIED W!TH THE BUILDING DEPARTMENT PRIOR TO CONSTRUCTION. 3. PROVIDE A MINIMUM 4" DEEP GRAVEL BASE FOR ALL o 51DE'UALK AND PATIO AREAS. a E 4. PIPE ALL STORM DRAINAGE FROM THE BUILDING TO A � p DISPOSAL POINT APPROI,ED BY THE BUIL DING -� DEPARTMENT, 0 a.. 5. PROVIDE AND MAINTAIN POSITIVE DRAINAGE AWAY Z FROM BUILDING ON ALL SIDES. fo. THE BOUNDARY AND TOPOG-RAP+-;Y INFORtIA T ION HAS BEEN PROVIDED TO POLLARD - H05MAR DESIGNERS, iNC. BY THE CONTRACTOR, OWNER OR I9'-0' WIDE 41.43 N ENGINEERING CONSULTANT. POLLARD - HO5MAR 4' THIC< DESIGNERS, INC. WILL NOT BE t-IELD LIABLE FOR THE CONC. DRIVE .. Clio ACCURACY OF THIS INFORMATION_ IT 15 THE SOLE (512 SQ. FT.) A � V) Pei 0 RE5PON5151LITY O; THE CONTRACTOR TO VERIFY Z ALL 51TE CONDITIONS INCLUDING ANY FILL PLACED �; S 89'43'0' E W x ON THE SITE. THE CONTRACTOR MU5T INFORM THIS [. — — .•- OFFICE OF ANY POTENTIAL FIELD MODIFICATIO F) 35,00' -��•1;1'��� NOT SPECIFIED ON' THE PLANS. � � � �r � �.-!°' F-- • 1. NON-STABILIZED FILL MUST NOT EXCEED 2.1 SLO:�,E _ .� N 8. EXCAVATION MATER1.41- REM,41NING ON SITE IS TO BE CONTAINcD BY AN APPROVED SEDIMENT BARRIER -n 1` _ : . : — - r•, (FILTER FABRIC TE,NSILC, STRAW PALE SEDIMENT BARRIER Xr- `� � : :: ....\. . --- 0 I OR EROSION BLANKIPATIO Ln ET WITH ANCHORS) THE CONTRACTOR - -� W CsARAG-�. .''.•:.'. :.:-:':':-'- • ''.:-:.:.'.::'. : ... ... .` t4 MUST VERIFY L.00:ATION WITH APPROPRIATE BUILD(NG _ OFFICIAL. : �..... ... .. .{........ .. '.— ::�1:::: ..................' `,•',• ..'.':.'.. :..;.:..:.:.:.:..'.. '. N ' PROTECT 5TOCX PILE5 FROM OCTOBER Ist TH :':.:.:.':::_: ':::._:': _::'::':::':':': ti RU C :' ' ' ' ' '::-:':-::•:':.:-:':3 - ::::I......... -.. . I APRIL aOth PER THE EFS OSION CONTROL HANDBOOK. z I :.... . .... ......:1...'.:._ :...:....'..'...':� :.. ...... :'.:.....'... 501- O 10. NO CUTTING OR FILLING SHALL TAKE PLACE WITHIN 2 t t .. ... .. . ....... — y.�.. .................. ......... THE DRIP LINE OF AN EXISTING TREE UNLESS THE „� 9 _ _' :' CDE 5 f DAN E I EXCEPTION IF APPROVED BY THE BUILD'NG DEFT. Fr E. = 222.00' O ...:.;. .. :.:....... Q IL AFTER COMPLETION OF CONSTRUCTION, THE CONTRACTOR MUST EITHER LANDSCAPE THE SOILS, MULC+4 THE SOIL ORLAJ cA 137.10' '� N • ►- 4' ABS SANITARYN N 89'42'41' W SEWER G01,JN_CT TO � -f N • CITY APPROVED 5EWER C 1' PVC WATER LINE N EROSION CONTROL PLAN 3' ABS STORMLINEmuffim 4'-0' WIDE ., GOPtG. WALK CONNECT TO � (23 3Q. FT.) CITY APPROVED cin" 1- Silt fence to be installed at low STORM DRAIN side of lot. cc N 2. Driveways & sidewalks to be graveled. ILI & IF LA --- 1/16 I -0 PARCEL 2 LOT- 7 FAIRVIEW / WASHINGTON COUNTY, OREGON 11513`oCA -CA,X L.OT SOO 1 4.5 Z.O M E: I , F; 'C E L 2 BUILDING FOOTPRINT = 1,122 SQ. FT. - AREA OF LOT = 1,501 SQ. FT. - 15% COVERAGE CONTRACTOR 150-1 SCS. FT- A LCCS 11 I —oaf OSi O e � • ROOF AREA 1,25ro SQ. FT. 11050 SW 18th AVE TIGARD, OR. 6!18/01 KAK ium � ,: �. �.,....... r c .., ......M..._ ..�..rw�rruiwa•.......... A++y�y� .. ,. �� r!`� �' r� '+ F,, �� '.cu_.. .r;.n y. n � ,. - _ ....,u,. '""°'-`"r."c..:o�.uicw.�1�'�"'"',.`R�'J,�= �F"'�„ ._ .:z{�I�IwW Ww+r+aw•i «-".�.�ji�, ,. _- NOTICE: IF THE PRINT OR TYPE ON ANY -rr ► I r 7 I I III I I III III 1 1 1 III III III 1 11 1 [1 T�1T T 11 1_(_1 1 1 1 1 11 1 1 1 1 11 I II1 I II I , I 11 I ( I ' I I I I 11 r r r I I I I f f T ) 1 . _ I1I 1-1 I ( I I I I . III I I ! I I I I f l l 1 1rr rrr r,-� ��TI l , I I ( , l 1 ► , IMAGE IS NO E AS CLEAR AS THIS NOTICE, I I I I I �< C 8 9 ._- 10 11 12 �ITIS DUE TU THE QUALITY OF THE _ --- -- --- --- -- -- _ No.36 ORIGINAL DOCUMENT E 6Z 8Z LZ 9Z 5Z fiZ £Z ZZ TZ OZ 6i 8T. �THHHH, 5E8 L 8D�ui�wllllllllllUIIIIII111111�1IIIIIIII IIII IIII IIII IIII III1IIII IIIIIill :1111111111111111111111{IIIIII 1ii! IIII IIII l loll lll� Llll IIII �lll ll.l.l ll 1111111C�N11 ! »YM4�M.1W.etr'er.,+^•inPM+ww+*-.M4+�w,+J.n..M >".��.., .e.+.wWW�Miae`.wNL1.v++1+�.YW�,M1MfMY����'YEN*�'^�'�""�.a+V.ILr•avow.+.w�NrnM'im'W�e+O.ai+l�w`^+NNn,M�++w^w""'^°�'^ I r i l 1� j �S G y 00 D CD c cD 11050 SW 78I" Avenue CITYOF TIGARD MASTER PERMIT DEVELOPMENT SERVICES DATE ISSUED:PERMIT 7/24201 00398 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 110.50 SW 78TH AVE_ PARCEL: 1S136CA-ELD02 SUBDIVISION: MLP1999-00002 ZONING: R-4.5 BLOCK: LOT: 002 JURISDICTION: TIG REMARKS: New SF detached. Path 1 BUILDING REISSUE: STORIES: 21 FLOOR AREAS REQUIRED SETBACK,',_ REQUIRED "LASS OF WORK: NEW HEIGHT: 24 FIRST: 709 of BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: 3F FLOOR LOAD: 40 SECOND: 8922 sf GARAGE: 413 sf FRONT: 4; PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: i FINBSMENT: of RIGHT: 7 OCCUPANCY GRP: R3 BDRM: 4 BATH: 7 TOTAL: 1.x01 On sf VALUE: $148,037.40 REAR: 50 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 1 RAPS. LAVATORIES. 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS,. TUB/SHOWERS: 7 GARBAGE DISP: 1 WATER HEATERS I WATER LINES. 100 BCKFLW PREVNTR. 1 GREASE TRAPS: MECHANICAL OTHER FIXTURES: FUEL TYPES_ FURN<100K I BOIL/CMP s 3HP: VENT FANS. 4 CLOTHES DRYER: I ~ ;A'; FURN—100K: UNIT HEATERS: HOODS: i OTHER UNITS: 1 MAX INP: btu FLOOR FIIRNANCES: VENTS: I WOODSTOVES. GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT _ SERVICE FEEDER _TEMP SRVC/FFEDFRS BRANCH CIRCUITS _ MISCELLANEOUS_ ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp' — WISVC OR FDR: 1 PUMPIIRRIGATIOW PER INSPECTION. EA ADD'L 5009F: 3 201 '30 amp: 201 400 amp: 19t WIO SVCIFDW 00 SIGN/OUT LIN LT: PER HOUR. 9t LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL IN PLANT MANU HMISVCIFDR: 601 • 1000 amp: 801-amps•11000v: MINOR LABEL 1000,amplvolt: Reconnect only: PLAN REVIEW SECTION -- - -4 RES UNITS: SVC/F[)m 2225 A.: >600 V NOMINAL: CLS AREA/SPC OCC ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL _ -r_ B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOM/PAGING, OUTDOOR L.NDSC LT: BURGLAR ALARM: 01H: BOILER, HVAC: LANDSCAPEIRRIG: PROTECTIVE SIGN,' GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS Owner: ;ontractor: TOTAL FEES: $ 6,812.47 This permit is subject to the regulations contained in the ESLINGER BUILDERS, INC ESLINGER BUILDERS INC Tigard Municipal Code, State of OR Specialty Codes and 11575 SW PACIFIC HVVY 11575 SW PACIFIC HWY all other applicable laws All work will be done in #160 TIGARD,OR 97223 accordance with approved plans This permit will expire if TIGARD,OR 97223 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 T hrse rules are set ReA11. forth in OAR 952 001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling 1503)246-1987 REQUIRED INSPECTIONS Eloslon Control Insp 8 PosUBeam Mechanica Mechanical Insp Shear Wall Insp Rain drain Insp e Final inspection Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Appr/Sdwlk Insp Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Electrical Final Foundation Insp Footing/Foundation Dr: Electrical Rough In Gas Line Insp Mechanical Final PosUBeam St.'"Wral PLM/Underfloor Framing Insp Insulation Insp Plumb Final Issued y : �, � _ Permittee Signature : r l'lev Call (503) 639-4175 by 7:00 p.m for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT A� a DEVELOPMENT SERVICES PERMIT#: SWR2001-00203 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/24/01 PARCEL: 1 S136CA-ELD02_ SITE ADDRESS; 11050 SW 78TH AVE SUBDIVISION: MLP1999-00002 ZONING: R-4.5 BLOCK: LOT: 02 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: ,ewer connection permit for new single family residence. Owner: �_. FEES ESLINGER BUILDERS, INC. Type By Date Amount Receipt 11575 S`,N PACIFIC HWY. #160 PRMT CTR 7/24/01 $2,300.00 27200100000 W TIGARD, OR 97223 INSP CTR 7/24/01 $35.00 27200100000 Phone: 503-620-9575 Total $2,335.00 Contractor: Phone: Reg#: Required Inspections Thlb Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If. the sewer is not located at the measurel.tent 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. r Issiled b (�4)a-vk-a Permittee Signature: Lys f y: ----t- Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day Building Permit Application City of Tigard Datercceived: Permitno.& , Address: 13125 S W Hall Blvd,Tigard,OR 97223 1'rojecdappl.no.: Expire date: City gj'rigard g � Phone: (503) 639-417Date issued:1 yRecci; t nn.: `Fax: (503) 598-1960 J n Case file no.: Payment type: (� Land use approval: : 7 G f / �' ���^ 1&2 family:Simple Complex: � 1 U I &2 family dwelling or accessory U Commercial/industrial U Multi-family kNew construction 0 Demolition U Addition/alteration/ncplaccment U Tenant improvement U Fin;sprinkler/alarm U Other: X 10 IKI Ilk)fill I It lob address: t 1/ S C '� Bldg.no.: _ Suite no.: 1,0t:7 /� • . z Blc,;.k: Sulxdivisioq;_ � Tax map/tax lot/account no.: Project name: 4 , Description and location of work on premises/special conditions: &e,__ Mailing address: . , 1 &2 fancily dwelling: LA 1 _City: r _ State Z1P: 3 Valuation of work........�:� i..011......... $ Phone: _� Fax- j E-mail: No.of bedrooms/baths................................. Owner's representative: Total number of flours................................. c_ _ Phone: '-.[ Fax: Flmail: ' New dwelling arra(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... (� Name: Covered porch area(sq.ft.) ......................... Mailing address: j yyt c� Deck area(sq.ft.)........................ City: _ State: Z[P: Other structure area(sq.ft.)._...................... -- Phone: — Fax: I E-mail: CommerciaUindustrinUmoltl-famUy: Valuation of work.............................._........ $ Existing bldg.area(sq.ft.) ........� Business name: --- —.i Address: -vin c�� ✓l�S a h New bldg.area(sq.ft.) ..............:.),:........... _ Number of stories....................... ............... ---- Cib': State: :IIP: -- _ Type of construction................ .................. — -- Phone: Fax: E-mail: CCB no. , ----- Occupancy group(s): Existing: — City/metro lic.no.: ' — --- r New: N,S!! :All contractors and sut,contrictors are required to be licensed with the Oregon Construction Contractors Board under Name: r pt, i ons of ORS^01 and may be required to be licensed in the Address: jurisdiction where work is being performed.If the applicant is Cit :' F4 y StAw• .) ZIP: exempt from licensing,the following reason applies: Contact . rson: rLit= VdgY Aj- Plan no.: - - -- Phone:�+' Fax: I Email: ---— - ---- Name:G'519 (� iii- CA, Contact person: _ Fees due upon application ........................... $ ---- Address• I U.� _ Date nmceived: City: S(ate: j t 7.I P:4,?7' - Amount received .............. .......................... $--- i'honc: Fax. _— E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Wo all frviaiklirm ervera cretin cards,plum call iuriedictinn fns marc infnMmulan attached checklist.All provisions of laws and ordinances governing this U visa U Mastercard work will be complied t, h � herein or 7'1N&16 )1 o. Gran card numtci .—.----- _ — --� -�– A uthori7ed signatut : / r Date: ' r 6) N_me of cardholder as shown on credit cod A -- Print name: 1 V - -- --..--- __-- S _ Cardholder ailtnoure __ Amnvrtl Notice This permit applicatior.expires if n permit is trot ob(ahed within I SO days after it hes been accepted as complete. �441K,1 t tt AUMM) One-and Two-Family Dwelling Building Permit Application Checklist Referenceno.: Associated perrnits: CirygfTigard City of Tigard g ❑Electrical U Plumbing U Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 00ther: Phone: (503) 639-4171 Fax: (503) 598-1960 No I (Land age actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.Hood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plat/lot.T ^ 4 Firedistrict approval required. 5 Septic system permit or authoriralion for remodel. Existing system capacity 6 Sewer permit. ------------ — -------- - ------ — t/ _7 Water district approval. -�----- 8 Solis report. Must carry original applicable stamp and signature on file or with application- - -- 9 Erosion control plan U permit required.Include drainage-way protection,silt fence design and location of catch-basin protu Uon,etc. 10 3 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 be.incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed �. if cg right violations exist. — I I Sitelplol plan drawn to scale.The plan must show lot and haiIding setback dimensions;property comer elevations(if there is more than a 441,elevatum differential,plan roust show contour lines at 24t.intervals),location of casements and driveway;footprint of structure(including decks);location of wells/septic systems;utility fixations;direction indicator,lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. _ 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. l� 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, - furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross aection(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof construction.More than one cross section may be required to clearly portray construction.Show i details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,fernings and foundation,stairs, _ fireplace constriction, thermal insulation,etc. 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. v _ Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing l� locations,Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placement of nebar.For engineered systems,see item 22,"Engineer's calculations." 19 Beano calculations. Provide t,o sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any b•arn/joist crrrying a non-uniform load. 20 Manufactured floor/roof Truss design details. _ 21 Energy Code compliance. Identify the prescriptive path or provide calculations.A gas-piping ;raematic is required for four or more appliances. 22 Engineer's calculations.When required or provided.(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown to he applicable to the project under review. 23 Five(5)site plans are required for Item 11 above. Site plans must he 8-1/2"x 11"or I I"x 17". 24 Two(2)sets cacti ate required for Items 16, 19,20&2.2 above. ✓ 25 Building plans shall not contain red lines or tape-ons. !� 26 No rolled,reversed or mirrored building plans will be accepted. 27 T 28 Checklist roust be completed before pian review start date. Minor changes or notes on submitted plans may be in blue or black Ink. Red ink is reserved for department use only. 4404614(NTWoM) Electrical Permit Application 4 PDFe !vcd: p �f, Permit no.:1s f"&ey.ee'Jar City Of Tigard ProjecVappl.no.: Expiredate: City of Tigard Address: 13125 SW Hall lilcd,Tigard,OR 97223 Date issued: By- Receipt no.:: Phone: (503) 639-4171 Fax: (503) 598-1960 Case rile no.: Payment type: Land use approval: _ TVPE t U I &2 family dwelling or accessory ❑Commercial/industrial U Multi-Ianuly U Tenant improvement *New construction U Addition/alteration/replacement U Other: U Partial J06 t e Job address: t✓� SGL.'Z�— l Itldj, nit Sastre nu.: Tax map/tax lot/account no.` -- _. - - Lot: rr j Z I Block: Subdivision: __ Project name: Description and location of work on premises: 1(,�1O Estimated date of completion/inspection: SCHEDULE' Job no: Fee Max Business name: et/Q J i C, Drcripllon Qty. (ea.) 701al no.insp NIew resWmtial-dngk or multi-farm Iy prr Address: :P 7_45_1 dw llingunk.Includesattachedga-W. City: State: ZIP: SeniceincluderL Phone: ( - Fax - r�23E-mail: 101.0 sq,ft.or less a /,� Each additional 500 sq.ft.or pcnion thereof -- -- --- CCB no.: Elec.bus.lic.no: ar - 7 Limited energy,residential 2 City/metro lic,no.: DE' — Limited energy,non-residential 2 Fach manufactured home or modular dwelling -- Signature of supervising electrician(required) Service and/or feeder 2_ Date Sup.elect.name(print): License no: Services or feeders—Installation, alteration or relocation: t 200 amps or less 2 201 amps to 400 amps _ 2 Name(print): + r401 amps to 600 amps 2 Mailing address: "y --- -- - 601 amps to 1000 amps _ _ _ Z City: rState: Z 3 Over 1000 amps or volts — 2 Phone: (j Fax• E-mail: Reconnect only _—� I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 2O0 amps or less 2 201 nmps to 400 amps _2 Owners signature: Date: 401 to 600 ams 2 Branch clrealts-new,alteration, �N or extension per panel: ran!CNan1C: _ A. Fee for branch circuits with purchase of Address: service or feeder fee,cacti branch circuit 2 City: State: ZIP: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 Phone: Fax: E-mail: — --- — ---- Each additional branch circuit Mise.(Service or feeder not Included): O Service over 225 amps-cornnwrcial U Health-care facility Each pump or irrigation circle —_ 2 U Service over 320 amps-rating of 1 it2 U HazArdous location Bach sign or outline lighting 2 family dwellings U Building over 10,txx)square feet four o, Signal circuit(s)or a limited enerpv panel. U System over 600 volts nominal more residential units in one structure alteration,or extension* 2 U Building over three stories U Feeders,400 amps or Wore alkscrition: U Occupant load over 99 persons U Manufactured structures or RV park Foch additional Inspection over the allowable in any of it to above: U F{lressAightingplan U()thrn --_ Per inspection -- —__�-- — Submit__sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Otter Not all irridkdons accept credit cards.please call jurisdiction for nxar 1nRamaaon Notice:This permit application Pcmtit fee.....................$ Uvisa U MasterCard expires if a permit is not obtained Plan review(at __ 91)) $ Cmdu card number. L�� within IRO days after it hits been State surcharge(8%)....$ _ Expirea accepted as complete. -��-C d101Yh�1 CYI�-- ----�— Cesar io—filer slpratwe Amount 440-4615(6A10+tCOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: ------ — --- -- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of work Involved Residential-per unit 1000 sq It or less -- $145'1: 4 Audio and Stereo Systenrs' Each additional 500 sq,It or portion thereof _ $33.40 1 C] Burglar Alarm Limited Energy _ $75.00 Each Manul'd Home or Modular Garage Door Opener' Dwelling Service or Feeder $9090 2 Servicos or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $8030 2 Vacuum Systems' 201 amps to 400 amps $106 65 _ 401 amps to 600 amps $160.00 — 2 Other _- 601 amps to 1000 amps $240.60 - - 2 Over 1000 amps or volts $454.65 2 Ueconnectonly _ $66.85 2 Temporary Services or Feeders Fee OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system.................... .................................... $75.uO Installation,alteration,or relocation $66 P5 2 (SEE OAR 918-260-260) 200 amps or less _.- 2.01 amps to 400 amps a $100.30 2 401 amps to 600 amps --_-_-- $133 7:i ...... 2 Check Type of Work Involved Over 600 amps to 1000 volts, Audio and Stereo System>, see"b"above. Branch Circuits Boiler Controls New,alteration or extension per panel a)The lee for branch circuits Clock Systems with purchase of service or feeder fee. _ ❑ Each branch circuit $e 65 2 Data Telecommw?ication Installation b)The fee for branch circuit withorit purchase of service Fire Alarm Installation or feeder fee. First branch circuit $4685 �-- - � HVAC Each additional branch amml _ $F1 65 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 Landscape Irrigation Control' panel,alteration or extension _ $75.00 _ Minor Labels(10) $125.00 �- Medical Each additional inspection over the allowable In any of the above Nurse Calls Per Inspection $62.50 Per hour $62.50 In Plant $7375 Outdoor Landscape Lighting' Fees: Protective Signaling Fater rtal of above times $ Other - ---- 8%State Surcharge $ __-_Number of Systems 25%Plan Review Fee No licenses are required Licenses are required for all other installations Sr a Plan Review"section on $ front of application -.._-—_ Fees: Total Balance Due $ Enh?r total of above fees __. ��---(( $ LJ Trust Account 0 ,_ � 8%State Surcharge s--- Total Balance Due t i:\dsts\fomn\elc•fees.doc 06/07/01 Plumbing Permit Application Date received: G'I✓i i Permit no.: z�c,• ��j y City of Tigard Sewer permit no.: Building permit no.: 'MiftAddress: 13125 3W Hall Blvd,Tigard,OR 97223 city of regard phone: (503) 639-4171 Project/appl.no.: —v 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 ❑Commercial/industrial 0 Multi-family ❑Tenant improvement New construction ❑Add ition/alteration/i-eplacement ❑Food service ❑Other: 1FEE S0,11LDULE(for special Inforninfion use cliculdist) Job address: /1C Qty. Fee(ea. Total Bldg.no.: Suite no.: � New 1-and 2-faintly dwellings only: (includes 100 R.for each utibtyconnection) Tax map/tax lot/accouni no.: SFR(1)bath Lot L Block: Subdivision: SFR(2)barn ---- -- Project name: _ SFR(3)bath _City/county:7�4ct,r (EQ� IP: -:3 _ Each additional bath kitchen Description and'i n o—f work n premises: — Site Utilities: _ Catch basin/area drain Est date of completion/inspection: – D wells/leach line/trench chain _ + Footing drain(no.lin.ft.) Manufactured home utilities Business name: �y , t. ' _—_ Manholes _ _^ Address:— _ _ Rain drain connector Ci Sanitary sewer(no.lin.ft.) — Phone: ,-'j Fax V5_�= E-mail: Storm sewer(no.lin.ft.) CCB no.: , , _ Plumb.bus.reg.no: J+ ' PR Water service(no.lin.ft.) City/metro lie.no.: 3/G 7_ Absorp or item: _ -. Absorption valve _ Contractor's representative signature: Back flow pteventer _ Print name: i IvO V Date: assaaaaassaj Backwater valve_ gbalIolaBasinstlavatofry — Clothes washer Name: _ Dishwasher Address: Drinking fountain(s) City: State: ZIP: [[.jectors/sumP _ Phone: Fax: E-mail: Expansion tank Fixture/sewer cap Nam!!(print): E�s;',>� —' 1 Floor drains/floor sinks/hub — �--- - — Garbage disposal _ Mailing addr3s: dose bibbCity: tate: Alpil Ice maker _ Phone: ' ]Fa.•(-. Email: Interceptor/groase trap --- Owner iiistallation/residential maintenance only: The actual installation Primer(s) will.ie made by me or the maintenance and repair made by my regular RIoof drain(commercial) ernployec on the ponperty I own as per ORS Chapter 44'7. Sink(s),basin(s),laVs(S) Owner's signature: — — Date: — Sump Tubs/showcr/shower pan Urinal— _ Name: Watercloset Address: _ Water heater -'E7--- _— State: 7..IP: Other: --- Phone: Fra: _ _ E maih Total -- --— Minimum fee.. .............$ _.— Nan dl Jurid"nm eoxV cmdit cards,please call rundiction for more mrannuinn. Notice:11iis permit application Visa U MasteWard Plan review(al _ 9G,) $ l] expires if a permit is not obtained State surcharge(9%) ••..$ ('"di cad number:—_ _ — /—/--- within 190 days alter it has been ti,pirer TO.1•A1. .......................$ — Name of cadml�er u.I+owm on credit cad accepted eS complete. S —' ardM,lder iignawe -- Arnow( 4411616(6tWOM) PLUMBING PERMIT FEES: PRICE -;TOTAL New 1'and 2-familydwelllnas only FIXTURES (individual) QTY ea + .?AMOUNT (includes aft til bltiQ„Y uresan pRiCE Sink - 16.60 - oo .: QTY., (ea) buf�r -- -- f)r0aC6 utill n61,11 lavatory _ 16.60 One 1 bath - $249_20 _ Tub or Tub/Shower Comb. 16.60 Two 2 bath - -_ $350.00 Shower Only 16.60 Three 3�bath $399.00 Water Closet 16.60 _ SUBTOTAL Urinal 16.60 8%STATE SURCHARGE Dishwasher 16-60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16,60 TOTAL Laundry'['ray - 16.60 Washing Machine- 16.60 Floor Drain/Floor Sink 2" 16.f,0 - 3" " 16.60 PLEASE COMPLETE: 4' - 16.60 Water Heater O conversion O like kind 16.60 Quantity b Work Patiorrned Gas piping requires a separatn mechanical Fixture Type: 11,Now 1. ;Moved Replace@moved/ 2ermit - y Csi d MFG Horne New Water Service 46.40 Sink _ MFG Home Now San/Storm Sewer 46.40 Lavatory - Tub or Tub/Shower I lose Bibs 16.GO Combination _ Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet Other Fixtures(Specify) 16.60 Urinal _ Dishwasher _ Garbage Disposal _ Laundry Room ITL_ - -- - -- Washing Machine Floor Drain/Sink: 2' Sewer-1st 100' 55.00 3• --- Sewer-each additional 100' 46.40 4" _- Water Service-1st 100' - -- 55.00 Water Heater Water- eM( -each addltiona1200' 46.40 Other Fixtures S d _ Storm 8 Rain Drain-1st 100' -- -55.00 Storm d Rain Dmin-each additional 100' 46.40 - -_ Commercial Bade Flow Prevention Device 46.40 y Residential Backflow Prevention Device' 27.55 - - - Catch Basin 16-13A -- Inspection of Existing Plumbing or Specially 72.50 --� - _Requested Inspections - per/hr _ COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps --- i6.60 ------ ---- QUANTITY TOTAL IsonvWk or riser diagram Is required If { ouantitv Total is >0 'SUBTOTAL - 8%STATE SURCHARGE „ . --- - --- '"PLAN REVIEW 25%OF SUBTOTAL :.' u _ Required only it fixture qt total is�g TOTAL S *MinimumP ermit fee is S12 50•8%stale surcharge,except Residential Backflow vm."r Mion novice,whk:h Is Sae 25 4 r!%state surcharge *.All Now Commercial Buildings require Mans with isometric or riser diagram and Plan mview I\dsts\forrns\plm-fees.doc 10/10/00 Mechanical•Pernut Application T Date received: /, �Pcnt no.:�5� n�—fV_95 City of Tigard Project/appl.no.: Expire date: City ofTigard 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.: 1 U &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/replacement U Other:3011 SITE,INFORMATION COMMERUAL 1 Joh address: �l. } > Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, profit.Value$ Tax map/tax lot account no.: _�- l ot:7 rte,__U Block: r Subdivision:.r 'Schecklist for important application information and Project name: jurisdiction's fee schedule for residential permit fec. City/county: I�L(�ftlj��;,t n ZIP: y J 1 _ - &U111 ism= Description and location of work n premises: : � 1 _ Fee(m) Total Get.date,of completion/inspection: i�x7_ Des/Ti Qt • lite�.od Rea.od TMAC- Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?U Yes U No Air conditioning(sic planequtre3j Is existing space insulated?U Yes U NoAlterati,m.T-CA,t ni g C.system __ Boiler compressors State boiler permit no.: Business name: u if' �_ 1 HI' Tons•__BTUAI Address: �T �7�_ Cle Wi y' ,( sinoedamper ucisrnokedetectors City; 'rState ZIP: ©/ eat pump lsuc p an regwrcdj Phone: tv / Fax:"'� E-mail: Install/replacctu-nace/burner .�� _ �y Including ductwork/vent liner U Yes U No CCB no.: PI.. LS,� nstal rep ac relocate�icR-suspende�c, City/metro lic.no.: J 3 2 _ wall,or floor mounted Name(please print): r' Vent for r a iauc —Ir) c other than Furnace A,bsorptionunits BT0/11 Name: t Ci - - Com ressors_._ HI' Address: 'S ronmentis exTuud an renillation: City: State: ZIP: I Appliance vent Phone: Fax: E-mail: )ryerexhaust _ _11 s, ype 'T res. itc reiazmat hood fire suppression system Name: ±(_t^ A Exhaust fan with single duct(hath fans) Mailing address: �"-j (� " Tha'ast an a art from heating or C •ne piping• distribution(up to 4 out ele) City: y" State• ZIP: Type: LPG __— NO .—_ Oil Phone: F 24,-31E-mail: Fuel piping each a dii_o aTovcr 4 outlets roce-"piping(schematic required) _ Number of outlets Name: _ -f llTier +t app ace or eqa ptnent:— Address: Ikcorativefireplace City: Stzte: 'LIP: Insert type WcH�stuv pc ctMove Phone: — - Fax: Email: ,- ter. — Applicant's signature: Date: Of ter; _ Name(print): _ Permit fee.....................$ _ Not VI jutlsdictiaru angn cmd1t cads,pkae all juddkUon far mre nrmmatim, Notice:Bibs permit application I7!iAn U M,4sletCattl Minimum fee..... .......... expires if a permit is not obtained Plan review(at t•rcdi,cher numtxr: ------ -----I L- - witl:in 180 dot>�s after it has been -- Hepfm. State surcharge(8%)....$ -- __.._._.�._ --_ aCCC lGt::u eOmptCIC None of cardlMl0ihnwn an credit t p W__ CadWdn signature �__Amami 440,1(II(M1("M) R111ECHANlir"All PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE- TQTAL VALUATION: ( FEE_:- Description: trice Total $1.00 to$5,000.00 _ Minimum fee$72..50 -� _ - Table 1A Mechanical Cade �-_ Oly 1 (Ea) Amt- 1) Furnace Co 100,000 BTU $5,001.00 to$10,000.00 $72_.50 for the first$5,000.00 and indudin ducts&vents 14.00 $1.52 for each additional$100.00 or u Frnace 100,000 BTU+ fraction thereof,to and including 2) Furnace &vents 17.40 _ $10,000.00. 3) Floor Fumace $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and Including vent 14.00 $1.54 for each additional$100.00 or 4) Suspended heater,wall heater - fraction thereof,to and including 14.00 _ $25,000.00. or floor mounted heater -_ _ 525,001.00 to 550,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional$100.00 or 6.80 -_ fraction thereof,to and including 6) Repair units 12.15 $50,000.00. $50,001.00 and up $742,00 for the first$50,000.00 and Check all that apply: Boiler Heat 7dr $1.20 for each additional$100.00 or For Items 7-11,see or Pump Crmd fraction thereof. footnotes below. Com ' -- -- '- 7)<3HP;absorb unit - ---- to 100K BTU 1400 ASSUMED VALUATIONS .PER APPLIANCE: 8)3.15 HP;absorb - - Value Total unit 100k to 500k BTU 25.60 Des ttory Oty E Amount g)15.30 HP;absorb Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU 1 35.00 ducts&_vents _ __ _ -.-_-.. 10)30-50 HF;absorb Furnace>100,000 BTU including 1,170 unit 1-1.75 mil BTU 52.20 - ducts&vents - 117>50HP:absorb Floor furnace indudin-g vent - 955 unit>1.75 mil BTU _ _ 87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater 10.00 Vent not Included In applicanoe 445 13)Alr handling unit 10,000 CFM+ �!rmlt _ �. �__- ---� 17.20 Repair unit, 805 -_ 14)Non-portable evaporate cooler <3 hp;absorb_unit, 955 - 1000 to 100k BTU _ ---- 15)Vent fan rnnnec ed to a single duct 3-15 hp;absorb.unit,--- 1,700 - 6.80 _ 1_011k to 500k BTU __._ 16)VenUlahon system not included In 15-30 hp;absorb.unit,501k to 1 - 2,310 a Ip iance)ermil _10.00 _ - -mil.BTU _ ?7)Hood seryed by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 �J 1-1.75 mil.BTU _ -- 18)Domestic Indnerators >50 hp;absorb.unit, ----- - - 5,725 _ 17.40 -_- >1.75 mll.BTU --- 1y)Commercial or Industrial type Incinerator Air handling unit_I018-Dull dm 656 69.95 _Air handling unit>10,000 cfrn 1,170 _ 20)ether units,Including wood stoves Nrx1-Srtable evaporate coolef 656 _ 10.00 Vent fan connected to a single dud _ 446 21)Gas piping one to four outlets Vent system not induded in 656 _- 5.40 applia ^ ncepormit _ 7.21 More than 4 per outlet(cads) Hood served by mechanical exhaust 656 _ 1.00 _ Domestic incinerator 1 170 _- Minimum Permit Fee$72.50 SUBTOTAL: S CKrtmerdal or in_dusMal incinerator _ 4,590 06;-runit,including Wn stoves, 656 -` �8%State Surcharge E Inserts,etc. Gas_pl�ingl-4 outlets 360 �_ 25Y.Pian Review Fee(of subtotal) Each additional outlet _T 83 Required for ALL commercial permih only TOTAL RCI COMMEAL �, TOTAL RESIDENTIAL PERMIT FEE: 5 - VALUATION: Other I._f1P9c41qntlnd Peep: 1 Insp Wions outside of normal business hours(minimum charge-two hnurs) $72 50 per hour 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to pians(minimrrrn charge ane-half hour)$72 50 per hour "State Contractor Boller Certification required for units 1100 BTU. "Residential A/C requires site plan showing placement of unit. l:\dsts\forms\mech-fees.doc 10/11/00 SEE 35MM ROLL # 21 FOR OVERSIZED DOCUMEN T CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE DAVID JEROME ELECTRIC PO BOX 751 HILLSBORO, OR 97123 Electrical Signature Form Permit #: MST2001-00398 Date Issued: 7/24/01 Parcel: 1 S136CA-ELD02 Site Address: 11050 SW 78TH AVE Subdivision: MLP1999-00002 Block: Lot: 002 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached. 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, ATT•N: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: ESLINGER BUILDERS, INC:. DAVID JEROME ELECTRIC 11575 SW PACIFIC HWY. PO BOX 751 #160 HILLSBORO, OR 97123 TPho one ?8 Phone 648-5144 Req # LIC 36051 suw 2877S ELE 34.119C AN INK SIGNATURE IS REQUIRED ON THIS FORM / Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext # 310 /Z.,q y r° .,ITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-071 BUP Date Requested. _AM-- PM _ BLD -- Location 1165--b SL,✓ 7���. /�� ( Suite _ MEC Contact Person Ph _�i��� .�� PLM Contractor_ Ph SWR BUILDING - Tenant/Owner ELC /-GU 370 Retaining Wall ELR _ Footing Access: -- Foundation FPS Ftg Drain - Crawl Drain Inspection Notes. SGN Slab Post& Beam SIT _-_-- --- Ext Sheath/Shear Int Sheath/Shear -- Framing --- Insulation ---�.--------_---- ------------� (drywall Nailing Firewall ---------- — --�------- Fire Sprinkler ^.-_ _ _.------ -----_ - - Fire Alarm �_-- Susp'd Ceiling _— 1 �� t(.• _ _-� �/ 1/�, Roof -- Misc: —_ Final PASS PART FAIL ---- --.- ----..__..._------_._.___------______�---- PLUMBING Post& Beam Under Slab _.. _— — ---- --_ ___s -- op ut --- Water F�cnrice S_,rotary Sewer --- -- --— ------ -— -- -- - Fain Drains Final PASS PART FAIL MECHANICAL. Post&Beam - - ---- -------- ---- Rough In _--_.. ------- -- Gas Line -- -- ---_— Smoke Dampers — Final - -- ---- - ----- - !. RT FAIL Service � /# Rough In — _- - -----_--- --- - ----- UG/Slab Low Voltage --^�---- --- -- Fire Alarm BASS ART !-A!! Rackfill/Grading --- —-- — - - --- - - ----- - Sanitary Sewer Storm Drain ( )Reinspection fee of$ -- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supi)ly Line f j Please call for reinspection RE �[ /— ( )Unable to Inspect• no access ADA TT Approach/Sidewalk Other Date _ Inspector _Lk"�' , _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 RECEIVED IMPORTANT PERMIT NOTICE J 1 It" 1 ?Ltn i ROME PLUMBING INC COMMUNITY DEVELOPMENT 17295 SW EDY RD SHERWOOD, OR 97140-8709 Plumbing Signature Form Permit #: MST2001-00398 Date Issued: 7124101 Parcel: 'i S 136CA-ELD02 Site Address: 11050 SW 78TH AVE Subdivision: MLP1999-00002 Block: Lot: 002 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached. 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 plumbing inspections will be authorized until this completed form is received OWNE=R: PLUMBING CONTRACTOR: ESLINGER BUILDERS, INC. ROME PLUMBING INC 11575 SW PACIFIC HWY. 17295 SW EDY RD #160 SHERWOOD, OR 97140-81-09 TIGARD, OR 97223 Phone #: 503-620-9575 Phone #: 625-1452 Reg #: 1 Ir 96346 PI M 34-265PB AN INK SIGNATURE 'S REQUIRED ON THIS FORM X Sig ature of Authorized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY O F T I G A R D ELECTRICAL PERMIT PERMIT#: ELC2001-00370 ,.f, DEVELOPMENT SERVICES DATE ISSUED: 7120101 FPW 13125 SW Hall Blvd.,Tistard. OR 97223 (503) 639-4171 PARCEL: 1S136CA-ELD02 SITE ADDRESS: 11050 SW 78TH AVE SUBDIVISION: MLP1999-00002 ZONING: R-4.5 BLOCK: LUT : 002 JURISDICTION: TIG Prosect Description: Installation of temporary service of 200 amps or less. RESIDENTIAL UNIT TEM?SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0�- 200 amp: 1 PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE L-1 G: !IMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICEWEEDER BRANCH CIRCUITS ADD'L INSPECTIONS _ 0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 ,amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 gimp: PLAN REVIEW SECTION 10r10+ ampfvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Recu�nect ono Iy: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ESLINGER BUILDERS, INC. DAVID JEROME ELECTRIC 11575 SW PACIFIC I-IV\r(. PO BOX 751 #160 HIL_LSBORO, OR 97123 TIGARD, OR 97223 Phone: 503-620-9575 Phone: Reg #: W-51315b51 SUP 28775 ELE 34-119C FEES Required Inspections Type By i Date Y Amount Receipt Elect'I Service PRMT CTR 7120101 $66.85 2720010000( Elect'I Final 5PCT CTR 7120101 $5.35 2720010000( Total $72..20 This Permit is issued subject to the regulations r9nteinP.d in the Tigard Municipal Code. Stat:of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies.ef these rules ordirect questions to OUNC at(503) 216 6699 or 1-800-332-2344. Permit Signature: / issue4By: ��'1 ..ems. .�1.-�E 'IC'� _ OWNER INSTALLATION ONLY The instai;dnen is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:_ -- CONTRACTOR INSTAL ATION ONLY SIGNATURE OF SUPR. ELE:.'N: �D–t�t DATE:----- LICENSE ATE: —___LICENSE NO: Call 639-4175 by 7:00pm for an Inspection the next business day 1 Z-01.: 2000 1': 1s. FAS.5036847297 City of Tigard 1000 Electrical Permit Application City of r1 Uaterezeival l +Jc �+ Parmalat.•fl.c'�l'r>/-Ck1�7 Tigard WtV pmlect/appl.no.. Expire date: CityoJ7reard AddreW 13123 SW HAIL$lvd,TigatOS 7223 pare issued: By. Receipt no.: Phone: (503)639-4171 r (� Fax:(503)598-1960 t t Cane file no.: Payment type. L nd use approval: — `,1 ~-may li` ` etE.+11 Q 1 &2 family dwelling or accessory 0 CornmerciaUindustnal O Multi-filmily 0 Tenant improvcrnent 0 New construction 0 Add llioataltrrat ion/re.placcment ❑tither• t:' ' 1 t;]Partial .Job addrtss:� y�_. '� ^(. Blilg.no' Stute oo.. Tax map/tax lot/account no.. Lot _ 61ak Subdtvtsion: t, ,1 1` —�- y t_i__ - _ _ -14 name. __ iTest ()Uon and loe:.ition of work t premises:- ,4 r L L'L Estimated date of cam letioNins�:Cfiou: Job no: L I A- Eee XMIL DeKi"Business name: �_ M E C L E C T R IQ 0" stir. (a.1 Total aa,bra Address: BOX 7 51 - ne�rraide,nal-rtrrejeorrwNtfs,r.lypr _ dr.rvirigonNIneladeaetracbedgvstae. City: H T B RQ Stele. 0 R ZUs' -97123 str.lceYv In4d Phones 4 8-5 14 4Fxx: 4 8.-.9 7 21-Intul: 1000 art a.or Irr, -- _ 4 CCBno.: 36051 Elec.bus.lie. 0.34-119C °drLuona 5(1V sy n or pomon thereof _ - L,mrrsrle,uraY.rendmnd ; City/metro lie,i`rl.: Urfurcdcnerry,_non-res idendul 2 �� r'_ •-. EAnth rauwfactureu honit or m odulu dwcllutg $i nature of Pupa ricin eltcuictall n uuCd Date Service Lrdlarreeder 2 SUP elect.name(prim) n A V I D A J E R O M E Uccure no 2 8 7 7 5 se"Im or readera-imialtatroet, dtaxation or relocation: 200 um s or less 2 Name"; *--) >�_ ��\�_4� Lit u>�n to 400 amps Z Mailinaddress: S► a c c ��� I`,c 401 am s to NO amts _2 _ CIO aro a w 1000 ani pr 2 City: r. .1 Slap Z 1 5'_ Over W00 atop,or volts — 2 PhOW k Z c Fax. I B-mail' Rec.onntctonly Ownrr iwiallation:The Installation is being made on property I own remporwy acr.icn or rerdm s which ill not intended for sale,lease,rent,or exchange according to uwtallatiom altmttoet,or rrkw.2tlon: r .( t 1 ORS 447,435,479,670,70 L ?OU imrs or levo 2 _ _- zo!►mp Owner's si ir ��u io0 naps e. Dater�' W 1 to 600 ant s -- Branch circuth rtew,altaratioa, or exteadon Per panel Name- or Fr for branch cucu,ta*ith purchute of Address.: act+arc or fe der ter.,each bc°ncb circuit 2 City. _— State. ZIP: --4� A Fcr for broach circuits without purchire - - Phone. Fax E•mall: _ of sepict ur feeder ret,fine hruirh circuit. 2 tiactt oddiucinal bench circum MiK.(Unin or fie ernotindladed). ' 0 Setvicrover 225umps commercial U Health-catefairdity Each pump ofirrigulioncircle T O Scrvitxova32U&mpe-ratirgof 16r? D Namrdouslocanon Fach s!Anorouumehghtin; _ j tamilydwellings El Building over I0.0il0arluurfrafour of Signal rueuit(s)ora6mitedenergypant l. USyetemoeer600volts nomunal more rr•sitirntioluniuinone urucnjre aherauon,oftittenaion• 2 D Building ovutluee stories ❑Feeden,400 amps or rmir *Ntcripcon. O Orcuptutt load ovrr 99 ptnotu ©Manufarrured atrwtures or RV park Each addttlalaa)tappertiaas o ter the allewsw is aey e(tbt sibovC� - C1 Faresolightingplan 0 Other ._-----_ Painsprctron I—'T Submit--_aeta of plana w1th any of the above. Invi"I'l at loll Its I The obovewe not appii AW to trapom•y coaanorrfon tervtce. Mer _ Pcrtrut fee.....................S Not WI)urird`piutu astpt&edit coati,Pkase ill,iurtadienen fir more iar°nrN1iM Al0I1Ce:This ptxfuit applitaliDn U Visa 0 MasterCard expires If is peardt is not obtained Platt review(at — %) S within 190 days ager it has been State surcharge(8°6) accepted as complete TOTAL S L ....................... 'amt or cordholdea a rar+wa on aalu card .. _. cadbowar k uaturo - Am)un% M1Y461!(6NNCVM) Electrical Permit Fees: Limited Energy Fees: --- --� �) TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee..................................................... $75.00 Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Work Involved: Residential-per unit 1000 sq ft or less $145 15 4 Audio and Stereo Systems Each additional 500 sq ft.or portion therr of $3340 1 Burglar Alarm Limited Energy $75.00_ Each Manut'd+4m,e or Modular n Garage Door Opener' Dwelling Service or Feeder $9090 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.30 _ 2 Vacuum Systems' 201 amps to 400 amps _ $10685 2 401 amps to 600 amps _ $16060 2 rr -t Other 601 amps to 1000 amps $24060 _ 2 Over 1000 amps or volts $454 65 _ _ 2 Reconnect only s $6685 —. Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Fee for each system.......................................................... $75.00 Installation,alteration,or r Feeders 200 amps or less —_ $66 85 _ 2 (SEE OAR 918-260.260) 201 amps to 400 amps $10030 2 Check Type of Work Involved: 401 amps to 600 amps _ $133 75 — ? Over 600 amps to 1000 volts, Audio and Stereo Systems see"b"above. Branch Circuits Boiler Controls New,alteration or extension per panel a)The fee for branch circuits Clock Systems with purchase of service or feeder fen. Each branch circuit $6 65 Data Telecommunication Installation b)The fee for branch circuits without purchase of service Fire Alarm Installation or feeder fee. First branch circuit _ _ $46 85 — _ HVAC Each additional branch ci"cuit y— _ $665 – Miscellaneous �7 Instrumentation (Service or feeder not included) Each pump or irrigation circle $53 40 Intercom and Paging Systems Each sign or outline lighting J $5340 _�-- Signal circuit(s)or a limited energy Landscape ir�igaliort Control' panel,alteration or extension $75 00 Minor labels(10) $12500— _ J r� Medical Etch additional inspection over L the allowable In any of the above tiurse Calls Per inspe,:lirn _ $6250 Per hour _ $62.50 _ In Plant $79.75 El Outdoor Landscape Lighting' Fees: C7 Protective Signaling Enter total of above fees $ 8%State Surcharge $ _Number of Systems 25%Plan Review Fee No licenses are required Licenses ere required for all other installations See"Plan Review"section on $ front of application – Fees: Total Balance Due $ -- Enter total of above tees Trust Account p __--___ 8%State Surcharge S Total Balance Due — i klststforms\cic•rccs doc 10/09/00 w 1 71 et c 1 fo o � ` � T S 0 r C v � GJ C CITY OF TIGARD BUILDING INSPECTION DIVISION MST OV/06 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _ BLIP— —Date Requested— -2 L AM PM _ BLD Location— ( f �'Wil' �) Z Suite _ MEC — Contact Person _ ��- i'`-c Ph 5" 0 ���i, �� PLM _ Contr Ph SWR I Tenant/Owner ELC Retaining Wall — ELP _ Footing ' ss:5S _ - FPS _ Fig Drain Crawl Drain Inspection Notes: c'N — Slab _.—.-- - — ------ SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ___-- — -- -- _—_-- ---- -- ----- Firewall Fire Sprinkler __—_--___--- Fire Alarm Susp'd Ceiling Roof Misr -------_ ---- --- —----------- i PART FAILih6WBING Post 8 Beam -- -----------_— ---- -- ------ Under Slab Top Out --- -------- - — -----____._ Water Service Sanitary Sewer Rain Drains --- Final --- PASS PART FAIL -r__— MECHANICA Pos-tA-Mam Rough In Gas Line -- Snwke Dampers �- aP -- - - PAS PART FAIL Service -- Rough In UG/Slab L ow Voltage I if a Alarm ---------- ---- --- - -- - Final PASS PART FAIT- --... __--------_-_-�— _-- ------ SIT_E Backfill/Grading �� - - - --.-__---.—___ -------- -- Sanitary Sewer Storm Drain ; J Reinspection fee of$ _req!rired before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin I ]Please call for reinspection RE — ( ]Unable to inspect-no access Fire Supply Line ADA Appruach/Sidewalk Date / (� I Other __----_ --�--� -,�-L�Inspector _ -- ----Ext Final PASS PART FAIT_ DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUI' ")ING INSPECTION DIVISION MST =��i �� .3 24-Hour Inspection Line: 639- 175 Business Line: 639-41, . — BUP — Date Requested / " 2--7 AM! PM _ BLD Location— j / C Suite MEC Contact Person ("I Ph G S PLM Contractor_ Ph SWR BUILDING Tenant/Owner ELC Retaining Wall - ELR Footing Access: Foundation , FPS Ftg Drain "-'- Crawl Drain Inspection otes: SGN Slab Post&Bearn --` --- -- SIT - - Ext Sheath/Shear Int Sheath/Shear - - - Framing Insulation Drywall Nailing ----- ---__.- -_____ -- ---------------- ----__-- ._------------- Firewall Fire Sprinkler Fire Narm Susp'd Ceiling Roof �._------- ----- - Final PASS PART FAIL - -- PLUMBING Post& Beam Under Slab on Out - Water Service Sanitary Sewer Rain Drains PART FAIL _HANICAL Post& bean - -- - - Rough In r,as 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 Drair. [ ]Reinspection fee of$ - _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: - [ ]Unable to inspect nu access ADA Approach/Sidewalk / J ,/ Other Date /�7t� Inspector / �) C-{�.�p 1114? _Ext _ Final PASS PART FAIL_ DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST '��'.' Gc 24-Hour Inspection Line: 63! 75 Business Line: 639-4 - / � BUP _,_Date Requested_ l r�` �� AM PM _ BLD _ Location-- � ��' S� ��� -L 'C-- Suite _ MEC — Contact Person _ _ Ph PLM Contractor ��� ��",� f— ��� ,ri� Ph k SWR BUILDING Tenant/Owner ELC ; Retaining Wall ELR Footing ALTe - /•` - Foundation "j ��L FPS _ �V Ftg Drain Crawl Drain Inspection Notes: SGN Slab _-�— -_ —, __— SIT Post& Beam -- — Ext Sheath/Shear Int Sheath/Shear --�- ---- Framing Insulation - n — --`-- Drywall Nailing ��1 f-7�1�• �x �-� t i Firewall Fire Sprinkler �,1��;{;�. ��_• -_—_- —� Fire Alarm Susp'd Ceiling Roof Misc: -- Final -- -----.�---- PASS PART FAIL ----------- - - -- —_ ---- ----- PLUMBING Post& Beam -------._.____----- -- --- Under Slab Top Out ---- -- ----- -- -�---- ------ _ Water Service Sanitary Sewer - --_-._-_-,--__--- — _ -- -____-- Rain Drains Final -_-_- PASS PART FAIL MECHANICAL Post & Beam M ---- - ---- ------- Rough In Gas Line Smoke Dampers Final - --- ---- -._._-_-- _ PASS PART FAIL ELECTRICAL. - --- -__ --- --- - ----------- Service _- ---Rough In In UG/Slab Low Voltage i ---�_— ��---'------- Fi Alarm PART FAIL STM Hackfill/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 I J Please call for reinspection RE:--_ _-_ ,— -� ( j Unable to inspect no access ADA Approach/Sidewalk Other Date Inspector Ext — Final I <' — -- PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ESLINUR BUILDERSINC. 11575 SW Pacific Hwy.• PMB 160• Tigard, OR 97223 OFFICE (503) 620-9515- FAX (503)620-9475 uQ� 01 Vl'-S �' - 0 V-L1 S S Lt-e- 0 LA "A- , lis �1"D✓� �f I(osv sw 7a�� A T oo o�r ► e c,`� �: cQ a r-o v ed 4tx.Q- C,"c r -r(,�a ,►^^�,�' J r f- AU yl� �'Lu wt i �..� �— l/W O V%D- \� Lt,/\'C LA to 0 VA, 1,00, �CJ'-- el ffyou-n