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14183 SW 132ND TERRACE Nook INC Master _.- -.._--- ❑ 7-8 1 101 3'-0 3'-6 1 4. 1 '-5 1'-7 --, 5'-8 51-91 T _ — XXN 0000 Family Room -5 �, J Open to above 7'-83 6,- 1 Family Room Below - I .� 105 Kitchen 2'-Z 6'-2 14' / ti,A aA 1'-0 Down to 1,-leads in ben bel (Y 00 -- / Den 9'-0 4 - 00 -- 1 t 10 '_ 1 � _ c�a „ 4!-9 I 1/2 Dn to W.C. ., o. 14'-0 \ 4' 11 4'-1G 1'-8 ,IN .� cV I O 1 1 i / - ti in I Ope n to above `n L 6'-8 -- (e- JT-31 5'..2 1 Open to below 032� IN - � 1/2" Un to W. 1 1 ` 8'-3 ��°;� 2'-5 8-0 ;o- 6-0 -- Dining ,0 1'-78'- �+ :1 No sprinkler's per WPA 130 1 1 1 1 Entry m 6 8'-11 5'-1 67 - L - -� Open to above 1/2" Dro W.C. - � M I cl 4 q Entry .o I Br.3 ba Open io below 1 _ 3'-3 j 1 1 4'-4 1'-9 3'-3IL L0 6'-6 � o 6'-6 Livirg Borlus/Br.4 F(D] - [*t=er' `5 psi los city Suppe Static: 60psi (ir, I Residual: 5 UPPER FLOOR PLAN Flog: 300gpm SCALE: va" .1'-0" MAIN FLOOR PLAN SCALE: CITY OF TIGARD Approved....................................... ......... I✓J� Conditionally Approved..........................( J: For Only the work as describedd n: PERMIT NO. hd il"ZOd/- 10i if See Letter to: Follow...............................( ): Attach............... I: Job Bye ,�_x✓ pati ��. NORTH Revisions Sy bol Head Coirnt Standard Symbols Standard S bo!s Sprinkler Head Symbols Inspections I�, General Intallation Notes � S rinklers Model �Degree_ Q � Post Indicator valve Alarm Check Valve -0- Upn ht On 1/2"Outlet 1 Cit of Tigard PREFERRED PLUMBING 1.All piping is'Type M copper as approved by Orcf!n'r tit:rtr Plumbing Board. Stsr_Stealth 5240 Cor -paled 155 23 Key Operated Valve Thrust Block ♦ Pendant On 1/7'Outlet 3254 Barnet St. 2.Install hangers per pipe numufacturer rec„rnrrlendaIII oils. -- _ -- - 3.Add haneves as necessaryto ensure that there is a hanger within 6"of each sprinkler drop. -- - ♦ Public Hydrant pi�p14-Backflow Preventer Forest Grove, Oregon � p P• - - - - - - -_ --- - --- T -'�- -Upright On 1"Stubb-up ---_- _ - - 4.Sprinkler%must he 9'41" nwx from any wall,8'-0" minimum front any other sprinkler, Fire Ck t Connection Pendant 18-Il maximum spacing between am twos rinklers hr the same room. / — - — - - _ - - O S.&Y Valve ® Pend On 1"Drop r Below Cell -- —___- -- - - _ . .UI pipe locatir►n�art to be field measured prior to instatta►It it by Contractor. - p p ing j ob No. N[ain and Up ►Ler Floor PipinPlan P - `. ---- - & All iirs and hangers arc to be installed per NFPA '31). -- --- — Check Valve $ Upgright And Pendant On Drop to_ 10/03/01 _- Lot At Ridge 7. Ilankers arc to be 11,1,.1,Isted and F.N1. Approved. New Underground -V.. SideWall On 1/7'Outlet - nQr__ - J.Lamb 3'Z' 1gard, Oregon 1 of 1 TOTAL THIS PACE _ 23 k = -Existing Underground -W- so'."it On 1"Outlet _ Cele Noted NOTICE IFIHEPRINT ORTYPE ONANY Ilr ill 111 I!I IIS III I t III Ill III I T 1r11r IMAGE IS NOT AS CLEAR AS THIS NOTICE, r(, rpt Ilrrlt I Ill III III III tIl 111ItIt t t III III 111 t I lit r1r til I t rJl 111 lir ! r r�r rrl I�T III III III IIII t 11 11 1 - 42.0 0 Tod o ► s� L _ _ IT IS DUE TO THE QUALITY OF THE ORIGINAL DOCUMENT II KIN!INlil ►IIIIIII�NIIIIIIIIIINIIIIIIIININII IIIIIII I!III!!IIIINIIIIIINIIIIIII�llllilllll!III IIII I!Ilii!II,IIIIIIII!1!!!+I!IIINII�IiI!I!!IIIIII!IIII�IIII!Iflll!IIIIII!!�!illI!U�Illllll!I�llfl�l!II�III(!Illl�l(llL 111lllllllllllWlllliltllllllllLillllL I�IIIIM�NIII i 00 W S) l � W N C CL W n lD 14183 SW 132"" Terrace CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 ' INSPECTION DIVISION Business Line- (503) 639-4171 MST BUP Received __--- _ Date Requested 3 AM--- _ PM _ BLIP Location __._._-- L11 13 L./! d Suite MEC - — Contact Person ___ r Ph(_`) i w a( �S� PLM Contractor ____ Ph( ) SWR BUILDING Tenant/Owner ELC Footing - - - FoundationEL Z S CZ ,S! _ --- - - Ftg Drain - - Crawl Drain <_ 6PE/l/ E/V7�F, � EL R --_--- - --_-- Slab Inspe,ion Notes: _ SIT -_-- Post A Beam Shear Anchors ---- Ext Shsath/Shear r. Irit Sheath/Shear Framing -_-- Insulation Drywall Nailing ----- Firewall Fire Sprinkler --- -- Fire Alarm Susp'd Ceiling Roof Other: Final �- _PASS PART_ FAIL -- - --�-- - PLUMBING_ Post&Beam -----�--- ire Under Slab —r Pough-In Water Service Sanitary Sewer - Rain Drains Catch Basin/Manhole Storm Drain - ---- - Shower Pan Other:--- ----- - -- Final - PASS PART FAIL. --- - - -- MECHANICAL Post 8 Beam --- - -------r---- -- - -------- Rough-In -__-_- Gas Line Smoke Dampers Final ZSSP FAILCTRICA Roughdn UG/Slab - Low Voltage Fi[eAlprm -� A PART FAIL_ ❑ Reinspection fee of s-----required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE - ❑ Please call for reinspection RE:---.---__ _ ❑ Unable to inspect-no access Fire Supply UnoADP, LI f Approach/Sldewalk Dot* _ ?-- ._ 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) 6 175 MST INSPECTION DIVISION Business Line: (503) 71 -� SUP Received /_��—ff��_ ._ _ Date Requested— __ AM PM SUP location Suittepe._ _ MEC Contact Person -- --- `' -- --. .. Ph ( - ---) O�6 ". P _ PLM Cor,iracto ----- Ph ( _) �._ SWR ------__._ r �- IN TenanUQwner — ELC IL Footing ELC — Foundation Access: �� L L> ELR Ftg Drain — Crawl Drain -- SIT Slab Inspection Notes: Post&Beam Shear Anchors Ext Sheath/Shear -- - — Int Sheath/Shear Framing - - Insulation Drywall Nailing Fir ctalt_. - ire Srinkle �l`I Fire Alarm Susp'd Ceiling Roof Other. PART FAIT_ , BING_ _ ------- -- ----- --- Pont Under Slab _ Roug� 'n Water Service Sanitary Sewer Rain Drains 44 -- Catcn Basirt Storm Drain - - - Shower Pan O fFn S _RT' AIi,� M H_ANI Post&Beam Rough-In Gas Line Smoke mpers [ n ', &T�Ilq PART FAILA I. _ Service Rough-In UG/Slalb Low Vo �l Fire AlaNtt V � ` --_— —_------- ----- — -------- ---- �inal Reinspection fes of$_ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd. SPA g n Please call for reinspection RE-. Unable to inspect-no access Fire Suppiv Line C;ADAC Approach/Sidewalk Date )��__ _ Inspector - Other: _ Final DO NOT REMOVE this Inspection record from the job s:te. PASS PART FAIL p• v, lD a �. m G 1 f'A G i aC n A o I � a ^ _F �p O � � n o � 0 4 3 d a L_ MASTE CITY OF TIGARD PERMIT PERMIT #: MST2001-00403 DEVELOPMENT SERVICES DATE ISSUED: 8/6/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 14183 SW 132ND TERR PARCEL: 2S109AB-10300 SUBDIVISION: RAVEN RIDGE ZONiiNG: R-7 BLOCK: LOT: 032 JURISDICTION: TIG REMARKS: S/F Path 1 FIRE SPRINKLER are require Install as per code BUILDING REISSUE: STORIES: 2 FLOOR AREAS _ REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 7I FIRST: 1,627 of BASEMENT. sf LEFT: 5 SMOKE DETECTORS: 'r TYPE OF USE: SF FLOOR LOAD: 4,, SECOND: 1,316 sf GARAGE. }y sf FRONTPARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS I FINBSMENT: of RIGHT. VALUE S JP: 'G•1 0�' OCCUPANCY GRP: R3 BDRM: 4 BATH: I TOTAL: 2.96300 it REAR: 3': PLUMBING SINKS: 1 WATER CLOSETS 3 WASHING MACH: 1 LAUNDRY TRAYS, 1 RAIN DRAIN: 109 TRAPS: LAVATORIES: 5 DISHWASHERS', 1 FLOOR DRAINS, SEWER LINES: 100 SF RAIN DRAINS. I CATCH BASINS: TUBISHOWERS. 3 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 101, BCKFLW PREVNTR 1 GREASE TRAPS. OTHER FIXTURES. MECHANICAL FUEL.TYPES FURN<100W BOILICMP<3HP. VENT FANS: 5 CLOTHES DRYER. 1 G,AS FURN-100K I UNIT HEATERS. HOODS. 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES. VENTS. WOODSTOVES. GAS OUTLETS I ELECTRICAL. _ RESIDENTIAL UNIT SERVICE FEEDER T"EMP SRVCIFEEDERS_ BRANCH CIRCUITS _ MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR 1 PUMPIIRRIGATION: PER INSPECTION' EA ADD'L 5005F: 6 201 - 400 amp: 201 400 amp 11t WIO SVCIFDR. On SIGNIOUT LIN LT: PER HOUR LIMITED ENERGY: 401 600 amp: 401 600 amp. EA ADDL BR CIR'. SIGNAL/PANEL: IN PLANT MARU HMISVCIFDR: 601 - 1000 amp, 601-Amps-11000V MINOR LABEL 1000♦amplvolt PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS. SVCIFDR>=225 A.' >800 V NOMINAL C1.3 AREA/SPC OCC, ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO. FIRE ALARM: INTERCOMIPAGING OUTn00R LNDSC L BURGLAR ALARM. OTH'. BOILER HVAC: LANDSCAPEBRRIG: PROTEC I'IVE SIGNL GARAGE OPENER: CLOCK. INSTRUMENTATION MEDICAL.. OTHR. MVAC: DATA?ELE COMM. NURSE CALLS'. TOTAL 0 SYSTEMS. Owner: Contractor: TOTAL FEES: $ 7,509.89 PALACE HOMES INC This permit Is subject totheregulations contained in the PALACE HOMES INC Tigard Municipal Code, State of OR Specialty Codes and 27975 S COX ROAD 27975 S COX ROAD all other applicable laws All work will be done In COLTON,OR 97017 COLTON,OR 97017 acoardance with approved plans. This permit will expire M work is not started within 160 days of issuance,or if the work is suspended for more than 180 days ATT ENTION Phone: Phone Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Reg a LIC 125831 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 8, Underfloor Insulation Electrical Service Low Voltafle Water Line Insp Plumb Final Sewer Inspection Crawl Drain/Backwater Electrical Rough In Gas Line Insp Sprinkler Rough-In Final inspection Fooling Insp Footing/Foundation On Framing Insp Gas F'irrplace Sprinkler Final Foundation Insp PLM/Underfloor Shear Wall Insp Insulation Insp Appr/Sdwlk Insp,.? Post/Beam Structural Mechanical Insp Exterior Sheathing Ins; Rain drain Insp Electrical Issued B i�; l' c' /r_�/�".` Permittee Signature : Y • L - Call (503) 639-4 r 175 by 7:00 p.m. for an inspection needed the next business'68y CITYOF TIGARD SEWER CONNECTION PERMIT 2i DEVELOPMENT SERVICES PERMIT#: SWR2001-00205 13125 SW Hall Bled., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/6/01 SITE ADDRESS; 14183 SW 132ND TERR PARCEL: 2S109AB-10300 SUBDIVISION: RAVEN RIDGE ZONING R-7 BLOCK: LOT: 032 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: Connect new single family residence to sewer. Owner: PALACE HOMES INC ________FEES 2.7975 5 COX ROAD Type By Date Amount Receipt COLTON, OR 97017 PRMT CTR 8/6/01 $2,300.00 27200100000 INSP CTR 8/6/01 $35.00 27200100000 Phone: 503-630-2099 — -- — — ___ Total $2.335.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date -ssued The total amount paid will be forfeited if theermit expires P p The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions fm;n the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued b / / ,� y '�1ts Permittee Signature: �' l� "► l- Call 1503) 6394175 by 7:00 P.M. for an inspection needed the next business day f- Building Permit ApplicationADO -000 ;2 cs� y Cozy of Tigard Date received: r )_ '� c Permit hb!zw; _e e yp 3 v City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Phone: (503) 639-4171 Expire date: Date issued: — 'h Fax: (503) 598-1960 l-�%' /I-1 c 4�' . BY: Receipt no.: \ Case file no.: Payment type: Land use approval: �`��%��F^%-�"/e 1&2 family:Simple Complex: U I &2 I:imily dwelling or accessory U Commercial/industr'al U Multi-famil U Addition/alteration/replacement U'I'cn.u,l im rout nu'r,l Y �dNew construction U Demolition p U Fire sprinkler/alarm U Ocher: Job;address: if I �. Lot;LTBhwk: Subdivision:';_. Bldg.no.: Suite no.: Pro, 'name: ----� Tax map/tax lo/account no.: ' / Description and location of work on prerniseVspecial conditions: — Narnc: (a c�E v - - 1011111 M Will I Alailing address: N ( � am' r r r' , City: Y�`A. &2 family dwelge Slate:r ZIP:('/ r Phone: .v Fax: aluation of work.... 4.+, r E-mail: No.of bedrxoms/baths......r.......... ............. $ Owner's representative: . � Phone: Fax: -- Total number of floors................ •. ... E-mail: MUM New dwelling area(sq. ft.) .......................... Garage/carport arca(sq.ft.)................ - Name: �. - ......... �4 e.. tCovered porch arcs(sq. ft.) --�1 -- Mailing address: City: — Deck area(sq. ft.)............... Phone: _ Statere: ZIP: Other structure.area(sc ......................... — I;tv Is-nwil: Commercial/Industrinumulti-family: t Valuation of work Businessname: 6 ........................................ c7 v-�' Existing hldg.area(s ft. — Address: q. ) ....................... _. New bldg.area(sq.ft.)...... ' City: ..... �..... ....... -�— State: ZIP: Number of stories.................. Phone: Fax: E-mail: Type of construction............ CCB no.: - --- ........... _ Existing: Occupancy group(s): Cityhnrtr,lie.no.: ------_.___ New: Notice:All contractors and subcontractors arc requ d tree 7the— Name: _ licensed with the Oregon Construction Contractors Boar Address: I'11, r- , provisions of ORS 701 and may be required to he licensejurisdiction where work is being performed. If the applic Cit ' exempt State:( ZIP: r pt from licensing,the following mason applies: Contact person: G Ll • Plan no. Phone: . , it Name: �ihe<r C'ontac't person: Address: .. ^ O \ fees due upon application ......................... $- City: —L- f Date received: __ -- Pholr State: > ZIp;. i Amount received ` E-mail• - .......... $ _ I hereby certify I have read and examined this application and the Please refer to fee schedule. attached checklist. All provisions of laws Na all JtW�dlctiora aceeM coedit catd,,please call Jurisdiction fn,more Information work will he compli?d W�*whedicr*c0edhbrrin or ngoverning this umdllttaettrd number: IcrCtvd Authorized signature:, ------ —�_ ---` _ bale: p Print name: �/_. !t� r'c t C � _ — — —�-��a canrholder u wn on credit �a Iia Notice:?his permit application expires ifsJ crdbdder ori S - puture Atnoutu Permit is not obtained within I80 d„•'seller it has been accepted as complete. 41 1.1(6tiwnM) One-and Two-Family Dwelling Building Permit Application Checklist hereienCe n - - Associated permits: City n/Tigard City of Tigard O Electrical ❑Plumbing U Mechanical Address: 13125 SW ball Blvd,Tigard,OR 97223 U Other: Phone: (503) 639-4171 I'nx: (501) 599-1960 �1111191 1 1 I land use actions completed.Sec jurisdictuai crucna lire concurrent review,. 2 Zoning.Hood plain,solar balance points,seismic soils designation,historic district,elk 3 Verification of approved plat/lot. 4 Fire district_ ___approval required. 5 Septic system permit or authorization for remodel.Existing system capacity 6 Sewer permit. _ 7 Water district approval. 3 Soils report.Must carry original applicable stamp and signature on rile or with application. 9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and location of catch-basin protection,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. Ilan review cannot be completed if copyright violations exist. ---- I I Sitelplot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is snore tlian a 441.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;lbotprint of structure(including decka);location of wells/septic systems;utility locations:direction indicator,lot area;building coverage area;percentage of coverage;impervious arra;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor holts,any hold-downs and reinforcing pads,connection details,vent size and location. _ --- I; 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 section(s)and details.Show all framing-membra sizes and spacing such as floor beams,headers,joists,sub-floor. wall construction,roof construction.More than one cross section may to required to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, Fireplace conFtruction, thennal insulation,etc. 15 Elevatlon 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. Full-size sheet addendums showing foundation elevations with cross references ate 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 hours/roof assemblies,indicating member sizing,spacing,and bearing locations.Show attic ventilation. 1 K Basoment and retaining walls. Provide cross sections and details showing placement of rehar.For cngincer:d systems,see item 22,"1{ngineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet Fmg and/or any heam/juist carrying a non-uniform load. 2(1 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify the prescriptive path or provide calculations. A gas-piping schematic is required —for four or more it ipliances. _ - -L 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof Ir,ivo owil I,, i.+mlxvd by an en1vineer or architect licensed in Oregon and shall to shown to be applicable to the prole,1 1 m,1 23 Five(51 site plans are required for Item I 1 above. Site plans must be K-1/2"x 11"or 1 I" x 17". 24 Two(2)sets cacti are required for Items 16. 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. 26 No rolled,reversed or mirrored building plans will be accepted. 27 28 Checklist must be completed before plan review snuff date. Minor changes or notes on submitted plans may he in blue or black ink. Red ins is reserved for department use only. 40-*14(6MCoM) Electrical Permit Application — Date received: Permit no.: city Of 'Tigard Project/appl.no.: Expire date: Cityn(figard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receipt no.: Phone: (503) 639.4171 Case file no.: Payment type: Fax: (503) 598-1960 Land use approval: ❑ I &2 family dwelling or accessory U Commercial/industrial U Multi-family ❑Tenant improvement ew constivction U Additiontalterationt/ro•ptacentcnt U Other: U Partial .1011 SFFE INFOIlItMATION Job address: c Ill 1p. nc. : 5uttr nu.; Tax map/tax lot/account no.: Lot Block:_ Sulxlivision: Project name: _i Description and location of work on premises: Estimated state of connplrliun/ugspt:c(iun: Fir• Mas Job no: -- Description 0". (ea.) local no.insp Business name: ) 'e P r f 1 C- New mirk nlial-sing;le or multi-lamih pa r Address: t L- " C CD UE- dwelling:unit.lot hwcs anaclw i Itarag v. Cig.y: State: Z1P: Service included: 1000 aq ft.or less 4 _ Phone: -7Fax: E-mail: -— -Each additional Slx)sq.f I.u-portion thereof CCB no.: d Elec.bus.lic.no: - C Limiledenergy.residential City/metro tic.no.: Limited energy,non•rrsidential Each manufactured home or modular dwelling Date Service and/or feeder Signature of supervising electrician(te sired) i200 ces orfeeden-installatlon, Sup cleci nnnutpriot) License no: ttonorrelocallon: 1 mps or less 2mps to 400 ams 2 Name(print): GA N jitAy t`C mps to 600 amps 2 Mailing address: ' f c � �� ) mps to 1000 amps 2 City: 0 State: 'LIP: It t^)I 1000 amps or volts 2 Phone: t .' Fax: _,�4 Email Reconnect out I Temporary wrillem or feeders- Owner installation:'tile installation is being made on property I own installation,alteration,orrelocation: which is not intended for sale,lease,rent,or exchange according to 2a)amps or less 2 ORS 447,455,479,670,701. 201 amps to 400 amps 2 Owner's si nature: Digit': _ 401 to Rat amps Brach circuits-new,alteration, III k or extension per panel: Namc: v tie.Ll iL41A. Fee for branch circuits with purchase of f service or feeder fee,each branch circuit Address: 7 - State:UK 'LIP: � B. Fee for Drench circuits without purchase City: 0 1; i of service or feeder fee,first brancn circuit _ 2 Phone: C.L Fax:a (; ( b mall: - hash additional branch cireuif Misc.(Service or feeder nog included): F:ach mop or irrigation circle 2 U Service over 225 amps-cumniercial U Health-cmc•facility —� 2 Each signgn or outline lighting U Service over 320 antps•rating of 1&2 U Hazardous localion Signal circuit(s)or a limited energy panel. familydwellings U Building over 100)0 square feel four rat g 2 U System over600 volts nominal more residential unite in one structure alteratior,or extension* U Building over three stories U Feeders.4a)amps at more clescn tion - U Occupant loaf over 99 persons U Manufactured structures or ItV purl, each atiditional inspection over the allowable in any of the drove: U Egreawlightingplat U Other. —.. Perins ecuon 1-�--� 4ubrnit sell of plata with any orthe above. Invesuotaliun fee no The above are not applicable If temporary construction service. Omer Permit fee.....................$ �— Nor all Jurisdictiom accept credit tank.please call luriaticoon fa lain Infortna!ion Notice:This permit application Plan review gal 90} $ — --- U Visa U Mastercard expires if a permit is not obtained within 180 days after it has been State surcharge(8%)....$ Credit card number_—r s.- -- - TOTAL $ xpnea- accepted as complete. tune of c of r uifiown em creaii cera-- s cardholder d6nutae Amount - 40415(110t)01170M) Electrical Permit Fees: Limited Energy Fees: ----- I TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Scheaiule 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 ur;it $145 15 a E] Audio and Stereo Systems 1000 sq,ft or less _ — Each additional 500 sq ft or $33 40 1 portion thereof Burglar Alarm l imited Energy $15.00 - Each Manufd Flome or Modular $90 90 z Garage Door Opener' Dwelling Service or Feeder --_ Heating,Ventilation and Air Conditioning System' Services or Feeders Installation,alteration,or relocation $80 30 2 200 amps or less __ — EJ vacuum Systems' 201 amps to 400 amps $106 85 2 401 amps to 600 amps $16060 2 ❑ ---- Other 601 amps to 1000 amps $240.60 2 Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Fee for each system......................................................... $75.00 installation,alteration,or relocation 7 rSEE OAR 918-260-260) 200 amps or less $6685 201 amps to 400 amps $10030, _ 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: over 600 amps to 1h5U volts, Audio and Stereo Systems see"b"above. Branch Circuits ❑ Boller Controls New,alteration or extension per panel a)the fee for blanch circuits Clock Systems with purchase of service or feeder fee. 2$6 6`, Data Telecommunication Installation Each branch circuit b) I tie fee for branch circuits ❑ without purchase of service Fire Alarm Installation or feeder fee. First branch circuit $46 85_—_—_ ❑ HVAC Each additional branch orcuil $665 Miscellaneous instrumentation Instrumentation (Service er feeder not included) Each pump or Irrigation circle $53A0 _ Intercom and Paging Systems Each sign or outline lighting — $53.40 Signal circuits)or a limited energy E-1 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 $82 60 ❑ Nurse Calls 1'er inspection Per hour $62.50 -- Outdoor Landscape Lighting' In Plant $73.75 Fees: Protective Signaling Enter total of above fees $ _ ❑ Other --- 8v state Surcharge $ Number of Systems 25%Plan Review FeeS ' No licenses are required licenses are required for all other installations ,pe" flan Revi �ecllon nn Inrnt of applicalion - -- Fees: Total Balance Due $ _ Enter total of above fees $--- El -- --❑ Trust Account#--- - 8%State Surcharge $-- - - - — ---------- Total Balance Due --- - - -- i tdsts\fortro\elc-&es.doc 10/09/00 " Dv� Plumbing Per mit Applicationwmlrm� City of Tigard Datereceived: PermiIno.: Address: 13125 SW Hall Blvd.'I iyard,OR 97223 Sewer permit no.: Building permit no.: City of Tigard Phone: (503) 639-4171 Project/appl.no.: Expiredatc:: Fax: (503)598-1960 Dale issued: fB� Receipt no.: Land use approval: Case file no.: yment type: r U I &2 family dwelling or accessory U Commercial/inddstrial U Multi-family U Tenant improvement New construction U Addition/alteration/replacement U Food service U(hhcr: t , t — UTT Job address: r_ , act-_ Description Ili . I ee(ea•) Total Bldg.no.: Suite no.; - Nen I and 2-family dwellings only: Tax mapilax lot account no.: includes 100 R.for each utility connection) Lot: ---FBIock: Subdivision: SFR(1)bath — �� 9 SFR(2)bath Project name: _— SFR(3)bath — Cily/county: ZIP: Each additional bath/kitchen — Description and location of work on premises: Siteutilitles: _ Catch basin/area drain Est.date of comp ietion/inspection: Drywells/leach line/trench drain Footing drain(no.lin.ft.) — Busineas name: Manufactured home utilities — � '�t-r� •�� Manholes Address:�yC�—�Y..r� C �_ Rain drain connector City: e•-t- �' v State; ZIP: r Sanitary sewer lin. tt.) -- — — -- Phone,: Fux: E-mail: Storm sewer(no, lin. ft.) _ CCB no.: t g Water service(no.lin.ft.) — `- 1 3c� Plumh.has.le .no: City/metro lic.no.: -- - �- Fixture or Item: CLntractor's representative signature; -"— Absorption valve Print name: -- Back flow preventer — --- r + r- I)'��`' Backwater valve -- basins/lavatory — — -- Name: tae ( �u{, / Clothes washer ---- — --- Address: Dishwasher — Cuy: State{�(r' ZIP:c Drinking fountains) —� Phone; z r c Fc�;(,7U �) E-mail: Ejectors/sum -- Fxprmsion tank — -- FiXtUre/sewer cap — f�amc(print►: 1 4C'-e OLAA e LL_dC- Flandrains/floorsinks/hub - — - Mailing address: G e Garbage dis sal L)� Hose hibb City: State: ZIP: Ice maker — —� - -- Phone: Fax: E-mail: Interee for/grease trap -- — owner installation/residential maintenance only: The actual installation Primers) 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 nature: _ _ Dat e: _ — Sump Tuhs/shower/shower pan -- Name; �-c�we( L 4k l' x.11 K Urinal Address: : �e Water closet _— Water heater —- City: o (�� State: 7_I P: J l (�, pit( _C��t � FURSq(;'a E-mail. _ oUl NM as iurioctions accept cmdll rade,pleas call juriulfcNexi fa MMInfom�ut ,, Minimum fee................$ U Viva U MasterCard Notice:This permit application — expires if a permit is not obtained Plan review(at _ %) $ aedu rad numher: 1.__L within IRO days after it has been State surcharge(8%)....$ _ _ t xpirc. TOTAL Name of c of r u ehrnvn on credit card accepted as complete. ••••••••••••......•....$ Cr�idJer iI tore s Amount 440-4616(&WCOM) PLUMBING PERMIT FEES: FIXTURES (individual) PRICE TOTAL New 1 end 2-family dwellings only: —T QTY ea AMOUNT' rincludes all plumbing fixtures in Link 16 60 the dwalling and the firstloo ft. QTM PRICE TOTAL Lavatory - for each lung connection - (ea) AMOUNT 16 60 Tub or Tub/SI ewer Comb. ��60 -- One 1 bath $2,49 20 Shower Only — FThrge 2 bath ---- I _ 16.60 ------ __ 3350.00 ✓,3 bath - Water Closet 16.60 — --- — 3:199.00 16 60 - __ SUBTOTAL —"�-- Dishwasher --- STATE SURCHARGE_ 6.60 REVIEW 25%OUBTOTAGarbageDisposal 60 TOTAL — LaundryTray _ 16.60 — -- -- Washmg Klachme - 16.60 - Floor Drain/Floor Sink 2" 1660 3" —6.s6- PLEASE COMPLETE: _ 4" 16,60 Waley Heater O conversion O like kind —1660 - — Gas piping requires a separate mechanical _ Quandt b Work Performed - �ermrt Fixture Type: New Moved Replaced Removed/ ----— _ MFG Nome New Water Service 46.40 Ca ed Sink MFG Hrimt New San/Storm Sewn, — 46.40 — Lavato -- Hose -16 60 Tub or Tuh/Shower Roof Drains — - - 16 60 --— Shower Umy Combination --- Drinking Fountain — —'— 16.60 � Water Closet —' — Other Fixtures(Specify) 16 60 -- Urinal - - -- -- - —..--- Dishwasher -- — --- -- - Garbage Dis oral ---- Laund Roam Tra - Washing Machine Sewer-1st_100 ____ .5-0' _ 500 -- Floor Drain/Sink: 2" -"- Sewor -_each additional 100' 4640 - 3" WaterService•1s1 100' - - 4" _additio_ 55.00 _Water Healer Waley Service •eat_ nal 200— 4640 Other Fixtures J Storm 8 RamDrain•1st 100' - 55 00 - specify) Sloan 8 Rain Drain-each additional 100' 4640 --" - - - Commercial Back Flow Prevenliun Device - 4640 ---- - Residential Backflow Preventionovic De'_ 27.55 _ -- Catch Basin 16,60 - Inspecllon of ExistingPlumbing or Specially 250 --- — Re uested Ins ections 6er/hr Rain Drain,single family dwalling COMMENTS REGARDING ABOVE: 5 2y Greaso TTraps _ _ 16 60 _ -- QUANTITY TOTAL _ -- Isometric u,riser diagram Is required 11 -- Uuantlt 'SUBTOTAL - 8%STATE SURCHARGE M -- — - --- "PLAN REVIEW 25%OF SUBTOTAL - _— Required only 11 fixture I .Y-12121—11>g TOTAL — E— 'Minimum permit ree Is$72 50#8%state surcharge.except Residential Backflow Prevention Device,which Is$ao 25 4 8%state surcharge All New Commercial Buildings require plans with Isometric or riser diagram and plan review i:ldstslformslplrn-fees.doc 10/10/00 Arm Mechanical Permit Application ,.: 'Jatereceived: Permit no.: City of Tigard CityofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97213 ProjecUappl.no.: Expire date: Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: 1 U 18c 2 family dwclliug or accessory U Commercial/industrial U Multi f:unil>' U Tenant improvement U New construction U A(ldilion/allera!ion/replacement U(W)cr. 1 Job address: I Ijam_ Indicate.equipment quantities in buxcs below. Indicate the dollar Bldg. no•.. Suite no.: - value of all mechanical materials,equipment,labor,overhead, Tax map/tax IoUaccount no.: profit.Value$ — Lot: Block: _ Subdivision: 'See checklist 1'or important application information and Project name: jurisdiction's fie schedule for residential permit Ice. City/county: _ ZIP: r r Description and location of work on premises: t toldw10 1 A 11 t I — total Est.daft of complctiort/inspcctioFee(ea.) n: _ IMuription 01y. Res.only Re.01111 Tenant improvement or change of use: -" Is existing space heated or conditioned?U Yes U No sir handling unit _ _-_CFM Is existing space insulated?U Yes U NoAlrcond-itioning(site plan require )_Wf -- terationofexisting system oiler/compres::ors — ---- Business name: ' State bailer permit no.: Address: - (,o ---- HP Tons BTU/14 IF I-ILE] f !''s l• alllpCr. Ul'19m0 C llCC1of5 City: (r C State: ZIP: < / e': eat pump(sac p a- nT`rcy rem Plfone: r-a c_ E-mail: Install/replacefurnac urner --- CCB no.: J. Including ductwor Jvenl:finer U Yes U No nstal,replac re ocate .:,aers-suspended, - City/metro tic.no.: wall,or floor mounted Name(please print): f ( n l S Vent fora r fiance other( an turnace -- e gerat on: Name: l Ahsorption units___ 1i71I/II p. pl` Chillers_ _ fill Address: 0)Y. Corn ressors — !ii' _City: ( r State- ZIP: •n ronmenta ez ust an vent at on: 1'honu: ~� Appliance vent ' o "U`j` Fax:( ' 1J d E-mail: Tryerex aunt 0o s, ypc res�cjlc ren/rm:d hood fire suppression sys(ern _ Name: li--�i IQC f, nAA C _ Exhaust f rn with single duct that fans) Mailing addressy__ i�— r �, :x gusts stem u�nrl?rom rating or AC City: Stale: ZIP: •ue p p ng atdistribution(up to out els) Phone: Fax: Type: =—_LI'G NO Oil Email: �•I—iria•qacad itinna over out I etsM WIN MW -- rocecsppng(sc emalicrequire ) Name: k e,n,U L(_ L rl Nunlherofoutlets Address: < < C Other t a alive p listed appliance or equ pment: — City: r i - I Slate: A' ZIP: e �) / risen-ty c Phone: .•,,,( (�oD(' . Fax: -V ', E-mail: Woocistrive/pellel stove `-- Applicant's signature- r other: — Nnmr. Nal ell lurl.dk1iom accept credit tante,please call puiscficit".for mac Infamatial Permit fee.....................$ U Vien U MusterC are Notice:This permit application Minimum fee..., __ Credit card nwaher, -_-_ _ (/��' � exlr res if a permit is not obtained Plan review(at — 9l-) $ _ within 190 days after it has been State surcharge 896 Anne of clder n ca on a own ua c accepted as complete, g ( ) ••••$ _ - Cudhd r d jnature - s — TOTAL ....................... Amount 440-4617 IMIa^COM 1 MECHANICAL PERMIT FEES COMMERCV,L FEE SCHEDULE: 1 8 2 FAMILY DWELLING FEE SCHEDULE,- TOTAL CHEDULE,TOTAL VALUATION_: FEE: Description: Price Total $1.00 to$5,000.00 _ Minimum fee$72.50 Table 1A Mechanical Code olv (Fel 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 RTU+ _ $10,000,00. Includingducts&vents 17 40 _ $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 $25,00000 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 $1.45 for each additional$100.00 or 6 80 Y fraction thereof,to and including 6) Repair units __ _ $50,000.00. 12.15 $.50,001.00 and jp __ $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 Gond fraction thereof. _- footnotes below. Xmpl "* 7)<3HP;absorb unit ASSUMED VALUATIONS PER APPLIANCE: -----1 to tools BTU ' ,a.00 Value Tota! j 8)3-15 HP;absorb unit 100k to 5i0k BTU 25.60 Description: Ci �Ea Amount_ g)15-30 HP;absorb Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU 35.00 ducts& nts Furnace v>100,000 BTU Including 1,170 _ unit 301.7 mil absorb unit 1.1.75 mil BTU 52.20 ducts 8 vents _____ -- Floor fun lace including vent 955 11)>5(1HP:absorb unit>1.75 Suspended heater,wall heater or 955 -- 12Air handling BTU 87.20 floor mounted heater ) ng urns to 000 CFM 10, 10.09 Vent not inch!ded in applicance 445 _- permit 13)Air handling unit 10,000 CFM+ Repair units _ - 805 _ 17.20 14 - - <3 absorb.unit, 955 - )Non-portable evaporate cooler to 100k PT 10.00 3-15 hp;absorb.unit, 1,700 15)Veit fan connected to a single duct 101k to 500k BTU 6.80 18) 15-30 hp;absorb.unit,501k to 1 2,310 Ventilation system not included in mil.BTU appliance_ ermit 10.JJ _ 30-50 hp;absorb.unit, 3,400 '7)Hood served by mechanical exhaust 1000 1_1.75 mll.BTU - - - ,50 hp;absorb.unit, 5,725 18)Domestic Incinerators 17.40 :1,1.75 mil.BTU - 19)Commercial or industrial type incinerato- Air rtandlln unit to 101000 cfm 656 Air handling >10,000 cf1 17p _ 69.95 ngm Non-portable evaporate cooler 658 20)Other units,including wo of stoves 10.00 Vent fan connected to a single duct _ 448 I Vent system not included In 658 - 21)Gas piping one to four outlets appliance ,anti 5 40 Hood served by mechanical exhaust 65f. - 22)More than 4-per outlet(each) 1.00 Domestic Incinerator 1,170 Minimum Permit Fee$72.50 SUBTOTAL: s Commercial or Industrial Incinerator _ _4 590 Other unit,including wood stoves, 658 --- 8•/.State Surcharge $ Inserts,etc. _ _Gas piping 1-4 outlets 360 __ 25%Plan Review Fee(of subtotal) $ Each additional outlet 63 _..__ Required for ALL commercial permits only TOTAL dOMMERCIAL $ TOTAL RESIDENTIAL PERMIT FE1=: 5 VALUATION: Qther Inspections and Fees: 1 Inspections outside of normal business hours(minimum otiarge-two hours) $72 50 per hour 2 Inspections for which no fee is specirically indicated (minimum charge-half hour) $72 50 pei hour 3 Additional Flan review required by changes,eduitions or revisions to plans(minimum charge-one-half hour)$72 50 per hour *State Contractor Boller Certification required for units>200k BTU. "Residential A/C requirew site plan showing placement of unit. I:WstslformsUnech-fees doc 10!11/00 01 Jun 26 15:22:16 R:VILLT32RR.Jwg RJV 55 n7 , I 1 1 I � I o. MAIN FLOOR EL .100 0' I I I I GARAGE EL 98 0' 1 I , I 1 I• g9ci g� � 4" CUNC i 1t DRIVEWAY ;p 17500 PSI) cr L\ _ �N 0'05'51" W .r, -++✓ 01 I)60 q1 S W 132nd TERRACE MIA,C olI ors10N C;OF 1Tts INC 15 NO, t,'1 v OI t'�f;4,N1; . cp.1� ACCUNACr po I� IOoOGNAOHr - � (- u."nN IT IS THE SOI,ut5o0N wo,d TIN 17 N�11(-I (l�cIC 1 10 rrN6r All SII!CONDITIONS D•Cl UU1N0 c Int P.Acro nN IIa cl,r ANn N nry,Hr O1 .)7 / •vt n9 TIT y: .I�.. J M- �' I AI AMYAltOM01x.I ,11 ..0 —' BY PALACE HOM' � � c o d ► d ► ► tri rA ► loo- 4 a M ► N aun e 44 rD t � `C ��; ► O r-', N ► C,v a CL 4444 9 o �, ► 44 6 p ► 44 44 41 .. �-, ► 4 cb q�� D ► 1 MMGN!!�OF `��' ► � ��aQ i �rvvvviivvvvvivvivvvvvvvvvvvvvivivvvvvvvvvvvvI CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PREFERRED PLUMBING 3254 SW BARNET ST FOREST GROVE, OR 57116-8651 Plumbing Signature Form Permit #: MST2001-00403 Date Issued: 8/6101 Parcel: 2S109AB-10300 Site Address: 14183 SW 132ND TERR Subdivision: RAVEN RIDGE BIocK: Lot: 032 Jurisdiction: TIG Zoning: R-7 Remarks: SIF Path 1 FIRE SPRINKLER are require Instal as per code 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 indivi(4. al frorn 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 plumLing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACI O'�: PALACE HOMES INC PREFERRED PLUMBING 27975 S COX ROAD 3254 SW BARNET ST COLTON. OR 97017 FOREST GROVE, OR 97116-8651 Phone #: 503-630-2099 Phone #: 503.359-0560 Reg #: 1 Ir 132604 P1 M 34-340PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Seat ire Autf oriz Plumber It 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 WEBER ELECTRIC INC 1-4-624 SW IGJ4ARDONN AVE TIIGAR0-, tR`9r224- Electrical Signature Form Permit #: MST2001-00403 Date Issued. 8/uiu i Parcel: 2S109AB-10300 Site Address: 14183 SW 132ND TERR Subdivision: RAVEN RIDGE Block: Lot: 032 Jurisdiction: TIG Zoning: R-7 Remarks: S/F Path 1 FIRE SPRINKLER are require Install as per code Your company has been indicated as the Electrical cor'.-actor 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- PALACE HOMES INC WEBER ELECTRIC INC 27975 S COX ROAD 14524 SW CHARDONNAY AVE Phone #: 503-630-2099 Phone #: 579-5168 Req #: LAC 44087 SUP 4028S ELE 34.442c AN INK SIGNATURE IS REQUIRED ON THIS FORM :Z.. — . Signature of Supervising Eletris an If you have any questions, please call (503) 639-4171, ext. # 310 MCKENZIE DE' IGN AND CONSULTING 37830 KIMBALL ROAD DEXTER, OR 97431 PH: 541 -736-5600 FX: 541-736-5606 FIRE SPRINKLER EQUIPMENT SUBMITTAL FOR: PREFERRED PLUMBING LOT :0 32- RAVEN'S RIDGE TIGARD , OREGON RESIDENTIAL ,FIRE S PR[IVKLER DRAWINGS TABLE OF CONTENTS • HYDRAULIC CALCULATIONS • STAR STEALTH S240 RESIDENTIAL SPRINKLER � + FIRF SPRINKLER SHOP DRAWINGS CITY OF TIGARD Approved................................. ...... [ � Conditionally Approved................... For only the work Z�as described in.: '� See MiT NO.h, r , _pER , u� ater to: Follow................... ...... .Attac .� �= . w ,.lob Acldross: � . Data: SEE. 35MM ROLL- # 21 FOR OVERSIZED DOCUMENT