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15100 SW 98TH AVENUE t t r b f� I 0:3 i w V- v AR� ,oFA OP ORK 4 w _ r X w A) d � � q K / row r _ ilimilli I EX. P. -PRU /EYE AY �.. _ 2 1 -40 1 0 1 !3 4 I / ^�-L� • hey �'c� { i R +•7•�•.tiN1•fN/R�+IM+41.TK.eM'�O. ., � ..w_...+.w.++w..r�++.v._.wo.w ww..�.r,.w......�._•+— NOTICE. lFTHEPRINTORTYPEON ANY �� III III ( I I1 ) 1 � I � Iili II fr �I Jill T7IMAGE IS NOT AS CLEAR AS THIS NOTICE, ililili ililil � Ali ( Ili " Ili ( ilr iliItilili�,l. r ��- _Ir r� r Ili � Jl ��� r(r�r� f r�r l rri .i�Tl� ll Ili tl � � lilil � F 10 I _ 1_ly 12 � IT IS DUE TO THE QUALITY OF THE No.36 ��b�•�,�,�.,, ORIGINAL DOCUMENT E 6 Z 87s L Z 8 Z 5 Z Z + E Z Z Z I Z O�Z (��� IIII IIII IIII IIII IIII IIII IIII IIII IIII IIII .Illi IIII IIIIIIIII�IIIi 1111 ILII Illi Illi. lllllllll IIII III � � � � + E � �, I �'"1'" i 1111 IIII IIII pili IIII IIII IIII Illi IIII IIII II.I IIII Illi 111 illi l ll I�11 111 Lill J1Il lllll.11l ll, ► � � 1111 � I a" v+ 0 CD N m D c c� i 15100 SW 9C"' Avenue CITY OF TIGARD BU11-DING INSPEC TION DIVISION MST -3�1� 24-Hour Inspection Line. 6;, 0175 Business Line: 639 1 BUP Date Requested l� -t C% AM_ PM _ BLD LocationZf.� _ / / �� fj -' ) Suite MEC Contact Person Ph ��� I Gf 7 �Z PLM - Contractor Ph SWR BUILDING — Tenant/OwnerELC r — Retaining Wall — - ELR _ Footing Access: _ Foundation FPS Ftg Drain — - SGN ---- Craw! Drain Inspection Notes: --- ----- Slab - ------ -- ---- ---- SIT Post& Beam -------- Ext Sheath/Shear Int Sheath/Shear _ Framing Insulation _— Drywall Nailing Firewall - -- ------_- — Fire Sprinkler -____-- Fire Alarm Susp'd Ceiling R,,of - - Misc: - - ---------- -- Final ---- - ----- PASS PART FAIL. - --- _ PLUMBING Post BBeam Under Slab Top Out - - Water Service _ Sanitary Sewer Rain Drains Final -- - PAS PART FAIL M Post& Beam Rough In — Gas Line -- - - -- Smoke Dampers AS - ` PAR FA!i_ ELECTRICAL M - - ---- ------ Service Rough Igo -- UG/Slab Low Voltage Fire Alarm Final ------ PASS PART FAIL SITE Backfill/Grading - - — ---- --- - - --- -- - Sanitary Sewer Storm Drain [ )Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply I_Ine ( )Please call for reinspection RE:_ —_ [ )Unable to Inspect-no access ADA Approach/Sirfewalk Other Date //-_ O/ __- Inspector _Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BAIL nING INSPECTION DIVISION MST az�� 3 Z C-)24-Hour Inspection Line: 639- 5 Business Line: 639-417 BLIP Date Requested Z AM PM _ BLG N Location � L ' Q- Suite MEC _ Contact Person Ph ( a5;-�Z_- PLM Contractor __ Ph — SWR BUILDING Tenant/Owner — ELC Retaining Wall ELR Footing Access: FPS Foundation — -- ----- Ftg Drain SGN Crawl Drain Inspection (votes Slab ----- --- ----- SIT Post& Beam -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _.-__-.____ Firewall Fire Sprinkler - -- - - ------ --- -- Fire Alarm Susp'd Ceiling Roof -- .- a Misc: _ - -- --- —_- --- -- --- - Final PASS_-- T FAIL - - - - -- - -- -- P MEIN Po Under Slab Top Out ----- - -�-— Water Service Sanitary Sewer Rain Drains _ Final PART FAIL WFMANICAL Post&Beam ----- Rough In Gas Line Smoke Dampers Final P _ ART _FAIL � '11— ough In UG/Slab Low Voltage Fire Alarm --- -- ---- _ -- rn AS PART FAIL --- - -- ---- -- Backfill/Grading ---- -- - -- - — Sanitary Sewer Storm Drain ( J Reinspection fee of$— required before next inspection. Pay at City Hall. 1'1125 SW Hall Blvd Catch Basin Fire Supply Line I ]Please call for reinspection RE: —, [ ]Unable to inspect-no access ADA ff Approach/Sidewalk DateInspertoR '�� Ext Other __. Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. � w n ITI O O O a o � N o a o � a 0 Q 1• O 3 { CITY OF TIGARD BUI' 'ZING INSPECTION DIVISION MST 2_ C 24-Hour Inspection Line: 63! 75 Business Line: 639-4'. ---- FSUP —_--_ date Requested l� _ Zc� AM_ PM BLD Location Suite MEC Contact Person Ph �� 2, ! (0 3 L PLM _— Contractor Ph SWR _— BUILDING _ Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS -_..-�- rtg Drain -- - SGN Crawl Drain Inspection Notes -- -� — Slab - - -- -- SIT Post&Beam �^ — Ext Sheath/Shear Int Sheath/3hear vc Framing I'd�1�G iaflr�2w�rr C4tv4(ee.E�6 c-4, -ze f /.Lct Insulation , !y Drywall Nailing �/J _�� K�� AP'f CSl 4tC 4- idz4,ec cCkLx& Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling _- -- -- Roof Misc: -- i ASS PART FAIL - -- _-- - P U GING Post& Beam - -� Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam ----_.-_.__. --_----_.______-_ ---------_- _--__--- --___-_ -- Rough In GasLine -- ---...-- ----- ---- --- --- --�.. _.._. -_------ Smoke Dampers Final ---- ---- - - —_. _ --- - - ------- - PASS PART FAIL ELECTRICAL ---"—�-- y- ------- —__�_.___ — _—_— Service -- Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL _— -. --- — SITE Backfill/Grading i Sanitary Sewer Storm Drain ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line l ]PiPase call for reinspection RE: _--___ _� _ ( )Unable to inspect-no access ADA Approach/Sidewalk Other pate Q Inspector ��-�-- -- Ext - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOF TIGARD MASTER PERMIT — DEVELOPMENT SERVICES DATE ISSUED: r�1310101 00320 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 15100 SW 98TH AVE PARCEL: 2S111CA-14000 SUBDIVISION: DARMEL ZONING: R-3.5 BLOCK: LOT: 009 JURISDICTION: TIG REMARKS: 2.-story addition of 3 bedrooms and 4 bathrooms to SF detached dwelling. Path 1 added 254 sq feet 8-13-01 more upstairs BUILDING REISSUE: STORIES: 2 FLOOR AREAS _ REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 22 FIRST: 955 of BASEMENT: of LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 650 of GARAGE: of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 21 OCCUPANCY GRP: R3 BORM: 3 BATH: 4 TOTAL: 1,605VALUE: $156,433.70.00 of REAR: 413 PLUMBING SINKS: WATER CLOSETS: 4 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 4 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: I CATCH BASINS: TUB/SHOWERS: 2 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: MECHANICAL OTHER FIXTURES: FUEL TYPES FURN<100K: BOI{JCMP c 3HP: VENT FANS: 4 CLOTHES DRYER: GAS FURN>•100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 10 WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: W/SVC OR FOR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 2 201 400 amp: 201 400 amp: tat W/O SVC/FDR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 •600 amp: EA ADDL OR CIR: SIGNALIPANEL: IN PLANT: MANU HM/SVC/FDR: 901 • 1000 amp: 6014ampa•1000v: MINOR LABEL: 10004 amp/volt: Reconnect only: PLAN REVIEW SECTION >•4 RES UNITS: SVC/FDR>=226 A.: >900 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO d STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0tH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATArTELE COMM: NURSE CALLS TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 2,496.36 BODEA,GHERASIM+ OWNER This�:. R Is subject to the regulations contained in the CARMEN A Tigard Municipal Code,State of OR Specialty Codes and 15100 SW 98TH AVE all other applicable laws. All work will be done in TIGARD,OR 97224 accordance with approved plans This permit will expire If work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Poona: Phone Dragon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Req a 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, Post/Beam Structural PLh1/Underfluor Framing Insp Rain drain Insp Footing Insp Post/Beam Mechanical Mechanical Insp Shear Wall Insp Electrical Final Foundation Insp Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Mechanical Final Post/Beam Structural Crawl Draln/Backwater Electrical Service Low Voltage Plumb Final Post/Beam Structural Footing/Foundation Dr; Electrical Rough In Insulation Insp Final Inspection Issued By r y(1— =i--�•-� t–'l Permittee Signature � .,. -- Call (503) 639-4175 by 7:00 p m. for an inspection needed the next business day One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: -- N,sociatedpermits: City of Tigard City of Tigard J I:Icctr)cul G Plumbing U Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 )ober Phone: (503) 639-4171 — Fax: (503) 598-1960 FOLLOWING ITE.MS ARE REQUIRED 1`0111 PLAN REVIEW Ves No N/A _1 Land use actions completed.See jurisdiction criteria fur concurrent reviews. 2 'honing.flood plain,solar balance points,seismic soils designation,historic district,ct, 3 Verification of approved platllot. 4 hire district approval required. 5 !septic system permit or authorizatiou for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control lan U permit required.Include drainage;- way protection,silt fence design and location of catch hasin protec` ntion,etc. ( l( c3 Complete sets of legible pians.Must he drawn to scale,sin wing conformance to applicable local and state building codes. Lateral design details and connections mwa be in,ouporated into the plans or on a separate full-size sheet attached io the plans with cross references between plan location and details. Plan review cannot be completed if�copyright violations exist. I she/plot plan dr. , t to scale.The plan must show.jot and building setback dimensions;property corner elevations(if. Utere is more than a 4-1t.elevation differenffal,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/wiilic systems;utility locations;direction indicator,lot arca;building coverage firm percentage ofcoveruge;impervious area;existing structures on site;and surface dnainapr. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection detail~, vent sfze and location. 13 Floor plans.Show all dimensions,room identification,window sire,location of smoke detectors,water heater, lurna,c, ventilation inns,plumbing fixtures,balconies and decks 30 inches abov, grade,etc. 14 Cross section(s)and details.Show all framing-neither sizes and spacing such as Moor beams,headers,joists,sub-floor, wall construction,roof construction. More than one cross sect ion may he required to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,ftxtings and foundation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. Fo,teriur elevations must reflect the actual grade if the change in grade is greater than four foot a1 building envelope, mull-size sheet addendums%bowing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or Intern[analysts plans.Must indicate details and locations;for non-prescrtplive hath analysis provide spcc)fications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/moil'assemblies,indicating menther sizing,spacing,and bearing locations.Show attic ventilation. 18 Basement and retalaing walls.Provide cross sections and details showing placement of rebar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current cede design values for all beams and multiple joists over 10 feel long and/or any beandjoist carrying a nun-uniform load. 20 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 appliances. 22 Engineer's calculations.When required or provided,(i �hvar wall,roof roes)shall he stamped by an engineer or archilect licensed in Oregon and shall be shown to be.ipp , .0,1c to the pmlr, i ender review. 23 Five(5)site plans are requited for Item I I above. Site plans must he 8-1/2" x I I"or I I" x 17". 24 TWO(2)sets cath are required for Items Ih, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. _ 26 No rolled,reversed or mirrored building plans will he accepted. -_ 27 28 Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink 1s reserved for departm nt use only. 440 4h 14)~'oki) Building Permit Application Date received:vIL0 l Permit no.:/l_%aO0/-�'eA,,1J CityCit of Ti lard � Project/appl.no.: Expiredute: Cip of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 I^. Date issued: Byrd, Receipt no.: Fax: (503) 598-1966 I % Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: ❑ 2 family dwelling or accessory U Comme,ciaUindustrial U Multi-family U New construction ❑Demolition UAddition/altcratiun/replacement U Tenant improvcmrn+ J Dire sprinkler/alarm U Other: JOB SITF INFORMATION �. ;ob address:/d /t'-� ✓�/ ✓) 4 vE %i 'A//L) Bldg.no.: Suite no.: I.at: Block; Subdivision //!(' ("�j ,) 77 ap/tax lot/account no.:;X,; "�5Ot7 j Project name: / / CJ/U Description and location of work on premises/special conditwns:._ - Name: C-1T- A✓'/ l 0 E.r4- l Mailing address: 15100 v 4 1&2 fandly d"elling: ,l u City; '' State:0 ZIP' ? Valuation of work ........ $ G ! ,3 E-mail: No.of bedrooms/haths........ e.......1......... _. Phone: L fax: Owner's representative: Total number of floats..............2 .. ........... Phone: Fax: L-mail: New dwelling area(sq,ft.) ..... >t ....... Garage/carport area(sq.ft.)........"'............. Name: (z��/Lc�?�9JirI / ?�FI Covered porch area(sq.R.) ........................ — Meiling address: /UO v�k/ I nJ u/"' Deck area(sq, ft.) .....................:'............... — State : %' /II' r ? Other structure arca(sq. fl.).......--:............. City: __. __ 2--— t�mmerciAi/lnda9trlal/multi-family: 1�ax: 1. mall Valuation of work........................................ $ Existing bldg.area(sq.ft.) .......................... :dd s name:�fI! h,9,J I�'/ % �U New bldg.area(sq.ft.) 1 : S/vim` " VL Number of stories........................................ '? Ca/. / State:0� ZIP: - TYPe of construction....................................Fax: E-mail• (kcupancy group(s): Existing:.: New: tro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the -- - jurisdiction where work is being perfomned. If the applicant is Address: -- exempt from licensing,the fallowing reason applies: Cit State: ZIP: Contact person: Plan no.: iO� E-mail: oil"1011 Contact person: Ices due upon application ........................... $ AJJress: Date received: City: State: ZIP: Amount received ......................................... — Phone: 1'ax: E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Not all nurlsdicdons Weeps C"t cads,please call Juridkuon fa m(xr inhxma111xi attached checklist. All provisions of laws and ordinances governing this U Visa U Mastercard work will he complied wide,whether specified herein or not. Credit crid numhn. -- --�p+-1— Authorized signature�'14-oz _r /30,-6-r; Date:0")_1 ?�• /) Nanr of cardholdtt u slwwn oo a It tri-- ^/ $ Print name: /r Notict e:This permit application expires if a penult Is not obtained within 180 days after it hoe been accepted as complete. 410I613 twaVoM) Mechanical Permit Application \ Date received: City of Tigard Projc,,:/appl.no,: -Expire date: City nfTigard Address: 13125 SW Nall Blvd,Tigard,OR 97223 D%tcissued: 6y: Receiptno.: Phone: (503) 639-4171 'T Fax: (503)598-1960 Case file no.: I Payment type: Land use approval: Building permit no U I &2 family dwelling or accessory U C mmerciai/industrial U .'.iulu-fanul} (!Tenant improvement U New construction pit Addition/alteralio,-/replac_,ment U Other: - 1 1 Job address:15/OO try ��s{)/= //�/SPU Or� I Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no: Suite no.: value of all mechanical materials,equipment,labor,ovefficid, Tax map/tax lot/account no.: Z� /1 !1O - 0�'SIX� profit.Value R Lot: Block: Subdivision: �,r�r` C,/,, •See checklist for important application information and Project name: D-mph/ - jurisdiction's fee schedule for residential permit fee. City/county: %/�/�'fJ /� ZIP: PERMIT F EE 1 Description and location of work on premises: hec(ca.) Total Rcs.onlv Res.onl� Est.(late of complcU +ca on/insrion: r - Ikuriptinn Qt►• Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?U Yes U No it conditioning;site p an require ) ____ _ Is existing space insulated?U Yes U NoA teratton ol'existing AC system ___ 11 t oder compressors State boiler permit no.: Business name: tip Tons Address: -ire/smo aamper. uct smoke actectors City: Slate: ZIP: {eat pump(site plan required] Phone: Fax: E-mail: nsta rep ace furnacciburner_-ii�fT - Including ductwork/vent liner U Yes U No CCB no.: nsta rep ace re ovate heaters-suspended, , City/metro lic.no.: wall,or floor mounted Name(please print): vent for appliance other t tan furnace Refrigeration: t Absorption units - Name: (--'1//1?/L/:'! �'�l�r Chillers - Com rressors Ill' Address; OCi nv ronmenta exhaust an ventTlet on: City: State:0 ZIP: ���2. Appliancevent Phone 3 Z I-ax: E-mail: hycrex aunt toad s, ype res, itc c :v.mat _ hood fire suppression system - Name: - /fin / �vC Exhaust fan with single duct(bath fans) _ Mailing addres . /(,Y /"v(/ LC" sxhaust system a art from ieaun or A �T uc piping andistribution(up to outlets) City: -r1 ,�V _ state:ooe ZIP: zee Type t,l'vJ NO oil _ phone; Z Wax: E-mail: ue i in enc a itlona over outlets rocess piping(sc ematic requ rc(T Number of outlets Name: Other listed appitance or equipment: Address: Wcurativefireplace _ City: State: ZIP: nscrt-type ao slov pe et stove Phone: rax: E-mail —URF cr-:- Applicant's signature: Date: — ter: Name (print): --- -- Permit — Permit fere.....................$ -- Nd all JurlMUctlunr aceepl crnlo cauh,pleat•call jurisdiction fig n u v infixnuillm Notice:Thisermit application r rr Minimum fee................$ U Visa U MaxterCard expires if a permit is not obtained CredUcad numhn --- �--- Plan rl'.VII:W(al ��) within 180 days after it has been State surcharge(H`fi l ....$ -- - -- accepted as complete. Nurse of cumin r u, IT nn c u car S TOTAL .. ....................$ Cudhddercllinelurc --Amuunl 44UJa17 MMOICOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: T_O_TAL VALUATION FEE: Description: --� Price Total $1.00 to$5,00_0.00 Minimum fee$72.50 Table 1A Mechanical Code _ Oty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and ') Furnace to 100,000 BTU $1,52 for each additiona;$100.00 or including ducts&vents _�- __- 14.00 fraction thereor,to and including 2) Fwnace 100,000 BTU+ $10,000.00. including ducts 8 vents 1740 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent _ 1400 fraction thereof,to and including 4) Suspended heater,wall heater �- _ _ $25,000.00. or floor mounted heater _- 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,00200 and 5) \ent cot included in appliance permit - $1.45 for each additional$100.00 or 680 fraction thereof,to and including 6) Repair,inits $50,000.00. _ 12 15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below. Com ' _ '* 7)<3HP;absorb unit ASSUMED VALUATIONS PER APPLIANCE: - to 100K BTU _ 1400 - 8)3-15 HP;absorb Value Total unit 100k to 500k BTU 25.60 Description: Qt Ea Amount -- -- Furnace to 100,000 BTU,Including 955 - 9)15-unit.5--11 HP;absorb mil BTU _ _ 35.00 ducts&vents - 10)30-50 HP;absorb Furnace>100,000 BTU including 1,170 unit 1-1.75 mil BTU 5220 ducts&vents -- Floor furnace Including 11)>50HP:absorb vent 955 unit 50H mil BTU 87.20 _ Suspended heater,wall heater or 955 floor mounted heater 12)Air handling unit to 10,000 CFM Vent not Included in applicance 445 _ 10.00 rmit 13)Air handling unit 10,000 CFM+ 17.20 repair units _ _ 805 - _- - <3 hp;absorb.unit, 955 14)Non-portable evaporate cooler _ 10.00 3-15 hp;absorb.unit, 1,700 to 100k BTU 15)Vent fan ccnnected to a single duct _ 101k to 500P.BTU 680 15-30 hp;absorb.unit 501k to 1 2,310 16)Ventilation system not Included in mil.BTU appliance permit _ 10.00 -i 30-50 hp;absorb,unit, 3,400 17)Hood served by mechanical exhaust 1-1.75 mil.BTU _ 10.00 >50 hp;absorb.unit, 5,726 - 1©)Domestic Incinerators _>1.75 mil.BTU17,40 Air handling unit to 10,000 cfm _658 19)Commercial or Industrial type Incinerator Air handling unit>10,000 cfm 1,170 89.95 -! Non-portable evaporate cooler 656 20)Other units,Including wood stoves _ 10.0 Vent fan connected to a slnple duct 446 - 0 -- Vent system not Included in - 658 21)Gas piping one to tour outlets 0 appliance permit 5 40 Hood served b)mechanical exhaust _ 658 22)More Than 4-per outlet(each) 1.00 Domestic incinerator _ 1 170 Minimum Permit Fee$72,50 SUBTOTAL: Commercial or Industrial Incinerator 4,590 - $ Other unit,including wood stoves, 656 8'/.State Surcharge inserts,etc. $ Gas piping 1-4 outlets 360 -- - - -- 25%Plan Rsvlew Fee(of subtotal) $ Each additional outlet 63 Required for ALL commercial permits only TOTAL_ COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: Other Insuectlons and Fees: 1 Inspections outside of normal business hours(minimum charge-Iwo hour!,) $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 plans(minimum charge-one-half hour)$72 50 per hour State Contractor Boller Certification required for units>200k BTU. "Residential NC require:site plan showing placement of unit. IAdsts\fomtstrnech-fees doc 10111/00 Fiectrical Permit Application Datereceived: Permit no./ ' City of Tigard Project/appl.no.: Expire date:_ City njTigord Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 6394171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: III W OKI]ar U 1 &2 family dwelling or accessory U Siommercial/industrcrl U Multi-family U Tenant Improvement ❑New we IAddition/altvralionlreplacen)ent U Other: J Partial isJOIR SITE 1 Joh address: /00 r\)v !•,' V� �r!,/4 R D Bldg.no.: Suite no._ Tax map/tax lot/account no_1S#/'W-0400 't Lot: Block: Subdivision:ZkzeMCZ z 17(/1/IJ Project name: lljdl Description'and location of work on premises: Estimated(late ofcoml lefionhnspeclion: 1APPLICATION Job no: ec Mn� -- _- - Iksc•riplin•. Otv. (ra') Tidal no.insp Business name: /— ---------- Newresiilcrdial sinRk•r••,rrultrfad►ilyp:r Address: _ _ dwrllingunit.luclurNwateac•InllKar��.. City: State: ZIP: Service included; Phone: l ax: Email: ——_--- texN)sy,ft.or less - 4 - Each additional 500 sq,it m portion thereof CCB no.: Cl,c.bus. lic.no: — _ ---- Limited energy,residential City/metro lic,no.: Liniitedenergy,non-residewial 2 Bach manufactured horns or modular dwelling Signature of supervising electrician(required) Im:m Service and/or feeder 2 Sup.elect.name(print): Services orfeeders-Installation, alteration or relocation: 1 200 snips or less _ 2 Name(print): f ����I/s'� ozz/T 201 amps nr 400 snips 2 401 amps to 600 amps2 Mailing address: a /00 u /¢✓� 001 aln"s ,1000 amps _ T 2 City: / Stale: ZIP:�Z_ - —over I(N)f)amps orvolts --- 2 Phonc: Z I Pax: I E-mail- !!•:onnect only _ I Owner installation:The installation is being made on properly I own 'lempararys litr tl or Deaden- which is not intended for sale,lease,rent,or exchange according!to hrsta rrip.o r less atlon.or;rlocaliun: URS 447,455,479,670,701. 201 amps or 400 2 . „O'• O/ 2(I I snips to 400 nmp•, 2 UWIICI'9 51 nature: 1Ve�I Date: _� 401 to tr(N1 ams - 2 11 Branch circuits-nen,alteration, or extension per pra►el: N:u»C: A. Fee for branch circuits with purchase of Address: F service or freder fee,each branch circuit 2 City: _ State: Zi P 14. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 Phone: I;ax: E-mail I.ach additional branch circuit. Nitic.(Service or feeder not Included): U Service over 221 amps-commercial U lictdth carr incrhty I ach pump or irrigation circle 2 U Service over 120amps-rating of Idr2 U I111AWdouslot auon achsipnoroutline lighting _ fumilydwellings U Building owr 10,000 square fret for or Signal circuit(s)or a limited energy panel. U Systan over 6(N)volts nominal more residential units in one structure alteration,or extension* 2 U Building over three stories U Feeders.4(N)amps or more "Description: — -- U Occupant load over 99 penins U Manufactured structures or RV park Each additional Inspection over the allowable III any or lire above: U Egress/Iightingplwi U UUn•r —--. _--- Perinsprction Submit _sets of plans with any of the above. Investigation frac The above are not applicable to temporary construction service. Other Na nll Jurisdictions accept credit carets,please calf)urirmrm licrion fnr rre inrouiapermit t Notice:'I his peit application Pernlll fee.....................b U Visa U MasterCard expires if a permit is not obtained Plan review(al — %) —� credit card number: . within 180 days atter it ha;been State surcharge(8%) ....$ accepted as complete. TOTAI. $ Nuri „l�rr n eTiown rnr��cre II crT it �r'11, t siinuture Amort 4101615(64)XOM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE r)F WORK INVOLVED - RESIDENTIAL ONLY Restrfcfad Energy Fee......................................-'-- Number of Inspections per permit allowed (FO'1 ALL SYSTEMS) Service included: Items Cost Totai Residential-per unit Check Type of Wofk Involved: 1000 sq ft or less i $145.15_ 4 Audio and Stereo Systems Each additional 500 sq ft or v portion thereof _ Z $33,40 1 ff��11 Limited Energy $75.00 i_1 Burglar Alarm Each Manufd Home nr Modular ']welling Service o, I eeder _ $90.90 2 Garage Door Opener' Servi„eL,or Feeders Installation,alteration,or relocation Heating,Ventilation and Air Conditioning System' 2J0 amps or less $80.30 2 201 amps to 400 amps _ $106.85_ 2 Vacuum System.:" 401 amps to 600 amps $16060_ 2 601 amps to 1000 amps $24060 2 Other Over 1000 anrps or volts —_ $454 65 2 - Reconnect only $66 85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Inst Ilation,alteration,or relocation Fee for each system............................................. ..... . .... $75.00 '.00 amps or less _ $66.8b ,' (SEE OAR 918-260-260) 2n1 amps to 400 amps $100.30 _ 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. L] Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Boiler Controls a)The foo fcr branch circuits with purchase of service or ❑ Clock Systems feeder fe.r. Each bra,rch circull $6 W) 2 ❑ Data Telecommunication Installation b) the fee for branch circuits wlthout purchase of eservke or,order lee. ❑ Fire Alarm installation r Irsl br•.h circuit $46.95 Each additional branch circuit $6.65 ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not Included) Each pvmp or irrigation circle $53.40 Eat!.sign or outline lighting $53.40 - ❑ Intercom and Paging Systems Signal circuit(s)or a limited energy —`- panel,alteration or extension _ $75.00_ ❑ Landscape Irrigation Control' Minor labels(10) $125.00 Each additional Inspection over Cj dedical the allowable in any of the above Per l'tspection $62.50 ❑ Nurse Calls Per hour $62.50In Plant — _ $73 75 i ❑ Outdoor Landscape Lighting' Fees: ❑ Proteave Signaling Enter total of above fees 3 _ _ ❑ Other 8•/.Stale Surcharge $ Number of Systems 25%Plan Review Fee Sen"Plan Review"section on $ ' No licenses are required Licenses are required for all ether Installations front of application Fees: Total Balance Due $ --- — — Enter total of above fees : Trust Account q I 8%State Surcharge S Total Balance Due = I\AIS101"nus',clr fvv�(1�.( 0 09 IN) Plumbing Permit Application Datereceived: Permitno./�S�ZoO/-44 7d city of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall B!v(I,'1'igard,OR 97223 Projecdappl.no.: Fxpiredate: Cit),of TiKa''/ Phone: (503) 639-4171 Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case rile no.: Payment type: � t r U I ., 2 family dwelling*fir accesstrry commercial/industrial U Multi family U Tenant improvement U Ncw construction Addition/alicration/replacenient U Foos!�+crvicr U(llhec _ I �or special,intorniation use checklist) Descrieion (�tV. Fee(ca.) I Total Job address:/5/00 fug/ ✓��✓` _ // lad 01 - Nci� 1 and 2-family dwellin{;s only: Bldg.no.: Suite no.: (iue•ludes 100 ft.for each utility connection) Tax map/tax lot/account no.: SIR(1)bath _ --- --- --- .11 Block: Subdivision /w!E'�----� SFR(2)bath Project name: / 10 SFR(3)bath — ZIP: - Each additional bath/kitchen_ City/county: /Z � Siteutllitics: Description and location of work on premises: Catch basin/area drain Drywells/leach line/trench drain __- Est.date of completion/inspection: Footing drain(no. lin.ft.) Manufactured—home utilities Business name: /��ji�r/ Manholes 1 Address:/� N �'q� ' Rain drain connector i / State:0 ZIP: Sanita sewer(no.lin. Cit Y: O '� Storm sewer(no.lin.ft.) Phone: -7 3 Fax:6/ E-mail: W - -----� ater service(nu.lin,fL) CCB no.:/ Plunib,bus.reg.no: 36j G''l3 fixture or Item: City/metro tic.no.: Absor tip on valve _ .. Contractor's representative signature: u 1 f Back flow preventer _ Print name: �G/ ( /1�g'i/cn Date: Backwater valve - CONTAUlf PERSON Basi-no avattiry _ Ctuthes waThcr _ _ -- Name: Dishwasher ^ -- Address: Drinking fauntain(s) City: State: ZIP: Cl Win= .,hail: Expansion tack - Fixture/sewer cap -- `M l O Fluor drains/fl(xir sinks%hub Nnntc(print):G/,� ��9>T _ _ __.----- Garbage di�osal Mailing ad 'ss: QO tf�Xi �✓� Ilosc hibb -- City: / State:0 ZIP:�1? _ Ice maker Phone: Fax: E-mail: Interceptor/ rease trap — t)ivner installation/residential maintenance only: 'rhe actual installation Primers) _ will he made by me or the maintenance and repair made by my regular R(xil'drain(commercial) employee on die pmpperrlly I own as per ORS Chapter 447. n/ �J_L Sink(s),basin(s),lays(s) _ 1)(cnrr's signature- C '41 n 'c1�� Date:OVA Sump 'rubsrshower/shower pan _ Urinal Mane._ -- Address: 7 _ —_ Water heater _ City: State: LIP: Other: Phone: rax: E_niail: Total fee.......... ..... ------ — Not all turisdicllons acceld credit camn*' s,pleasr call jurisdiction for xe infomution. Notice:'r11is permit application Plan review(at _,._ %) $ -. - U visa l:]MaatetCard expires if a permit is not obtained State surcharge(8%) ....$ t'tedit card numtrer - plte� within 190 days after it has been accepted as complete. Name of cudholder u shown on credit cd = -Cardhulrkr,,Inattae — Amaanl dtll�(IG 16�txVt'()MI PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-faintly dwellings only: PRICE TOTAL FIXTURES (Individual) QTY ea AMOUNT (includes all plumbing fixtures in AMOUNT 1F.60 the dwelling and the first100 ft. QTY (ea) Sink for each utilityconnection) ,_ -. - 16.60 _One 1 bath .6249.20 Lavatory --- -_- bath --"--" _$350.00 Tub or Tub/Shower Comb. 16 60 Two -0.bath­­ Tub _ - - Three 3 bath __ ___ $399.00 - 16.60 -- -- - . Shower Only - Water Closet 16.60 SUBTOTAL --- - -� 16.60 8'/e STATE SURCHARGE _ Urinal PLAN REVIEW 25%OF SUBTOTAL 16.60 TOTAL Dishwasher - _.. _- _-- 16.60 -- Garbage Disposal - -" 16.60 Laundry Tr: _ - s 16.6Q Washing Machine --- Floor Dr'n/FloorSink ?" 1560 PLEASE COMPLETE: 3•• '16.60 4,• 16.60 F— Q,lal tk b Work Performed - Water Healer O conversion O like kind 16.60 - Fixture Type: New Moved Replaced Removed/ Gas piping requires a separate mechanicalC --- _ - Aped earn.il. - 46.40 Sink MFG Home New Water Service Lavatory - Iv1FG Home Now San/Slorm Sewer 46.40 Tub or Tub/Shower Huse Sibs 16,60 Combination - - 16.60 Shower Only Root Dr--- ams--- - 16Water Closet rinking F -- Dountain - - - .60 —^_ Urinal Other Fixtures(Specify) 16.60 Dishwasher - --- Garbo a Dis osal Laund Room Tra -- --- Washinn Machine - ---- _ _ Floor Drain/Sink: 2" Sewer-'1st 100' 55.00 - 3" --- - 46.40 4,. Sewer-each additional 100' _ _ Water Heater ---- ---- Water Service 1st 100' 05.00 Other Fixtures Water Sarvic-�e each additional 200' 4640 S ecif� `,torr&Rain Drain-1st 100' 5500 -_ -- Storm&Rain Drain-each additional 105' 46.40 --- -- - commercial Back Flow Prevention Dwice 46,40 55 Residontial Backflo'N Prevention 'Device1660 Gatch Basin - Inspection of Existing Plumbing or Specially 72.50 Requested Inseectiuns _--__ -- erthrCOMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 6625 - -.--__-_----- Grease Traps -- -- - QUANTITY TOTAL -- Isometric or riser diagram Is rnqueed if -- r]uanlNy —"— _-. «SUBTOTAL - -_ -8'/ SSTATF SURCHARGE - - - _--_---- •«PLAN REVIEW 25°4 OF SUBTOTAL r �dmd ani If fixtwe qty total Is>fl -- TOTAP- S "Minimum permit fee is$72 50+fi%stnle surcharge,except Residential Backflow Prevention Devine,which Is$,1(125 4 B%state surcharge "All Now Commercial Buildings inquire plans wAP,isometric or riser diagram and pian review is\dsts\fortns\pim-fees dor 10/10/00 Permit#: 1" Lry'2OO!- DO 3 ad Address: 15160 6W 98e — 1 i� Issued by: Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.05.5(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following stat-vnent before a building permit can he issued. This statement is required for residepl!' ! building, electrical, mechanical, and plumbing permits. Licensed architect and ergine r applicants, exempt from registratio,i under ORS 701.010(7), need not submit this statement. This statement will be filet! with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 313: own, reside in, or will reside in the completed structure. 2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. ❑ 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor ghat all subcontractors who work on the structure must he registered with the Construction Contractors Board. OR 33. 1 will he my own general contractor. If I hire suhcontractors, l will hire only subcontractors registered with the Construction Contractors Board, If 1 change my mind and hire a general contractor, 1 will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Properly Owners about construction Responsibilities on the reverse side of this Iorm. (Signature of permit applicant) (Date) (Whin- cola, to [[,ming agency permit file, pink (-opt tr) applir(1►tt) SEE 3 � M1VI ROIL # 21 FOR OVERSIZED DOCUMENT