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15266 SW 107TH TERRACE -- NEW HOUSE, 11/02/01 ASG. EROSION CONTROL: �? " min THICK 1 PROVIDE & MAINTAIN 8 (min) GRAVEL PAD & DRIVE UNTIL PEF;b,ANENT CONCRETE DRIVE IS IN PLACE. 2. PROVIDE & MAINTAIN SOIL SEDIMENT PENCE AS INDICATED. 6L 339�,- 3->_3 i N 89' 7'54" E 147.41(1) 339 i °•-,�.t�C s ,,-M �.^.��4.:� 4,s�>. Pti 20.0' 44.00' z O / k O rZ O t- , (�,��• �� - J o <0 (A ' SCI QOM �, ---------- ----- M r 3 FSE 3.50' I � 79.9' ao ,, o _� 7 O 05 4.50' i 0 D 19.7' `TTJ 5.33' 4.67' 1 ' 1 N 5.00 N N 20. 1 y&j or-- — 1 -1 �. < 89'47'54" WT 26.63' ✓O�1'7:7 '�'f.f rr,7� 4i13�✓; .:•� r NOTE: CENTERLINE CONCEPTS, SURVEYORS, WILL PIN ALL EXTERIOR -�-- FOUNDATION CORNERS AND PROVIDE %r (� � l'✓ l� � � r�✓��� � SUBSEQUENT MORTGAGE SURVEY. SCALE DRAWING LOT 27, ERICKSON HEIGHTS l°bt S.E. 1/4 SEC. 10, T.2S., RAW., W.M. s'Ue CITY OF TIGARD -.-A 2.5 FOOT LANDSCAPE EASEMENT SHALL ����� WASHINGTON COUNTY, OREGON EXIST ALONG ALL STRET FRONTAGE. --A 7.5 FOOT PUBLIC U11L1TY EASEMENT AUGUST 1 , 2001 Centerline Concepts Inc . SHALL EXIST ALONG LANDSCAPE EASEMENT DRAWN BY: MSG CHECKED BY: WGDIII G-a-�7.� �' �� �� SCALE 1 "=20' ACCOUNT All 115EMAIL WWW.CCIEMAILCHEVANET.COM 640 82nd Drive Gladstone, Oregon 97027 .-- M: \MLS\L27ERICK 503 650-0188 fax 503 650-0189 NOTICE: IF THE PRINT OR TYPE ON ANY TITI 1 I T I I i i I III I I I I I I-I Tll , � I IJI 1� 11 �(T �� IT. l..l_T ri1 1 l 1 1 l Ill Jill i l 1 1 l 1 1 ( 1 1�.I,._�.hr_ �I..r .r I� r � 1 r�-r �� r ITIFI-11111-1 111- r.�� TI. Trl I I I 1 �T�_r 1 � i � i 1 � 1 � 1 � 1 I VT I I I I � I I I . ' I I Jill »�.- IMAGE IS NOT AS CLEAR AS THIS NOTICE 1 2 3 4 5 6 7 10 11 N o.38 IT IS DUE 'TU THE QUALITY OF THE _ _ _ _ _ _ _ _ _ � ORIGINAL DOCUMENT � i E 6Z 8Z LZ 9Z 5Z fiZ EZ Z TZ OZ 6i 8I LT 9T ST � T ET Zi iI T 6 8 L 8 4 E Z _ T ��ai�w IIII IIII !III IIII III! IIII IIII IIII IIII IIII Illi 1111.1111 al-Jlll 111 lLl LLl llll Illi 1111 IIIIIIIII Ilil 1111 IIII IIII IIII IIII .JILL IIII IIII IIII IIII IIII IIII IIII IIII 1111 ll illl .11l 1111. Illl 1.111 Jll.l lll 1II111I N a) 0) N I C V fD L1 Cf 4 `1 15266 SW 107"' Terrace CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST 2.Qo l j Received _ Date Requested y — -_ AM BLIP-- PM BUP Location w G l `Y't.� --�--� 2 — �- Suite MEC Contact Person — -�, Ph( ) _ p ' 3l D 2--PLM Contractor _-- _ Ph(----) SWR BUILDING Tenanl/Owner -- ___---- - ELC Footing Foundation ELC Fig Drain Access: JJ - . Crawl Drain R fT.�t (,JY , ELR Slab Inspection Notes: - Post 8 Beam SIT Shear Anchors Ext Sheath/Shear -- -- ---- ------- Int Sheath/Shear Framing -- Insulation ''77�� -"L•�� ��- 1` �� -_ �G4 c� �.. ' Drywall Nailing Firewall Fire Sprinkler — Fire Alarm - - -- --_.__-- Susp'd Coiling - Roof Other: ----- Final PASS PART _FAIL -- — PLUMBING - - ---- Post 8 Deam --- Under Slab Rough-In Water Service `- Sanitary Sewer -- -- Rain Drains Catch Bay n/Manhole Storm i Sin — Shower 'an Other: PAS PART FAIT_ — A_NICAL - Post fi Beam Ro,.gh-In - --- 7_is Line Smoke Dampers 1 Final PASS PART FAIL. ELECTRICAL --_-- --- Service - - -- Rough-In -- ---- -- - UG/Slab ---- - Low Voltage - Fire Alarm Final Reins PASS PART FAIL Reinspection fee of$_____-_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. [Final _ Please call for reinspection RE:_ r] pply Line - ----- ----_ U Unable to inspect--no access r (�r ch/Sidewalk Date -f-- =Q.?,__ lospector t/q„�� -�� - ExtDO NOT REMOVE this Inspection record from the job s ite. PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST Z06( (/ BLIP `7 Received __ Date Requested —LO AM- PM _-_ BLIP Location __ �_ Z6(, Z01 441 V`e - Suite--- MEC - Contact Person _ Ph( ) �� ''� �' PLM Contractor _-_ _ Ph( ) ^_ SWR `BUILDING Tenant/Owner _ —_ ELC Footing ELC Foundation Access: Ftg Drain ELR -- -- Crawl Drain Slab Inspection Notes: — SIT Post& Beam Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear Framing _ Insulation Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - -- — Roof Other: - - Final _PASS PART FAIL_ -- PLUMBING Post& Beam Under Slab _ Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan 4;zz Other: - - Final PASS PART FAIL ---"— MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers Final PASS PART_ FAIL -- - ------- -- LECTRICAL Service _ Rough-In UG/Slab —" Low Voltage --- --- -- Fi a Alarm -- Fina _ El Reinspection fee of s._ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S P IRT FAIL SI 0 Please call for reinspection RE: _ �� Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date- `" Inspector __- Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL kAAAAAAAAAAAAAAAAAAAAAA,AAAAAAAAAAAAAAAAOAAoO.A � r b ` ► 4 lot. Poo- Poo- ► e � rb , ► d `� \ ► ► ► rl a ► 04) ► MUIQ \ , n b ► pool a -' CD H .S O i} con cr A H n olizii p { 7 � V 0 Q 4 ti g '1 o - a' 000 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP _ Received Date Requested /`" _AM PM BUP Location —_ Z 7 Ali 7E;�' /Lt ' Suite MEC Contact Person Ph( ) `j 3/0 Z— PLM Contractor Ph( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam -- Shear Anchors _ Ext Sheath/Shear Int Sheath/Shear -- -- - Framing Insulation -` -- — Drywall Nailing -- ------ _-..------ -.-- - — _ _ Firewall - -- Fire Sprinkler -- --— . _ -_ ------ - --- - Fire Alnrm Susp'd Ceiling --- --- - - Roof -------- ----- -- - -__---- APLUMSS r -- -- --- __- in I PART FAIL _-.--__ -- ---- _----- - - --- BING Post&Beam Under Slab Rough-in — -- - -- -- Water Service —___,-- Sanitary Sewer - ---- -- ^____----_. Rain Drains __----- - -- - --- ._ -------- — -- - Catch Basin/Manhole Storm Drain -- - - Shower Pen _� ------ -- ---- ----__ Other:----- _ --_.— - Final --- __ - ---- — PA6S_PART FAIL --- MECHANICAL Post&Beam Rough-In ----- - -- - ---_--- Gas Line - ----- --- Smoke Dampers - - - - ------------- -- in ASPART FAIL - -...--- - - -- --.. ---- ----------- ELECTRICAL Service - ----- -- -- Rough-In UG/Slab -- - - ----- — Low Voltage Fire Alarm Final -- -- Final Reinspection fee of$_ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS PAR_T FAIL 317E - _ [-] Please call for reinspection RE:-� _ Q Unable to inspect-no access Fire Supply Llne ADA _ Approach/Sidewalk Data �1- 3 0' ' Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD _ MASTER PERMIT PERMIT #: MST2001-00556 DEVELOPMENT SERVICES DATE ISSUED: 12/5/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 15266 SW 107TH TERR PARCEL: 2S110DA-06600 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 027 JURISDICTION: TIG REMARKS: New SF detached. Path 1 BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1.476 at BASEMENT: sf LEFT: 7 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.522 at GARAGE: 670 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 7 VALUE: S 289.031 80 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,99800 at REAR: 80 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K- 1 BOIL/CMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>•100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: blu FLOOR FURNANCES: VENTS. I WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: W/SVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 400 amp: 201 400 amp: 1st WIO SVC/FDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADOL BR CIR: SIGNALIPANE.L; IN PLANT: MANU HM/SVC/FDR: 601 • 1000 amp: 601-ampa•1000v: MINOR LABEL: 1000•amp/volt: PLAN REVIEW SECTION Reconnect only: >•4 RES UNITS: SVCIFDR>•226 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL OTHR: HVAC: DATA/TELE COMM: NURSE CALLS TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,831.51 This permit is subject to the regulations contained In the RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES 1672 SW WILLAME rTE FALLS DR 12 WILLAMETTE FALLS DR Tigard Municipal Code,State OR. Specialty Codes and o F; all other applicable laws. All work will be done in WEST LINN,OR 97068 WEST LINN,OR 97008 accordance with approved plans. This permit will expire If work Is not started within 180 days of Issuance,or If the work Is suspended for more than 180 days. ATTENTION: Phone. Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rey 0: LIC 049955 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 Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final Inspection Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Issued By : - tomPermittee Signature : L �--~-J Call (503) 639-4175 by 7:00 p.m. for an Inspection needed the next business day CITY OF T I CARD SEWER CONNECTION PERMIT PERMIT#: SWR2001-00309 DEVELOPMENT SERVICES DATE ISSUED: 1215/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110DA-06600 SITE ADDRESS; 15266 SW 107TH TERR ZONING: R-3.5 SUBDIVISION: ERICKSON HEIGH rS JURISDICTION: TIG _ BLOCK: __LOT: 027 TENANT NAME: FIXTURE UNITS: USA NO: DWELLING UNITS: I CLASS OF WORK: NEW NO. OF BUILDINGS: 1 TYPE OF USE: SF IMPERV SURFACE: INSTALL TYPE: LTPSWR Remarks: Sewer connection for new single family residence_ — Owner: FEES RENAISSANCE CUSTOM HOMES Type By Date _ Amount Receipt 1672 SW WILLAMETTE FALLS DR PRMT CTR 12/5/01 $2,30 200100000 WEST LINN, OR 97068 INSP CTR 12/5/01 $3500 27200100000 Phone: 957-8000 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections fied age Agency. The permit expires This Applicant agrees to comply Stahl amohe rules and regulations of the unt pad will be forfeited f the perlmit expires. The Agency does not guarantee 0 days from the date issued. The to p the accuracy of the side sewer rlaterals. Ithe sewernot is located thecated tinstaithe ioe shall purchasurement ase a"Tap and lSide Sewer"Perm 3 feet in all directions from h given. w_r Permittee Signature;: ._..----- Issued by: _�L Call (503) 639-4175 by 7.00 P.M. for an Inspection needed the next business day A Building Permit Application A�k City Of Tigard — T l C, Datereceived: I( /If, Pernft no.: �- Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.; Expire date: City ujTigard - Phone: (503) 639-4171 Date issued: By&j Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _- I&2 family:Simple Complex: TYPE 017.PERMIT >(I &2 family dwelling or accessory U Commercial/industrial U Multi-family JVNew construction U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/,alarm U Other: ' 1 1 Job address: 52 CCS/,J /p-7 Bldg. no.: Suite no.: Lot: z') 1 Block: Subdivision: Erle CStwr-__1 t!iy� Tax map/tax lot/account no.: Project name: r C +✓r He/ ✓- ..� Description and location of work on premises/special conditions:i_fiw/t -aM.`�,� 1 / (Floodplaiii,septic cmpacity,solar,etc') Mailing address: 1672 t(✓ t,///,�+e1'�e �i/f I & 1 family dwelling: City: Wer/- 6WA I State: 'LIP: Valuation of work........................................ $._ Phou& - . � r • :So-V-fVCD E-mail: No.of bedrooms/baths................................. 3 2 5 Owner's representative: A Q ro v q,-r Total number of floors ...... 7- Phone: Phone: jfax: 1? mail: New dwelling area(sq.ft.) .......................... 'Z APPLICANT Sir Garage/carport area(sq.ft.) ........................ G-210 Name: JCovered Porch area(sq. ft.) ......................... _ Deck area(s Mriiing address: q. ft.) .. ..................................... _ City: State: ZIP: Other structure area(sq. ft.)...... .................. Phon:: F mail Commercial/industrial multi-family: KIM Valuation of work........................................ $ Business name. o,",t Existing bldg.area(sq. ft.) .......................... _ Address: New bldg.area(sq.ft.) ............................... —----— — city: stale:: zul--- Number of stories --- - Type of construction.................................... Phone: Fax: E-mail _ CCB no.: 9759 Occupancy gmup(s): Existing: '--- _ _ !,~ Z d� _ --- - New: _ City/metro lie. no.: ,4'. /z m6 Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: %G ,� - /�� provisions of ORS 701 and may he required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: TT State: 5 Z11 exempt from licensing,the following reason applies: Contact person: Plan no.: Phone: 6,7 4 ?' , ; Fax: F-mail — tj Name: CSA i xrtt 44 Fees due upon application ........................... $ Address: — Date received: City: /:.->r iiia.! State: ,4< ZIP: Amount received ......................................... $ Phone: n3 Z7jr7lfy Fa I E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not all Jurisdictions accept credit cards,please rall)utisdiciion for more information. attached checklist.All provisions of laws and ordinances governing this U viiia U Mastercard work will he complied with,whether specified herein or not. Credit card number 644 Authorized er ' /, 644Authorized signature:_/�{,�_ ate: __ Now of cardholder u shown nn credit card Print name: 13,0"f Cardholder signslure $ Ammm( Notice:Thi+permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 44o-46I1(twaCOM) One-and Two-Family Dwelling _Building Permit Application Checklist Reference no.: City njTigurd Associated permits: City of Tigard 13 Electrical l]plumbing U Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 ❑Other: Phone: (503) 639-4171 — Fax: (503) 598-1960 '1111EYOLLOWING ITEMS ARE REQUIRED FOR I Land use actions completed.See jurisdiction criteria for concurrent reviews. _ 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 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. 8 Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion contW 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.Plan review cannot be completed if copyright violations exist. I I Sitelplot plan drawn to scale.The plait must show lot and building setback dimensions;property corner elevations(if there is more than a Oft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;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. _ 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 section(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 details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, Fireplace construction, 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. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wail 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 string,spacing,and bearing locations.Show attic ventilation. _ 18 Basement and retaining walls.Provide cross sections and details showing placement of rebar.For engineered systems,see itern 22,"Engineer's calculations." _ 19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any heam/joist carrying 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 schematic 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 IV applicable to the project under review. JURISDICTIONAL 23 Five(5)site plans are required for Item I 1 above. Site plans must be 8-1/2"x 1 I"or 11"x 17". 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tate-ons. 26 "Reversed"building plans must meet criteria outlined in the Permit tit System Development Fees document. 27 No"mirrored"building plans will be accepted. 28 "Drawn to scale"indicates standard architect or engineer scale. _ Checklist must be completed before plan review start date. Minor changes or notes on submi�ted plans may be in blue or black ink. Red ink is reserved for department use only. 440.4614(60WOMI Plumbing Permit Application Datereceived: Permit no.: j 06)., City Of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall 111,(],'1 itarll.OR 0722.1 City u(Tigard Phone: (503) 639-4171 Projectlappl.no.: Expiredate: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: _ Case File no.: Payment type: TYPE OF PERMIT I &2 family dwelling or accessory O Commercial/indusu tat ❑Multi-family 0 Tenant improvement New construction U A(ldition/alteratior>/replacement U Food service U Other: S2� sW /�7� _ Description Qty. Fee(ea.) Total Job address: / ���. — New I-and 2-family dwellings only: Bldg.no.: _ Suite no.: _ (includes 100 ft.for each utility connection) Tax_map/tax lot/account no•: _ _ SFR(1)bath Lot: "Z Block: Subdivision: /� �.� ' / SFR(2)bath Project name: / s•,,. , Nr• !, `r SFR(3)bath _ City/county: Each additional bath/kitchen Description and location of work on premises: srN r Siteutilitles: —_�•JYilr.,f�/ Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain Footing drain(no, lin.ft.) PLUMBING CONTRACTOR Manufactured home utilities _ Business name: Com_/_�'/,, ,,y� Manholes Address: 7;k k r _ Rain drain connector �— City: State: c J ZIP: 7i Sanitary sewer(no. lin. ft.) _ Phone:s4' -6 9 Fax: E ma l: Storm sewer(no. lin. ft.) CCB no.: 79 "L` Plumb. bus.reg.no-, _ /' �, Water service( lin.ft.) ----- Fixture or Item:: City/metro lic.no.: 25.0/ Absorption valve Contractor's representative signature- Back flow preventer _ Print nater: /°rf� f'� /•.� I�'I`' Backwater valve PERSONCONTACT Basins/lavatory _ Clothes washer Name: e,re __— - — Dishwasher ---- Address: Drinking Iountain(s) City: ,r:ur ZIP: y _- -_- Ejectors/sump Phone: Fax: F Irian: Ex ansion tank Fixture/sewer cap Name(print): /ul &,"e Floor drains/floor sinks/hub P r•.4ais�'o c' L eM /'� Garbage disposal _ -- Mailing address: 6 7z _� •/ u • -e 5//s A- Hose bibb — City: .tet ,uM State: .. ZIP: 172t fee maker Phone: S'�� t�JBr'"� Fax: E-mail: Interce tor/ reale trap _ Owner installation/residential maintenance only: The actual installation Primer(s) will he made by me or the maintenance itnd repair made by my regular Roof drain(commercial) _ employee on the property I own as per ORS Chapter 447. Sink(s),hasin(s),lays(s) _ Owner's signature: _ Date: Sum _ Tubs/shower/shower pan — Urinal Name: _ _ _ _ _ ate—closet Address: Water heater City: ,-- - State: ZIP: _ _ Other: - Phone: Fax: —�E-mail: Total Not all jurisdictions accept credit cords,please con jurisdiction for more information. Plan evict fee.....,...... ) $ _--- Notice:This permit application plan review(at _ 96) $ U Viso U Mastercard expires if a permit i-•not obtained State surcharge(8%)....$ Credit card number —_ _� within 190 days after it has been — aplro acccptcdascomplete. TOTAL ...... ...... ......... _-- --- Name of cardholder as shown on credit cad S Cardholder signature '_ — _ nmmml 44041,1^ N1X)A 1!11 1 PLUMBING PERMIT FEES: -- PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES individual — QTY_ AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. OTY (ea) AMOUNT 16 6n for each utilit reconnection�— _— Lavatory One 1 bath $249.20 Tub or Tub/Shower Comb 16.60 Two 2 bath — $350.00 _ _ _Lj�at�______ Shower Only 16.60 (3)Three bath $399.00 Water Closet — 16,60 _ SUBTOTAL _ Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL _ TOTAL Garbage Disposal _ 16 60 ---- — Laundry Tray 16,60 Washing Machine 16.60 FloorUr-a loorSink 2" ---- 1660 PLEASE COMPLETE: 3'• 16.60 — Quantity b Work Performed Watcr Heater O conversion O like kind 16.60Fixtul re Type: — New Moved Replaced Removed/ Gas piping requires a separate mechanical Capped permit MFG Home New Water Service 46.40 --§ink _ Lavatory — MFG Home New San/Storm Sewer 46.40 Tub or Tub/Shower — Hose Bibs 16.60 Combination Roof Drains 1660 Shower Only__.___ 16.60 Water Closet Drinking Fountain Urinal _— Other Fixtures(Specify) 16.60_ Dishwasher Garbage Disposal Laundry Room —.— --- Washing Machine —� Floor Drain/Sink. 2" Sewer• 1 sl—160-7- 5500 3" Sewer-each additional 100' 46.40 4„ --- —— Waterervice-1st 100' 5500 — Water Heater — -- Other Fixtures Water_ Service-each additional 200' 46 40 S ecif ) _ Storm 8 Rain Drain-1st 100' 5500 _— — Storm 8 Rain Drain-each additional 100' 46 40 — Commercial Back Flow Prevention Device 46.40 -- Residential Backflow Prevention Device' 27 55 Catch Basin 16657— — — — Inspection of Existing Plumbing or Specially 72 50 Requested Inspections --_ _ pet/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 6525 --- -Grease Traps - -- 16 60 QUANTITY TOTAL --- Isometric or riser diagram is required If —_ — -- ._- Quantity,Total Is >9 •SU—BT OT—AL 8°,STATE SURCHARGE — -- — ---"— ';—'PLAN REVIEW25s/a OF SUBTOTAL Required only if Oxtw d 3!y_total is>9 -, TOTAL S 'Minimum permit fee is$72 5o.8%state surcharge,except Residential Backflow Prevention DFvice,which is$36 25+e%state surcharge "All New Commercial Buildings require plans with Isometric or riser diagram and plan review 0dstslform9\plm-fees doc 10/10/00 Mechanical Permit Application --- oDatereceive& Permit no.City of j'igard ecdappl.no.: Expire date: Address: 13125 SW Hall Blvd,Tigard,OR 97223 issued: By• Receip► o.:Phone: (503) 639-4171 Pa ment t eFax: (503) 598.1960 e fiic no.: y type. Building permit no.: Land use approval' —__ - U Multi-family U Tenant improvement I &2 family dwelling or accessory U Commercial/industrial — New construction U Addition/alteration/replacement U Other: t t I � ,� T• Indicate equipment quantities in boxes below. Indicate the dollar Jib address: /S Z 66 sw m value of all mechanical materials,equipment•labor,overhead, Bldg.no.: Suite no.: profit.Value$ Tax map/tax lot/account no.: Block; Subdivision: ��,�/� �, /, 'See checklist for important application information and Lot: 2 7 jurisdiction's fee schedule for residential permit fee. Project name: t City/county:T� ZIP: t t t Description and location of work on premises: J��/e <::,•�'/" Feel(11.) Total Ik+cri flit on (,/1v. Hrw.nnly Rrw.unh Est.date of completion/inspection: Tenant improvement or change of use: Air handling unit Is existing space heated or conditioned?U Yes U No it con ttioning(site p an re uire ) Is existing space insulated?U Yes U No fetation of existing 1 system t of er comnressors State boiler permit no.: Business name! 1 0101 + •r .vr• HP Tons BTU/H Address: 2 7 ^+ f 3'�'x tre/smo a amper uct smo a detectors State: ' Z1P. 9 7/Z3 eat pump(site p an require ) City: Insta rep ace urnac urner 9.^�`l2 Fax: E-mail• Including ductwork vent liner U Yes U No Phone:f' ters-suspen e CCB no.: /''''•• � s Z` �t natal rep nee re ocate ca wall.or Moor mounted City/metro lic.no.: ent ora lance of:er t Ian furnace Name(please prin(): eft gerat on: Absorption units_ BTU/H HP __-- Name: yav a Cam ress(rs FSP Address: nr ronM Will ex ust an rent at on: City: - State: ZIP: Applianccvenr --- Fax: E-mail: )rycrex crust _ Phone: oil s, ype res. itc enJ lazmat hood fire suppression system C.,�f_H Exhaust fan with single duct(bath fans) Name: 1141.111 SSA.rc le � x must s stem a art from heaiin o—�— Moiling address: / Z �. r hr Ue p p nR an str tit on lop to outlets) State: �,E ZIP: )vp, f PG NG oil City:Phoney.+� sS CC Fax: 50765 �G �-rnail: Tve i u1 cad a im tic uquivcr out eta _ r�ysppng(u cmaticrequirc 1 Number of outlets Name: er st app an ce o-r equipment: - Decorative t-Plau Address: nsert-type _ State: ZIP: City: � oo stove/pe et stove Phone: Fax: E-rnuil: of er.� Applicant's signature: Dote: ter: r Name (print): , rvr. ,��� — Permit fee.........•.......•...$ _-- Not all)udadicaons accept credit cards•please call luriadiction for rrore infnnnation Notice:"This permit application Minimum fee................$ U Visa ❑MasterCard expires if a permit is not obtained Plan review,(at _, %) $ _-.--- - - Creditcard number __-- ---- — ;spits within ISO days atter it has been State surcharge(8%)....$ -- arae of catdho r o s own nn credit card s accepted as complete. TOTAL .......................$ 446-4611(N1Y),l.WA A CWholderii nutue Amount MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: Pace Total Table 1A Mechanical Code ON (Ea) Amt $1.00 to$5,000.00 Minimum fee$72.50 1) Furnace to 100,000 BTU $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and including ducts&vents 14.00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and including Including ducts&vents 17.40 $10,000.00. $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace 14.00 $1.54 for each additional$100.00 or includin vent fraction thereof,to and including 4) Suspended heater,wall heater 14.00 $25,000.00. or floor mounted heater $25,001.00 to$50,000.00 $379.50 for the first$25,OOC.00 and 5) Vent not included in appliance permit 6.80 $1.45 for each additional$100.00 or fraction thereof,to and Including 6) Repair units 12.15 $50,000.00. $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Air $1.20 for each additional$100.00 or For Items 7-11,$ee or Pump Cond _ fraction thereof. footnotes below. Comp 7)<3HP;absorb unit 14.00 Minimum Permit Fee$72.50 UUBTOTAL: $ to 100K BTU _ 8%StatSurcharge e 8) 15 absorb 25.60 $ unit t 100kk t to 500k BTU _ 9)15-30 HP;absorb 25%Plan Review Fee(of subtotal) $ unit.5-1 mil BTU 35.00 Required for ALL commerclal permits only 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1 75 mil BTU 52.20 - 11)>50HP;absorb 87.20 -- - unit>1.75 mil BTU Pi - --- 2)Air handling unit to 10,000 CFM 10.00 ASSUMED VALUATIONS PER APPLIANCE: Value Total 13)Air handling unit 10,000 CFM+ Description: Ci (Ea) Amount 17.20 Furnace to 100,000 BTU,including 955 14)Non-portable evaporate cooler ducts&vents 10.00 Furnace>100,000 BTU Including 1.170 15)Vent fan connected to z single duct ducts&vents 6.80 Floor furnace Including vent 955 16)Ventilation system not Included in Suspended heater,wall heater or 955 appliance pe It 10.00 floor mounted heater. - 17)Hood served by mechanical exhaust Vent not Included In applicance 445 10.00 permit 18)Dcmestic incinerators Repair units 805 1740 <3 hp;absorb.unit, 955 19)Commercial or Industrial type incinerator to 100k BTU 6995 3-15 hp;absorb.unit, 1,700 20)Other units,including wood stoves 101k to 500k BTU __ 10.00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mil.BTU 5.40 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 roil.BTU 1.00 >50 hp;absorb.unit, _ 5,725Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mll.BTU Air handling unit to 10 000 dm 658 0%State Surcharge $ Air handling unit>10,000 cfm 1.170 _ _ No ortable eve orate cooler 656 _. TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 446 Vent system not Included in 658 appllance permit _ Qther Inspections and sag: Hood Served b meohanicel exhaust 856 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator 1,170 $72 50 per hour Commercial or industrial Incinerator _ 4-15-9-0- 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) Other unit,Including wood stoves, 656 $72.50 per hour inserts etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum n 1 charg"ne-half hour)$72 50 per hour Gas I I4 outlets 380 Each additional outlet _ r3 _ 'Stale Contractor Boller Certification required for units>200k BTU. _ "Reiidenllal A/C requires site plan showing placeme nit. TOTAL COMMERCIAL S VALUATION: All New Commercial Buildings require 2 sets of plans. I:\dsts\forms\mech-fees.doc 08/29/01 Electrical Permit Application —_ ----- U.Iteieceived: Permit no. Tom' Project/appl.no.: Expire date: City o �rigard - - e. t Address: 13125 S11' I lalI blvd,Tigard,OR 97223 Dotc issued: — By: Receipt no.: ltc of Tigard Phone: (503) 639-4171 Case file no.: Payment type: Fax: (503) 598-1960 Land use approval: — 714& U Multi-family U Tenant improvement 2 family dwelling or accessory U Commercial/industrial - U Partial w construction ❑Addition/alteration/replacement J !l!Itcr. _. tt t ' t Job address: lS 2GG s t,/ m 7 n, Bldg.nu.: Sults nu.: Tax map/tax lotlaccount no.: block: Subdivision: If a/< r"n Lot: Project name: ,., fri Descri �.qc/<y ption and location of work tin premises_ Estimated date of completion/inspection: Fcr Max Job not / Description "y (est.) total no.Ins Business name cyst /ell Ti.G _ New res.)de lai-single ormolu-familvpil Address: 0. Z 2dwellingunit.Includesattacix•dgarage. Slate: CK 'LIP: j 7©/S sell ice included: 4 City: L/s cuL"t IWUsy.ft.orless E-mail: Each additional 500 sq.ft.or onion thereof Phone:5 o- .'S 10,4 Fax: 2 CCB no.: 3 Syy Elec.bus.lic. no: 3•- /��� Limited energy.residential Linnited ener y non-residential City/metro lic.no.: 2 Each manufactured home or modular dwelling --- �,bt� ---- 2 Service and/or feeder Signature of su ervising clectnDate (reyutreul `/�,f Servlcesurfeeders–htslallallon, 6,4• e License no: irelocation:alteration or Su .elect.name(pant): �.1141 2 2W amps or less 2 201 amps to 400 amps 2 Name(print): gr a•S nc r Gay Vit; l 401 amps to 600 em s - z Mailing address: 16 1 Z S't �✓7 R f`" 601 amps to It100 ams _ 2 Stale:,l ZIP:-1-7 Over 1600 amps or volts I Phony: S. s s7$ City: jj/. /-9r x: Reconnectonl 9c�2' raA E mail; 'rempomry strslccs or larders- owner installation:Thr:installation!s hang made on property I own htsiallation,niteratiun,m rrlucatiunt 2 which is not intended for sale,lease,rent,or exchange according to 2100 a,t,ps(it less 2 ORS 447,455,479,670,701. 201 Date: 4u I In 600 oampstom amps owner's signature: - _ s Branch circolts-new,alteration, of e%tension per panel: Name: _ A. Fee for branch circuits with purchase of — service or feeder fee,each branch circuit Address: 13. Fee for branch circuits without purchase State: ZIP: 2 City: of service or feeder fee,first branch circwr. Phone: rax: E-mail: Each additional branch circum. Mlsc.(serslce or feeder not Included): lioch pum 01irrigation circle z ❑Service over 225 amps-commercial U Hralth•care facihtY Rach sign or outline lighting U Service over 320 amps rating of I&2 U Flaxotdous locmton Signal circuit(s)or n limned energy panel. 2 family dwellings u Building over l lllx)! .-are feet rout of Signal circur(s)or mn' — u system over Glx)volts nominal more residential units in one structure ❑Feeders.4Wampsormorc *Description–_ _ ----------� U(k-cu ngover o three 9c)stoes — U(kcupant load neer 99 persons U Manufactured structures or RV park l aeh additional Insps•cllon user the allowable In any o� f the U Other _�----- I'er utsPccutm _ U Egress/lightingplan Invests gallon fee Submit--__sets of plans with any of the ucdonabove. tither g - - Pennit fee.....................$ --- 'Che above are not applicable to temporaryconst service- Not all iurisdtctions acce t crntit cards,Pletue call lunsdichon fta fill irdorntattan Notice:This pemul application Plan review(at _ %) $ _ -- u ires if a permit is not obtained Visa a MasterCard expstate surcharge(8%) ....$ _ within 180 days after 1t has been TOTAI. .......................$ ll cad number _. ----' spires accepted as complete. Nnnre of Zati ler u'Town un c ellit cord _ $ 440-4615 I6MCOM) _L'ardhotdei N6naWro Amount 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 ft of less $145 15 1 ❑ Audio and Stereo Systems` Each additional 500 sq It or portion thereof _ $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular ❑ Dwelling Service or Feeder _ $90.90 _ ? Garage Door Opener` Services or Feeders ❑ Heating,Ventilation and Air Conditioning System` Installation,alteration,or relocation 200 amps or less $80.30 2 ❑ 201 amps to 400 amps �� $106.85 _ 2 Vacuum Systems` 401 amps to 600 amps _ $160.60 2 601 amps to 1000 amps __�- $240.60 2 ❑ Othe Over 1000 amps or volts $454.65 2 Rewnnect only _ $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less _i $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $100.30 2 401 amps to 600 amps $133 75 2 Check Type of Work Involved: Ovor 600 amps to 1000 volts, Audio and Stereo Systems ,fee"b"above. ❑ Y Branch Circuits ❑ New,alteration or extension per panel Boller Controls a)1 he fen for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46,85 ❑ Each additional branch circuit $665 HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53,40 Each sign or outline lighting _ $53.40 �❑ Intercom and Paging Systems Signal circult(s)or a limited energy panel,alteration or extension $75.00 i_ �7 Landscape Irrigation Control' Minni labels(10) $125.00 Each additional Inspection over ❑ Medical the allowable in any of the above Per inspechuii $62.50 _! ❑ Nurse Calls Per hour $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other— �- 8%State Surcharge $ _ Number of Systems 25%Plan Review Fee See"Plan Review"section of i $ ` No licenses are required Licenses are required for all other installations front of sopllration — — Fees: Total Balance Due -- - Enter total of above fees = ❑ Trust Account q 8%State Surcharge s Total Balance Due = i Adststformakic-tees duc 06/07/01 lltl.l�lllJ_�C.�Vl El.l' AZ-b ULLAI'1r'J, INC. N ENGINEER S-SURVEYORS - 12555 S.W. HALL FI,- TIGARD, OR 072..Z,3-6287 EXHIBIT 'A' PHONE- (503) 639-3453 yy - E FAX: k503) 639-1232 E DECQ�BER 29, 2000 b � C? "=50' 32 G 10 _ _ 34 35 19 CY,ISTIN ' PRIVATE STORM DRAINAGE EASEMENT PER PLAT o oQ NOTE 7 FOR THE BENEFIT OF LOT 34. ADDITIONAL USE ALn IFOR LOTS 32 & 33 ADDED 3 —1 r EXISTING 10' PRIVATE STORM 15'---I DRAINAGE EASEMENT PER PLATT / I NOTE 7 FOR THE BENEFIT OF I LOT 35 -"1 7.50' 20 30 I7.50' --- / I I i I c'r I 21 W Lo ZN 29 I ICr W In O O `X Z r 0 G' \ -M -- I W G IQz 1 22 >w0 � W N 28 �-- � 7.50' I = I`7.50' I I15' PRIVATESTORM I 23 I 0 DRAINAGE EASEMENT I � 27 so, W > 12.50' PKIVATE STORM W (n DRAINAGE EASEMENT Q 17 12.50' PRIVATE STORM 1� DRAINAGE EASEMENT I s"o•2 cJ I 13 I 2f3 7.50 24 i II I I I 1230. I I - --_ I S.W.�K A B L E ST. \\ 1 EXHIBIT "A" LEGAL DESCRIPTION FOR PRIVATE STORM DRAINAGE EASEMENT AFFECTING LOTS 20 THROUGH 23, AND 2.5 THROUGH 32, ERICKSON HEIGHTS, IN THE CITY OF TIGARD, WASHINGTON COUNTY, OREGON January 2, 2001 The PL-pose of this easement is to provide for the installation, use and maintenance of private storm drainage facilities for the common benefit of Lots 20 through 23, and 25 through 31, of the duly recorded "ERICKSON HEIGHTS" subdivision. The individual owners of each lot, their successors, heirs or assigns shall be responsible for the maintenance of those portions of the storm drainage facilities that are situated upon their lot. The specific location of the easement is described as follows. LOT 20, THE WEST 7.50' FEET. LOT 21, THE WEST 7 50' FEET LOT 22, THE WEST 7.50' FEET LOT 23, THE WEST 7.50' FEET LOT 25, THE WEST 7 50' FEET LOT 26, THE EAST 7.50' FEET. LOT 27, THE EAST 7.50' FEET. LOT 28, THE EAST 7 50' FEET LOT 29, THE EAST 7.50' FEET. LOT 30, THE EAST 7 50' FEET. LOT 31. THE EAST 7 50' FEET S EE 35MM ROLL # 21 FOR OVERSIZED DOCUMENT