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13490 SW 129TH AVENUE ca D C fD 13490 SW 129'x' Avnriue �1 CITY OF TIGARD 24-1-four BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 -- -�- --- BUP Received __ Date Requested__ __ AM __ _ PM _ BUP Location _�-3 Ll �-- —La--�' �Gw .4'4"e- Suite---- - - - — MEC _ Contact FPrson _ _ PhDD -_!L- ( ) --- - PLM Contrar;,ur — _— _ - - - -- Ph ( ) (a 7 5=d��( _ SWR -- BUILDINGTenant/Ownpr -_ _._ _ ELC Footing -__ ELC Foundation Acm.-: --- ------ ---___X_� Fto Drain ELR Crawl Dain S!ob Inspection Notes: _ SIT fest&Beam Fnow Anchors Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywall Nailing - Firewall Fire Sprinkler Fire Alarm 3usp'd Ceiling --- ---_— Roof Other: -- Final PASS _PART %IL —N.__- --- - -- -- PLUMF)ING Post Beam Under Slab Rough-In Water Service - -- - - -- - Sanitary Sewer Rain Drains Catch Basin/Manhole I Storm Drain Shower Pan 41, t XPA9 pl`_ PART FAILH_ANI_ CA_L Post& Beam Hough-In --- Gas Line - --- — Smoke Dampers _ _- --- -- - - -- - --- - -- - ---- - - - -- -._..._. _ --- Final PASS PARI FAIL --- — __ __----------_._------- ----------__�__. _ ELECTRICAL -- Rough•In UG/Slab Lov,Voltage Fire Alarm Final LI Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for rein action RE: �� Unable to inspect-nr •iccoss Fire Supply Line AA Approach/SidewalkDato `�__��; Inspector Ext .._ -- --- Other: -------- Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 � MST --_ --- INSPECTION DIVISION Business Line: (503)639-4171 RUP - i Received Date RequestedAM -- -- - -- PM BUP � r 1 f —— '0_.—�L- Locatior -� �-11-- �` _ Suite_ Contact Person Ph( ) _ _—____ PLM -- Contractor _— _. ------- Ph(---) - - --- - SWR BUILDIN Tenant/Owner -_-_ ____. ELC Footing - - -- ELC -_-- Foundation Access: ELR Ftg Drain -- Crawl Dain -- SIT _----- Slab Inspection Notes: - Post&Beam -- - - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - ---- -- - - Firewall Fire Sprinkler Fire Alarm Susp'd Cei;'ng - Roof Other Final PASS PART FAIL - Post 8 Beam Under Slab - Rough-In -_- Water Service ---- - Sr nitary Sewer _ F iin Drains Catch Basin/Manhole Storm Drain Shower Pan - Other: Final - -- PAS T FAIL Post 6 Beam Rough•In -- -- - -- Gas Line All - Smo a Dampers - ----- ---� inaAS PART FAIL -- — -- -- - -E CTRICAL Service Rough-In _ --- -- - -- ---- UG/Slab Low Voltage --- -------- - - ---- --_-__ - ------- --.._— Fire Alarm Final Reinspection fee of$.____-_-..__-__ inquired before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL_ Unable to inspect -no access SITE — `� Please call for reinspection RE:_ --------------- - C- Fire Supply Llne _ i ADS, Date �4 � t r/d :� Inspector � 4 Ir Ext _ Approach/Side valk - Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FA0_ CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST OG INSPECTION DIVISION Business Line: (503)639-4171 BUP Received —___ —_Date Requested ___ AM— __ PM —__ BUP Location 1_ �� � '__-1 "� Suite--p,______ .MEC __-.- _-_---_- - Contact Person - - Ph ( _- -._.-.) _�1LG -5��j PLM __--- --_-- ----- Contractor-- --- --------- Ph (---- ) -- ----- SWR BUILDING TenanVOwner _. ._ —___ ____-____ ELC Footing ELC Foundation Access: Ftg Drain .-. ------------ Crawl Drain Slab inspection Notes: SIT Post&Beam Shear Anchors - - - Ext Sheatti/Shear Int Sheath/Shear Framing Insulation L all Nailing - - - --- ---- - -- --- - - _ Firewall Fire Sprinkler - - -- --- Fire Alarm Susp'd Ceiling Roof Other: _-_ - --_.-- -- -- _ Final PASS PART FAIL ^�_--� .—• - _--_ _ - -- -_—� Post&Beam �- L/����� (�,2 !:• � 3 © �J� Under Slab R,jugh-In /3 ��U 2 -T- Water Service -- - - Sanitary Sewer Rain Drains -- ------ Catch Basin/Manhole Storm Drain -- ---- - Shower Pan -- Other�_ a _ PASS_ PART FAIL ------- -----MECHANICAL Post Post& Beam Rough-In Gas Line Smoke Dampers ----.----_.------.._.._-_ --_---- Final PASS PART FAIL - -- _---- - — - ELECTRICAL - Rough-In UG/SIaI� -- Iale 4"'*-� Fired , ---- -- ---------- ----------------.--�--- - --- -- -_�._� Reinspection for of , _ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ASS ART FAIL STrF u Please call for reinspection RE:-___- __-__ _____ Unable to Inspect- no access Fire Supply Line ADA ZZ � ? S Approach/Sidewalk Dote .LL____ (3-_ Inspector -.___ Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL SLA: ♦AA®AAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAA A► It � :. � � ► d � d c �.I ► I d �\ i d p- ° U ONO. d d ° ► d I CL ► d a N `° va ! lT1 M olip- ! 44 CD a� ! -4 i pool44 00. o � � I IN. O fD a Q y � co Cl. o C� Fr Fie a I� a Cp o a N O o � 0 a CITY OF TIGARD 24-Hour BUILDING Inspection Line: (575 --6c-)3( BUP MSTINSPk_-CTiON DIVISION Business tine: 15m-"171 Received / Date Requested_ _ 3 ��_ AM_'� 1 PM BLIP — Location _-- / lga44t-- 42-`' Suite__ MEG Contact Person __.____ - Ph( ) �P) .3 7 71 PLM _ Contractor _ Ph(, ) SWR BUILDING Tenant/Owner ELC - -- Footing ELC Foundation Access: Ftg Drain �iV u..�+`'�-�� L/ Q � ELR Crawl Drain Slab Inspection Notes; SIT Pnst&Beam Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear A PrAi j e- /r PL -1 0tZe oti-\ IT' <,_ Framing Insulation Drywall Nailing - - Firewall [� Fire Sprinkler Fire Alarm v 1�1 1 ti Susp'd Ceiling I � � / G -- Other: -- — 3 PA PART FAI _ LUM G Post&Beam Under Slab Rough-In � -c� ?�✓ ��..� Water Service V - - �.— Sanitary Sewer Rain Drains \\ Catch Basin/Manhold Storm Drain / Shower Pane Other:------ -- cid L, PART FAI / _ ANICALrl - Post&Beam ,-,. �_ Rough-In ��.V Cas Line Smoke Dampers — ---- -j'A*'_Si PART FAIL ELECTRICALf ServiceRough-InUG/SlabLow VoltageFire AlarmFinal n fee $ _ required bef next inspection. p�ypt ity Hall, 13125 SW H Ivd. PASS PART_ C '1�t� Y'�..�,., \SITE I foi rei pection RE: �-Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk �Date Z `�Z(e/ Inspect 3r Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OFTIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST � `0e) -3 INSPECTION DIVISION Business Line: (503)639/I-4171 BLIP -� Received Date Requested 3—31 AM_S. PM—-- BUP _�- _—L1�_l A i Q __Suite_— MEC Location p� Contact I';rson _..-- -- — Ph( ) _� � PLM -- Contractor — —_ Ph( ) — SWR -- • BUILDING Tenant/Owner _ ELC ---- Footing ELC -- Foundation Access: Ftg Drain ELR _ — Crawl Drain SIT Slab Inspection Notes: Post&Beam - - - ---- -----�— -- - Shear Anchors Ext Sheath/Shear Int Sheath!Shear Framing - Insulation C'G-, Drywall Nailing —�� — O O t C) Firewall � �� V — Fire Sprinkler Le2 ffol Fire Alarm {- �- `/b� _Q..e_- Susp'd Ceiling - Roof4 O m 9 _ PASS PART 1 PLUMBING ---- - — —' Post&Beam Under Slab ---- - Rouqh-In Water Service -- Sanitary Sewer Rain Drains - Catch Basin/Manhole _ Stone Drain - Shower Pen -- Other:__. -__-- Final _ _ _ —• ------- PASS PART FAIL 4— MECHANICAL -- -- —__ - --- ------ -- Post&Beam C . Rough In " Gas Line Sm ke Dampers - -_ -" - ---- ---- AS PART FAIL Service Rough-In _ _.._ - ----- -- ---- -- UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$- _ -._ required before next inspection. Pay at City Hall, 13125 SW Had Blvd. PASS PART FAIL ITE - F] Please call for reinspection RE:_-. ____- —_ Unable to Inspect-no access Fire Supply Line ry ADA Drate l-/,V-' Inspector - Approach/Sidewalk Other: Final �— DA NOT IRF-MOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4115 MST INSPECTION DIVISION Business L' e: (503) 639-4171 SUP --- Received ___ -Date Requested- AM— - - PM -_ BLIP --- - - Location �_1_ '— --" / 2.-- '�--Z Suite. MEC --- Contact Person PLM Contr — Ph( ) SWR IL Tenant/owner - _ ELC - Footing— ELC Foundation Cces ,� /, �' T FLR Fig Drain d (� -�6G J t/ - Crawl Drain SIT Slab Inspection Not -_-- Post&Peam Shear Anchors - Ext Sheath/Shear -- - — ----- Int Sheath/Shear Framinr - Insulation Drywall Nailing -- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof u\ Other: -- SS PART FAIL BING - Post& Beam Under Slab - - - -- Rough-In Water Service - -- Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain -------- - ---- _ .. ._ - - -_ - - _ --- ------- - Shower Pan Other: -- .__ _ --- ---------_-- --_-_ _------- ------ --- - --- -- - Final lPASS_PART FAIL MECHANICAL --. - - --- - ----- ------- --- - ---- Post&Beam Rough-In - -- ----—_ — --- _------ - Gas Lig ie Smoke Dampers — ---------- — -----�—� --------- ---- Final PASS PART FAIL '—"- — ELECTRICAL Service Rough-In UG/Slab Low Voltage _-- - --------------- - - — ------- -- Fire Alarm Final ❑ Reinspection fee of$ _-____--required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PARI' FAIL SITE _ Please call for reinspection RE:_ _ -_--__._ j Unable to inspect-no access Fire Supply Line Approach/Sidewalk Orb�- `-) ?' -- - Inspector Ext Other: _ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00145 13125 SW Hall Blvd., Tigard, OR 97223 (503) 633-4171 DATE iSSUED: 3/27/03PARCEL: 2S104DA-03400 SITE ADDRESS: 13490 SW 129TFI AVE SUBDIVISION: OUAIL HOLLOW - WEST ZONING: R 4.5 BLOCK: LOT: 020 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERSICOMPR_ESSORS HOODS: _ FUEL TYPES _ 0 - 3 HP: 1 DOMES. INCIN: IA LE 3 - 15 HP: COMML INCIN: MAX INPUT: BTU 15 30 HP: REPAIR UNITS. FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN ,=100K BTU: <= 10000 cfm: GAS OUTLETS: i 10000 cfm. Remarks: Installation ofextcrior AC unit. Cannot be planed in the required setback~. Owner: FEES _ JAMES H SCOTT Description Date Amount 18303 ANDRtA ITAX1 `t",,titate'I'ax 3/27/03 $5.80 LAKE OSWEGO,OR 97034 Ih11:C'I I l 11CI'111it FCC 3/27/01 $72..50 Total $78.30 Phone: 503-638-3717 Contractor: ECK CONSTRUCTION CO. PO BOX 204 SHERWOOD, OR 97140 REQUIRED INSPECTIONS Cooling Unt Insp Phone: 503-625-13t. Final Inspection Reg #: LIC 114755 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans, This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. A,rTEN",ON: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those ntles are set forth in OAR 952-001-00 Issued By: '1' Ct G c1 ► SFr _<_�_ a'. Permittee Signature:,_ Call (503) 639-4175 by 7:00 P M. for inspections needed the next business day Mechan:f--al Permit ��lic��tiun i i keccnc�i Mechanical Uatc.iiY _�7'�n Permit No.:iyi < -UU 1 City of Tigard Planning Approval Building Y---� Date/8 Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/By Case No.: Internet: www.ci.tigaid.or.us Contact Juris.: See Page 2 for 24-hour inspection Request: 503-639-4175 L Namc/Method: Supplemental information. TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST F� :New Construction Demolition Mechanical permit fees*are based on the total value of the work Addition/alteration/replacement Other: performed. lnt;icate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit. ❑ 1 &2-Famil dwellin? Commercial/Industrial Value: S _ See Page 2 for Fee Schedule z' RESIDENTIAL EQUIPMENT/SYSTEMS FEE*SCHEDULE Accessor�Building Multi-Family Description I QtyPee ea. Total LJ Master Builder [] Other: — Hestin Coolin JOB SiTE INFORMATION and LOCATION _ Furnace-add-on sir conditioning"' 14.00 JOtf Site�l �S: , fW r C Gas licat um -- ---- 14.00 Suite#: Bldg./Apt.#: Duct work — __- 14.00 Project Name: Hydronic hot water syatem 14.00 — Residential boiler Cross street/Directions to job site: for radiator or h Ironic system)_ _ 14.00 - Unit heaters(fuel,not electric) in wall,in-duct,suspended,etc. 14.00 Flue/vent for any of above) 10.00 Repair units 12.15 of#:Subdivision: _ Other Fuel A (lances Tax map/parcel #: Water heater10.00 DESCRIPTION OF WORK Gas fireplace - 10.00 Flue vent(water heat_ cr/rias fircpluccl 10.00 —�—"- - -- Log lighter gas) 10.00 _ - ------ Wood/PellPt stove -_ 10.00 _ Wood fircplace/insert 10.00 ChimnC /liner/flue/vent _ 10.00 TENANT Other: Environmental Exhaust&Ventilation _ Range hood/other kitchen equipment 10.00 _—�-- ------------- Clothes dryer exhaust 10.00 __ _. _-.----_-- - — ----- -- Single duct exhaust Phone: Fax: (bathrooms,toilet compartments, APPLICANT CONTACT PERSON _ utility rooms 6.80 _ Name: ----- Attic/crawl space fans _ 10.00 - --- ---- Other: _ 10.00 Address: -- _ _ — Fuel P!ping Cit /$tate/Zi : •*(55.40 for Ord 4,$1.00 each additional)- - ----- Furnace,etc. Phone: - — Fax Gas heat pump - E-mail: _ Wall/suspended/unit heater _ _ Water heater I311B1nm NM1 ' Cr� th_c_plaCu_ I(a�c - - " -- Address:77�., O _��� B3Q -- -- .. C'1ty/Stat e/z!P__ 1�t�. `� l C'lud.. .%dryer(gas) _ Phone' ,f — — D i�ax; Other: CCD Lie. #: --� ��`T -- -- --- Total Mechanical Permit Fees* _ Authonz�!d - _ Subtotal: 5 _+ ` `iigtrature �_ _ Minimum Permit Fee 572.511 Plan Review Fee 254%of Permit Fee) $ - -- -- - (Plrusc pant Hamel —.- State Surcharge(t3%of Permit Fee) 5�� of TOTAL.PERM17'Ff.F. _5_- ' Niotice: This permit application expires If a permit is not obtained Niihin 'Fee methodology set by Tri-County Building Industry Service Huard. IND days after It ha%been accepted as compictr- "Site plan required for exterior AX units. 1\DstsTemni Forn+s\M,cPrmmtApp.doc 01103 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to$5,000.00 Minimum fee$72.5n $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$I00.00 or fraction thereof,to and including$10,000.00. $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and $1.54 for each additional$100.00 or fraction thereof,to and including $25,000.00. $25,001.00 to$50,000.00 $3'9.50 for the first$25,000.00 and $1.45 for each additional$100.00 or fraction thereof,to and including $50,000.00, $50,001.00 and up $742.00 for the first$50,000.00 anti $1.20 for each additional$100.00 of fraction thereof, Assumed Valuations Per Appliance: _ _ Value Total Description; Qty (fA Amount Furnace to 100,000 BTU,including 955 ducts&vents Furnace>100,000 BTU including ducts 1,170 &vents _ _ Floor furnace including vent 955 Suspended healer,well heater or floor 955 mounted hreter I _ Vent no,included in appliance permit 445 Reratr units 805 <3 hp:absorb.unit, 955 to 100k BTU 3.15 hp;absorb.unit, 1,700 101 k to 500k BTU _ 15.30 hp;absorb.unit,5OIk to I mil. 2,310 BTU_ -- 30-50 hp;absorb.unit, 3,400 1.1.75 mil.B'rU >50 hp;absorb.unit, 5,725 >1.75 mil.BTU _ Air handling unit to 10,000 cfm 656 Air handling unit>10,000 cfm 1,170 Nun- ortabto evaporate cooler 656 Vent fan connected to n sin Ic duct 446 Vont system not included in appliance 65G Ifood served by mechanical exhaust 656 Domestic incinerator 1170 _ Commercial or industrial inc—orator 4,590 _ Other unit,including wood stoves, 656 inserts,etc. _ Gas piping 1-4 outlets 360 Each additional outlet 63 TOTAL COMMERCIAL VALUATION: i\Dsts\l'ermit Farms\MecPennitAppPg2 doc 01103 ECK CONSTRUCTION PC) BOX 2r4 SherwooU,OR 97140 32� 85.09' S 04U-05'-22' W- - 330 F IOR --331 i 4ENS ' — -I �� r •' � _L —' 332 —333 — / / / / � � -• _ _l - I-- -334 I / i 'COT 20- ' I, t - -335 1 i -4 - / f /•d I J i RVIGENCE 1 0 e C r� 1 FLP glK 345.501 iOWEP, Ll?EIF.'✓•33550' 'J I' -342 GACAG-E FLP r �343 I / EyEV 345-Q00 ILN CONO WALK 4'1ACK .�r=rM S,W, 129th AVEC � 1; � .1c_► �����./ H'/,fes.- � <<%�: .� i KIEL HOME DESIGN,MVC,IS NOT \—i ABLE FOR THE ACCURACY OF TI IE LQa4L DF/(UTI���fl ,. lc-I'OGRAPIIY t-OI?MATION. IT IS llug SOLE RESI")NSI3eITY OF THE TO BE AlTi%C:l IED GUILDER TO VIPWY All SITE CONDITOVS,IJCUIL`IJG ANY FN.L Plnc..tp ON Tlf SIE,AM)INFORM OWNERS OF ANY PolENTIAI F1FLD ' MOI)FICATUNS /� I I CITYOF TIGi-AR® PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLM2)03-90108 13125 SW Hall Blvd., Tigard; OR 97223 (503) 639-4171 DATE ISSUED: 3/27/1"'' SITE ADDRESS: 13490 SW 129TH AVE PARCEL: 2S 104DA-03400 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4.5 BLOCK: LOT: (120 JURISDICTION: TIG CLASS OF ".JRK: OTR GARP.AGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BAFiNS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRA, S: LAVI.fORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of residential backflow prevention device. Owner: FEES ----- — — - --" Description Date Amount JAMES H SCOTT -�-' 18303 ANDRIA 1PLUN11tI I c: 3/27/03 $36.25 LAKE OSWEGO, OR 97034 I 1 .\Xl 8 4(n1r kl'. 3/27/03 $2.90 Total $39.19 Phone : 503-638-371 1 Contractor* NATURAL LANDSCAPING 5606 SW CARMAN DR LAKE OSWEGO, OR 97035 REQUIRED INSPECTIONS Phone : 503-6'75-0171 RP/Backflow Preventer Final Inspecl.,on Reg #: LIC 7031 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all rather applicable laws All work will be done in accordance with approved plan:. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more thar 180 days. ATTENTION: Oregon lay.v requires you to folln,N rules adopted by the Oregon Issuer! By: i "t C. r J, _ Permittee Signature: '} Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Fixtures Plumbing Permit Application Received !'lFOR E USE .--�I, y Date/H P 03 Pcrmit N 5-WIc� <p City of Tigard Planning Approval Sewer Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review +Land Use Date/8 : ase No: Internet: www.ci.tigard.or.usAomk - ---T Contact ris.. e Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: __- I, Sop1.:mental Information. TYPE OF WV'1K FEE*SCHEDULE for special information use checklist) New construction ❑ Demolition Description �Qiy. Fewa—) 'Ibtal Addition/alteration/replacement I Other: New 1-&2-famfly dwellings CATEGORY OF CONSTRUCTION (Includes 100 ft.for each utility connection I &2-Family dwelling _Co_mmercial/Industrial SFR(1)bath 249.20 SFR(2 bath 350.00 Accesso Building Multi-Famil 399.00 Q- r —_ ❑ SFR(3 bath ❑ Master Builder Other: Each additional bath/kitchen 45.00 JOB SITE INFORMATION and LOCATION Firesprinkler-sq. R.: Pae 2 Job site address; a 151� lA11 AV Site Utilftles Suite #: /3q96 I Bld ./Apt.#: Catch basin/area drain 16,60 Project Name: Dr ell/leach ImcArcnch drain 16.60 • Footing drain(no.linear ft.) Pae 2 Cross street/Directions to job site; Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(no. linear ft.) Pa,e 2 Storm sewer(no. linear ft. pa.e 2 — —Tl.ot#; ) Subdivision: — Tax ma / arcel #: Water service no. linear ft. Pa e 2 DESCRIPTION OF WORK _ ___._Fixture or Item Absorption valve _ _16.60 -- -- -.-_-_- ----- -- Backflow prevcnter _ Page 2 ---,-- - —v— --- Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ------ Drinking fountain 16.60 TF —_ Ejectors/sump 16.60 Name: -SAME. <rCO ____ _ Ex ansiontank 16.60 _ Address: d 3yGCU 4;w 1,2q Ilr7 Fixture/sewer ca _ I6.60 City/State/Zip: _ Floor drain/floor sink/hub 16.60 " �' -�--- Garbs cdis osal IG.GO — Phone: �i Fax: Hosc bib — 16.60 A L1C_ANT CONTACT PERSON Ice maker I6.60 Name: _—_- Inicrce tor/ rease trap - 16.60 Address: Medical gas-value: $ Pae 2 Cit /State/Zi : Primer _ 16.60 --- Roof drain commercial 16.60 Phone: Fax: Sink/basin/lavatory 16.60 E-mail: --A-� Tub/shower/shower pan 16,60 WNTRACT04 Urinal 116.60 Business Name_-LA,,„� N���.Ani� _ Water closet _ I6.60 — --T Water heater 16.60 Address _,_..co ) ,r�.zrtst, _��� Other: — City/State/Zip: _ -,r qt Other: - - Phone�t-A L1c-gl l Fax: 1'lurnhlna Perndt Fees” CCB Lic. #: Subtotal $ c�• Plumb. Lic.#: _ Minimum Permit Fee$72.50 5 Authorized ' Residential Backflow Minimum Fee$36.25 �1J Signature: /�` - Date: d� Plan Review 25%of Permit Fee) $ - _. State Surcharge 13%of Permit Fee $ (Please print print name) TOTAL PERMIT FEE_..$ / Notice: This permit application explre.if a permit Is not obtained within All new commercial buildings require 2 acts of pisnq with Isometric or IRO days atter It has been accepted ar complete, ricer diagram for plan review. 'Fee niethodoloq� %et by Tri-County Building Induory Service hoard. is\Dsts\Pcmiil Forma\I'ImPerrnitApp.d(w 01/03 PlumbingPe•-mit Ap ication - City of Tigard Page 2 - Supplementai Information Fee Schedule: Residential Fire Su ression Systems: (lty. Fee(ea) otal S uare Foota e: Permit Fee: Site Utilities _ $I I SAO 55 UI) 0 to 2,000 Fooling drain-1"100' 2 001 to 3,600 $160.00 _ Footing dram-each additional 100' 4(,,40 3 601 to 7,200 —_ $220.00 Sewer-lst IW' 55.00 27,201 and Rreater $309.00 Sewer-each additional 100' 46.40 Water Service-1st 100' 55.00 !Evereof, as S stems: Water Service each additional 100' 46 40 Permit Fee: Storm&Rain e Drain- d 100' 55.00 .00 Minimum fee$72.50 46.40 0,000.00 $72.50 for the first$5,000.00 and$1.52 for each Storm&Rain Thain-each additional 100' additional$100.00 or fraction thereof,to and "store or Item Qty. FCC(ca) Total including$10,000.00. Commercial 13ack I low Prevention Devic 46.40 $25,UW.00 each additional is 148.50 for file rls00�U0 o�fraetion thereofto Residential Backflow Prevention Device and includin $25,000.00. (minimum emrit fee$36.25 27'55 $25,001.00 t $$50,000.00 $379 50 for the first$25,000.00 and$1.45 for Rain Drain•single family dwelling 65.25 each additional$100.00or fraction thereof,to and includin $50 000.00. o Inspectin of existing plumbing72.5 or 0 s cciall rc ucsted ins cctions- cr h.,ur $50,001.00 and up $742.00 for the first$50,000.05 and$1.20 for Subtotal: each additional$100.00 or fraction thereof. Fixture Work: Are,you clipping,moving;or rept big existing fixtures? if ",yes",please indicate work performed by fixture. h'alh re to accurately rep, ort r"IT-es could result in increased sewer fees*. t.onintents regill-dine Iisltlre —uautil by Fixture Work Performed Replace ----- - - - --. FixtoreType' New Moved R><Is10i Ca d Ba hist !Font _ I3ath -Tub/Shower -Jacuzzi/Whirl ool - - ---- _ _--- - -_ -- ('ar Wash Each Stall — -Drive -- Cus idor/Water As irator --- Dishwasher -Commercial - J -Domestic ---- -- Drinkin Fountain -- - - -- - liye Wash - — --.. ---- 1'.10or Drain/sink -2" — -4" Car wash Drain - *Note: If the Cixture work under this permit results in an (lorhagcDomestic -- - increase of sewer Evils,a sewer permit will be issued and Disposal -Commercial --- fees assessed for the sewer increase must be paid before the -industrial plumbing permit ­ n be issued. Ice Mach./Refri .Drains — Oil Separator(oas Station) --- Rec.Vehicle Uum 5ladon _ - Shower -(long -Stall Sink liar/Lavatory — --- -13radiey — -- -Commercial -Service Swimmin Pool Filter Washer-Clothes Water Extractor Water('loaet Toilet Unnal Other Fixtures: 1\Data\Pcrmit Forms\PlmperrmtAppPg2 drx 01!03 _ ELECTRICAL PERMIT- CITYOF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00230 13125 SVV Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: SSU EDL: 2S30/ 02PAR03400 SITE ADDRESS: 13490 SW 129TH AVE ZONING: R-4.5 SUBDIVISION: QUAIL HOLLOW - WEST BLOCK: LOT: 020 JURISDICTION: TIG Project Description: All encompassing low voltage. _ A.RESIDENTIAL B.COMMERCIAL_ _- ----------- AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL 1-rICOMP X HVAC: PROTECTIVE SIGNAL. INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS: Owner: Contractor: STEVE F_.CK CONTRUCTION GENESIS HOME TECHNOLOGIES PO BIX 204 8219 SW CIRRUS DR. #17D SHERWOOD, OR 97140 BEAVERTON, OR 97008 Phone: 503-625-1305 Phone: 503-625-1305 503-625-1305 Reg #: 1.5(13-62541310)98 III': 26-989CEII —� FEES Required Inspections Description Date Amount - Low Voltage Inspection -- Elect'I Final JELPRM I'] F1 It I'crnul 10/30/02 $75.00 [TAX] 80/0 Stale fay 10/30/02 $6.00 Total $13'1.00 This Pen-nit is issued suhject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 day: of issuance, or if work is suspended foi more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-00 10 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699 J ;� Issued by Permittee Signature (_.I ) � � `-�-'*ti�A r/�L'�.�.Uti` OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _______-__�____ DATE: _ CONTRA+✓TOR INSTALLA;ION ONLY SIGNATURE OF StJPR. ELEC'N —__i _ DATE:— LICENSE NO: - Call 639-4175 by 7:00 P.M. for an inspection needed the next business day OOt 22 02 10: 48a GENESIS HOME TECH 503-643--3300 P. 1 i Electrical Permit Application Date received.' ' City of Tigard Projcct/appl. no.: _ Expire date: C'rtt a/Tigard Address: 13125 SW Hall Blvd,+ t > �,,, Date issued: Receipt no.: Ry / Phone: (503) 639-4171 � Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _- ktoo U I &2 family dwelling or accessory D Commercial/industrial U Multi-family U Tenant improvement XNeW construction U Addition/alteration/replacement U Other: U Partial Job address: V3LOI 0 <,") QaOl. Bldg. no.: I Suite no.: ITax map/tax lot/account no.: — Lot: r? t7_ 113loch_ Subdivision: a �0.���0 C,tz Project name: Description and location of work on premises: Estimated date of coml,letiun/inspectial, 1CATION Job no: 1•ee Max Business name: E__ Desert flint no.in p C-t4 t�es,� `L -1 r .- Nen resWcntial-minglcormultI-latnih per Address: V \f tdncitinpUsti I.Inc ludrsatlachedgmvme. City: t�rz0.�;e,^ttei� State: ZIP: q'Ioc);5 Semicelncluded: Phone: ` rj l L I"rix: q�?� F-mall: utoo s . n.ur leas _ q �9 l = _ .. - -- - CCB no.: L� Elec,bus. tic.no:n)(p qtq C�- finch eddrHonal 5011 sq.ft.ur Pontin dlcrcof - — �` Untitled energy, residential 2 City/metro lie, o,: �H�GN, Limited energy, non•resldential 2 Each manufactured hours or modular dwelling Signul n�uper ilsing, e1eclri, _ twr, 1 - Date-- ---� Service and/nr feeder � 2 Sup. sleet. twine(prim) License no: Services or Feeders-Installation, alleral Ion or relocation: t WNER 200 ams or less 2 Name(print). 1 ��^ 201 amps to 400 amps 2 / 401 strips m ps to 600 aps - - 2 Mailing dresa: -`� i r 1 601 omps to 1000 amps 2 City: e- 171 ,•, t Slate;,1, Over 1000 amps or volis - - 2 Phone: r ! J Fax S E-moil: Ra'onnect only - r Owner installation: The installation is being mnde on property I own Temp J o)eervicesorfeeders- which is not intended for sale, lease,rent,or exchange according to Inetallutroil,all eratlon,orretucoff on: (:RS 447,455,479,670, 701. 200 Imps or less 2 ?01 nr_np+to 401)amps 2 OW:1CI'R 31�IlaUtrc' Date: 401 to 6fs1 inns 2 Nranch circulta•new,al(erallon, ure-tenslon per panel: N0 ne: _ A 11ee for branch circuits aith purchase of Addiess _s-rvice or feeder fee,each branch circuit 2 City: ; ii V. Fee far branch circults without purchase - - of service.or feeder lec,first branch circuit: 2 Phone: 1 I .,,,,.I -- Fach additional branch circuit PLAN REVIEW(Plesise cheek till thut apply) M+sc.(Beetles or feeder not hucluded): 1]Service over 2'S mop,-runtnc•rcial J Ilrulh-rale far.ihly Bach pump nr ini abon circle 2 U Service over 320 omps-rnthrtt of Idr2 U Hazardous location Hach sign or u.aline Iighlhrg _ 2 (Wally dw00ings U Building over 10,00(1 square feet four or Signal circuit(a)or a limit d energy Panel, 0 Cysictn over(Axl volts nominal rrtorr residential units in one stnnmtre- ultemtion, ur extension-, IllrYlt@ e* I 1 —. U Huilding over three stories 'I 1'cedem,410 omits tit more "'DeNcrl tion _ U Occupant land over 99 persons J Manufactured structures or Rv park Each additional Inspection mer the allo"ande In env of the at-owe: U Fgressgighlmg Platt J,other:-- - . ..-- Per Inspection L tiuhmil__ sets of pl:urs with any of the above. investigation fee -- The above are not applicable to temporar3 construction service. Other -- _- — - — Nor all)urlulietloas accept errdit cards,plow ndt,.1.ucnan fur mroe mimnmrion• Notice' this permit appticaliru Permit fee ......••..............$ { co, *Isu Q 114noterCard �1 u expires if a pemit Is not obtained Platt review(at_ %) $ C '"ono ter qS L 9- v43 t _.-1 LP Cyf Within IPO days after it hos been State surcharge(8%)......S 11w1 r �xpir•s accepted as complete. TOTAL .......................S `b`a l •W 11 alc /iwn a a ter 049 e -Amouni--- / 4a0-4613(tY(NL'COMI CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE NORTH STAR PLUMBING 1445 SE OREGON STREET SHERWOOD, OR 97140 Plumbing Signature Form Permit #: PAST2002-00349 Date Issued: 6114/02 Parcel: 2S104DA-03400 Site Address: 13490 SW 129TH AVE Subdivision: QUAIL HOLLOW - WEST Block: Lot: 020 Jurisdiction: TIG Zoning: R-4.5 Remarks: Const. new SF detached residence.Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: JAMES H SCOTT NORTH STAP PLUMBING 18303 ANDRIA 1445 SE OREGON STREET LAKE OSk^IEGO OR 97031 SHERWnnn, OR 9714n Phone #: 503-638-3717 Phone #: 625-2679 Reg #: 1 ir. 00090697 P1 M 34-255PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Xlv Sig ohire of Authorized Plumber If YOU have any questions, please call (503) 639-4171, ext. # 310 CITY OF T'GARD � MASTER PERMIT PERMIT#: MST2002-00349 DEVELOPMENT SERVICES DATE ISSUED: 8(14(02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 6"9-4171 SITE ADDRESS: 13490 SW 129T1-I AVE PARCEL: 2S104DA-03400 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4.5 BLOCK: LOT: 020 JURISDICTION: TIG REFIARKS: Const. new SF detached residence.Path 1 BUILDING REISSUE: STORIES: VLOOR AREAS REUUIREO SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 20 FIRSTsf BASEMENT: ',',4 up el� LEFT: 7 SMOKE DETECTORS: Y TYPE OF USE: SF I LOOR LOAD: 4o SECOND: at GARAGE: of FRONT: 20 PARKING SPACES TYPE OF CONST: 514 DWELLING UNITS: FINBSMENT: sl VALUE: RIGHT: 5 5 710§,'a''_' OCCUPANCY GRP: R3 BDRM: 4 BATH-. =I TOTAL 2.250.00 at REAR. 40 PLUMBING �Y SINKS: 2 WATER CLOSETS: ' WASHING MACH: I-- LALINORI'TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS. 1 FLUOR DRAINS. SEWER LINES: 100 SF RAIN DRAINS- 1 CATCH BASINS: IUSISHOWERS. 4 GARBAGE DISI'. 1 WATER HEATERS. 1 WATER LINES: 100 BCKFLW f'RFVNIR: I GREASE TRAPS. OTHER FIXTURES: MECHANICAL FUEL 1 YPES FURN<100K. BOILICMP<3HP. VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>=100K, I UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP btu FLOOR FURNANCES VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL _ RESIDENTIAL UNITSERVICE FEEDER—v 1 EMP SRVCIFEEDERS BRANCH CI7CUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: I 0 200 amp 0 2U0 amp: WISVC UR FOR: I PUMPARRIGATION: PER INSPECTION: EA ADD'L 500SF: 7 201 400 amp: 201 - 400 amp: 1st WIO SVCIFDR•- 00 SIGNIOU'r LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL, IN PLANT: MANU HMISVC/FDR: 6U1 • 1000 Amp: 601'amps•1000v: MINOR LABEL: 1000•amplvolt: PLAN REVIEW SECTION Reconnect oniv: >•4 RES UNITS: 9VCIFOR>•215 A.: ,600 V NOMINAL CLS AREAJSPC OCC: ELECTRICAL•RESTRICTED ENERGY ASF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STrREO FIRE A,ARM INTERCOM/PAGING: OUTDOOR LNOSC LT: BURGLAR ALARM: OTH BOILER: HVAC LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER. CLOCK. INS1RUMFN1A110N MEDICAL: OTHR: HVAC. DATA/TFLE COMM NURSE CALLS: 10TAL 0 SYSTEMS: TOTAL FEES: $ 5,615.15 Owner: Contractor: This permit Is subject to the regulations contained In the JAMES H SCOTT ECK CONSTRUCTION INC Tigard Municipal Code,State of OR. Specialty Codes and 18303 ANDRIA PO BOX 204 all other applicable laws. All work will be done in LAKE OSWEGO,OR 97034 SHERWOOD,OR 97140 accordance with al.-)roved plans. This permit will expire If work is not started within 180 days of issuance,or If the work Is suspended for mole than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to tollow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg N: l IL' 114755 forth In OAR 952-001-0010 through 952-001.0080. You may obtain copies of those rules or direct questions to OUNC by calling(503)246.1987. REQUIRED INSPECTIONS Erosion Control Insp 8- Wtr Proofing Bsm't We F- ting/Foundation Dr; Electrical Service Low Voltage Water Line Insp Grading Inspection Post/Beam Structural Plm/undslab Insp Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Sewer Inspection PoyUBeam Mechanica PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Footing Insp Underfloor Insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Foundation Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Insl Rain draln Insp Plumb Final (- (SsuAq By : _�-,� �•�- ' ,_. -�'-'`�L--14 Permittee Signature Call (503)639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00232 13125 SW Hall Blvd, Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/14/02 SITE ADDRESS: 13490 SW 129TH AVE PARCEL: 2S104DA-03400 SUBDIVISION: QUAIL HOLLOW- WEST ZONING: R-4.5 BLOCK: LOT: 020 — —JURISDICTION: TIG TENAN r NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: L- 'WR IMPERV SURFACE: Remarks: Sewer connection permit for new SF residence. Owner: — -- — FEES .JAMES HSCOTT 18303 ANDRIA Type BY Date Amount Receipt LAKE OSWEGO, OR 97034 P R M T CTR 8/14/02 $2,300.00 27200200000 INSP CTR 8/14/02 $35.00 27200200000 Phone: 503-6383717 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 issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer' Perm Issued by: Permittee Signature: 1<< •._� Call (503) 639-4176 uy 7:00 P.M. for an inspection needed the next business day �--- -�7 Building Permit Applicati-6 / ' Date received:_, Z Permit no.:�1' �j ,. (// City of Tigard 1 1- a��� •� Address: 13125 SW Ball Blvd,Ti r urd,OR 17223 Prolcodappl.no.: Expiredatc: Phone: (503)639-4171 ��' Date issued: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: I&z randy:simpic Complex: /✓ — Judi 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family A New construction U Demolition ❑Addition/alta ration/tcl,larrnlent LI Tenant improvement 'J Dire sprinkler/alarm U Other: JOB SI I E INFORMATION Job address: ��, /� /fel ' C" Bldg.no.: Suite no.: Lot �' Block: Subdivision: /�,"'/ � 1. '�r ax map/tax lot/acconnt no.: 'i;yCA Project name: *' Description and location of work on premises/special conditions: FOR l Nance: "TcP,/!1t'l y.S C O�� <I �/� (Flo(Hiplain,septic capacity,solar,etc.) Mailing address: /,p'• r.) � � —,. s 1 &2 family d"elling G ij 7 �� City: C f�/C I'�cC.'f e" State:�� 'LIP: 47e"o Valuation ul work.. ...3� y...zQ.. ...... Phone: ' - / ax: E-mail: No.of bedrooms/baths........... ..................... $_ n, Owner's representative: Total number of floors................................. 7"2'e fe Phone: Fax: I' nsul New dwelling area(sq.ft.) .......................... _ 3/.�� Garage/carport area(sq.ft.) ........................ _— Name: Covered porch area(sq.ft.) ......................... -- Mailing address: Deck area(sq. ft.) ..............•......................... Other structure area(s ft.)............ . City: tii,tc: ZIP 4 Commercial/industrial/multi-family: -- --_-- Valuation of work....................................... $ r _ Existing bldg.area(sq. A.) ....... ..... . . Business mune: � 't G c��r. � ..-� �-.��'' ... ....New bldg.area(sq.ft.).................. Address: n, •''� � Number of stones ....... ---- City: r - %' Stater ZIP: r' /r ..... r —. Phone: ,.�I= ;i� Fax: S s-' -mail: - Type of construction................. .....I...... ... _ CCB no.: // e/7S J Occupancy group(s). Existing. _ - - New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Constriction Contractors Board under Name: �'�jiT f ,�jr�' y/I .+ provisions of ORS 701 and may be requited to he licensed in the Addre89: r , ,C,�. _ �,,y!, /cry jurisdiction where work is being Ixrfornied. If the applicant is 1 E.S S1�1 - C'it State�J( 7.1P: exempt from licensing,the.following reason applies: Contaet arson: .' _ Plan no.: _ ------- - Phone• % .', Name: t „nta.t I,rr.ti,m. Fees due upon application ........................... $_. Address: — Date received: City: State: ZIP: Amount received ......................................... $ Phone: Fax: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and(lel` Nra all iuriallctionr rcept credit earl..,plem+e call Jud%diction for trove infnnnatiim attached checklist.All provisions of laws and ordinances governing this U visa U MasterCard work will he complied with,whether specified herein or not, ctedtt rata rmmher: 7 ., n.phe� Authorized signature:. — - _�� Date: _. 'G!.("f _ Nam of cardholder ar shown on credit rurd Print nanne: � LLi" + --- c'Ydhdrkt ri�natme�-- -3- Amount Notice: This permit application expires if a permit is not obtained within 180 days atter it has Mi`e'n accepted a8 complete. 4411A6il)(6011 A'OM) One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: Associated permits: Cir n/'1'igur`/ City of Tigard U Electrical U Plumbing U Mechanical Address: 13125 SW I Lill Blvd,Tigard,OR 97223 : ',her: Phone: (503) 639-4171 -- Fax: (503) 598-1960 111 MY111ruffill Wits I I Naml a I 5rlmmm1 ' 1 Land use actions completed.See jurisdiction chit ,i for concurrent reviews. 2 Zoning.flood plain,solar balance points,seismic outs 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 slump and signature on file or with application. 9 Erosion control U plan U permit requited.Include drainage-way protection,silt fence design and location of catch-basin protecti( ,etc. - — 10 3 Complete seta of legible plans.Must be drawn to scale,showing conformance to applicable local and state building codes.Lateral,resign details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references hetween plan location and details.Plan review cannot be completed if copyright violations exist. ---- 11 She/plot plan drawn to scale.The plan must show lot and building setback dime,•i•;a,..;i,ropetty corner elevations(if there is more than a 4-ft.clevadon differential,plan must show contour lines at 241.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 holts,any hold-downs and reinforcing pads,connection details,vent sire and location. - 13 Floor plans.Show all dimensions,room identification,window sire,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. _ 14 Cross sections)and details.Show all framing-Inember sizes and spacing such as floor bears,headcrq,joists,sub-floor, wall construction,nn,f consinnetion.More than one cross section may he required to cleariv portray constructionSlit— details of all wall and roof sheathinh,roofing,roof slope,ceiling height,siding material,hx,tings and foundation,stairs, fireplace construction, llernml insulation,ctc. I j Maevalitrn views.Provide elevations for new construction;minimum of twn 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 tcccptablc. 16 Wall bracing(pre.+crlptive path)and/or lateral analysis plans, Must indicate.details and locations;for non-pregeriptive path analysis provide specifications and calculations to:ngincering standards. 17 Floor/roof framhrg.Provide plans foo-all floors/rool assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. _ _ I8 gasemenl and retalning walls.Provide cross sections and details shuvving placement of rebar.For engineered systems,see item 22,„Engineer's calculations." _ -- 19 Ream eafculallons.Provide No sets of calculations using curivnl code design values for all beams and multiple.joists over 10 feet long and/or any bvan1/jois(carrying it non-uniform load. — — — _- 20 Manufactured floor/roof truss design details. _ 21 Energy Code compliance. Identify the prescriptive path or provide calcul pions. A gas piping schematic is required for four or more appliances•. 22 Engineer's calculations.When required or provided.i i.e.,shear wall,roof truss)shall Io stamped by an engineer or architect licensed In Olrgon and shall be shown to be j1pplicahhr to the project under review. 23 live(5)site plans are required for Item I I shove. Site plain must he R-1/2" x I I"or I I"X 17". 24 Two(2)sets each are required for Items 16. 19,20& 22 above. 25 Building plans shall 110 contain red lines or tape-ons. "Mirrored"building plans"ill he not accepleu. 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development lees document. _ 27 "Drawn to scale"indicates standard architect or engineer scale. _ 28 Site plan to include tree sire,type& location lir approved project street tree pkin 01'applicable),and COT Street Tree Li.t _ Checklist must he completed before phut review start date. Minor changes or notes on submitted plans may lie in blue or black ink. Ited ink is reserved for department use onl%. W1404(6)(14Woru Electrical Permit Application Date received: Permit no.: CU2 f' City of Tigard Projcct/appi.no.: Expire date: � City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt nn. Phone: (503)639-4171 — -- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: I &2 family dwelling or accessory U Commercial/industrial U Mviti-family U Tenant improvement New construction U Al i I i nn/allerat iol plal III U Other: _ U Partial 1 Job address: j J jam' S L�� it"�/ , Bldg. lil Suite uu.: Tax map/tax lot/account no.: L.ot: IBck:laSubdivision: Project name: I Description and location of work on premises: Estimated date of com letion/ins 'clitut: ON I RAUl OR APPLICATION 1.11. SUIUDli 1.11: Job no: _ _ _ 1" Max Business name: ��' 11- T �� �_. Description (lty. (ea) 'lo(al nn.insp New residential-single or multi-fainly per Address: dwelling unit.lnchuesalrachedgarag City: I Slate: ZIP: Service incholet: Phone: f1'_ T. E-mail: I(M sy.ti.nr Ictiti 4 Each additional 500 sq.ft.or portion thereof CCB no.: , / Elec.bus.tic.no: 6 ^ Limited energy,residential 2 City/metro tic.no.: Limited energy,non-residential 2 F:ach manufactured home or modular dwelling Signature of supervising electrician(required) Date Service and/or feeder 2 Sup.elect.name(print): License no: mica or feeders-Installation, alteration or relocation: 2W amps or less 2 Name(print): 201 amps to 4W amps 2 Mailing address: — - 401 amps to 600 amps 2___ 601 amps to 1000 amps 2— City: _ stab. Lli : Over 11100 amps or volts Phone: I I ax: E-mail: Reconnectonl _ W I Owner installation:'tic installation is being made on property 1 own Temporasyaervicaus-feedem- which is not intended for sale,lease,rent,or exchange according to Installation,shellIon.orrelocation: ORS 447,455,479,670,701. 200 amps or less 2 201 amps to 400 amps 1 Owners si mature: Dale.: 401 to 600 ants 2 Dench circuits-new,alteration, or extenslon per panel: Name: A Fee for branch tit culls with purchase of Address: service or feeder fee,each branch circuit 2 City: State: IZIP: B. Fee for branch circuits without purchase of service ur feeder fee,first branch circuit: Phone: I':ix F maiL —. Each additional blanch circuit: MInc.(.Service or feeder not Included): U Service over 225 amps l i A J Ileallh-cartrfacility Each pump or irrigation circle 7. U Service over 320loops inuuptit I&2 U liarudouslocaiitnt i?achsi noroutlinelighting fandlydwell ings U huiiding over 10,M)square feel four or Signal circuit(s)or a limited energy panel, U System over 61N1 volts nonutal nacre irsidenind units in one structure alteration,or exlension" U buildingoverthreestories U Feeders,4110 amps tit more •1lcscrgtiinn U Occupant Inad over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: U Fit ess/lIgilttni:l,l,nal U Other. __ Perins ction - 111Ir1n11 sets of plana wilh tiny of the above• hrveangatim fee —� the abate art,not applicable to tetnpo.yry construction service. Other Not all Jurisdictions al credit cards,please call Jtirlil int fin more Infoonation Notice:This permit application Permit fee..................... U visa U Mamerl'anl expires if a permit is not obtained Plan review(at __ %) $ Orthi card nuinttrc- _ within 190 days alter it has hcen State surcharge(11%)....$ — .xpirer accepted as complete TOTAL . ......$ Nnrl or ca to d r-uai town an credit eald _ S — -- — r'ardholtirt signature \ininmi " 44n-4611(hAaYt'OM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: --— --"— –-- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: — ' Restricted Energy Fee... $.5.00 Number of Inspections Per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total l Check Type of Work Involved: Residential-pir unit 1000 sq.it.or less $145 15 4 ❑ Audio and Stereo Systems' Lach additional 500 sq fl.or �1 portion thereof $33.40_ 1 LJ Burglar Alarm Limited Eneryy _-- $75.00 Each Manurd Home or Modular ❑ Gdrage Door Opene,�' Dwelling Service or Feeder _ $90 90 _ :' Services ar Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration.or relocation 200 amps or less $80.30 --, 2 ❑ Vacuum Systems* 201 amps to 400 amps $106.85 J 2 y 401 amps to 600 amps _ $160.60 2 n_ Other 601 amps to 1000 amps _ $24060 2 Over 1000 amps or volts _ _ $454.652 only Reconnect o $66.85 2 ora tonly or Feeders TYPE OF WORK INVOL.V D - COMMERCIAL ONLY Temporary ry Services Fee for each system............................................. ........... $75.00 Installation,alteration,or relocation SEE OAR 918-?.60-260) ?00 amps or less $66.85 _-_ 2 ( 201 amps to 400 amps $100 30 ? 401 amps to 600 amps ��_ $133 75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits F-] Boiler Controls New,alteration or extension per panel a)The fee for branch circuits r� with purchase of service or L Clock Systems feeder fee. Each branch circuit $6.65 2 Data Telecommunication Installation b)T tie fee for branch circuits wiViout purchase of service Fire Alarm Installation or feeder fee. First branch circuit __ _ $46,85 r HVAC Erich additional branch circuit _ $6.65 Miscellaneous ❑ Instrumentation (Service or feeder not incluued) Each pump or Irrigation circle __ $53.40 Intercom and Paging Systems Each sign or outline lighting e $53 40 — Signal circult(s)ora limited energy (( panel,alteration or extension $75 00 LA Lanc scape Irrigation Control' M for Labels(10) _ $125.00 Medical Each Each additional Inspection over the allowable In any of the above Nurse Calls Per inspection $6250 I'er hour _-- $6250 ❑ In Philt _ $73.75 _ Outdoor Landscape Lighting' Fees: ❑ Prolective Signaling Enter total of above fees $ Other ------ B%Stale Surcharge $ - _._- _--_ .__Number of Systems 25%Plan Review Fee No licenses are required. Licenses are required for all other installations See"Platt Review"51•chnn nn $ — front of application - Fees: Total Balance Due $ -- Enter total of shove lees $_--_--— Trust Account q 8%Slate Surcharge =_— --- - —� - - Total Balance Otte $--All Now Commercial Buildings require 2 sets of plans. i 4lsts\fnrmvklc-fees title 08/10101 Plumbing Permit Application Datereceived: Permit no.:�}JJ — City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW I fall lilvd,Tigard,OR 97223 --- City ofTigard phone: (503)639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.- Land use approval: _ Casc file no.: Payment type: ,4'1 &2 family dwelling or accessory U Commercial/industrial U Multi-gamily LI Tenaw improvement WNew construction U Additto,?.'.alteration/replacement U Food service U Other: 30B SITE INI 01104M 10% SCHEDULE(forspecial InformatWu use cl�eckllsl) Job address: l r�J �,�� /�/�--t! Description Qty. 1,ee(ea.) Total Bldg.no.: Suite no.: -- New II-and 2-family dwellings only: (Includes 100 A.for each utility connection) Tax map/tax lot/account no.: SPR(1)bath Lot: Block: Subdivision: FR(2)bath —^ Project name: lt��J SFR City/county: LII': Each additional bath kitchen Description and location of work on premises: — Slteutilitles: Catch basinlarea drain _ Est.date of completion/inspection: Drywells/leachIine/trench drain Footing drain(no.lin. ft.) mom Manufactured home utilities Business narr,e: v as ,es Address: 1*e - a�'/ i t S Rain drain connector —_ _- City: State ZIP:q%7� Sanitary sewer(no.lin.ft.) Phone: -- ^_ E-mail: ,�55 E'13 Storm sewer(no.lin.R.) _-- CCB nrf.: 6 �e�/�/�: Plumb.bus.reg.no: ,��'" �/ Water service(nu. lin. ft.)` City/metra lic.no.: �W Fixture or Item: Contractor's representative signature: Absorption valve _ Print name: — Date: Back flow preventerBackwater valve _ Basins/lavatory Name: Clothes washer Nn NaDishwasher Address:s: Drinking fountain(.)--- '— City: State: ZIP: —_ F'ectors/sum- ---—_ Phone: Fax: E-mail: Expansion tank IN = i hixture/sewer - cap _ Name(print): Moor drains/Iloot sinksinub - Mailing address- — --- - -- Garbage disposal _ - --. Hose bibb _ City__ - --- State: "LIP Ice maker --- -- -- --- Phone: pax: E nuiil: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or th.-maintenance and repair made by my regular' Roof drain(commercial) — employee on(lie property I own as per ORS Chapter 447. Sink(.), asin(s),IAvs(s) — -- Owner's si nature: _ Dale: Sump — Tubs/shower/shower pan _ Urinal Name: _— —_ Watet closet — Address: -Water heater --- Cily: State_: ZIP: Other: —-- --- _ - Phone: vFax: li-nia� . ---- otal Nor all jurisdictions incept cravtlt cards,pleas call iorimliction hK more infornationMinimum fee................$ Notice:This permit application -- ------ - U Vian U MaafrtCtud !L— expires if n permit is not oPnined Plan review(al _ %) $ within 180 days after it has been State surcharge(89G)....$ -- —— _._ — Ninte of cardhnlt u flown on credit cart accepted as complete. TOTAL .......................$ — Crdholdef tdonauve S Amount 440-4616 1~0M) i� PLUMBING PERMIT FEES: FIXTURES (indivlduaq PRICE TOTAL. New 1 and 2-family dwellilrgs only: U$3 Sink _ - QTY ea AMOUNT (includes all plumbing fixtures InTOTAL 16.60 the dwelling and the first100 ft. AMOUNT Lavatory 16.60 for each utility connection)____ Tub or Tub/Shower Com-- b; 16.60 One 1 bath - Shower Only Two(2)bath --16.60 'hree(3)bath Water Closet _16.60 Urinal16.60 SUBTOTALDishwashe-�- --_ 8%STATE SURCHARG16.60 PLAN REVIEW25Y.OF_SUBTOTALGarbage Disposal 16.60 - TOTALLaundry Tray - - 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 16.60 PLEASE COMPLETE: 4" 16.60 Water Healer O conversion O like kind 16.60 __ emtit Quantity b_Work Performed was piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ MFG Home Now Water Service16.40 '--- --- _ Ca ed _ Sink MFG Home New San/Storm Sewer 46.40 Lavato - -- Hose Bibs 16.60 Tub or Tub/Shower --- Roof Drains - Combination 16.60 Shower Onl �- -- Drinking Fountain er C 16.60 Watloset -� -- -- (Yher Fixtures(Specify) 16.60 Urinal -- - - Dishwasher -���---- GarbaNe Disposal Laund Room Tra Was Machine -- Sower-1st-100 ----- 55.00 Floor Drain/Sink: 2" - Sewer-each addilional 100' 3" -- _ 46.40 4„ Water Service-1st 100' 55.00 _ Water Heater -- Water Service-each addition it 200' 46.40 Other Fixtures Storm-&Rain Drain-1st 100' 55.00 Sect ) Storrn 8 Rain Drain-uach additiol,sl 100' 46.40 _ i - Commercial Back Flm Prevonllon Device 46.40 - Resldenlial BackflowPrevention Device' 2 .55 Catch Basin Inspe6on of Existing Plumbing or Specially Re uostedInspections Drainmor/:v_ _ COMMENT:3 R:_GARDING ABOVE: Rain ,single family dwelling 65.25 Grease Traps__ 16.60 - ---- QUANTITY TOTAL - `- Isometric or riser diagram Is required If _ Quantity Total Is >a 'SUBTOTAL --- 8%STA-TE-, URCHARGE "PLAN REVIEW 25%OF SUBTOTAL -r - rioquired nnly If fixture qty total i >9 TOTAL t *Minimum permit fee Is 37!.50•B%elate surcharge,except residential Packnow Pre.enhon Device, vhlrh is 10025•8%state surchargn **All New Commercla:dulldlogs require 2 sets of plans with Isometric or rise,- diagram tot plan review. i:ldstslformslplm-fees.doc 12/26/01 Mechanical Permit Application— --� -- Date received: _ Permit no.: Y"n) ���I?V1 City of Tigard Project/appl.no Expire date: Cirytplgard Address: 13125 SW l[all Blvd,Tigard,OR 9 .'.1.3 palc issued: By: Receipt no.: Phone: (503) 639-4171 -- - - Fax: (503)598-1960 Case file no.: Payment type: Land use approval' Building permit no.: ❑1&2 family dwelling or accessory U C'onuncrcialhndustnal U•I enant improvement 0 New construction 0 Addition/alteratiun/replacentent U t Wiel YALUMION SCIII DI 11 Job address: �'�, S h' %� Indicate equipment quantities in boxes below. Indicate die dollar Bldg.no.: Suite no.: va,ue of all mechanical mate7als,equipment,labor,overhead, Tax neap/tax lot/account no.: — profit.Value$ `— Lot: elo 1Bluck: Subdivision: �!/I"t 'Scc checklist for impoAvia application information and Project name: l Jurisdiction's fee schedule for residential permit fee. City/county: ZIP: Description and location of work on premises: WIN glinti INMIL11 Ilwliiwk MKII 161011 NO Mill Mi Est.date of completion/inspcclion: ---- - —_ Ilk-scrifillon qty. Res.only Res.only Tenant improvement or change of use: "' Is existing space,heated or conditioned'?U Yes U No Air handling unit —CFM..---- it con(7itioni_ng(site p an required) Is existing spare. insulated'?U Yes U No tcration of cxisung AC system Boiler/compressors Business name State boiler permit no.: Hl Tons_____BTU/II Address: it em- e ii per. uct smoke detectors LIP:ity: — < Stale: -Trent pu )(site plan required)-- C — - - — ltooc: Fax: E-mail: ns /rta !place furnac• turner___B-' Including ductwork/ven(liner U Yes U No _ CCB no.: nsta rep ac re ocate heaters-suspended, City/tnctro ic.no.` wall,or flour mounted _ Name(pleaseprint); ---- ------— - Veil Gtr a l,armee other ihan ru—mace 1Refrigeration: Absorption units. _ BTUAI _ Name: Chillcrs___.__ HP - — Addtvss: -- Con l I " ors _ _ IIP nr rontnenta exhaust and at vent on: City_`—-- -- Slate: ZIP: Appliance vent -Phone: I • , E-mail: yerr.x gust o s, ypc 1 res. sic en/hazmnt- fire suppression system Name: haust fan with single duct(hath lansI Mailing address: gust-s stem--n rtrt rum catiu urs`— - clly: -— slate: IT: :Jhtwd e p p nT g and Stl0(lip((1 Ullt l'l5) pe: __LM NG Oil Phone: Fax: E-maile i >n enc e(f i(ttionu over 4 nut ets ocessp p nn,(sc lematicrcquirc ) Name: of of tlets _--- 1 er tIR appliance or equipment: Address: Decorative ire lace City: `-- State: 7..111: Phone:!— — Fax: E-mail: stov pe el stove (h cr: Applicant's signalure: Date: Name (print): Not all Jwlulicnnns accept rredtt cants,please call JnfluLoitm fmn imm Informarinn Pe"llit fee.....................$ U Visit U Ma.lerCard Notice:This permit i applications not obtained Minimum fee................$ Credit i sed number expires if a plmit Plan review(al _ %) $ within 18(1 days after it has been --Name of c n1 r u ni on nnm t card —` accepted a complete. slatL surcharge(8%)....$ $ TOTAL .......................$ — — Cadhokfer signature-- — Amount 441x4617(6t1WOM1 MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: Price Total Description: Qty (Ea) Amt TOTAL VALUATION: PERMIT FEE: Table 1A Mechanical Code _ $1.00 to$_5 oC0.00 Minimum fee$7 st s 1) Furnace to 100,000 BTU 1400 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and Inciudin - $1.52 for each additional$100.00 or 2) Fumace 100,000 BTU- fraction thereof,to and including includin ducts&vents - -_ _. 1 i.4u 510,000.00. 3) Floor Furnace $10,001.00 to$7.5,000.00 $148.50 for the first$10,000.00 and 1a o0 - includin vent $1.54 for each additional$100.00 or 4) Suspended heater,wall heater fraction thereof,to and Including 14 00 _ $25,000.00. or floor mounted heater _ 5) Vent not included In appliar, a permit 680 $25,001.00 t $$50,000.00 $379.50 for the first$25,000.00 and $1.45 for each additional$100.00 or 6) Repair units fraction thereof,to and including 12 15 $50,000.00. go!Ior Moat- Air $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: or Pump Cond $1.20 for each additional$100.00 or footnotesrite below.ee Comp fraction thereof. - - - __ _ 7)<3HP;absorb unit 14.00 Minimum Permit Fee$72.50FFee BTOTAL: to 100K BTU 8)3-15 HP;absorb 25.60 --- 8urcharge unit took to 500k BTU - - 9)15-30 HP;absorb 35.00 251/.Plan Reviesubtotal) $ unit.5-1 mil BTU _ Required for ALL commercial permits onl _ __ _ 10)30-5J HP;absorb 52.20 TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU - - 11)>50HP;absorb 87.20 --.- - ----- unit>1.75 mil BTU 12)Air handling unit to 10,000 CFM 10.00 FA' SUM_ EDVALIDATIONS_ PER APPLIANCE13)Alr handling unit 10,000 CFM+Value Totl 17.20 escrption: _ Q Ea maco to 100,000 BTU,Including 955 14)Non-portable evaporate cooler 10.00 ducts&vents - Furnare>tOQ000 BTU including 1,170 15)vent fan connected to a single duct 6.80 - ducts&vents - -955 Floor tumace Includin vent_ __ 16)Ventilation sys'pm not included in 10.00 Suspended heater,wall heater or 9-55 a Ilance ermit floor mounted heater 17)Hood served by mechanical exhaust 10.00 t Incl Vent nouded In appliance 445 - permit _--- _ d05 J 18)Domestic incinerators 17.40 Re air unite <3 hp;absorb.unit, _ 955 19)Commercial or Industrial type Incinerator 69.95 to look BTU 1,700 3-15 hp;absorb.unit, 20)Other units,Including wood stoves 10.00 _ 101k to 500k BTU 2,310 _ 15-30 hp;absorb.unit,501k to 1 21)Gas piping one to tour outlets 5.40 mil.BTU - 3,400 3U-50 hp;absorb.unit, 22)More than 4-per outlet(each) 1.00 1-1.75 mil.BTU --- 8 $ >50 hp;absorb.unit, 725 Minimum Permit Fee$72.50 SUBTOTAL: >1.75 mil.BT_U 56 8'/.State Surcharge _8_ - $ Air handlin unit to 10 000 cfm _ _ Alr handling unit>l0,000 cfm 1,170 _ - - Non-portable evaporate cooler v` 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 446 Vent system not Included In e56 --- -- a Ilance ermit _ - Other Inswc qn9 on�l: 656 Hood served by mechanical exhaust _- 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator, 1 1170 $62 5o per hour. Commercial or Industrial Indnerotnr 4 590 _ 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) 6 $62 50 per hour Other unit,including wood stoves, 3 Additional plan review required by changes,additions or revisions to plans(minimum 65 Inserts,etc, 380 rhargc-one-half hour)$62 50 per hour des f In 1 4 outlets - 63 _ stpl 1 --- --- Each additional OU11et _ _ - ---- "State Contractor©oiler Certification required for units>200k BTU. ---- "Residential AIC requires site plan showing placement of unit. TOTAL COMMERCIAL s' All New Gommerclal Buildings require 2 sets of plans. VALUATION:__ --- -- 0dsts\forms\mech•fees.doc 02/11102 ECK CONSTRUCTION Sherwood,OR 97140 85,09' 5, 04D-05'-22" W --3 31 -I— — 332 —333 —334 335 337 l� // �� / I Imo- -334 O RVIDENGEr / 1 r0 —3ao / J / FLR 41!/-345 50` / OWERfIF?ELEV M550, / ! I- 1 Lu p -342 T i —343 R GA � FLR Lu CA O SanEyE 5� I It // // / // A- 1 _ �3A5 O / / I / / / �/ // / r / � a CONC/WALK / �( / 4'NICK cv / I / �� � J� �RP✓F/ --�1--�/ T /YWO� S.W. 129th AVE, 5UNIEL IjuME DESIGN.INC,IS NOT I(ABLE FOR THE ACCURACY OF THE L.CC1Al OF/Q�D110f i °" IOPOGRAPHI'INFORMATION. IT IS +�= THE SOLE RESPONSIBILITY OF THE TO BE ATTACHED ..■•�•� BUILDER IO VERIFY ALL 91 I — CONDITIONS,INCLUDING ANY FILL '4 x." s/ i/�._ �h �(f:✓(�'%Z C' M p PLACID ON THE SITE•AND INFORM �,a.. OWNERS OF ANY POTENTIA.FIELD l/ Jr IK)DIFICAlIONS • -'- -�.. �... �,.4..-.... ......... • �....�... J•n . . .. -•� n• .ten