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12850 SW FONNER POND PLACE 4.wll� N 00 w C7 K� T O O 7 fD '0 O O O. N n m 4' 12850 SW Fonner Pond Place CITY OF TIGA,RD 24-Hour BUILDING Inspection Line: (503)639-4170 INSPECTION DIVISION Business Line: (503)639-4171 MST - —- BUP Received __— /._— —c-D-aa1te Requested____ _ _ AM__.__ PM � ____ _-. BLIP I.ocation 1�Zvn-� —Stlite___._L__�____ _ MEG Contact Person _ ______ � -___ Ph(_—_) _ _._.-__ PLM Contractor - - - -- Ph(_ ) SWF' - - - B_UILDING Tenant/Owner _ _ _ ?LC - _- ��oting - ------ Foundation E LC Ft g Drain Access: LC� S�� rLR - -- - Crawl Drain _. / Slab Inspectirm Notes: SIT Post&Beam II _ -- Shear Anchors Ext Sheath/Shear _ ;nt 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 Sew Rain Drains ---- -— -- Catch Basin/Manhole Storm Drain ---- Shower Pan Other: -- — -" Final ---------___ � PASS PART FAIL MECHANICAL — Post& Beam Rough-In — ------ -- Gas Line Smoke Dampers - - -- ----- — Final �P-A�S-�S_ PART FAIL - �- . '�tCT y AL orrice Rough-In UG/Slab L.uw Voltage -- Fire Alarm n Reinspuction fee of$ . _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ASS _PART FAIL _ Pleas,-,--,.ill for reinspection RE: _ Unable to inspect-no access Fire Supply Line ADA I �] /, T�71� Approach/Sidewalk Date _-'� / _ _l--_-v ----- inspector ___------ -------Ext - Other: _ Final r0 NOT REMOVE this Inspection record from the Jab site. PASS PART FAIL CITY OF T'IGARD 24-dour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received —__ Date Requested— 5__tf - AM PM BUP -- ---- -- Location j k 7570 _ MEC Contact Person _- — —_-- Ph( ) - PLM -- Contractor_ -- - -- — Ph(--) --�L�� SWR - -- BUILDING TenantrOwner __— _� _ ELC _ Fouting -� - ELC Foundation Access: Ftg Drain ELR -_ Crawl Drain SIT SI&;, Inspection Notes: Post&Beam -------- -- - - —-- Shear Anchors Ext Sheath/Shear Int Sheath/Shoar Framing - - - Insulation ✓/ C -- Drywall Nailing y Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling "�_ -�•--�) Roof I - ��/✓ Q '� l L — Other: __ Final - PASS PART FAIL PLUMBING -- — — Post& Beam Under Slab -- - --- — Rough-In Water Service -- - Sanitary Sewer — Rain Drains Catch Basin/Manhoo _ Storm Drain Shower Pan Ot RT I / PosT& earn Rough-In -- --- Gas Gas Line Smoke Dampeis Ft•aal PASS PART FAIL ELECTRICAL Service ------ - ------- - Rough-In -- — UG/Slab — Low Voltage --- -— _ - - Fire Alarm Final Reinspection fee of$_ —_____required before next inspection. Pay at City Hell, 13125 Sit)Hall Rlvd. PASS PART FAIL SITE — E.] Please ca l for reinspection RE:-- -- �— Unable to Ir-pert-no access Fi,e Supply Line i',Irpru�!h Sklewalk Date Inspector - -- -. ('then Final DO NOT REMOVE this Lespectlon record 1 rom the Job ,Rite:. PASS PART FAIL CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WESTERN CASCADE ELECTRIC IN 11867 SW WILTON AVE ' V TIGARD, OR 97223 o D Electrical Signature,,'gW\0� Permit #: MST2002-00430 Date Issued: 11/26102 Parcel: 2S103AC-OFP01 Site Address. 128:;0 SW FONNER POND PL Subdivision: ON FONNER POND TOWNHOMES Block. Lot: 001 Jurisdictions TIG Zoning: R-4.5 Remarks: New SFA attached, Path 1. Your company has been indicated as the electril:al contractor for the permit indi,-ated above. In order for the electrical permit to r e valid. thr signature of the supervising r,le,16cian is required. Please have the appropriate individual from vour company sign below and retun this Electrical Signature Form prior to the start of the work to the address above, ATTN Building Division. No electrical inspections will be authorized until this completed form is received OWN EF ELECTRICAL. CONTRACTOR. NUPARK DEVELOPMENT WESTERN CASCADE ELECTRIC INC PO BOX 230421 '11867 SW WIL fON AVE TIGARD, Oil 97281-0421 TIGARD, OR 97223 Phone ft 503-504-1998 hone #- 503-521.0000 Rey #: ELE 34-r,10( SUP 4025"' LIC 153.116 AN INK SIGNATURE IS REQUIRED ON THIS FORI"A X Sign r Supervising Tectnaan If you have any questions, please call (503) 639-4171, ext # Vfib �� MASTER PERMIT PERMIT#: MS1'2002-00430 DEVELOPMENT SERVICES DATE ISSUED: 11126/02 1312.5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12850 SW FONNER POND PL PARCEL: 2S103AC-0FP01 SUBDIVISION: ON FONNER POND TOWNHOMES ZONING: R4.5 BLOCK: LOT: 001 JURISDICTION: I'It 1 REMARKS: New SFA attached, Path 1 BUILDING REISSUE: J STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NLW HEIGHT: 25 FIRST ,',F s1 BASEMENT of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 411 SECOND 941 if GARAGE 112. sf FRONT: 27 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT sf RIGHT: IS OCCUPANCY ORP: R9 BbRM: 4 BATH: 1 TOTAL: 1,599 sl VALUE: 1511.815 20 t,REAR. PLUMBING SINKS: 1WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORI_S: :1 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS TUB/SHOWERS: 2 GARBAGE DISP: I WATER HEATERS I WATER LINES: 100 eCKFLW PREVNTR: 1 GREASE TRAPS: O i HER FIXTURES: MECHANICAL _ FUEL TYPES FURN<100K: 1 BOILICMP<3HP VENT FANS: 4 CLOTHES DRYER: 1 n; FURN>000K: UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNI1 _SERVICE FEEDER TEMP SRVCIFEEDERS - !:RANCH CIRCUITS MISCE''ANEOUS ADO'L INSPECTIONS 1000 SF OR LESS. 1 0 200 amp: 0 200 amp: WISVC OR FOR: 1 PUMPIIRA,GATION: PER INSPECTION: EA ADD'L 500SF: 2 201 400 amp: 201 400 amp: tel W/O SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 8110 amp: 401 - 000 amp: EA ADDL SR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 001 • 1000 amp: e01+amp6-1000v: MINOR LABEL: 1000♦amolvolt FLAN REVIEW SECTION Reconnect nnly: >-4 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL: CLS AREABPC OCC- ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC, LANDSCAPEIIRRIG: PROTECTIVE SfGNL: GARAGE OPENER: CLOCK, INSTRUMENTATION: MEDICAL OTHR: HVA:: DATA/TELE COMM: NURSE CALLS TOTAI "SYSTEMS•. Owner: Contractor: TOTAL. FEES: $ 6,019.60 NUPARK DEVELOPMENT INTERLOCKING ENTEF?RISES INC This d rmitMunicipal IslGsubject to the regulations contained in the PO BOX 230421 10740 NW CORNELIUS PASS RD. Tigard Municipal a de,law State o OR. Specialty Codes and all other applicable laws. All work will be done In TIGARD,OR 97281-0421 PORTLAND,OR 97231 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: Oregon law requires you to follow rules adopted by the Phone: 503-S0µ• 1998 Phone: 503.531-3635 Oregon Utility Notification Center. Those rules are set forth In OAR 1152-001-0010 through 952.001-0080. You R°11"' LIC 90272 may obtain cuples of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Structural Underfloor Insulation Plumbing Top Out Shear Wall Insp Rain Drain Insp Sewer Inspection Post/Beam Mechanica Electrical Service Framing Insp Exterior Sheathing Inst Water Line Insp Footing Insp Plm/Underfloor Electrical Rough-in Gas Line Insp Firewall Insp Appr/Sdwlk Insp Foundation Insp Crawl Drain/Backwalpr Mechanical Insp Gas Fireplace Gyp Board Insp Smoke Detector Erosion Control Ftg Drain Bsm't Walls Low Voltage Insulation Insp Engineered grading fin Backflow Preventor Issued By : �� '_ 'L''' ti��'f-' Permittee Signature _ Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWEkCONNECTION PERMIT_ DEVELOPMENT SERVICES PERMIT#: SV00285 DATE ISSUED: 11/26/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103AC-OFP01 SITE ADDRESS; 12850 SW FONNER POND PL SUBDIVISION: ZONING: BLOCK: LOT: JURISDICI ION: — TENANT NAME: USA NO. FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SFA. Owner: — FEES__ NUPARK DEVELOPMEN r Description Date Amount PO BOX 230421 TIGARD, OR 97281-0421 1 SWUSAI Swr Connect 11/26/02 $2,300.00 l ISWINSP)Swr Inspect 11/26/02 $35.00 Phone: 503-504-1998 Total $2,335.00 Contractor: Phone: Reg#: Required Inspections This Applicant agrees to comply -,vith all the rules and regulations of the Clean Water Services. 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: i'Z _ Permittee Signature: Call (503) 639-4175 by 7:00 r.M. for an inspection needed the next business day a '-7 J 5 r // J111 e, Z- R 'Building Permit Application a Date received:/ole, C1 Permitno.:etL City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: edalc qu/7igurrl Uatcissucd; c1'f/ kccciptnu.: Phone: (503) 639-4171 _. Fax: (503) 599-1960 Case file no.: Payment type: Land use approval: I&2 family:Simple Complex: _ � U I &2 family dwelling or accessory U t ,mow i�iuliind-11 ctl U Multi-family ew construction U Demolition U Addition/alteratiott/replacement U Tenant improvement U Fire sprinkler/ amt U Other: r' INFORMATION Joh address: ,� ate- r_ tV J Bldg.no.. Suite no.: Lot: Br ck: Subdivision: _—,fax reap/tux lot/account no.; Project name: Lr �� l Description and location of work on premises/special conditions:-J k- kL -- -- -- -.__- 1011 Sill ( IAL 1 Mailing address: ' [ i I &2 tamilr 11"elling: C� y, \ Cit :' titate: ` 'l.IP. e� Valuation of wort, .................................. $ 5 6/j,. Ph I ux: li mail: No.ol'bedrooms/hath .............. ...... ........... O e 'srepresentativr: .�/' _ Total number of tl m it ............................... _-- p .. - Fac Email: New dwelling arra I l l.) ....(.:?..`<.Y......... Garage/carport area(sq. Il.).....:'ZZ......... Nate: _ QIJG gry'�'gplR1S6S Covered porch area(sq. 1).) ..........�..�.......... — -- Mailing address: t01�ON,�! KWW Deck area(sq. ft.) ........ .......... ...... .......... 1 C'itp(nAW,� a c. ZIP: Usher structure arca(sq. Il.). ....... .. . ... . .. _-_-- yCommerciallindustriallmulti-fanally: Phone: Fax: E-mail: Valuation of work................................... Existing bldg.area(sq.ft.) .. .......... .......... Business name: New bldg.arca N. ft.).............. — Address: _ MUMIINGBN1ERP ___--- Number of stories................ City X C("NtN gQ6t l.IP: Type of construction..,.... ., e ........................ — Phonc: i3 -3( 3� I�ORi'ilt>�• rl' Occupancy group(s): Existing: _—"- __.-- CCF,no.: q 02,7i - —�jfc]1 (AI 1 'qM)F>- New: City/metro lic.no.: Notlee:All contractors and subcontractors are required ha he licensed with the Oregon Construction Contractors Board under Name: �r � provisions of ORS 701 and may be required to he licensed in the jurisdiction whets work is being Performed. If the applicant is Address: &V exempt from licensing,the following reason applies: City: StateZIP: ('(,p'Verson:: C Plan no.: -- --- �_ -— Ph nal. Fax:,_ 3 : mail: Name: le Contact perso6 t ees due upon application ........................ .. $ — Address: -- Date received: _ — City: State: ZIP: Amount received .........•...................... ........ $..__—___-- Phone: - Fax: E-mail Pleuse refer Its tee schedule. I hereby certify I have read and examined this application and the Nm alt Judsdlcaons accept credit cards,please call JuNadictior for more mfmmntton attached checklist. All provisions of lawx7and ordinances governing this U visa U MasterCard work will he complied wi ,whetJaer em"or not. Credit card number — — _._ lmxpitea Authorized signature. Xt l / me Dale: / Y'r. Naof c ,ol r as shown on credit card S Print name:_=L.1'C'ti 71 l ��/ 1�1�� — C older signature Amount Notice:'Phis permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-461.1 rtsAorvd'oM) a f ('ommercial Plan Submittal Requirement Matrix TYPE. OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building �* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 L ----- Plan review is dependent upon submitta! olf a completE d application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. New' fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\dsts\forms\COM-matrix.doc 9/24/01 Plumbing Permit Application Date received:/s /�' 0•`t Permit no.: City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,•Tigard,OR 97223 City of Tigard phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: _ Case file no.: Payment type: ❑ 1 &2 family dwelling or accessory U Commercial/industrial ❑Multi-family J Tenant improvement ew construction U Addition/alteration/replacement ❑Food service U Other: Description kh . Fee(ea.) Total Job address: )_�� . _� ��1 - New 1-and 2-family dwellings only: Bldg,no.: Suite no.: (includes 100 ft.for each utility connection) Tax map/tax lot/account no.: 1 SFR(1)bath Lot: Block: ISubdivision: SFR(2)bath Project name: SFR(3)bath City/county: igaAAA ` ZIP: Each additional bath/kitchen _ Description and atimt of work on premises: _ Siteutllitles: _ _ _ __ ___ Catch basin/area drain _ Est.date of complelion/inspection: D wells/leach line/trench drain_ Footing drain(no,lin.ft.) Manufactured home utilities - Business name: w Manholes Address: Rain drain connector City: State Sanitary sewer(no.lin.ft.) Phone: -,3LI I Fax: E-mail: Storm sewer(no,lin.ft.) CCB no.: Plumb,bus.reg.no: Water service(no. lin. ft.) City/metro tic.no.: Fixture or Item: Contractor's representative signature: Absor tion valve Back flow preventer Print name: Date: l Backwater valve Basins lavatory _ Name: IBRPR�6Sf � Clothes washer _ Address: IOL40N.W.CORN J1l/SPASS ROAD _ Drinkin ie�s) _ Drinking fountain(s) City: PORMM,ORHGO SPII�l: Zip: Ejectors/sump Phone: Fax:Li 7 :mail: pansion tank Fixture/sewer cap �_— -.. _ Name(print): - Floor drains/floor sin s/hub „_ Mailing address: Garbage disposal _ Hose bibb City: State: 7,IP:q y ce maker _ Phone: Fax: E-mail: nterce�tor/grease trap _ Owner instailation/residential maintenance only: The actual installation Pomer(s) _ will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. in (s),basin(s), ays(s) Owner's si nature: Date: Sum Tubs/shower/shower pan _ _ Urinal Ndmc: --- --- - - — -- �'" Water close Address: Water heater City: State: ZIP: Other: Phone: Y Fax: I E-mail: Total 401 all Jurisdictions accept credit cards,please call Jurisdiction for more Infomratlon. Notice:This permit application Minimum fee................$, Ll Visa ❑MasterCard expires if a permit is not obtained Plan review(at ._ %) $ _ Crean card number State surcharge(8%)....$ — Expires within 180 days ager it has been Name or cardholder u shown on credit carol accepted as complete. TOTAL .................. ....$ _ S Cardholder elpature -- Amouni_ 440.4616(60"M) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIX'rURES (individual QTY ea' AMOUNT (includes all plumbing fixtures in PRICE TOTAL. Sink ` e 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT 16.60 for each utility c_o_n_nection -_ Lavatory One 1 bath__ _ $249.20 Tub or Tub/Shower lamb- 16.60 Two 2 bath __ $350.00 Shower Only - -- 16.60 Three 3 bath _ $399.00 Water Closet 16.60 SUBTOTAL U incl - 16.60 8'/.STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL TOTAL Garbage Disposal _ 16.60 - Laundry Tray 18.80 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16'60 PLEASE COMPLETE: 3" 16.60 4^ 16.60 - --- -- Quantity b Work Performed Water Healer O conversion O like kind 16.60 Fixture Type: New Moved Replaced Removed/ Gas piping requires a separate mechanical Capped _permit. -- - -� MFG Home Now Water Service 46.40 Sink__ 46.40 Lavatory -- MFG Holne Now San/Storm Sewer Tub or Tub/Shower Hose Biba 16.60 Combination _ Roof Drains 16.60 Shower Onl Drinking Fountain 16.60 Water Closet Urinal -- Other Fixtures(Specify) 16.60 Dishwasher- Garbage ishwasherGarba a Dis osal Laundry Room Tray Washing Machine Floor Drain/Sln1,: 2" Sewer-1 st 100' 65.00 3" Sewer-each addilional 100' 46.40 4" Water Service-tat 100 55.00 Water Heater 48.40 Other Fixtures Water Service e each additional 200' (specify) -_ Storm&Rain Drain-1st 100' 55.00 Storm&Rain Drain-each additional 100' 46.40 - Commercial Back Flow Prevention Device 46.40 Residentlal Backflow Prevention Device' 27.55 _ Catch Basin 16.60 --- Inspection of Existing Plumbing or Specially 62 50 Rriuested Inspections _ er/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 - Grease Traps 18.60 QUANTITY TOTAL - Isometric or riser diagram Is required If --- _ Quantif Total is >9 - "SUBTOTAL 8%STATE SURCHARGE - ""PLAN REVIEW 25%OF SUBTOTAL Required only II fixture qty.total Is 9 TOTAL $ "Minimum permit fee Is S7250•8%state surcharge,except Residential Backflow Prevention Device,which Is 536.25+8%state surcharg9. ""AIL Now Comma•clsi Buildings require 2 sets of plans with ItOms'rtc .r riser diagram for plan review. l:\dcts\fomis\plm-fees.doc 12/26/01 Mechanical Permit Application ,1 "Dateeived:/( �� r Permit no.: �' �- City of Tigard Project/appl.no: Expire date: C 5ry of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no Phone: (503) 639-4171 ------ --- -.. Fax: (503) 598-1960 Case file no.: Payment type Land use approval: Building permit no.: t U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family 'J Tenant improvement cw construction U A(ldition/alteration/replacement U Other: __ 0; SITE INFORMATION COMMERCIAL VAIAWI[ON SCHLIDULF Job address: � ,`y, j. 0wi T; �e_ Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: I Suite no.: value of all mechanical material-,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: Block: Subdivision: *See checklist for important application information and Project name: r,a icjurisdiction's fee schedule for residential permit fee. City/county: ZIP: FEg"SCIIEDUE Description and I alio of work on premises: t � t t i I�rlre•) Iulal Est.date of completion/inspection: _ Deecrlpdon th>_ Roy.onh Tenant improvement or change of use: Is existing space heated or conditioned'?U Yes U No Air handling unit Cf M r con tionmg(alio Tan required) Is existing space insulated?U Yes U No Alteration of existing- ` � system of er compressors Business name: s CFTC State boiler permit no.: NP Tons B-U/H Address: _ it•smo a amper. uct smoke detectors Cil : State: ZIP: eat pump(sttc p an requ re ) Ph t t Fax: E-mail: nstu rep ace urnace urner Including ductwork/vent liner U Yes U No CCB no.: � ,� nsla replacr re ocale heaters-suspended. City/metro lic.no.: wall,or floor mounted Name(please print): i'Y- , �G�tVent for appliance other than furnace Refrigeration: Ah.urrplron units BTU/11 Name: b FWASPRISESINC. ChillersHP _ Address: -- eW IV W r'.. IIP u,re5soi., _-- Tills vironmental exhaust and ventilation: City-- : ZIP: Appliancevent Phone`: t r- f rx: f f: m;�i! )ryerex oust 0o s, ype res. tic a ar.mat hood fire xuppression system Name: Exhaust fan with single duct(bath fans) Maili-Ig addres.: Exhaust system apart from heatingor C Cil Slutc: ZIP. Fuelpiping an et it on(up to outlets) Type: LI'CJ NO Oil PI - Fa x: Email ue t r n sac additional over out ets rocesepiping(wc emaucr"—' required) Name: Number of outlets 1OtherTr %ed appliance or equipment: ment: Address: _ Uecolntivcfiireplace City: --- _ State: ZIP: ty _ Phone:+ 'ax: Email: coo stov pe et stove Other: Applica)rt's signature; Name(print):_- it JLIJ, jab Not 0 Jurisdictions accept cretin canis,please cell jurisdiction for move Infonmtion Permit fee.....................$ _ UViae fl IdaslerCerd Notice:This pernit application Minimum fee............ $ _^ expires if a permit ie not obtained Plan review(al — 96) $ (n•da earl numlwr r.xpirer within 190 days after it hes been State surcharge(896)....$ _ sMuir of cardholder as shown on c t card accepted as complete. Cardholder sipalure Arn)wit 1444617(OWW OM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: �: _�- -- -- Price Total _TOTAL VALUATIO_ N: PERMIT FEE: Description: Qty (Ea) Amt $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code _ Amt- $1.00 to$10,000.00 $72.50 for the first$5,030.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or Includina ducts&vents 14.00 2) Furnace 100,000 BTU+ fraction thereof,to and Including $10 000.00. indudin ducts&vents 17.40 - -- $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or Including vent 14.00 fraction thereof,to and including 4) Suspended heater,wall heater $25,000-00. or floor mounted heater 14.00 _ $25,001.00 to$50,000.00 $379.50 for the first$25,000,00 and 5) Vent not Included In appliance permit 6.80 $1.45 for each additional$100,00 or - fraction thereof,to enr''nduding 6) Repair units 12,15 $50000.00. - $50,001.00 and up 5742.00 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,see or Pump Cond fraclior.thereof, footnotes below. Comp 7)<3HP;absorb unit Minimum Permit Fee$72.80 OTAL: $ to 100K BTU 1$.00 8%State Surcharge $ 8) 15 absorb 25.60 unit t 100kk t to 500k BTU _ 25%Plan Review Fee(of subtotal) $ 9) HP;absorb 35.00 Required for ALL commercial permits only unit .5-1.5-1 mil BTU 10)30.50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU 52.20 _ 11)>50HP;absorC - unit>1.75 mil BTU 87.20 12)Air handling unit to 10,000 CFM ASSUMED VALUATIONS PER APPLIANCE: 10.00 Value Total 13)Air handling unit 10,000 CFM+ Desai tion: Ql 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 a single duct ducts&vents 6.80 Floor furnace including vent 955 16)Ventilation system not Ind, ded in Suspended heater,wall heater or 955 a liance permit 10.00 floor mounted heater 445 17)Hood served by mechanical echaust 10.00 Vent not Included in applicance _- _permit 805 18)Domestic incinerators 17.40 Re air units <3 hp;absorb.unit, 955 19)Co. mercial or Industrial type Incinerator to 100k BTU _ 69.95 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.a0 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1,75 mil,BTU >50 hp;sbsorb.unit, 5,725 -Minimum Permit Fee$72.50 SUBTOTAL: 5 >1.75 mil.BTU Alr handlingunit to 10,000 cfm 656 8%State Surcharge $ Air handlinunit>10 000 cfm _ 1,170g _ Non-portable eva orate cooler 858 _ TOTAL RESIDENTIAL• PERMIT Vent fan connecte'l to a single duct 446 Vent system not Included In 656 --- appliance permit Other Insoectlon and es: Hood served by mechanical exhaust 656 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator _ __ .170 $6250 per hour Commerdal or Industrial Incinerator 45902 Inspections for which no fee is specifically Indicated (minimum charge-half hour) Other unit,Including wood stoves, 656 Additi per hour In98rts,etc. _ __ _ 3 ddillonal plan review required by changes,additions or revisions to plena(minimum Gas I Ing 1 4 outlets 380 charge-one-half hour)$82 S0 per hour Each additlonal outlet _ _- 83 State Contractor Boiler Certiflcatlnn required for units>200k BTU. _ . "Residential AIC requires site plan showing placement of unit. TOTAL COMMER_.CIAL_ _ VALUATION: _. __--_�_ All New Commercial Buildings require 2 sets of plans. IAdst%\forms\meth-fees.doc 12/26/01 Electrical Permit Application Datereteived:/0/D Permit no.: City of Tigard Project/appl.no.: Expire date: Ca)r,f 7 igard Address: 13125 SW Nall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case fiileno.: Payment type, Land use approval: _ XVPE OF &2 family dwelling or accessory U Commercial/industrial U Multi-fantily U Tenant improvement New construction U Addition/aheration/replace❑t,.nt U Other: J Partial )oh address: Bldg,no.: Suite no.: ITax map/tax lotfaccount no,:96165 Block: Subdivision: Projeci name: Description and Ir,, i,nm of work on premises: Estimated date of conipletion/inspection: CONTRAC11'0111 APPLICATION FEC SCUMULIE Job not tee nix. -- Description (e&) 1 otal no.Ins Business name: tift,t,t_.� [=)ei_:jr^r Ne"m+irkurral single ormulti-fxmil)per Address (� �( I i', f jL� dr+cllingunit.lot ludryaltacIK41gxrage. City. '( Shite: R_ ZlP:-rj Servicehsciuded: E-mail: ft or less --- 4— C'CB no.; Elec.bus.lic.nn: Each additional SW sq.ft.or union thereof ` Linoed energy,residential City/metro lic, no.: C se-A syy - Liruitcdenc_r y,non-resrdennpl 2 e el- i� F.aclt munufnm ctured hoe(it modular dwelling Service and/or feeder titf+,n;nurr of sl ery electrician(requiredf --- I' t -�— -- Services or feeders-Installation, alterallon or relocation: 200 amps or less 2 Nome(print): �(f (� 2O1 amps to 400 amps 2 401 amps!o 600 amps 2 Mailing address: _ 601 amps to 1000 amps 2 City• State: Z . Over iOW amps or vol s 2 Ph1'9�rax: E trail: Keczmncclonly I Ove ner installation:The installation is being mnde on property 1 own Temporary services or feeders- ++luch is not intended for sale,(ease,rent,or exchange according to in.t,illation,alterst Ion,or relocation: 200 amps or less (WS 447,455,479,670,701. �- 2 201 Amps to 41w amps Ot+tlef 5 SI nulUfe: i);Ili': _ _ 101 to 6W mus '_ Branch circuits•new,alteration, or extension per panel: Name: A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit �;,y: _ sate: zlP: It Fee for branch circuits without purchase _--. __ ---— of service or feeder fee,first branch circuit: 2 I'Itnnr. I rix l' ilea l Gachadditional branch c:rcoo Mise.(Service or feeder not included): U Service over 225 amps-conttnerctal U Hr,rhh care Wilily Bach pump or irrigation circle J Service over 320 amps•tating of 1&2 U Hazardous location Each sign or outline lighting 2 fantilydwellings U Building over 10,(100 square feet four or Signal circuil(s)or n limited energy panel, U Svstem over 6W volts nominal more residential units in one structure alteration,or extension' _ U Hudding ovet three stories U Feeders,4(x1 amps or more *Dest:n uow — J t kcurant load over 99 persons U Manulactured structures or IAV park Loch additional Inspection over the allo"able in any of the above: J I,fiess/lil!lnutpPIall U Other ----_ -_--_.- --.^- Per inspection F-- —=- -7 submit sets of plans with any of the above. alvesugal on fee The above are not applicable to tempo my construction service. other — ------ Nor all IuNsdrerlorn srreM credit cards,please call Jurisdiction for more inflttmauon Notice: irttts permit application Permit fee..................... U Visa U Mamerc'ard expires if a permit is not obtained Plan review(at _ %) $ - utedu cud number / within 180 days alter it has been State surcharge(8311 . ..S _ accepted as complete. TOTAL .......................$ _ Name of csNholder a shown on c x card S _ Cudholdet si ature -- - Amount 4404615 INIV W 1 ----- St�t1fX F,ttaNT 1U!•an p6E t7c: LOT 1 ---__I 15.00• oj---s oo• ' --39'-�----�. BUILDING 111 o GRAU�Z I r2-9 I--LOT LINE (TYP) LOT 2 0 ----zi•-ir IZ BUILDING 2 0 LUT 3 I-�j 15.00 --27.00• -- BUILDING J -'+ -5.00• LOT 4 I _ 6JILDING 4 27.00 . .. LOT 5 v j-`:1500• ' BUILDING 5 —I �-�.00 I I LOT 6 I BUILDING 6 I ti I2.8 So–� IL9 a o 51,�i F�vNE>e �jn.rq �K�7JE a rp e r H ou f av►cnrrvc SMACKS _ „r=on —-- .%91.. .. Inc. ON FONNER POND TOWNHOMESswftwomhmmmm j ,rtt■A•�,•rrtre twiit,r N7nrx111r1 ►AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA 4 O ► q � ► q4 lop. ► d ► 4 Boo. q ► ONO- q C� a d U� r 110.4Poo. 4 Un �- a p ► a a ► 4 drD /`� ► q o. C) ► i , > o 4 lop. q ,, d ► •! �J a n r lop. q :or, p p ► 4 M A 51 0 ► CD n pop.q r' p ` L`' ► c10. { �°. -1 L ► 4 ► ► 4 O � ► 7 r ► q q q � ► q ► q ► � o c aSig /�\\ / r O Q 1 � � N O J 'J G C:.. e r. 0 ik n l ro a' 00 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received � �SL'Z __�Date Requested_ �~ r�3 AM-_ _ PM _ BUP —__-- Location _.Suite___._—_ _____ MEC - Contact Person ___ Ph( ) 51 �l�Z PLM Contractor ----------.------- _ -_--- Ph( ) —-- SWR -- UILD Tenant/Owner _ ELC — -- ------- Footi ng IELC Foundation I Access: •I ,-i t , : ,. ,. �=-U r��..., L. y,n Fig 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 4N 511_ 02 -in€11,,,� --- A3�liART FAIL -- —_ ISL BINQr _.. --- Post&6eam Under Slab Rough-In Water Service -- - - ---- Sanitary Sewer Rain Drains - - — - -- ----- - Catch Basin/Manhole Storm Drain - Shower Pan Other - -- - Final PASS PART FAIL MECHANICAL Post&Beam Rough-In - - - — Gas Line Smoke Dampers - - Final PASS PART FAIL ELECTAICAL — --- -- ----------- 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 PART FAIL SITE _ Please call for reinspection RE:-- —_ [j Unable to inspect-no access Fire Supply Line ADA O Approach/Sidewalk fate _ � ' Inspector ._ ��_�_ _ Ext Other Final DO NOT REMOVE this Intslpoctlon rec rd from the Jobs site. PASS PART FAIL CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE SUPERIOR PLUMBING LLC 830 JOHNSON STREET WOODBURN, OR 97071 Plumbing Signature Form Permit #: PLM2002-00175 Date Issued: 5/23/02 Parcel: 2S 103AC-OFP01 Site Address: 12850 SW FONNER POND PL Subdivision: ON FONNER POND TOWNHOMES Block: Lot: 001 Jurisdiction: TIG Zoning: R-4.5 Remarks: Water Service as a condition of SUB2001-00002, Install a minimum 1 1/4" water service. 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 . No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: NUPARK DEVELOPMENT LLC SUPERIOR PLUMBING LLC PO BOX 230421 830 JOHNSON STREET TIGARD, OR 97281 WOODBURN, OR 97071 Plicne #: 503-297-6551 Phone #: 503-982-2517 Req #: LIC 133461 PLM 24-373PB SUP 5819JP AN INK SIGNATURE IS REQUIRED ON THIS FORM X/ Siqnature of Authorized Plumber If you have anv questions, please call (503) 639-4171, ext. # 310 CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P 00175 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/22 3;023/02 PARCEL: 2S103AC OFP01 SITE ADDRESS: 12850 SW FONNER POND PL SUBDIVISION: ON FONNER POND TOWNHOMES ZONING: R-4.5 BLOCK: LOT- 001 JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE. SFA WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: ';INKS: URINALS: GREASE TRAPS: LAVATO.',IES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS. WATER LINE: 265 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Water Service as a condition of SUB2001-00002, Install a minimum 1 1/4" water service. --_ _V EES Owner: Type By Da.e Amount Receipt NUPARK DEVELOPMENT I-LC PRMT CTR 5/2.in? $101.40 27200200000 PO BOX 230421 PLCK CTR 5/22/02 $25.35 27200200000 1IGARD, OR 97281 5PCT CTR 5/:e2i02 $8.11 27200200000 Total $134.86 Phone 1: 503-297-6551 ---- Contractor:_ ---- SUPERIOR PLUMBING LLC 830 JOHNSON STREET WOODBURN, OR 97071 REQUIRED INSPEC71ONS Water Service Insp Phone 1: 503-982-2517 Final Inspection Reg #: LIC 133461 PLM 24-373PB SUP 5819JP This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be clone in accordance with approved plans. This permit will expire it work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules rjr direct questions to OUNC by calling (503) 246-1987. Issued B _ Permittee Signature: Call (563) 639-4175 by 7:00 P.M. for an Inspection needed the next business day 17 Plumbing Permit Application 00000"iiiii Datereceived: 2 a7; PermitnoeM;M2 City of Tigard Sewer permit no.: Building permit no.: At Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard phone: (503) 639-4171 Projecl/appl.no.: Expire date: Fax: (503)598-1960 Date issued: By: Receipt no Land use approval: S�� OD 1 -baa D a. Case file no,: Payment type: TYPE OF PERM'111 I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement J New construction U Addition/alteration/replacement U F(x)d service U Oflier: JOB SITE INFORMATION + ' ' Job address: �� -, t> �Ct� A/NF/( YvN� �a� Description (1t}. hcc(ca.) 'Total Bldg.no.: Suite no.: Ne" I-and 2-fandis dnellings oul}. (inc•lude.too 11.foreachutilit}conncctlun) Tax map/tax lot/account no.: _- SFR(I)bath —, Lot: Block: Subdivision: pN rjA,,,sN Lw; SFR(2)bath Project name: d'y F.'V'V oyt ,:*-, SFR(3)bath _ City/county: ZIP: Each additional hath/kitchen Description and location of work on premises: a �wv,'ut- SlteutlUties: _ Catch basin/area drain _ Est.date of completion inspection: S 7 o Z Drywells/leach line/trench drain Footing drain(no.lin, ft.) PLUMBING CONTRAU7OR Manufactured home utilities Business name: ` h/nk• _ Manholes Address: 8,60- ,t/ S Rain drain connector Cit : u O v+rn State: ZIP: / Sanitarysewer(no.lin.ft.) y ---4— Storm sewer(no.lin,ft.) Phone: j;-SSI Fax: E-mail: CCB no.: Plumb,bus,reg.no: Water service(no. in.ft.) G O City/metro lic.I _,�'�' Fixture or{tem: Absorption valve _ Contractor's representative signature: Back flow preventer Print name: AA 17 Z Backwater valve 1 Basins/lavatory Clothes washer Name: ^ Dishwashher -- --— _ Address: Drinking fountain(s) City: State:_ ZIP: Ejectors/sump Phone: I ax: E-mail Expansion tank Fixtute/sewer cap _ c, t L e— Hoor drains/floor sinks/hub Name(print): N it Garbage disposal Hose Mailing address: ----,---- b bibb City: State: ZIP: ce maker Phone-,, �-f • '; Fax: jr—mall: lnterce for/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on die property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _ Owner's signature: Date: SumpLei 10 N I Tubs/showcUshower pan Urinal Name: ---�- ---_--�__ _ Water closet Addtess: Water heater City: State: ZIP_ Othe.:� --- ^ — Phone: —V Fax: E-mail: Coral _ Mininwm fee... _ Not all jWtatieUons accept credit cords,pleau call lurisdicdo n far more information Notice:'this permit application e.5 % OVtaa ❑MasterCard expires if a perntit is not obtainePlan review( pS d State surcharge(8%) ....$ I Cradlt cord number:__�_--_ _ u -- within Igo days after it has been APM Exp rea accepted as complete. ""......"""'S Name of cardholder o rhown on etedu coals $ T-D4' ^'I 3 Cardholder ai6natute Amount r•-- "o-1616(INUM YAM