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13775 SW FAIRVIEW COURT w v V Ut 'rl d n O G 13775 SW Fairview Court CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-417E Business Line- 639-4171 -------- ~-- --- BUF _. Date Requested '3_ —AM— PM _ !- BLD Location l3l 7�' �;.<� Qry Vr�w __-- �_ �' Suite MEC Contact Person Ph _7 a3 z,�c(-2( 7S PLM Contractor K L t rt/L-/c.'_- _ Ph _ SIYR _-- BUILDING Tenant/Owner _ ELC L)/0} Retaining Wall i ELR Footing Access: Foundation �; -• � FPS -- - - Fog Drain Crawl Drain Inspection Notes: SGN Slab _— r - [ --- SIT - --- - -- Post 8 Beam Ext Sheath/Shear Int Sheath/Shear --- f=raming Insulation ---_- - --.. _ Drywafi Nailing _ Firewah - - -- - - ----- Fire Sprinkler - Fire Alarm Susp'd Ceiling _ Roof D Misc: -- Final PASS PART FAIL PLUMBING Post&Beam — -' Under Slab Top Out ---- ----- ---- - Water Service Sanitary Sewer -- ---- "'-- Rain Drains Final PASS PART FAIL MECHANICAL — ------------ - - -------" —__--- Post'l Beam Rough In Gas Line —-- - - -- ---- Smoke Dampers Final - --- ---- -- --- -- - -- P PART FAIL ----- Service Rough Ir; I.IG/Slab Low Voltage Zlarm7) PART FAIL _� —.- — ------_— _-- lE Backfill/Grading - Sanitary Sewer Storm Drain [ ]Reinspection f; -of$ required before next inspection. Pav at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please caP'�r reinspection RE:____ ]Unable to inspect-no access ADA Approach/Sidewalk Date S� 7 r�� Other / Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the Job ske. CITY OF T I G A R D MECHANICAL_ PERMIT PERMil'#: MEC2001-00044 DEVELCPMENT SERVICES DP Tom. ISSUED: 22/0 13125 SW Hall Blvd.,Tigard, ()R 97223 (503) 639-4171 PkRCFL: 2S103CD- 3CD-01700 SITE ADDRESS: 13775 SW FAIRVIEW CT SJBDIVISION: HOLLYTREE ZONING: R-4.5 BI-OGK: 01 LOT: 015 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VE:NTS WIO APPL. VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS_ _ HOODS: FUEL TYPES 0 - 3 HP' DOMES. INCIN: LPG 3 15 NP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE 50 + HP: CLU DRYERS: FURN < 100K BTU: 1 AIR_HANDLING UNITS OTHER UNITS: FURN >=100K BTU' <= 10000 cfm GAS OU1 LETS: > 10000 cfm: Remarks: Replace existing furnace with like kind. Owner: FEES L.ANTZ, ERIK V+ Type By Date Amount Receipt COMBS-LANTZ, SHERI L PRMT CTR 02/05/20( $72 50 272001000C 13775 SW FAIRVIEW CT 5PCT CTR 02/05/20( $5.90 2720010000 TIGARD, OR 97223 Total $78.30 Phone: Contractor: AAA HEATING + COOLING 2915 NE MARTIN LUTHER KING BLV PORTLAND, OR 97212 RF'.QUIRED INSPECTIONS Mechanical Insp Phone:284-2173 Final Inspection Reg #:LIC 222 This permit '^ issued subject to the regulations contain-3d in the Tigard Municipal Code, :;tate of Ore. Specialty Codes and all cther applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days Of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain.c ie s of these rules or direct questions to OUNC by calling (503)246-9189. Issue By: 11 �;� _ _ Permittee Signature: ?//'� c'`� T�ex)ILL Call (503) 635-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application Datereceived: 02///,o / Permit no.yELr2 -4OQy City of Tigard Project/appl.no.: Expire date: Address: 13125 SW Hall Blvd,Tigard,OR '�,"i City nfTignrd Date issued: By: eccipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 rr�', Case file no.: Payment type: approval: permit no.: Land use approva — TYPE OF FEURNil f� 1 &2 family dwelling or accessory U Commercial/industrial OV U Multi-family U Tenant improvement U New construction U Addition/,tlm;ration/replaceinent U Other: .. 11 1 Job address:� __ Indicate equipment quantities in boxes below.Indicate thr.dollar Bldg.no.: Suite no.: value of all me,.hanii l materials,equipment,labor,overhead, Tax map/tax lat/ttccount no.: profit.Value$ Lot: Block: Subdivision: *See checklist for important application information and Project name: jurisdiction's fee schedule liar residewh l 1-ir it tri• City/county: ZIP: r Celli, Wo0ollikiri.imillif Inscription and location of work on premises,, . C. iMs7t Irc(ea.) 1ttRal F--date of c plelion/inspection: O L• Z-77417 12747 Ikuri direr Qty. Res.only Res.only Tenant improvement or change of use: Air handling unit _ CFM Is existing space heated or conditioned?U Yes U No Air conditioning(s to plan required—) Is existing space insulated"U Ycl; U Nit test ono cxtsnng system — 01 er compressors State boiler permit no.: rAdd 1l ame: a,_ _ HP Tons BTU/I I t � > it smo aamper uct smo a erectors _, Statt. ZIP:( �J , Heat pump _ sire ) J I Fax:; �. E-mail: nsta pace urnac rner Phone;.) Includin r vent liner U Yes U No CCB no,: ( ,�,)„� _ nsta rep Tc re ocaIe eaters--suspended, City/metro lic.no.: woll,or floor mounted Name lease rint): vent ora Nance of er t an wnace e gest on: Absorption units BTU/Il _ Chillers-__— (,.inHI' Name” -- - ressors HI' Address. . �� ' >` nv ronmer exhaust an vent at on: 1 City: �? L v Sta(C:1 ZIP:( Arplinncevcnt Phone: Fax: E-mail: ryerex aust 0o s, ype res. itc en/ azmat hood fire suppression system Nath` .�.�� ` Qi _ Exhaust fan with single duct(both fens) -Exhaust system a art Irom eating or AC Mailing nddress: u_e p p ng and distribution(up to 4 out ets) City: --` Slat ZIP: t a ' T LPG NO Oil - Photle' mail: ucp pingeach additional over 4 outlets roellpiping(sc ematicrequirer) Number of outlets Name: -D-jWerJWWappIIance or equipment: Address: Decorative fireplace City: State: ZIP: nsert-type Fax: Email: oo stov Ire et stove Phone: Ot—ier ._ _Applicant's signature: Date: - ter:_ - -. - Permit fee.....................$ Not art Jurisdictions accept credit card%,ptea%c call Jurisli tion for mom infurmenon. Notice:This permit application Minimum fee................$ U Visa U MamerCard _lam_ expires if a permit is not obtained Plan review(al _ %) $ �- - Credit cord number___ —.---- apdrts within 190 days after it has been State surcharge(8%)..•.$ --- accepted as complete. Name of ce tot r as s own on c n ter S TOTAL .................•..•..$ Cmdhnlder signature _ Amour 410-4617(6100/Com) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Vi Description: Price Total OtY (Ea) Amt $1.00 to$5,000.00 _ Minimum fee$72.50 _ Table Mechanical Code _ $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace ce t0 BTU ducts & Includingdducts 8 vents 14.00 �r $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and Including Including ducts&vents 17.0 ---$10.000.00. _ $10,001.00 to 525,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace Including vent 114.00 $1.54 for each additional$100,00 or 4) Suspended heater,wall heater t fraction thereof,to and including or floor mounted healer �•'00 $25000.00.L $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and including 6) Repair units 12.15 $50,000.00. - $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Air $1.20 for each additional$100.000 For Items 7-11,see or Pump Cond fraction thereof. _ footnotes below. Comp*_ _,---_-� 7)-.3HP;dbs(,rb unit to 100K BTU 14.00 ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb Value Total unit 100k to 500k BTU 25.60 Descqp_Uon: Q Ea Amount 9)15-30 HP;absorb Furnace to 100,000 BTU,Including 955 unit.5-1 mil 5TU - 35.00 ducts&vents 10)30-50 HP;absorb Furnace>100,000 BTU including 1,170 unit 1-1.75 mil BTU 52.20 ducts I vents 11)>50HP:absorb Floor furnace Including vent _955 unit>1,75 mil BTU 87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater 10.00 Vent not inclurled In appliance 445 13)Air handling unit 10,000 CFM+ ermit 17.20 Re air units _ 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 100k BTU 15)Vent fan connected to a singe duct 3.15 hp;absorb.unit, 1,700 6.80 101k to 500k BTU 16)Ventilation system not Included in 15-30 hp;absorb.unit,501k til 1 2,310 appliance permit 10.00 mill.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mll.BTU 18)Domestic Incinerators >50 hp;absorb.unit, 5,725 17.40 >1.75 mil.BTU 19)Commercial or industrial type Incinerator Air h ling unit to 10,000 dm 656 69.95 Air handlin unit>10,000 Cfmi 1,170 ?.0)Other units,Including wood stoves Nun-portable bvdputate cooler 656 10.00 r Vent fan connected to a single duct 446 21)Gas piping one to tour outlets Vent system not Included In 656 5.40 appliance permit 22)More than 4-per outlet(tach) Hood served 1r mechanical exhaust _ 656 _ 1.00 Domestic incinerator 1,170 Minimum Permit Fee$72.50 SUBTOTAL: �L Commercial or industrial Incinerator 4,590 Other unit,Including wood stoves, 656 8%State Surc►iarge Inserts,etc. Gas plping_1-4 outlets360 26%Plan Review Fee(of subtotal) S Each additional outlet 63 Required for ALL commercial permiLS only TOTAL COMMERCIAL - TOTi,I_ RESIDENTIAL PERMIT FEE: -30 d VALUATION: ------- Other Inspections and Fees: 1 Inspections outside of normal business hours(minimum crarge-Iwo hours) $72 50 per hour 2 Irrepeclions for which no fee is specifically indicated (minlm,,m charge half flour) $72.50 per hour 3 Additional plan review required by changes,additians or revisions i-!plans(minimum charge-one-half hour)$72 50 per hour "State Contractor Boiler Certification required for units>200k BTU. "Residential A/C requires site plan showing placement of unit. 1:\dsts\formslmech-fees.doc 10/11/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested - �� 7 AM v PM BLD Location_ j 7 t i.i I v V I "� [ I' ' Suite _ MEC Zei � b(.tJ y y Ph •Z3 Y '2125 PLM Contact Person - — Contractor_ Ph — SWR UILDING ^� Tenant/Owner ELC B ELR Retaining Wall Footing Access: FPS _ Foundation Ftg Drain SIGN — Crawl Drain Inspection Notes: Slab SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Insulation Drywall Nailing IS ! Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling -- Roof Misc — —� Final PASS PART FAIL -- _ PLUMBING Post&Beam Under Slab Top 0-it Water Service Sanitary newer Rain Grains --_— Final PASS PART FAIL -- Post 8--e-am Rough In _ -- Gas Line — Smoke Dampers PART FAIL — ELFCTRICAL ice — — Rough In /Slab — -- — Low Voltage Fire•Alarri --- -- --- Final PASS PART FAIL —_--•----- Backfill/Grading -- — Sanitary Sewer Storm Drain Reinspection fee of$ wired before next inspection. Pay at City Hsll, 13125 SW Hall Blvd [ ] — _required Catch Basin [ j Please call for reinspection RE: [ ]Unable to inspect-no access Fire Supply Line ADA Appronch/sidewalk pate 3 7— c' / Inspector Ext 01her Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. ELECTRICAL PERMIT � CITY ®� T��RD PERMIT#! ELC2001-00103 DEVELOPMENT SERVICES DATE ISSUED: 2/21/01 13125 SW Hall Blvd., Tigard, OR 97223 (503, 639-4171 PARCEL: 2S103CD-01700 SITE ADDRESS: 13775 SW FAIRVIEW CT SUBDIVISION: HOLL-YTREE ZONING: R-4.5 BLOCK: 01 LOT : 015 JURISDICTION: TIG Proiect Description: One branch circuit RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ _MISCELLANEOUS 1000 SF OR LESS: 0 - 200 ,-,no: PUMP/IRRIGATION: — EACIH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMIT ED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER —_ _ BRANCH CIRCUITS � _ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER ^^ YPER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: — SVC/FDR RES UNITS: -�- > 600 VOLT NOMINA__L- - _ Reconnect only: R >= 225 AMPS: CLASS AREA/SPEC OCC: J Owner: Contractor: LANTZ, ERIK V + OWNER COMBS-LANTZ, SHERI L 13775 SW FAIRVIEW CT TIGARD, OR 97223 Phone: Phone: Reg #: FEES — — Required Required_ Inspection. Type By Date Amount Receipt Rough-in 4 _ PRMT CTR 2/21101 $46.85 27200100001 Elect'I Final 5PCT CTR 2121101 $3 75 2720010000( Total $5060 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 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 ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987. PERMITTEE'S SIGNATURE ISSUED BYE OWNER INSTALLATION ONLY The installation is being made on property I own hi„li+s not intended for sale, lease, r ren . OWNER'S SIGNATURE __ i-L - ----- DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE:_ LICENSE NO: Call 639-4175 by 7:00pm for an Inspection the next business day Electrical Permit Application — TProjicctifappl. ccived: Z Permit no. •�op _ City of Tigard no.: Expire date: City(?fTigard Address: 13125 SW hall Blvd,Tigard,014 97223 Date issued: B)W Receipt no,: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no. Pa m type Land use approval: t , 'W'I &2 family dwelling or accessory U Commercial/uulush ial U Multi-I•amily U Tenant improvement U New construction U Addition/alteration/replacement U Other: U Partial 'JO1 SITE INFORMATION _Joh address: I ' L-Z-a . I Itldg,no.: Suilc no.: Tax map/tax IoUaccount no.: Lrrt: 131ock: Subdivision: I I'loiect none; ___7Descrinfidli and location of work on premises: 'Wf%-r Lstin,a(ed date of complet-ion/insilection. SCHEDULE Job no: ,r Fee 151:rx ---- - - I)kscripNon Qly. (Co.) lbinl no.imp Business name: _ New residential-single or nmlli-family per Address: _ dwellingunh.Inc ludesattached garage. City: _ Stale: 211'. Service Include: 4 I(xx)sq h mle%s Phone: Fax; E-mail -- Each addrtional50(1sy.Ir of p,wuarlhereol' CCD no.: 7Elcc.bus.lic.no: _ Limiledenergy.residential 2 City/metro lie.n0.: _ Urnitedenergy.non-residential 2 Each manufactured horse or modulardwelling Service and/or feeder 2 SI Holme of su rvisin electrician(required) bate _ Licenses-, Services or feeders-installation, su .elect.name( riu): alteration or relocation: 11111LUME[RIMILIA 111121111114 200 am s or less 2 201 amps to 400 amps 2 Name(print): t.' ,�f�C V 1 C1.1" 401 amps to 600 amps _ 2 Mailing address:I= --t ` V'2 1> V`l` 601 amps to 1000 amps 2 City"'- I State: W I ZIP:r Z_Z �' Over I WO unips or volts 2 Phone econnrctonl Owner installation:The instillation is being made otr property I own Temporsryservicesorfeeders- Installation,alleralIon,or relocation: which is not intended for sale,lease,5uti"pt exchange according to 200 amps or less 2 ORS 447,455,4119,yt70;701, , -� 201 amps to 41x1 amps _ 2 (hvnel' _ {� Dale: z 401 to 600 ams 2 Branch clremits-ne".r dleration, or extrnalan per panel: N an a A. Fee for branch circuits with purchase of Address: service at feeder fee,each branch circuit Slate: ZIP: B. Fee for branch circuits without purchase City: _ of service or feeder fee.first branch circuit: Pntrne I'ax: F-snail: Each additional branch circuit Misc.(Service or feeder not Included): Uservice over 225 amps-commercial U Health-care facility Each rum or irrigation circle U E. service over 3211mnpsaatingof l&2 U Hasurdouslocation Each sign or outline lighting familydwellings U Building over 10,00(1 square feet four or Signal circuins)at a limited energy panel, U System over 60t1 volts mmnlinal morr residential units in one structure alteration,or extension" U Building over three stories U Feeders.410 amps or marc "Description: — U occupant load over 49 persons U Manufactured structures or RV park FAch additional Inspection over the allowable In any of the above: U Egrrss/lighlingplma J Other ---_-- -- Per inspection Submit_.—sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. other it fee Not all Jurisdictions accept credit earls.pleas call Jurisdiction for more in6mnanan Notice:This permit application Plain review(rat ,.................. $ U Visa U MoaterCar.l expires it'a permit is not obtained Credit cant number within 190 days alter it has been State surcharge 1K"G) (.spire+ accepted as complete. TOTAL .......................$ t5 Q -- ane of carmoT r as a awn on cre it card $ — Crrdholder slAnature— Amaum 4404615(WIDICOM) Electrical Permit Fees: Limited Energy Fees: ------ TYPE TYPE OF WORK INVOLVED -RESIDENTIAL ONLY I Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections her permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq ft or less _ $145.15, 4 ❑ Audio and Stereo Systems Each additional 500 sq.ft.or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy _ $75.00 Each Manurd Home or Modular ❑ Garage Door Opener' Dwelling Service or Feeder $90.90 _ 2 Services or 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 2 401 amps to 600 amps $160.60 2 Other 601 amps to 1000 amps $240.60 2 —Over 1000 amps or volts _ $454.65 2 only o Reconnect _ _ $66.85 2 sorFeeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary nly Fee for each system.......................................................... $75 00 Installation,alteration,or relocation 200 amps or less — $66.85 2 (SEE OAR 916-260-260) 201 amps to 400 amps $100.30 2 Check Type of Work Involved: 401 amps to 600 amps $133.75_ 2 Over 600 amps to 1000 volts, ❑ Audio and Stereo Systems see"b"above. Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a)The fee for branch circuits ❑ Clock Systems with purchase of service or feeder les. Each branch circuit $6.65 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 1 ❑ HVAC Each additional branch circuit — $6.65 Miscellaneous ❑ Instrumentation (Service or feeder not Included) Each pump or Irrigation circle $53.40 ❑ Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuit(s)or a limited energy ❑ Landscape Irrigation Control' panel,alteration or extension $75.00 Minor Labels(10) $125 00 ❑ Medical Each additional inspection over the allowable In any of the above ❑ Nurse Calls Per Inspection $62.50 Per hour $62.50 El Plant $7375 _ Outdoor Landscape Lighting' Fees: ❑ Protective Sigraling Enter total of above fe-s $ "P5 ❑ Other 8%State Surcharge $ ______.,Number of Systems 25%Plan Review Fee ' No licenses are required Licenses are required for all other Installations See"Plan Review"section on $ _ front of application - Fees: Total Balance Due $ ----- Enter total of above fees Trust Account p_.__- V.State Surcharge : Total Balance Due S i dsWforms\elc•feesAoc 10A)90)