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1.01.35 SW HILL VIEW STREET
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` CITY OF
On G A R D MECHANICAL
PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : ME:C97--0134
13125 SW Nall Blvd., Tipp, OR 97229 1503)119.1171 DATE ISSUED- 051151 97
PARCEL: 2,S 10*FCC-0L200
5I TF_ ADDRESS. . . : 10 35 SW HILI_ VIEW S'I
SUEDIVIS10111. . . . : FRF_L.EON HEISHTS NO. 2 ZONING: R--::. 5
BLOCK. . . . . . . . . . . LUT. . . . . . . . . . . . . ..2'5 JURISDICT: ON: TIG
CLASS�OF-WORN,. . :ADD FLOOR TURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . SF ;IN1 r HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :Ht- VENTS W/J APPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS%CJMPRESSORS HOODS, . . . . . . : 0
FUEL TYPES-----________ 0..- ; HFA. . . . : 0 DOMES. INCIN: 0
3-15 HP. . . . . 0 ":OMML.. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?_ : 0--50 HF'. . . . : 0 WOODSTOVEG. . : 0
(SAS PRESSURE. . . : 50+ HP. . . . : 0 Cr_0 DRYERS. . : 0
NO. OF UNITS - ---- - __.._... AIR HANDLING UNITS OTHER UNITS. - 0
TURN l 1.00K BTU: 0 10000 CIM : 1 GAS OUTLETS. Q�
FURN ) =100K BTU: 0 > 10000 cfm : 0
Remat-F;s . INSTAL AIR HANDLiNC LIMIT /l W/AIR CDNDIT!0hING UNITS CPM40T BF PI ACED
WTSIDE SETBACKS
Owner,: -__ .___.__.____--------._-_____._.___._.-----....---.___._____-__ -_._ F'EES
STF_VE/JAPI FOI-.TZ type amoi.rnt by date rer_pt
10135 SW HILL VIEW ST PRMT $ 25. Q.0 TAT 05/ 115/97 9- --2946,45
TIGARD OR 97223 SPOT s 1. 25 TAT 05/ 15/97 97-=94645
Phone #:
Cont r-acrtor-:
R & T GAS SERVICE_ INC
KEITH TEASDALE
8528 SW 190TH AVE
BEAVERTON OR 970V17
Phone #: 642-743 t 26. 23 1OTAL_
Reg #. . : 000911
----- - REQUIRED INSPECTIONS
- ---
This permit is issued subject to the regulations contained in the Post/Ream Insp �._..... .
Tigard Municipal Code, State of Ure. Specialty Codes and all other Mechanical I n s p
applirable laws. All Mork gill be done in accordance with Misr_. Inspection
approved plans. This permit will expire if work is nit started Final Inspection
within IBD days of issuance, or if work is susr naed for more
than 18.0 days. — ---- -- -
1-'�r mittee '3ig at)-We: 411tA P(1�f-(l By 17 4 //J '�AeLtl_
r
GCall for inspection - 639--4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
'13125 sw Hall Blvd. APPLICATION Permit # -M(-t
Tigard, OR 97223 - `A
(503) 639-4171 ry��t Q v C llq/�,
Table 3A Mechanical Code � QTY PRICE I AMT
Job /�^ i{-zz 1) Permit Fee -0- -0- i 1000
Address
2) Supplemental Permit 3.00
1) incl. ducts &vents 600
I
Furnace 100,000 BTU +
Owner /'�- / ) (� � 2) incl. ducts &vents 750
-mrvwi-- Floor 1nance
/(io/CI (.1/` 3) incl. vent6.00
—lV^»17 ri« -Suspended heater, wall heater
_ 4) or floor mounted heater 6.00
mom Occupant en not inc. in
5) appliance permit 300
epaRir ofTiea rn—g rnfng.
6) cooling, absorption Lind 6.00
�. Boiler or comp, Real pump, air con
7) to 3 HP, absorp unit t'R 100K BTU 6.00
FAMM Boiler or comp, e- pump, air con
Contractor
L- C 8) 3-15 HP; absorp unit to 500K BTU 1100
,
p�
Boiler or comp, ea pump, air con
�CL -�UV� �C� 9) 15-30 HP, absorp unit .5-1 mil BTU 15.00
Boiler or comp, heat pump, air con
10) 30-50 HP, absorp unit 1-1 75 mil BTU 2250
hereby acKnowledge that I have res(I'Inls application, that the of er or comp, heat pump.—a7-----6n-T--
information
ump,air coninformation given is correct, that I am the owner or authorized 11) ,50 HP, absorp unit 1 75 mil BTU 3750
agent of the owner, that plans submitted are in compliance with Air handling unit o
Slate laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 450 �R
Board. that the number given is correct. (If exempt from State Air hindling unit
registration, please give reason below) 13) 10,000 CTM * 750
Non portable
14) evaporate cooler 450
Vent fan connected
15) to a single duct 300
— Ventilation sys ern no
r6) included in appliance permit 450
. • ...«.•.,.�1- - ---Food7serve, y — --
17) mechanical exhaust 450
Descn a work new TT addition affe-raTi-on-7CY—repi-irTT Commercial or industrial
ria
to be done residential (.) non-residentialQ �� 18) type incinerator - 3000 u�
Existing use or (jt er i e, wowstove, water
building or property �•�_! 19) heater, solar, clothes dryers, etc 450
Proposed use of 20) Gas piping one to four outlets 200
building or property
21) More than 4-per outlet (each) 200
Type of fuel -oil U natural gas Q LPG () electric (.� ---
Min)mum Fee S25.00 SUBTOTAL� ,•� ��t—�"
PERMITS BECOME VOID IF WORK OR CONSTRUCTION — /
AUTHORIZED IS NOT COMMENCr-i)WITHIN 180 DAYS, OR 5% SURCHARGE -�-
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED. — ---- ---
1 w�a
TOTAL f^r • '"
Special Conditions
Date Issued by
M%LLAjWXT9%MeCHPMT
FDI -T.-L-
V
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phcne: 639-417
Date Requested: Af Al A.M. P.M. l� MST:
Location: )ul,, BUR t
Tenant: _ Suite:_ Bldg: MEC: g 7 /
Contiactor: ��1 .k�Et' f a� Phone: �? � ��- PLM:
Owner:_ s _Phone: ELC:
ELR: _
SIT:
BUILDING BLDG(con't) PLUMBINGMECHANICAL > ELECTRICAL SITE
Site Post/Beam Post/Beam —'1sos , Cover/Service Sewer/Storm
Footing R xwf UndFI/Slab 'Rough-]n Ceiling Watm Line
Slab Framing Top Out ` was Line Rough-In UG Sprinkler
Foundation Insulation Sewer I-lood/Duct Reconnect Vault
Bsmt Damp Drywall Storni Furnace Temp Service MISC.
Masonry Ceiling Rain Drain UG Slab
Shear/Sheath Fire Spklr/AIm Crawl/Found Ir Heat Pump Low Volt
Approved Approved Ksmsyjad Approved Approved
Appr/Sdwlk Not Approved Not ApprovedNot Approved Not Approved Not Approved
FINAL. FINAL -FINA FINAL FINAL
O Call for reinspection O Reinspection fee of S —_required before next inspection M Unable to inspect
inspector: r L bite: 62 ( ,�___ Page of
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST /-, Y '
24-Hour Inspection Line: 639.4175 Business Line: 639-4171
BIJIP
—Date Requested ` r AM Pf�l BLD
Location !�� — J�.� I v I eu Suite _ MEC
Contact Person ( /'? f�„� Ph Le Y 1-2-2 2-.2- PLM
Contractor _ Ph SWR
01LDING-1 — Tenant/Owner ELC
Retaining Wall ELR
Footing Ar6@sS:�
Foundation FPS _-
Ftg Drain J�! � ` , r
SGN
Crawl Drain Inspection Notes: _
Slab SrT _
Post& Beam —
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing _-
Firewall
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling -
Roof
Misc - -- —
na.---- —
T FAIL ---
PLUMBING
Post --- -------------_ --.
Under Slab
Top Out --
Water Service
Sanitary Sewer
Drains
Final
_ T FAIL -- - --- --- - -
HANICAli)
Rough In
Gas Line
Dampers
P T FAIL
EIE
Ite
n
UG/Slab -
Low Voltage
PART FAIL-
Backfill/Grading — - — __--_-
Sanitary Sewer
Storm Drain I ]Reinspection fee of$ — required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply line ! ) Please all for r inspection RE ---`__--- I ]Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date' Inspector Ext
- —
Final TT
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIC�ARD MASTER PERMIT
PERMIT#: MST1999-00422
DEVELOPMENT SERVICES DATE ISSUED: 01/04/2000
'3125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4111
SITE ADDRESS: 10135 SW HILLVIEW ST PARCEL: 2S102CC-02200
SUBDIVISION: FRELEON HEIGHTS NO.2 ZONING: R-3.5
BLOCK: LOT: 025 JURISDICTION: TIG
REMARKS: Addition of master bedroorn and bath on 2nd floor.
BUILDING
141 ISSUE: STORIES: - FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST. sf BASEMENT sl LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: "I'.t sl GARAGE: sf FRONT: PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT:
VALUE K 41 nnq pn
OCCUPANCY GRP: R3 BDRM: 1 BATH: TOTAL: sf REAR:
PLUMBING
SINKS: WATER CLOSETS: I WASHING MACH: LAUNDRY TRA', a RAIN DRAIN: TRAPS:
LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINE& SF RAIN DRAINS: CATCH BASINS'.
TUBISHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR. GREASE TRAPS:
OT:;ER FIXTURES:
MECHANICAL
FUEL TYPES FURN<TOOK: BOIL/CMP<3HP. VEN1'FANS. CLOTHES DRYER:
FURN>=100K: UNIT HEATERS: HOODS. OTHER UNITS: I
MAX INP: btu FLOOR FURNANCES. VENTS. WOODSTOVES: GAS JUTLETS
_ ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER IEMP SRVCIFEEDEkS BRANCH CIRCUITS MISCELLANEOUS ADOT INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 200 amp: WISVC OR FOR: PUMPIIk-tGATION: PER INSPECTION:
EA ADD'L 5005F: 201 400 amp: 201 - 400 amp: tat WIO SVC/FDR: SIGNIOUT LV LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp, EA=CDL OR CIR: SIONAUPANL:: IN PLANT.
MANU HMISVCIFDR: 601 • 1000 amp: 601-amps-1000V: MINOR LAO EL:
10094 amplvolt
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: 9VCIFOR>=226 A.: >600 V NOMINAL: CLS ARFIvSPC OCC:
ELECTRICAL•RESTVICTED ENERGY
A.SF RESIDENTIAL S.COMMERCIAL _
AUDIO&STEREO VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: IN S'RUMENTATION: MEDICAL: OTHR:
HVAC: DATAlTELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Ownsr: Contractor: TOTAL FEES: $ 998.41
FOLTZ,STEVE F AND JAN MARIE WOOD YOU BELIEVE This permit is subject to the regulations contained in the
10135 SW HILL VIEW J WO SW U ST Tigard Municipal Code,State of OR. Specialty Codes and
10135 S,OR L VIE 3912BIFAS 141ON,T 97005 all other applicable laws. All work will be done in
accordance with approved plans This permit will expire if
work is not started with:1 180 days of issuance,or if the
work is suspended for more than 180 days. ATTENTION-
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Rap#: LIC 00uW,11,H forth in OAR 952-001-0010 through 952-001-0080. You
may obtain copies of these rules o, direct questions to
OUNC by Calling(503)246-1987
REQUIRED INSPECTIONS
Footing Insp Electrical Rough In Mechanical Final
PosVBeam Structural Framing Insp Plumb Final ORIGINAL
Underfloor Insulation Exterior Sheathing Ina, Final inspection
Mechanical Insp Insulation Insp
Plumb Tnp Out Electrical Final
Issued By ., lu
IV l �.y F_�_.��_ -- -- Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITY OF TIGARD Residential Building Permit Application Plan Chrk
13":d25 SW HALL BLVD. Additions or Alterations Rec'd B
Date Recd__Ld-
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.F. -27-
V 503-639-4171 Date to DST
F 503-684-7297 Permit* 51/771-00,/v t
Print or Type Called /-y- 14'1/0 4
Incomplete or illegible applications will not be accepted �011kt. Iv "�-
Name of Project Name
Job _6,-CL, Nk 5
- Architect Mailing Address
Address Ste Ad Cass 3` l9L ��J I'AI'r
v .� Sir•)
AU ,f Ct..) Jt City/State Zip Phone
N me
Owner Mailing Address
I0r3S 5� Ill u Qw Sfi c�-
Engineer Meiling Address
City/State Zip Phone g f
City/State Zip Phone
General Na e r i. k,1 oe c
Contractor L�lcw I/Oi4 e-��lJ a Describe work New O Additio Alteration O Repair O
Mailing Address
to be done:
Prior to permit T'► ' l 1 S} Wditionati escri tion of Work: � � ,,A
issuance,a copy ity/State Zip Phone f&:'
of all licenses i`t, ci („41 7aZ2
are required if Oregon Const.Cont. Board Exp.Date PROJECT
expired in COT Lic# �UVALUATION $ `0 06b
database �'4' 5 A' --
Mechanical Name NEW CONSTRUCTION ONLY:
rSq. Ft. House: - Sq. Ft. Garage
Sub- -- --- —
Contractor Mailing Address
— Indicate the restricted energy installation by the electrical
Prior to permit
issuance,a copy City/State Zip Phone - subcontractor in the following areas
of all licenses Restricted Audio/Stereo
are required If Orugon Const.Cont.Board Exp.Date Energy S stem Alarms
expired In COT Lic.# Installations Vacuum Irrigation
database System S sy tem —_
Plumbing Name (check all that Other:
CN }� . apply)
Sub-
Corner Lot YES NO Flag Lot YES NO
Contractor Mailing Address
check one (check one
Has the Subdivision Plat recorded? �N/A YES NO
Prior to permit Cit;!State Zip Phone
Issuance,a copy P
of all licenses are Oregon Const.Cont.Board Ex .Date
required if Lic# �+; I hearby acknowledge that I have read this application..thct to'?
expired In COT
database Plumbing Lic.# Exp.Date information given is correct,that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
_
Oregon State lass. _
Name Signature of Owner/Agent Date
Electrical - '
It - -'6
Sub- Melling Address Contact Person Name Phone#
Contractor
City/Stale zip Phone
Prior to permit
issuance, a copy POR OFFICE USE ONLY:
of all licenses are Oregon Const Cont Board Exp Date / Plat#: Map/TL#:
required If Lic.# �5/o7.c� .07
,
expired In COT _ _ --
database Electrical Lic # Exp.Date ,�' Setbacks / Zone: Solar
Electrical Supervisor Uc a Exp.bate Engineering Approval Planning Apprav31: TIF:
! Jr74 E t t f "``` ati,.(� ' i:ldsts\formslsfaddalt.doc 11/18/99
7
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CITY OF TIGARD
FLECTPICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: EI...C,97-028E,
gr_ARM 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/15/97
PARCEL: 2231 O2CC_-O2c
SITE ADDRESS. . . : 1Qr1.35 SW HILL. VIEW 1'.3l
SUBDIVISION. . . . :F'RI=LEON 1-4EIGHTS NO. c ZONING: R 5
BLOCK. . . . . . . . . . . f- OT. . . . . . . . . . . . . :25 JURISDICTION: TIL-'+
Pr-o.;ect De scr,i pt i.on : install 2 branch circuits
._...--TEMP' SRVC/FEEDERS---- -- - _MISCEI._LANFOUS------
1000 SF Cl' LESS. . . . : 0 0 - ..'OO amp. . . . . . . : O PUMP/IRRIGATION. . . . : 0
EACH ADD' ... 00SF. . . : 0 201 - 4O0 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : O 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . 0
MANF. HM/ SVC/F'DR. . : 0 3O1-'.-Amps-IV,DO volts , : 0 MINOR LABEL ( 10) . . . : 0
........ SERVICE/FEEDER---.-- .._..___-_BRANCH CIRCUITS-..-.--.._..- ---•-ADD' L_ INSPECTIONS----
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: O F'E.R INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 F'ER HOUP. . . . . . . . . . . 0
401 - 600 amp. . . . . . . 0 EA ADD' L BRNCH CIRC: 1 IN F'LANT. . . . . . . . . . . : 0
601 1000 amp. . . . . : 0 --._.__.__.__.___________P'LP1N REVIEW SECT ION--_-._____________....
1000+. amp/volt. . . , . : 0 > =4 RES UNITS. . . . . . . . : > 6OO VOLT NOMINAL. .
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner-: ___._______.__.- ------.____._____.---•---.._..._...._._______. ____._____- FEES
STEVE"/?AN FOL.TZ type amol.rnt by date r-ecpt
10135 SW HILL.VIEW PRM1 1 40. 00 TAT 05/14/97 97-294524
TIGARD OR 97223 SPCT 1 2. O0 TAT 05/14/97 97-c94524
Phone #:
Canty^actar-:
..TARMER ELECTRIC TNC f 42. 00 TOTAL-
a105 SW 45TH
REQUIRED I NSPECT I ON5
PORTLAND OR 97221 Ceiling Cover Undergros.rnd Cove
Phone #: E`46-5381 Wall Cover Elect' l Ser-vise
Req #. . 000069
This permit is issued subject to the regulations contained in the L -
Tiyard Municipal Code, State of Ore. Specialty Lp,�s and all other Pe T m i t t1e e S i gnakt ut~e
applicable laws. All work will E. done in accorl'dnce with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more JL
than IPA days. Iss+_led By
INSTALLATION
ThP installation is tieing made on property I own which is not intended for
SE -e, lease, at- rent.
OWNER' S SIGNATURE: DATE: — ----_�__
rr INSTALLATION ONLY--_.___-.-_--•-_---_______.__
51(3NA'fURE OF SUPR. ELEC' N: —� GrjT. IM-44A DATE
LICENSE NO:
Call far• inspection - 639-4175 I
c11e3C)
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Olanck/Rec. #
Permit #
Phone (503) 639-4171 Date. ISSUeLl
CITY OF TIGARD FAX (503) 684-7297 Issued by
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development _ Number of Inspections per permit allowed
Address Service included Items cost(ea) Sum
Ciiy/State/Zips h12 L1 ���l_� 4a. Residential- per unit 4
1000 m It or lase $11000
Name (or name of bus ness)_ ���0ppEach on thereof
f eg N or --
r portion thersol E?5 00 t
Commercial❑ Residential 1] Limited E.n*ry W500 _
Each Manuf'd Home or Modular 2
Dwolling Service or Feeder W 00
2a. Contractor installation only:
4b.Services or Feeders
Installation.allermon.or relocation 2
Electrical Contractor 200 amps or lose sw 00 2
Address r t~; `V.— 201 amps to 400 amps $80 00 2
City Stately Zip 1 , 401 amps to ,amps %1;>0 00 2
e01 amps to 1000 amps $180 u 2
Phone No._� �- over 1000 amps or volts $34000 2
Contractor's license No. - Nq Reconnect only E5000
Contractor's Board Reg. No 4c. Temporary Services or Feeders
Ins1P"'hon alteration or relocation
Signature of Supr. Elec'n r
/ 2t.. amps or less c oo
$ _
License NO.__2 �_ _ Phone 0. zlq C _ 201 amps to 400 amps 175 00
401 arrr,a to 000 amps V00 00
Over 600 amps to 1000 volts
2b. For owner installations: see W above
4d. Branch Circuits
Print Owner's Name _ New,afteration or extension per panel
Address a)The lee for branch circuits with
purchase o/ssrvke,or boder bo.
l.
_ State ZlpEach branch circuit Eh 00
r Phone No. _ b)The fee for branch circuits►Mfhoat
----
The installation is beirg made on prcperty I own which is r7,rmhaea of service or Ilsodn f".
not intended for sale, lease or rb•It. First branch Each aadditionalrnl branch
I E500 _
circuitT $E6 00 rev
Owner's Signature_ 4s. Miscellaneous
(Service or feeder not included)
3. Plan Review section (it required): Each pump or irrigation circle SAC 00
Each sign or outlets lighting _ $4000 _
Signal circwt(s)or:,limited energy
Please check appropriate item and enter fee In section 58. panel,alteration or extension $4000 _
4 or more residential units in one structure Minor I.shale(10) _ $100 00
Service and feeder 225 amps or more
System over 600 volts nominal 41. Each additional inspection over
Classified area or structure oor!a-rig sic-ial occupancy the allowable in any of the above
as described in N.E.0 Chapte•5 Per'nspH-t,on _� $3500
Per hour $5500
Submit 2 sets of plans with application where any of the above In Plant Ess 00
apply. Not required for temporary construction services. 5. Fees:
NOTICE So. Enter total of above fees $
5%Surcharge 105 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 259/ line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ _
COMMENCED ❑ Trust Arrnunt lY
$
Balance Due $
radtaM�wWcpm SPD