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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2000 -00477 y 5eil i DEVELOPMENT SERVICES DATE ISSUED: 4/27/01 sue'° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10277 SW 87TH AVE PARCEL: 1S135AA -05500 SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R -4.5 BLOCK: LOT: 010 JURISDICTION: TIG REMARKS: S/F A PATH 1 - Lot 10 (attached dwelling /on lot 9 /addressed @ 10269 SW 87th Avenue) BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 688 sf BASEMENT: sf LEFT: 10 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 648 sf GARAGE: 260 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: VALUE: $ 121,199.00 OCCUPANCY GRP: R3 BDRM: 2 BATH: 3 TOTAL: 1,336.00 sf REAR: 11 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOILJCMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 1 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor TOTAL FEES: $ 5,750.50 This permit is subject to the regulations contained in the WINDWOOD HOMES, INC. Tigard Municipal Code, State of OR. Specialty Codes and 12655 SW NORTH DAKOTA all other applicable laws. All work will be done in TIGARD, OR 97223 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rea #: forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp 8 Post/Beam Mechanical PLM /Underfloor Electrical Rough In Gas Line lnsp Rain drain lnsp Sewer Inspection Underfloor insulation Mechanical lnsp Framing lnsp Gas Fireplace Rain drain lnsp Footing Insp Underfloor insulation Mechanical lnsp Shear Wall lnsp Insulation Insp Appr /Sdwlk lnsp Foundation Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Insr Gyp Board Insp Electrical Final Post/Beam Structural Footing /Foundation Dr; Electrical Service Low Voltage Firewall Insp Mechanical Final Issued By . , Permittee Signatu Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day 10/09/00 SON 08:53 1- • L . 8 Z L 0 �lzp /Se it-A /L(�// a fj 003 Bondi - " �.l Of to received: ✓ Permit no.: //5-72 CQ?/77 ^ •I Project/appl. no.: Expire date: Ciryofgard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: By: Receipt no.: Fax: (503) 598 -1960 .51 . O'77V -003xe, Case file no.: Payment type: Land use approval: 1&2 family: Simple Complex: i,..--- TIM: OF PI ?RMIT ,01i & 2 family dwelling or accessory 0 Commercial/industria1 U Multi - family .LI fVew construction 0 Demolition 0 Addition/alteration /replacement 0 Tenant improvement U Fire sprinkler/alarm 0 Other. Job address: /027 ? S c„ I' > Bldg. no.: Suite no.: Lot: / 6 I Block: !Subdivision: /j1 ; . t),..;,..,:: i , y',(- G I Tax map /tax lot/account no.: /S,/ 3 .3--„g 4 —/ y / V Project name: / 1'ZP /. 7i- ,7 a1,1; .. - j r - r 3141 ,1 ,; l Description and location of work on remises/special conditions: ; � �¢-/ �. _ .,1 4r. .rc 6W\ <7 - O%%NER 1 0R SI't (I U IN1 OK11 ) N. I SI ( Ill ( kLIS1 Name: / .::a.;1 .;�,y ,7 ./7/11...:47:7 , "C (I loodpldin. septic capucit}, altar. etc.) Mailing address: /z/s, y .,5; 4, 1 & 2 family dwelling: City: 7-..1-7, ; -yam ,/, ; (State: :-' : 77 Valuation of work $ / / / 9 . Phone: - ',„2.41 (Fax:; ,)7•,!) % IE -math No. of bedrooms/baths...3s 2 Owner's representative: _ ../".. . , / . ,(.,2,e Total number of floors .- • Phone: „4 m c' ax :,: ,? Jr) ; / E -mail: New dwelling area (sq. ft) ..../ a ,) 4 ' Garage/carport area (sq. ft.) c' Name: 5,,t5411 , Covered porch area (sq. ft.) ,....r Mailing address: ,:^r,rr; Deck area (sq. ft.) -.. City: 6, 7 -/'i - I State: I ZIP: Other structure area (sq. ft.) - Phone: .*5 / /rl L'i Fax: E -mail: CommercW/indush iallmuld-famiIy: Valuation of work $ Existing bldg. area (sq. ft.) Business name: 2 5- - A -..., , .. ,t^, New bldg. area (sq. ft.) Address: .5 4.41 „r,, City: ,<...- I State: I ZIP: Number of stories Phone: Fax: 1E-mail: Type of construction Occupancy group(s): Existing: CCB no.: -- ,,..7 , New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be 12[11M:CT /DF.SIGNER licensed with the Oregon Construction Contractors Board under Name: f l ;r yr-7./ provisions of ORS 701 and may be required to be licensed in the Address �, �; =� ,c; jurisdiction where work is being performed. If the applicant is City: r Stater j- ZIP j y, exempt from licensing, the following reason applies: Contact person: ,'J-,; ,•I Plan no.: ' ^ •- Phone: :2.2., -i /p Fax: ,.1 - ; k i t E-mail: Name: ) (2; r,,..L // , 1 4, Contact person: ,.. Fees due upon application $ Address: Y.<• S 1; � �,'v'f Date received: l City: ),,r; 0-7,r. -. /4 State; ;'/I ZIP: ,:i7"../. -. 0,., Amount received $ Phone: f ,.� ' Fax: 1 , 'c f?, „) WE-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cares, please call Jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this 0 visa 0 MasterCard work will be complied with, whether specified herein or not Credit card number. / / Authorized signatur °”` " � Date: ✓ < %r Name of cardholder as shown on credit card Print name: Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4401613 ( 0/C M) e 072AJ&/L, d /S e_ L' c.E4 ' CY 'r / A v9 7r %i :LCD 10/09/00 MON 08:55 FAX 503 598 1960 CITY OF TIGARD al 005 Mechanical Permit Application . A . Date r eceived: / 0// %/� Permit no.:/ ' 00 L/7 Ci of T' and _!•�' ' _� �� � g Ptojecdappl. ao.: Expire date: City o;gard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 4171 Date issued: By: Recei no.: Fax: (503) 598 -1960 /2. ao - D - 0 0 3 A Case file no.: Payment type: Land use approval: Building permitno.: I 1 PE OF PERMIT at & 2 family dwelling or accessory U Commercial/industrial 0 Multi - family 0 Tenant improvement ew construction 0 Addition/alteration/replacement 0 Other: Job address: Ai 2 ) ) St.J g 2 t\ Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no. value of all mechanical materials, equipment, labor, overhead, Tax map/tax lot/account no.: I , 1 - !�"� .Ca ,T �, profit Value $ . Lot: /) IBlock: I Subdivision: /p, - . D4r�t *See checklist for important application information and Project name: y , e , .: - _s4 ,r l;. -.r7 • re - 5 jurisdiction's fee schedule for residential permit fee. City/county: 7 ( .,r4 I ZIP: 2 I & 2 1:1%W.1 MI LLTING 1'11011f FIT S(•lJl :DI TE Description and location of work on premises: c 1NDCO> 111FRICIL/ lNl) 1! SlRL V.1•:QL IP11F:\I'SCIII1)IT1•' j Fee(ea.) Tout Est. date of completion/inspection: Deerripdon Qty. Res, only Res, only Tenant improvement or change of use: HVACr Is existing space heated or conditioned? P Yes O No '� handling final 71, ,, CFAd ' Air conditioning (site plan required) Is existing space insulated? ❑ Yes A No Alteration of existing H VAC system Mt{ I1.1\lC:1L (ONTR kt TUlt Boiler /compressors Business name: A r,' c .,; C',_± ; c ; 'o, - M State boilerpetnutno.: HP Tons BTU/H Address: . - v ;,a A1 ,,iL� 4 /�• r� F irel smokedampers /duct City -' t ,9 -.21 State ZIP: ± . �_. _ Heat dump (site plan required) + N ne :.� 245 - . - 66 . F. : / 7. • }' 1 Tnstafl7replace fumaceJburner B 1' � CCB no.: '�"J `� Including ductwork /vent liner LI Yes ❑ No InstaWreplace/ielocate heaters - suspended, City /metro Iie. no.: wall, or floor mounted Name (please print): 7 ./..,j ,, ., ; ,: 4 „e ;- Vent for fiance other than furnace Absorption units BTU/H Name: h g `' Chillers HP Address: S'rd -ir LP Compressors HP En,iroeental exhaust and ventilation: City: $,4' it 4- ZIP' State: Appliance vent Phone: 5 !.l- .'nor -- Fax: E -mail: Dryer exhaust Hoods, Type V U/res. kitchen/hazmat hood fire suppression system Name: 'Ai 4 , - A d c, * r-; c f, ' ., 7t,Is z ' L— Exhaust fan with single duct (bath fans) Mailing address: -� , ,-r , -, ,/, ..,/,/.. e f • ' ,.p-,9 Exhaust system m art from heating or AC :�r 2 G I Slate` 'LW: jr ? ;2.....:_z qua papsn >Qa a'rsai°outio t up to 4 o u ti eis ) City: T Type: LPG NG Oii Phone: .�,..' -;- _ Fax: .:,,.....0'. i ; E -mail: Fuel ' in each additional over 4 outlets (schematic required) Name: Number of outlets Address: Other listed appliance or equipment: " Decorative fireplace City: I State: I ZIP. _ Insert -type Phone: I Fax: , E -mail: Woodstove/pelletstove Applicant's signature: [ Date: Other: Name (print): Not an ladxdictioas accept credit cards, please call jurisdiction for more information. Permit fee $ ❑ Visa O MasrecC.vd Notice: This permit application Minimum fee $ - Credit card number: / l expires if a permit is not obtained Plan review (at _ 46) $ Expires within 180 days after it has been Name of cardholder as shown on credit card accepted as complete. State surcharge (8%) .... $ S TOTAL $ Cardholder signature Amount 440 -4617 (M) 10/09/00 MON 08:54 FAX 503 598 1960 CITY OF TIGARD a 004 Plumbing Permit Application A City of Date received: / / /� /� permit no.: //s7 OD, Ord - X177 ,,,) ��. Citf Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Sewer parmitno.: Building permit no.: City ofTigard phone: (503) 639 -4171 Project/appl.no.: Expire date: Fax: (503) 598 -1960 4 W/l 20-a-a —00 3 A ? Date issued: By: Receipt no.: Land use approval: Case file no.: Payment type: 'II PI: OF PE.RN111 jR f & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement p -New construction 0 Addition/alteration/replacement 0 Food service 0 Other. JOB 511 E IM0R11:111O\ FIT SCIIFIII 11 (for special information use checklist) Job address: /Q 2 7 ? SW . ? / Description Qty. Fee(ea,) Total Bldg. n Suite no.: New l- and 2- family dwe ngs only: Tax map/tax lot/account no.: ; / ; 3 / ,y,.i ,- , (includes (1) bath R for each utility comeciion) � .� .7 � � v�`-C SFR (1) bath Lot: ,O Block: I Subdivision: g . , , , 6 - 4 0 , - ; SFR (2) bath Project name: /7) 4/.1i : /L.1 - L=$7: -- SFR (3) bath City /county: 7-7P 4..'14 /,.; ] ZIP: . 7 -' .. 3 Each additional bath/kitchen _ Description and location of work on premises: <4;7"` 47, Site utilities: ` Catch basin/area drain Est. date of completion/mspection: Drywells/leach line/trench drain PIA li(il. \(; CU\ IR \( l OR Footing drain (no. lin. ft.) Manufactured home utilities — Business name: iG ,. -(; ' _ Manholes Address: = f.',, , . . - 7! Rain drain connector City: . ,4144!.1.-4. Swat (Z. I ZIP: r) ,,y: ; , ; -G Sanitary sewer (no. lin. ft.) Phone: �, yq_ L 3z ( Fax: n; [ E-mail: i r} Storm sewer (no. lin. ft.) CCB no.: j 6 r-, Plumb. bus. reg. no: � / f i, /t', Water service (no. lib. ft ) City/metro 6c. no.: 00 012_-; 7 .� Fixture or Item: Absorption valve Contractor's representative signature: ,x,/,4,./`1 -..e�_ Back flow preventer Print name: J // t'4q a2 Date: s r ea Backwater valve / Basins/lavatory Name: 3i /;' r:;, /fir / 'Y7r i :?`7714 1 Dtshwas washer /� C) /. Address: d' 7 ' / ! v , Drinking fountain(s) City: ,2 /c ti-A- 1 State:.: - N I ZIP: 9 2.- 0," Ejectors/sump Phone: / L ax: • E- mail: ----- --_... Expansion tank (l11 \ C R Fixture/sewer cap Name (print): 6:-;-'," ',..r.7./ Floor dr sinks/hub /) u n r' M s�� -r,,,./c. Garba disposal Mailing address: / ,, .o 4'77' 6 V.::: A.. /2_1;7-w-- L')/5 -4. HQse bibb • City: 7 /;,1+,.,4 I State' re I ZIP: Cr7 a, j, ? Ice maker Phone: :,',.., ., ..2.‘,. Fax: - -/', t E - mail: Interceptor /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 the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s) Owner's signature: _` "--- Date: . i r_' "_: Sump I ',N ()INFER Tubs/shower /shower pan Urinal Name: - _____ Water closet Address: -- - -- _ Water heater City: I State: ZIP: _ Other: Phone: 1 Fax: 1E-mail: -: Total Not all jurisdictions accept reedit cards, pkasc call jurisdiction for more roforamdoa Notice: Minimum fee $ otice: This permit application U Visa 0 MasterCard Plan review (at _ %) $ expires if a permit is not obtained Credit card timber: / / within 180 days after it has been State surcharge (8%) .... $ Expires TOTAL $ Name of cardholder as shown on credit cars accepted as complete. $ Cardholder signature Amount 440 -4616 (■00CUM) 10/09/00 MON 08:56 FAX 503 598 1960 CITY OF TIGARD fj006 A 1 i „- Electrical Permit Application Datereceived: / �, / /y ,' -) Permit no.: /lS > � -'/77 ,,1, j,'::j i! City of Tigard P roject/appl. no.: Expire date: CiryofTigard Address: 13125 SW Hall Blvd, Tigard, OR 9722 Dateissued: By: Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 S LU /e_ 0 00 -.2O3 A c Case file no.: Payment type: Land use approval: TYPE Oh l'Fit\ICf :all 2 family dwelling or accessory D Commercial/industrial 0 Multi- family Cl Tenant improvement „ ,la ew construction ❑ Addition/alteration/replacement O Other ❑ Partial JOB Sl7 E 1NI OR.M:11 ION Job address: /6,27) S c- g ) - Bldg. no.: Suite no.: Tax map /tax lot/accotmt no.: 45/35 ,94 Lot: ! V 1Block: !Subdivision: in 4,1r/L6.- &..4 1) : ,gam _/,:::-.!;/-74-71.,g.-17 , P r o j e c t name: 41, f ./J/ ^- !Iry 4 4. 1 Description and location of work on premises: Estimated date of completion/inspection: CON 11t 1,C1 OR .1PI'LIC:ITION I FE SC1lEOl LE Job no: Foe Ma Business name: ,, - . „- - 5 , , Description Qty. (ea.) Total la imp _ r New reddmbd -stogie orrr,tii-fasnityper Address: ai !1% - 1 , -+ /L -1=. c ti , dwelling mitlndtdes attachedpprsge. City: {J 1.-L.0 State_2'4 4Z1P: - t s '73.,;z....? savir:eau:.ded: Phone: _ 3 7 4 Fax: ' ---- -____,,,I E-mail: -- 1000 sq. ft or less 4 Each additional 500 sq. ft. or portion thereof CCB no.: q f.i a 1 Elec. bus. tic. no: . .•3 f ij »� " Limited energy, residential 2 City/metrolic.no.: ,/a(tt,f;r -j 36 Limited energy, non-residential 2 Each manufactured home or modular dwelling . fIntualre of supervis' electrician (required) Date I' '9 i ,t, Service andlor feeder 2 Sup. elemi:lame (print): t, 1,,.,.t"' poi , Lie. no 3 . 5 Services o or or relocation: ��� 200 amps or less 2 Name (print): / ) Li) N i r, 7J -/ /�' 1D1 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: /,;Z r, 57,7" , s.a A -70,2- 4 : 5 " "74 601 amps to I a 2 City: ,-j /_ • (; State: --- ZIP: ' 2 - Da a. Over 1000 amps or volts 2 P h o n e : ,a r'.,' i r . S . 2. 4 1 Fax: -, 7 E -mail: - - -- - - -- -- - -- _ Reconneetonly 1 Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to �0°� °r calocatiaa: ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 amps 2 Owner's signature: __ _ - " ' - __ Date: 401 to 600 , , . 2 EN G I \ E L R - Branch circuits - new, alteration, or extension per pane& Name: A. Fee for branch circuits with purchase of Addt'ESS. service or feeder fee, each branch circuit 2 City: 1 StatE: -- 171P: - _ B. Fee for branch circuits without purchase Phone: Fax E - mail: 4 of service or feeder fee, first branch circuit 2 Each additional breach circuit J' \ UNAF'V (Please check all that apply) Mae. (Service or feeder not Included): ' O Service over 225 amps-commercial O Health -care facility Each pump or irrigation circle 2 0 Service over 320 amps - rating of 1&2 Cl Hazardous location Each signor outline lighting 2 family dwellings O Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, O System over 600 volts nominal more residential snits in one sanctum alteration, orextension* 2 O Building over three stories O Feeders, 400 amps or more *Description: O Occupant load over 99 persons O Manufactured structures or RV park gads additional inspection over the allowable In any of the above: O Egresslligluingplan 0 Other. Per inspection I i 1 1 Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all accept credit cards, please call jurisdiction for mac information Notice: This permit application Permit fee $ Cl Visa O MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card eambcr. / I within I80 days after it has been State surcharge (8%) .... $ E rQL accepted as complete. TOTAL $ Name of cardholder as shown on credit card S cardholder signature Amount 440.4615 (6001C014) CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE JIM'S PLUMBING PO BOX 7160 ALOHA, OR 97007 Plumbing Signature Form Permit #: MST2000 -00477 Date Issued: 4/27/01 Parcel: 1 5135 AA -05500 Site Address: 10277 SW 87TH AVE Subdivision: MAPLE RIDGE ESTATES Block: Lot: 010 Jurisdiction: TIG Zoning: R - 4.5 Remarks: S/F A PATH 1 - Lot 10 (attached dwelling /on lot 9 /addressed @ 10269 SW 87th Avenue) 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: WINDWOOD HOMES, INC. JIM'S PLUMBING 12655 SW NORTH DAKOTA PO BOX 7160 TIGARD, OR 97223 ALOHA, OR 97007 Phone #: 503 - 625 -6526 Phone #: 649 -4034 Reg #: LIC 71860 PI M 34-186ob AN INK SIGNATURE IS REQUIRED ON THIS FORM Y om— - X L.r./■ A41_ Signature of Au r, ized ' umber If you have any questions, please call (503) 639 -4171, ext. # 310 FROM : OWENWEST ELECTRIC FAX NO. : 5032976375 May. 04 2001 12:49PM P1 CITY OF TIGARD ._ 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE OWEN WEST ELECTRIC 8310 NW REED DR PORTLAND, OR 97229 Electrical Signature Form Permit #: MST2000 -00477 Date Issued: 4/27/01 Parcel: 1513�`AA- 415 - - - -- _ _ _ ..... Site Address: 10277 SW 87TH AVE Subdivision: MAPLE RIDGE ESTATES Block: Lot: 010 Jurisdiction: TIG Zoning: R4.5 Remarks: S/F A PATH 1 - Lot 10 (attached dwelling /on lot 9 /addressed @ 10269 SW 87th Avenue) Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: WINDWOOD HOMES, INC. OWEN WEST ELECTRIC 12655 SW NORTH DAKOTA 8310 NW REED DR TIGARD, OR 97223 PORTLAND, OR 97229 Phone #: 503 -625 -6526 Phone #: 297 -6375 Reg #: LI 29492 SUP 2885S ELE 26398C AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Electrician If you have any questions, please call (503) 639 -4171, ext. # 310 CITY F TIGARD MASTER PERMIT PERMIT #: MST2000 -00477 -.'i,� DEVELOPMENT i B LOPMENT S ERs 2 (503) 639-4171 DATE ISSUED: 4/27/01 13125 SITE ADDRESS: 10277 SW 87TH AVE PARCEL: 1S135AA -05500 SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-4.5 BLOCK: LOT: 010 JURISDICTION: TIG REMARKS: S/F A PATH 1 - Lot 10 (attached dwelling /on lot 9 /addressed @ 10269 SW 87th Avenue) BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 688 sf BASEMENT: sf LEFT: 10 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 648 sf GARAGE: 260 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: VALUE: $ 121,199.00 OCCUPANCY GRP: R3 BDRM: 2 BATH: 3 TOTAL: 1,336.00 sf REAR: 11 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 1 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp/volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner Contractor TOTAL FEES: $ 5,750.50 This permit is subject to the regulations contained in the WINDWOOD HOMES, INC. Tigard Municipal Code, State of OR. Specialty Codes and 12655 SW NORTH DAKOTA all other applicable laws. All work will be done in TIGARD, OR 97223 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp & Post/Beam Mechanical PLM /Underfloor Electrical Rough In Gas Line Insp Rain drain lnsp Sewer Inspection Underfloor insulation Mechanical Insp Framing lnsp Gas Fireplace Rain drain Insp Footing lnsp Underfloor insulation Mechanical lnsp Shear Wall lnsp Insulation Insp Appr /Sdwlk Insp 4L. Foundation Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Ins[ Gyp Board Insp Electrical Final Post/Beam Structural Footing /Foundation Dr; Electrical Service Low Voltage Firewall Insp Mechanical Final Issued By . Permittee Signatu - --- lif Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day MST Master Permit , ' L Inspection Description Date Passed By Notes Grading Footing /Setback S - / - v I Foundation walls Slab Footing drain Waterproof basement walls Plumbing underslab Crawl drain A Post/beam plumbing q /0 Post/beam mechanical Underfloor insulation 4. Post/beam structural 5 - Shear walls /anchors _ Exterior sheathing Plumbing top -out Gas line & test - ` -- o t Mechanical rough -in — v - / Electrical rough -in - -� —U / A Electrical service Low voltage -0� Sprinkler rough -in Backflow preventer Roof nailing Firewall g - t g _ 0l Ko 'at; Framing 7/ 72 / , MFG -Home set -up Insulation � 0 > 0 ( Drywall nailing 2�� Masonry/Reinforcement Rain drain Sanitary sewer / / t I _ Water service Pump /fill septic tank ---- Approach /sidewalk Grading final �'� Mechanical final 9,4 J/ ;; Plumbing final q Z 7/ Electrical final 9 -� �= 0 / " Final inspection 9/2 7 , l Special Reports SWR - Sewer Permit Inspection Description _ Date Passed By Notes Sanitary sewer Final inspection INSPECTION RECORD — MST (MASTER) PERMITS CITY OF TIGARD Bill' DING INSPECTION DIVISION MST 2-6 U q-77 24 -Hour Inspection Line: 63.. 475 Business Line: 639-4. q� BUP Date Requested t —� AM PM BLD Location / n 2 71 4?-741---- 4 U Suite MEC Contact Person ( c) CL AA . Ph S 1 — X' - 7< PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ,- 7 7 /14 g S Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final ...0,,:/±1.--qi► 117/Tw" Rough In UG /Slab Low Voltage Fire Alarm SS ART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date 9 Gi'b / Inspector E Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2 0 - - r - ) 4 ) 0 0 7 7 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 1 — 7-7 AM PM BLD Location /0 77 S 7c`- Suite MEC Contact Person : C C� Ph (c PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall �`y ELR Footing Access: ���!! FPS -- , � Foundation !r V O Ftg Drain /� ' ! Crawl Drain Inspection Notes: I j � Slab 1 — - -- SIT Post & Beam l Ext Sheath /Shear \� Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: p I' • RT FAIL Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains � � ti PART FAIL " ANICAL ` Post & Beam Rough In Gas Line Smoke Dampers 0) PART FAIL - !CAL Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Inspector Z Itor 7 �� " / Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour• Inspection Line: 639 -4175 Business Line: 639 -4171 • MST � G e( BUP • Date Requested S-3 / AM PM BLD Location / d 2 71 S'✓ 8 7 Suite MEC Contact Person Ph gf – G G 7 J PLM Contractor Ph SWR UI Tenant/Owner ELC fining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam eath /She Int Sheat She Fra �!/ oGIC- V A /4 /4./7r ion 5G- /c�iL- , .k i�i — S Insulation Drywall Nailing S. _ —� Firewall Fire Sprinkler S a52-y 'S Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART . PLUMB Post & Beam Under Slab Top Out Water Service (E -ire, 17 Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: i [ ] Unable to inspect - no access ADA Approach /Sidewalk 1 / --L Date ? / Inspector Et Other nspeco x Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ' CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2c'L'0" e(77 • 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 6 - > AM PM BLD Location /0 27 7 5 ' � / < 4 . Suite MEC Contact Person Ph g 9 — a G 7J PLM Contractor Ph SWR BU1L Tenant/Owner ELC "Tit Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post &Beam heath /S �� n Sheath /Shear raming Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fi PAS PART FAIL MBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date — S © / Inspector // Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2.-C40-4 ( l 7 7 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested Am PM BLD Location /0 2 - 7/ g7 �Z Suite MEC Contact Person Ph z/b 7— 43 ( PLM Contractor Ph SWR ("BUILD Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing �s a i E �� s t .� �.s� 7 = In 'on n �yr wall ailing p,...45 /60-rll.,�., S r 7 ewall Cx /7 Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ Unable to inspect - no access ADA / Otheoach /Sidewalk -�� Pt Inspector Ext Date Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ' - CITY OF TIGARD BUILDING INSPECTION DIVISION MST , -w -. ( ' 24-Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested Y d AM PM BLD Location O 2- 77 S(-1 7 Suite MEC Contact Person Ph 61e c /& j Y PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL CiLtafinti Post & Beam Under Slab er Service Sanitary Sewer Rain Drains SPAS PART FAIL HANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk -e- G' � 7 /� Other Date Inspector Z 4 a e . Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY , OF ~ IGARD BUILDING INSPECTION DIVISION MST ,G,CI�G �7 24 -I-tour InSpe for _1.ne: 639 -4175 Business Line: 639 -4171 Date Re sted AM ` PM BLD Location 0 2- 7 7 S 0 7 Suite MECt Contact Person c11 '+^'� Ph G « / y PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access. Foundation • ' (. O t c' 7 FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int F amin9th /Shear A01 - Insulation ✓ 1/ /l Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL Beam Under lab Water Service Sanitary Sewer Rain Drains Final � PASS PART ' c+`AID MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm / Final Arjerf 1 PASS PART FAIL " - °- - SITE Backfill /Grading Sanitary Sewer Storm Drain pifieinspection fee of $ ' - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin - Fire Supply Line [ ] Please call for r- spection RE: [ ] Unable to inspect - no access ADA Otheoach /Sidewalk Inspector Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. irC ITY OF tIGARD BUILDING INSPECTION DIVISION G��� • • 24 -Hour •Inspection Line: 639 -4175 Business Line: 639 -4171 MST 24l�4 7 7 BUP • Date Requested AM PM BLD _ Location ll D 7- 77 54/ 9 7 Suite MEC Contact Person Ph G 10" b //7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL G Post & Beam Under Slab Top Out rn ►ate: cam, e ©1L To P Fin ASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA _ U d z ( Approach /Sidewalk Date S - / � � / Inspector J� Ext Other P Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • off G1T,Y OF TIGARD BUILDING INSPECTION DIVISION H our 1nspection Line: 639 -4175 Business Line: 639 -4171 MST C '— T Date Requested —6 1 AM PM BLD Location_ ��� Suite MEC Contact F‘rson Ph 6 � — 06? S t PLM 1 Contractor Ph SWR BUILDING Tenant/Owner ELC i Retaining Wall ELR Footing Access: Foundation FPS B F in SGN rawl Draip Dr ' Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fii '- PART FAIL ®.ilr -x, 1:11. Under Slab Top Out Water Service ie o Sanitary Sewer Rain Drains F i P PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA A ° - S Z. Approach /Sidewalk Other Date .S 9 - o / Inspecto J Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site C R' OF TIGARD BUILDING INSPECTION DIVISION } • MST .V.cio 24 -Hour. Inspection Line: 639 -4175 Business Line: 639 -4171 BUP • • • • Date Requested , AM ' PM � BLD Location / 2-7 7 S' t.f.> g 7 Suite MEC Contact Person Ph gl/ y ' - ° 7 PLM Contractor / Ph SWR Tenant/Owner � Oc� -v T u v — ELC Retaining Wall ELR 4!I " Access: �..:. FPS g D rain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing e — T% o rin 9 . Insulation Drywall Nailing c . - i 1 I, _4 74-s S1jl c• Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fin PART FAIL BING Post &Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date / c/ Inspector < Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 74 TIGARD BUILDING INSPECTION DIVISION MST X0 =d .V7 7. 20Hou Inspection Line: 639 -4175 Business Line: 639 -4171 • BUP ' ' ' Date Requested AM PM BLD 2 7 5� el 4" Location LO � ,�17 -ei Suite MEC ! ,� Contact Person Ph 5/ 7 - v 75 PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Ext Sheath /Shear Int Sheath /Shear Framing i ( 77-i i r.<71 - 7 Insulation Drywall Nailing ti � C�.�eOc�" �'C. /1v�v�ir�.t / /4- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PA F AIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date S -- u ©/ Inspector " r Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 'Aet Y .OF 'TIGARD BUILDING INSPECTION ,DIVISION MST 6 � ({ 4 2 7 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 (/ BUP • ' Date Requested 5 AM PM BLD ' Location / h 77 5-4' dl Suite MEC Contact Person ,) / Ph �( 4 3 '/ PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final r PASS PART FAIL - •s & Be= n•er lab Top Out ���� Water Service C_ // & 5-e_ ^- SI � .t -fawn (' OL + � � <- Sanitary Sewer A � �., Rain Drains I J m- f La is Final %�} PASS V�) FAIL \ / MECHANICAL L �..� s � � �� �� - � 7400, �JP �,2 Post & Beam [•� Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA to per/ S� Approach/Sidewalk _ ,r Other Date / Inspector fir--- / E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • . 7 6 OF TIGARD BUILDING INSPECTION DIVISION MST `.U: 7,7. 24- Hour4nspection Line: 639 -4175 Business Line: 639 -4171 BUP A Date Requested S– AM PM BLD Location G 7 ? w 87 Suite MEC Contact Person . Ph G / 6 G 73 PLM Contractor Ph SWR • ...aUILDIN Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT ��o,tj_.Beerr? ' -Ex t"Sheath /Shear Int Sheath /Shear Framing ' i - Gc.GU, I '- / NI C4-/t- \/1+d'0 Insulation Drywall Nailing &I.- clizi c:. . Iry —c =rte Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final V' ART FAIL In.- SI -4 To Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL ECHANf Post & ough In Gas Line Smoke Dampers Final Ct) PART FAIL TRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date e'/ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •,CITY TIGARD BUILDING INSPECTION ; DIVISION c; c % 7 ST U 7 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ` �/ BUP • Date Requested s U AM PM BLD Location /U 2? ? ,5 0? Suite MEC 1 Contact Person Ph 4'7 J// 9 PLM i Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ft SGN wl Dronl Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear I ,- Framing As� _ � ^�— Jj • Insulation Drywall Nailing t G/ s � �, w\/Q C� 5 . �h / 1 f� I - �''r Firewall \ Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: As Fi. l - PART dale ost & Beam Under Slab To Out Final PASS PART IL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date �,1 v Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .CITY-t)F TIGARD BUILDING INSPECTION, DIVISION - Msr o. 1 -24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 7 J Z AM PM BLD Location /U - 7 - 7 - Suite MEC Contact Person Ph Sf 9 - LM Contractor Ph ' WR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: S P Y ti! C' Final 5 PASS PART FAIL Us / Ill PLUMBING Ao r ti v.J L r Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL 4rvicg gh i U h • w oltag - Fina ASS PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date �— / Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST erre Cam", 7- 241-lour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 3-"co AM PM BLD Location /02 7 7 7 - 7 - Suite MEC Contact Person L, Ph I — 75 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear ra 6 ist S7 P F'A 7lO.0 /,&- ii /.4 LC Insulation Drywall Nailing Clef - 64-e L 1 C. - o ST c e A/A/ Firewall Fire Sprinkler SLWL A, 7-- / Rr %7o'V c,��1� c.L c,.• r!1 /��� ,dt, (JCO Fire Alarm Susp'd Ceiling -lulu Y, uL L 5 - , aJ -7 , - Roof 4 o // Anal // PASS PART AOsl /4 `-A, S' Stir 91 U / b6 AZa STIR /!c'� PLUMBING D Post & Beam Under Slab Top Water Service /✓E�� GAL 7 �,Q.c oC� �' q_ V15.vT 'OPER , f Sanitary Sewer Rain Drains , 7 A L 'DA.) S Bc i 6 - v - c - Final PASS PART FAIL , ,. -7+ —c ,5S MECHANICAL Post &Beam / As FLP► 9 ?�-r. -r` - z6 �S )/G /S f1444/6'7 C-ms) * Smoke D • mpers Fi I - 'AS PART FAI TRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk � Date Other Inspector . , E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST Z e-77 24- Hour,Inspection Line: 639 -4175 Business Line: 639 -4171 BUP • • • Date Requested 7- I b AM PM BLD V Location /6) Z "77 (1--(,ti -e_- Suite MEC Contact Person buail.d, Ph 3 / 5 —(to 7.S PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation Z v FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int.Sheath /Shear u a ion �� 7 , , '.a Nailing 4 .9 tie I AZ / l / i/ Oa Firewall Fire Sprinkler I / • Fire Alarm Susp'd Ceiling � � Roof i 411 • l/ &I )g [I Or Fi .— 1 PART FAIL /( ING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post :m - Gas Line Smoke Dampers Fina PART FAIL ICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date `�/ Other Li (9/ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST - vif-7 7 24 -Hoar Inspection Line: 639 -4175 Business Line: 639 -4171 p BUP Date Requested o "- /� AM Z —PM BLD Location 1 O "D-- 9 7 9' A 0 Suite MEC Contact Person p Ph � 4 ] - DF3( PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear /'� Framing 7// / - I /1- f,4d... CO 5 /Li (J 14 L Insulation Drywall aDr Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final ' : • • S PART AIL , ` LUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA • Approach /Sidewalk Other Date Inspector S Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION.DIVISION MST «7 24 -Hoer Inspection Line: 639 -4175 Business Line: 639 -4171 BUP - Date Requested PM BLD Location /6 Suite MEC Contact Person _ Ph L71 f) 7 -- O 31 PLM Con actor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulatio I Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fin PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk ( L) ^ Other Date l Inspector Ao Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. N i A 461- •IJL CITY OF TIGARD Residential Certificate of Occupancy Permit No.: QC/d - ,00 6 /77 Address: /02 7 2 627 Owner /Contractor: „ , /4/ / Ar I /LjP' Date of Final Inspection: .7 `D/ Inspector: /0777 This structure has been found to be in substantial compliance with the provisions of the State of Oregon One & Two Family Dwelling Specialty Code and is hereby approved for occupancy.