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Permit V ' \ OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00331 rc r DEVELOPMENT SERVICES DATE ISSUED: 9/26/2005 ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 102AA -03900 SITE ADDRESS: 08915 SW COMMERCIAL ST 23 ZONING: CBD SUBDIVISION: CASCADE MOBILE VILLA LOT: JURISDICTION: TIG Project Description: Placement of new SFM. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SFM FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: DWELLING UNITS: T Hit D: sf RIGHT: VALUE: 0.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: CLOTHES DRYER: • " FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: WISVC OR FDR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: 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: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes DAVIDSON, WILLIAM G AND DIXIE L OWNER and all other applicable laws. All work will be done in 8915 SW COMMERCIAL accordance with approved plans. This permit will expire TIGARD, OR 97223 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 Phone: Phone: adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or Reg #: direct questions to OUNC by calling 503- 246 -6699 or TOTAL FEES: $ 327.54 1 - 800 - 332 - 2344. REQUIRED ITEMS AND REPORTS Issued By : .4,ZSZaZ_____ - P ermittee Signature ,i,/, // f : _Lied Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. r , Manufactured Dwelli _ l ' F , .. , Placement Permit App if t �i 410:-3,--:.,-,,:* � F OFFI „USE ON � y � t , &p F D SY � p 1 ' � ' g.,. � City of Tigard SEP 19 2005 DateBvd: /q. o)'• pL PemittNo.V.,31 1 � ye 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960ia t Other Permit: ' ^� � Date /B . , � i _ ''2 _cis— Inspection Line: 503.639.4175 CITY OF TIGAR r A,y, i `. I �` Date Ready /By: BM lii See Plan Submittal Internet: www.ci.tigard.or.us BUILDING DNIS V Notified/Method Requirements t '` ,. ” . f`7JOBt NFORMA'ITION :. i- ..a ,r + F ,. ';,';'' ' ; .OWNER: INFORMATION; :.. •, li': =~ _.1 Site Address: 'q S 5l) C 0)vo!tC/,DL 0,7, Name: /1/Z !/972? 6,l p /h// / Std Park Name: C AseArif 71706 %L. 01 G-L fi Subdivision & Lot #: Address: 8 ,9/ seve_ , h 57 e 3 Directions ,to inspection site: , � City: .7. I State: eV/2_ I ZIP: *7/9/, Z T© - F�17.Y -1-6-' /'ARK 1'12-3 Phone: 6-03639 Fax: Is property inside city limits? 'Yes ❑ No E -mail: ..;;$:= 1 d i%u : `4 r + .LOCAL GOVERNMENT :APPROVALS".:' y , r r =.P: Zoning Sanitation Signature: Signature: Jurisdiction: Jurisdiction: Date: Date: '°^ "q; '0�, :t+ a' ''' MANOFACTURED. DWELLING PERMIT ` FEES ; ` 4, :',4,:::',31.2 No. of (1) Installation /re- inspection Cost (each) Items Sum (a) Placement (includes placement, electrical feeder, 30' of water /sewer connection) $ 275.50 / $ (b) State surcharge at 8 %• $ 22.04 / $ (b) Re- inspection (includes inspection and 8% state surcharge) $ 62.50 $ .Placement permit to be obtained only by homeowner, or Oregon - licensed manufactured dwelling installer. (2) Electrical (a) Service and /or feeder (new service installation or alteration/relocation of existing service) S See Electrical Permit Application Electrical service permit to be obtained only by homeowner performing work or signing supervisor of Oregon- licensed electrical contractor performing work. (3) Plumbing (a) New water service (for services over 30 lineal feet) $ See Plumbing Permit Application (b) New sanitation/storm sewer or rain drain (for services over 30 lineal feet) $ See Plumbing Permit Application Plumbing permit to be obtained only by homeowner performing work or Oregon- licensed plumbing contractor performing work. (4) Miscellaneous fees (a) Administrative fee. $ 30.00 / $ (b) System development fees (sewer connection, storm water, parks development & traffic impact). $ See Permit & System Development Fees SUB -TOTAL $ 527. . 5-'y ': "'. �i1 SET Up OR CONTRACTORi ., ~ ; ..4 :' . 'APPLICANT w ., .' « ,, , - , Name: lj�� // �t Name: • it L /79712 6 0/9d / � Address: � Address: g9 C po/J 1� 43 f City: I State: I ZIP: City: // ty I State / I ZIP9 ,.Z). �J Phone: Fax: Phone: - � l Fax li � ' � I CCB No.: MDI No.: E -Mail: e-,E6,6 343' 56 S,:p.io * " t! . SKIRTING' CONTRACTOR ,v , ° ,r Name: I hereby certify that the information above is true and correct. � �� All work to be performed shall me in accordance with all Address: gover In %rvs and rut G (/{:,/AdfCity: State: ' ZIP: 1 r// ' /4V Phone: Fax: Authorized Signatuuree� Date /� CCB No.: MDI /LS[ No.: Print Name: Lit/ ✓�4`�l 6_1, /��� is \Building \Permits \SFM- PermitApp.doc 1/04 CITY OF TIGARD BUILDING DIVISION PERMIT MSTOt500I 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/26/200 Phone: (503) 639 -4171 t Ai Nl i'i Inspection Requests (24 Hrs.): (503) 639 -4175 ... INSPECTION WORKSHEET FOR DATE: 8/8/2006 TIME: 7:06AM PAGE: 84 SITE ADDRESS: 08915 SW COMMERCIAL ST 23 CLASS OF WORK: SUBDIVISION: CASCADE MOBILE VILLA LOT #: TYPE OF USE: PROJECT NAME: CASCADE MOBILE VILLA DESCRIPTION: Placement of new SFM, OWNER: DAVIDSON, WILLIAM 0 AND DIXIE L, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/8/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 MFG- Structure final 034517 -01 503 - 639.4650 V ( i1 r ► RA Corrections /Comments /Instructions: 1.4 I 1 1 PASS I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAI CALL FO'' INSPECTION n ADDITIONAL FEES ASSESSED 1 II r '' Inspector: —ilk Dat • i Phone #: (503) 718- ■ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00331 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/26/2005 Phone: (503) 639 -4171 . muid ��� Inspection Requests (24 Hrs.): (503) 639 -4175 ��' '' INSPECTION WORKSHEET FOR DATE: 10/10/2005 TIME: 7:04AM PAGE: 3d SITE ADDRESS: 08915 SW COMMERCIAL ST 23 CLASS OF WORK: SUBDIVISION: CASCADE MOBILE VILLA LOT #: TYPE OF USE: PROJECT NAME: CASCADE MOBILE VILLA DESCRIPTION: Placement of new SFM. OWNER: DAVIDSON, WILLIAM G AND DIXIE L, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/10/2006 Pour Time: Code.# Inspection Description Confirm # Contact # Message 810 MFG - Structure set -up 017876.01 503-639-4650 N Corrections /Comments /Instructions: • PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: /0 _ . Phone #: (503) 718-