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Permit A CITY OF TIGARD MASTER PERMIT PERMIT #: MST2000 -00454 , DEVELOPMENT SERVICES DATE ISSUED: 9/29/00 • 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 08516 SW LUCILLE CT PARCEL: 1S135AD -04400 SUBDIVISION: LUCILLE ESTATES ZONING: R -12 BLOCK: LOT: 006 JURISDICTION: TIG REMARKS: Fire repair - truss details need to be available at framing inspection. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: REP HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: VALUE: $ 51,398.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0.00 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: W /SVC OR FOR: PUMP /IRRIGATION: 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: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 1,244.83 This permit is subject to the regulations contained in the NATHAN, ERWIN J OREGON HOME IMPROVEMENT CO 8516 SW LUCILLE CT DBA OHI CONSTRUCTION Tigard Municipal Code, State of OR. Specialty Codes and TIGARD, OR 97223 • 17255 SW PILKINGTON RD all other applicable laws. All work will be done in LAKE OSWEGO, OR 97035 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 a re set Reg #: LIC 00034908 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 Mechanical Insp Electrical Final Plumb Top Out Mechanical Final Electrical Rough In Plumb Final Framing Insp Final inspection Insulation Insp 7 Issue By : _- / / Id -fil _2....l.- Permittee Signature : ..��� / '_�1 Call (503) 639 -4175 by 7:00 p.m. for an inspection needed th • next bu mess day IF OF TIGARD • Residential Building Permit Application Plan C. - 13125 SW HALL BLVD. Alteration - Interior Only Recd e Wit Family y or � p � TIGARD, OR 97223 Single Fil Detached Attached (Duplex) Date Rec Date to P.E. 2 V 503 - 639 -4171 Date to DST - 89 -cid F 503 -684 -7297 Permit # N511e n -ao ys1 • Print or Type Called Incomplete or illegible applications will not be accepted Name of Project Name Job Address Site Address c \ 1_ (( Architect Mailing Address F 1(4 �.7�Z iu�lr U City/State Zip Phone Nate ,,, i J J;c___t< 1 pttv1Rw.i Name . Owner Mailing Address / /n S� ' parr / e - 3 l r f I -- Engineer Mailing Address 1 State Zip Phone C421 M.22,.& U I3 — �.1 -7 S City/State Zip Phone General N, Contractor l3 .. \ $- Describe work New 0 Addition 0 Alteration 0 Repair Milling Address to be done: Prior to permit 7 Sc, t Lk; vA-6" Additional of all licenses (� Cat 1' ? O 3 � ,616-2..f4 � P 1 are required if Oregon Const. Cont. Board Exp. Date PROJECT expired in COT Li c.# 214 , B VALUATION $SEaf:3r,-.. database //J Mechanical Name " " �� � NEW CONSTRUCTION ONLY: Sub- k Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Address Prior to permit Indicate the restricted energy installation by the electrical issuance, a copy City /State ip Phone subcontractor in the following areas of all licenses Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic.# Installations Vacuum Irrigation database System System Plumbing Name � (check all that Other: Sub- SC•Tn p apply) Contractor Mailing Address � y �� Corner Lot YES NO Flag Lot YES NO ? � (check one) (check one) ,IJC� Ha s the Subdivision Plat recorded? N/A YES NO Prior to permit ity /State Zip Phone issuance, a copy I Q, Cfat 914§ , 9e 0 ' 0(6' C: 7 6 1 diar Compliance of all licenses are Oregon Const. Cont. Board "Exp. Date (Calculation Attached) required if Lic.# expired I hearby acknowledge that I have read this application, that the database is COT Pll oZb �l /0 00 �(7tJ d a t umbing Lic. # Ex Date information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with 37 —/7 / 4 IS 6 V C) / Oregon State laws. Name 1 J_S�' r of Owner /A t Date Electrical \I 1da,i+e ' a'_ J' v 'a_ /6-29 Sub- Mailing Address ` ntact erson Name P one # Contractor 31(nS �h ;RS- S Ii IN C . FOR OFFICE USE ONLY: i City /State Zip Phone Plat #: Map/TL #: Prior to permit /t J Ot issuance, a copy �'�t00. Slott. . gcs? I Z Setbacks: Zone: Solar: of all licenses are Oregon onst. C nt. oard Exp. Date required if Lic.# . expired in COT /O /9 /D 0 Engineering Approval: Planning Approval: TIF: database Ele ical Lic. # Ex D to L (' 3 0 q - C. /t o / O t. t Ele n ery cal Supervisor ic. # x a t e t iiIn0 S ; ! /Ot i:forms\sfintalt.doc (DST) 10/23/98 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 - IMPORTANT PERMIT NOTICE • VANDER STOEP ELECTRIC 23765 THIRD ST NE AURORA, OR 97002 Electrical Signature Form Permit #: MST2000 -00454 Date Issued: 9/29/00 Parcel: 1 S135AD -04400 Site Address: 08516 SW LUCILLE CT Subdivision: LUCILLE ESTATES Block: Lot: 006 • Jurisdiction: TIG Zoning: R -12 Remarks: Fire repair - truss details need to be available at framing inspection. • 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: NATHAN, ERWIN J VANDER STOEP ELECTRIC 8516 SW LUCILLE CT 23765. THIRD ST NE TIGARD, OR 97223 AURORA, OR 97002 Phone #: Phone #: Reg #: LIc 69417 SUP 4360S ELE 24 -304C AN INK SIGNATURE IS REQUIRED O THIS FORM X /4-01 S' nature of Supervising Electrician • If you have any questions, please call (503) 639 -4171, ext. # 310 • • CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE NELSON PLUMBING PO BOX 818 BATTLE GROUND, WA 98604 Plumbing Signature Form Permit #: MST2000 -00454 Date Issued: 9/29/00 Parcel: 1 S135AD -04400 • Site Address: 08516 SW LUCILLE CT Subdivision: LUCILLE ESTATES Block: Lot:. 006 Jurisdiction: TIG Zoning: R -12 Remarks: Fire repair - truss details need to be available at framing inspection. 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: NATHAN, ERWIN J NELSON PLUMBING 8516 SW LUCILLE CT PO BOX 818 TIGARD, OR 97223 BATTLE GROUND, WA 98604 • Phone #: Phone #: Reg #: LIC 125759 PLM 37 -171 PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X / (i 2,*WARA Zi& Signature of Authorized Plumber If you have any questions, please call (503) 639 -4171, ext. # 310 CITY OF TIGARD BUILDING INSPECTION DIVISION 2.e/el/ a6 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP - Date Requested 0- Z- 2— AM PM BLD Location g5 to $ w Lk 0/. %l. Suite MEC Contact Person (e.ert7 Ph 6 PLM Contractor Ph SWR UILD Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain t � � Z �C , f-v 6 G Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Drywall on 1 ^ ` n� Drywall Nailing �/�/�'J Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mi t y'T PART FAIL P • 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 U - Ext Other Date 1 1 Inspector Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.