Case File 0~e
i
i
I .
8818 4W ASHFORD
CITY OF TIGARD __
\ MECHANICAL PERMIT
' DEVELOPMENT SERVICES PERMIT#: MEC2004-00254
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/10/2004
SITE ADDRESS: 08818 SW ASHFORD ST PARCEL: 2S111 DA-16500
SUBDIVISION: APPLEWOOD PARK NO, 3 ZONING: R-7
BLOCK: LOT: 't 58 JURISDICTION: TIG
CLASS OF WORK: OTR ~FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: W1 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORSHOODS:
TYPES_YPES0 - 3 HP '1 _ DOMES. INCIN:
FLF 3 - 15 HP. COMMI-. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURS: < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: �<= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS.
Remarks. Nc iwt.ill.
Owner. — — — —_ ---- FEES -- --
TAN, SARAVATH Description Date Amount
8818 SW ASHFORD
TIGARD, OR 97224 [MECIII Permit Fee 5/10/200' $72.50
[TAX] 8",',.State Surcharl 5/10/200 $5.80
Phone: 503-624-1565 Total i$78.30
Contractor:
JACOBS HEATING + A/C
4474 SE MILWAUKIE AVE
PORTLAND, OR 9702 REQUIRED INSPECTIONS
Phone: 503-234-7331 Cooling Unt Insp
Final Inspection
Reg #: LIC 1441
This permit is issued subject to tye regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 c'ays of issuance, Ur if work is suspended for m s than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification (,anter. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699.
Issued By' - --�lrPermittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
J a roL Flea E, FAX NO. May. 07 2004 01:19PM r--)
M.eclianxcal Permit Ar► lication '
—�....., Received � I Mechanical
Dute/I3 �% Potmit No.: )AC..J-Z C>D a
City of Tig Planning proal Building
C "'pVE Detr,'Jy: Permit No
13125 9W Hall B V Plan Review --` otttet
Tigard,Oregon 972 Dates_ Permit No,:
Phone: 503.639-41'#AYFAx!SM08-1960 Post-Rcvicw Land Use
DntrAl Case No,: _
Internet: www.ci.tigard.orma Contact J Bea Page 2 for
24-hour Inspection2*6lf; SO MM-417$ f Narnc/Mcthod. Su Ictnental Information.
BUI1-UII4r; nlVl�;i '
T. Md-i"
construction _ Dema'ilion Mechanical permit fees•are based on the total value of the work
t►on/eltoration/rt: lace tttent_ Other-- performed. Indicate the value(roundotl to the nearest dollar)of all
;R `-�•'t ' C;bI�X ?ni 1NSTR�ICirIOIV ° machanical materials,equipment,labor,overhenrl and profit.
&2.-l~amily dwc1hng Commercial/industrial Value: S _ See Page 2 for Fee Schedule
At:cessory$uildittg Multi-�amtly "' ►�I't�AL1: UAL_'E1nF7`BXti.I` INs'FEI:!rscHEDCJt,El
-- - - — Descrlptlon _ Q�Y....Lre�!s)._.�_.-Total
Master Builder Other: lReaftng/Caoil ---
)ru• It IY "9 7) 'a �1 O�! -
Furnace-arid-on esti conditionin� 14.00
Jab site uddfess: Q __ Clas heat putnn� 14.00 _
Suitc#: Dld6./Api.#: Duct work 14.00
Pto I Name —/'1 H ironic hot water system M 14,00
Residential Luriler
Cross street/Directions to Ob site:
j for radiator or hydrartic system 14.00
Unit heaters(fuel,not electric)
An wall in-duct suspended,etc.) 14.00
Flue/vent foranyof about:' 10.00
Subdivision —�Lot#: Repair units - 12.15
TAX ma / orecl Il: M4,111fue1 A if) so _
Water heater 10.00
tans fireplace _ 10.00 —
'Flue vent fwater Iwatcr/gtts fireplace) 10.00 _
"— — —" —
CALog li htcr as _ 10.00
-- Wood/Pal let stove 10.00
Wood fir�ace/inscrt 10.00
Chi-nal elvent _ 10.011
Other 10.00
...:-L, �'y EftvlruhYn'dl � XIIaUit enGlatibt g.;',;
Name: Rengc hood/other kitchen equipment IU UU
Address: Or —
City/State/Zip:/State/?1 Clothes dryer cxhnusl _ w 10.00
-- - - - -- Single duct exhaust
P e; 1~ax: (bathrooms,toilet compartments,
n. c�'
unlit routnn 6.80
Ntime: e� Attic/cr�awpace fano 1 U.UU
Adtlreus: � _�_
• —_ t l _... _ Fuel Piping,— p
Cil /State/zi .
1/�� ' •SfS.�01Lr first 4 SLOU each additinnd
'�--_p" �-� . —._. . _.. Furnace,etc.
Phone: ] Fax:
E-mgil: Wall/, sushended/umt heater •'
Water heater
Business Name: C. ` _ Gk , -N!Ej Firt: lace
-- Range
•��
Address: 1-I�-t _ .__ w r ��c�t e1_ , z RQ
-
City/State/Zip: A... -�—0 r_ c�� -1 -ZQ.iZ Clothes dyer(gas) '•
Phone:',> . IFax: ,i5, 1 Other " _
CCB Lic, #: (� _ _—_ Total: _
Authotired Mcclii►ni_cAI Pertnlf Irattr� .
Sigrten.�rc _. at _ _ Subtotal: $ _
Minimum Permit Fee$72.50 $ '
Plan Re_vicw Fcc(25%of Permit F $
(1'leasc print name) State Surcarar a 8%of Permit Fee S
TOTALPER FRi s
Notlee: lass permit appileatluu explicit ire permit Ir not obtained„tthin •Fee methadornp tet by Tri-f'nnnty Ruilding Industry Fen'et So-ord.
1gO days atter It hese been accepted as complete. ••Site plan required for exterior A/C units.
i\Dampettnit FurmswecrcrmitApp.doc OM ( n
FROM :JacobXHea':IrIg FAX NO. May. 07 2004 01:19PM P3
SITF. PLAN
DIRECTION
liC)(.JSh 7 C•�
T
I _
1�Ri)rIl'
STR L ET
Joh NameAddress
Model 0
Midke
JACOBS HEATING & AC
4474 SE Mllwaukle Ave.
Portland, OR 97202
(503) 234-7331
(503) 813-9257 fax
CITY OF T'IGARD ELECTRICAL PERMIT
PERMIT#: ELC2004-00242
DEVELOPMENT SERVICES DATE I3SUED: 5/10/2004
13125 SW Hall Blvd., Ticlard, OR 97223 (503) 639.4171 PARCEL: 2S111DA-16500
SITE ADDRESS: 08818 SW ASHFORD ST
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT : 158 JURISDICTION: TIG
Project Description: AC:circuit.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: !� PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/FUR: 6,11+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _ – BRANCH CIRCUITS �— ADD'L INSPECTIONS
0 200 amp: W/SI:RVICE OR FEEDER- PER INbPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION
1000+amplvolt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only:. _ — SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
TAN, SARAVAIH WEST SIDE ELECTRIC CO INC
881 F SWASHFORD 1834 SE 8TH AVF
TIGARD,OR 97224 PORTLAND, OR 97214
Phone: 503-624-1565 Phone: 231-1548
Reg a: LIC 13306
SUP 266i3S
FEES-- ---- 1 1, 26-135c
Description Date Amount
[TAXI M',,State Surcharge c Required Inspections —
$3.75
jEL,PRMT'j f?LC'von, s I 'nua $46.85 I Rough-in
Elect'I Final
Total $50.60
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable IaNs.
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 then 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 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503)
246-6699 or 1.800-332-2344
Issued By: Permit S'gnature:
OWNER INSTALLATION ONLY _
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: `` DATE:
LICENSE NO:
Call 639-4175 by 7:00pn1 for an Inspection the next business day
FOR
OFFICE ONLY
City ut"rigard nyh'/l'Yr.• /. .
I 41 "Sw Hall 111vd, 1'11 11110 1t +1'/77 t 1`lun Illrvww (>dna Telesis
'honc; .5016,117.4171 I rx: SU.S Y!)60 � 2�U4 L _I+au/Hh..,..._ __«._ .... Jul 63 X,v`^aur 2 for
In;,lt,rlinn I.Inc; J 3.641).4I7S T Una kwdyIlly:
Nuhlh•.tVMUllrtth ..� L��.,..•_.-. }tnpplrmeulrl lufnnnalion
Ilncrurl: www.ci.ligunl.or.ux
COlil
ll ' _.- PLAN REVIEWBVNew cunutructiun huh, c)`iU�im/rehluccrounl
-1 utita vitt u,wCr 72S: alts,ru,un'I i�llutunluus hK'011llll
r-
❑Demolition 1 1 Other ❑ticiviccovcr.l20ump% Ill,Ilµ ❑IlJlldllguvrr IIIIIINI;,tI II
('ATII.(:nRY OR C(INtiTRII('TION of I and 7 I'aonly,IwctllltlP¢ 4 lir 111010 1104 r0ti1k011131
_ LJtiyxtem over(100 vnI1C nominal Ululs III ullc;.IltHALIlC
N'I. 11111 2-tinnily dwcllinp, ❑Coololei cial/IndoMiOat ❑ Accrnaury ltuildink ❑Iluiltling over lhme siluriex ❑1'tM'drl'+,alHl tuultr lir nx/rc
Muhi•1'unlily ❑Maxler builder ❑Othel: (1Uccupulu loud liver')')pclsollr L)Munulita'ulttll xllAleulrl.`x or
I Ix/I1,ties ►tan IIV park 1
JI>II ti1Ty. INFOKMATICA AND LOCATION ❑ '� 4 41 Uulhcr
- i,� l i , 3❑uhImlcuitllh- ctx Iuill aillSly
t with: yolhuulc.tub site ' Q. rmr
tunu
r 1111, w allourt:lint ulylGrnhlc u+t+!mpurnry construction xervice.
('ily/!i18Ie/%II+: �1�t r•_/ r+� L�7 t.�(4 Rk.M:• SCltIMULE
�,. Ic/hldv,/a hrulc—cal
lk:•,.--- �—• �� m.,,.,�l,rl,,.
- -- New reolticuthll r111g1t••lir otolil•ta 11111y Ilwolling Unit.
tier,•,tical/dist4diuns toj0h 4": lot) .1011 atlached garage.
I,lHalSq.It orlt%!, IdS,IS _ 4
•• ••• lie.udd'I Sflll nth R.lir)gta'llon .1.1.411 1
t,ulxlrvluwn: L l►I rn.' 7.1111 -
1 I.i,niled)star)` .re.'Odenlitil -
fux u1u11/parCtl nu.: _ I omtud energy.noll-lewdellliul 75.1111 Z
111,x( I11PTION or wrnu I.ach ocut its ttt!hlred of m,Khllor g11,N11 7
dwelling,wrvtec und;,,r Icedcr
lervirvx nr_t'acdurx inx,rllallou,nllcrnlluta,rfllVur relurathu+
1110 amps lir lu4x _
Hit.10
____—._._. _..._-...._.. ?01 x1111 P;In 1100 alllp'. Y 106.11.
PItOPP:K'1'V OWNER L3 TF.NAN'r— _ _ - -� IbUd10 7
4111 nntps lu rdlll Amp,_
Name. (11)1 amps In I.,Hili Amps -- 24000
M 05
_-t w,a 1,01x)amps or vultx _ 4:14 65
Addressi C _...�._.__..__._.. -_—.. — 11(0.115 2
('lIV/SL,Ic/%IP: •r I elnitnrary.4ervicex or rlY'llwrx 1nclhlllstion,liberation.11111I/or
—_ —_._ ..7 4 rrincalinn
/ t�. 7(10 ntnpv or levg Ir6.H,
I hone:( ,+� (4�Z.U' I:�, — -
lit amps to 40o umpx
l>tvnrP Inxtnlhltlon:'this Instal lulion u bcinL estate un I,ngtcrly that I own which is not � • _ I111►1n
iolentled lbr xulc,Ic:lxc,rcttt,lir c)(0111119c,according to(')R:447,449,6711,untl 701. loI amps to 1411 amps _ - 1,11 1_S. 2
(lhtreniun.per pnuel
IIrul,rh rircuitx^ew,alteration,or ealx
Owner xil;naturC
❑ C:ONTA(."r 1'�SII!ION A,1'tx Ito Imilleh eueml.it
_... .
[3 APPLICANT xervice or li%%Ivl leu,each
Inuorh 01.4'114 _ _.
1)udulcas n:utx
Il I'uo lin brunch cileollK
Contact ounu`: wirho,d-wi-viec lir I'cedl•r Ice,
Addrv.w _ 1•:nch add'I branch cimult h•G�
('ity/titatc%/_I I'' -� �— Mixrellallrml%(met-vice or reeder flat Included)
ti 1 40 2
I'unlp or III Iguliou cnrle r
. -.. 0.{1111 i
I-UX'. ( I .__... `110;11 tar nollicle lil;hlin}`
I',•tuuil: _-- —__......_ ...__ Jiy7,ul vilcwl(a)u+lin,iti•41
cncrpy panel.alteration.or
CONTRACTOR
cxlctrxion.Ikxctiba Page) i
Llusinctis nulnc'WEST SIDE ELECTRIC CO.
-- - - F:aeh Additional blxpee+ton over allowable it,stay at 1110 rbu.r
ldes: 1834 aN.8"1 AVE. --
I'Irr inxp�raitill
l'lly/$1u1r/''/,II'
PORTLAND,O12 97214
Allc _ hwcnt�!ulirni 11 cr 11 Ior(1 hr 11011)
- hltloonal plant per hour__
Phone:(511.1)Lit-15411 111x:(503)73(007 --- F.I.R(•rltl('AI PM:ItMi t' 1'M:Kti`
CCIJ Lic.: 13306 I lilcrtrirtll I.IJr} '?.fr- Cuprv.IA;.: 26614; Subsoil!, rs�
111:1,,r1•View(Z'?'•. o1 IVI'Irtll lel:
SeprV. (ileletlie1J11 iilgllitol-C,1'01.11.111cd: •.bl.•L.W�s- .-- ""--"
..__.1 ,`t rte, :..1 Wei /
Ili-lilt nflrnc ,• t Ct'- L.•.���w �:.�:...1 7 D 0(0011).P►:KMI r hF:F: C, �J
^UI)tUrlYed x1llnilhlrt'. This*prrml+nppllrnllnn ruldrer if is prrruil k not ul-odurd"1111111 Ino
dry+rnrr it hell Iselin rccelood at compkie
Pf111111t1fl1e: -- Uille; 1',111 IIIYIIN%solo,y.mi Icy let fbnaly lluiWulg ludu+lry'etvlts 114)21 it
___ .__—_._._�. •Nunlln:r of illnllet:601VI IKI Imoltil ullovrrd.
tau:l,lagtMr„nntu:Il.rm114 app,Lv: unrt wu 4611111WONt'tiM I)i
Z •d LL90- 9EL (E05) •00 01J%QJ13 aPIS 1saM 129i111 i0 LO now
CITY OF TIUARD 24-Hour
BUILDING Inspection Line: (!Pd)639-4175
INSPECTION DIVISION Business Line: 03)639-4171 MST
BLIP
Received Date Requeste �l �i� — PM BUP _
Location --a t (Aj S/-7- yam
Suite MEC d'G(4-0-6"
Contact Person — _ Ph(5z '5) -:�3 --7 31 PLM _
Contractor Ph( ) SWR
BUILDING Tenant/Owner _ ELC
Footing
Foundation ELC
Fig Drain ACC@38: --
Crawl Drain ELR
Slab Inspection Notes: SIT
Post R Beam
Shear Anchors _
Ext Sheath/Sheaf
Int Sheath/Shear O _
Framing S —�'-L-�� L/
Insulation 7
Drywall Nailing
Firewall —
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _
Roof —
Othor:
Final
PASS PART FAIL ---
PLUM9ING
Post&Beam - -
Under Slab
Rough-In —
Water Service
Sanitary Sewer e -
Rain Drains -
Catch Basin/Manhole --
Storm Drain --- _
Shower Pan
Other: — — -
Final
PASS PART FAIL -
�HAN
Pus eam — — —
Rough-In
Gas Line ---
Sm
3)
SS_ PART FAIL -- ---- --_ __ _
_ ICAL
Service —
Rough-In —
UG/Slab
Low Voltag _
Fire Alarm - - -
Final I�� Refnstt
PASS PART FAIL u limon fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE:---___ F� Unable to inspect-no access
Fire Supply Line r
ADA �j r
Approach/Sidewalk Inap"tor —ut
Other: —
Final _ _-- DO NOT REMOVE this InspoWen ronord}rani the lob sib.
PASS PART FAIL
11
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
3 . 0 BUP -
Received ( � Da a Reqtpsted__ L1 AM— PM _ BUP
Location Suite MEC
Contact Person — Ph(�� "" S PLM
Contractor — _ Ph( ) SWR
BUILDING _ Tenant/Owner - ELC
Footing ELC
Foundation Access: w_
Fig Drain ELR —_
Crawl Drain
Slab Inspection Notes: SIT —
Post&Beam
Shear/Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -- —
Insulation
Drywall Nailing --- -- -
Firewall
Fire Sprinkler — --- --- - —
Fire Alarm
Susp'd Ceiling -�
Roof AA
Other: --
Final
PASS PART FAIL -i
_PLUMBING
Post&Beam
Under Slab - -- -
Rough-In
Water Service -
Sanitary Sewer
Rain Drains -- _
Catch Basin/Manhole
Storm Drain — '-
Shower pan
Other: --
Final
PASS PART FAIL
MECHANICAL
Post 6 Beam -
Rough-In -- ------ -
Gas Line
Smoke Dampers - --------- -
Final
PASS PART FAIL -- -- -
CTRIC
ervice _—---�
Rough-In _-
UG/Slab
Low Voltage _ _ -
Fire Alarm
Fin u
PART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
AS
SITE _ [� Please call for reinspection RE: u Unable to inspect-no access
Fire Supply Line
ADA 6 ' c%
Approach/Sidewalk Dat* -- Inspector_ Ext —
Other:
Final — DO NOT REMOVE this Inspection record from the fob site.
PASS PART FAIL
CITY OF TIGAR® MASTER PERMIT
x
PERMIT#: VIST2000-00259
DEVELOPMENT SERVICES DATE ISSUED: 8/15/00
13125 SW HMI Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 08818 SW ASHFORD ST PARCEL: 2S111DA-16500
SUBDIVISION: APPL.EWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT: 158 .JURISDICTION: 'FIG
REMARKS: S/F PATH I
BUILDING
REISSUE: STORIES. 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1.034 of BASEMENT of LEFT 11 SMOI'F DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,286 of GARAGE: 495 of FRONT: 30 PARKING SPACES: 2
TYPE OF CONST: 514 DWELLING UNITS: t FINBSMENT, of RIGHT: 10
VALUE: S 173,697.00
OCCUPANCY GRP: R3 BURM: 3 BATH: 3 TOTAL: 2,32000 of REAR: 1'.'
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS.
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DR INR: 1 CATCH BASINS:
TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS.
OTHER FIXTURES:
MECHANICAL
_ FUEL TYPES FIIRN<100K: BOIL/CMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1
snS FURN>-100K: 1 UNIT HEATERS: HOODS OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCE3: VENTS: I WOODSTOVES: GAS OU rLETS: 1
ELECTRICAL
RESIDENTIAL UNIT_ SERVICE FEEDER _TEMP SRVC/FEEDERS BRANCH CIRCUITS MI$CFLLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION.
EA ADD'L 500SF: 4 201 400 amp: 201 400 amp: tat W/O SVC/FDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp. EA ADDL BR CIR: SIGNALrrANEL. IN PLANT:
MANN HMISVCIFDR: 601 1000 amp: 601-ampa-1000vr MINOR LABEL:
1000•amplvoll:
PLAN REVIEW SECTION
Reconnect only: -v--
> 4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREA.!SPC OCC
ELECTRICAL•REStRICIED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM. t'JDIO d STEREO FIRE ALARM. INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC. LANDSCAPE/IRRIG: PROTECTIVE SIGNL
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DAT'AITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS
Owner: Contractor: TOTAL FEES: $ 3,462.68
MATRIX DEVELOPMENT CORP LEGEND HOMES CORP This permit.s subjeh I. the regulations contained in the
Tigard Municipal Code, Stott'of OR Specialty Codes and
6900 SW HAINES ST STE 200 11130 SW BARBUR BLVD all other applicable laws All work will be done in
TIGARD,OR 97224 PORI-LAND,OR 97219 accordance with approved plar,s This permit will expire N
work is not started within 180 class of issuance,or if the
work is suspended for more than 100 days ATTENTION
Phone: Phone: Oregon law requires you to follow rules ednoted by the
Oregon Utility Notification Center Those rules dm set
Rep N PC forth in OAR 952-001-0010 through 952-001-0080 r cli
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion 844-8444 Post/Beam Mechanical Mechanical Insp Framing Insp Cas Firoolace Elec!rical Final
Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Int ulalion'nsp Mechanical Final
Footing Insp Crawl DraintRackwater Plumb Top Out Exterior Sheathing Inst Rain drair, Insp Plumb Final
Foundation Insp FootinglFoundation Dr; Electrical Service Low Voltage Water Line Insp Final inspection
Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Building Final
Issued By Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next busthess day
CITY OF TICARD MASTER PERMIT —
PERMIT#: MST2000-00259
DEVELOPMENT SERVICES DATE ISSUED: 8/15/00
13125 SW Hall Blvd., Tigard, OR 9722,3 (503) 639-4171
SITE ADDRESS: 08818 SW ASHFORD ST PARCEL: 2S111DA-16500
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT: 158 JURISDICTION: TIG
REMARKS: S/F PATH I
BUILDING
REISSUE: STORIES: 7 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORKNEW HEIGHT: 24 FIRST: 1.634 at BASEMENT: of LEFT: 2 SMOKE DETECTORS' Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,200 sf GARAGE: 495 at FRONT: 30 PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: I FINSSMENT: of P.IGHT'. 10
VALUE'. $ 1 71.897 00
OCCUPANCY GRP: R3 BORM: 3 BATH. 3 TOTAL: 2,32000 of REAR, i3
PLUMBING _
SINKS: 1 WATER CLOSET$: 3 WASHING MACH. I LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS',
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 10i, SF RAIN DRAINS: 1 CATCH BASINS
TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS' I WA"rER LINES: 100 BCKFLW rREVNTR. 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
_ FUEL 1"YPES FURN<TOOK: BOIL/CMP<3HP: VENT FANS. 4 CLOTHES DRYER:
nti FURN 1=10OK: 1 UNIT HEATERS HOODS: I OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSrOVES GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR I PUMPIIRRIGATION. PER INSPECTION:
EA ADr1'L 500SF. 4 201 400 amp: 201 400 amp. 1st WIO SVC/FDRSIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 600 amp' EA ADDL OR CIR SIGNAL/PANEL: IN PLANT:
MANU HWSVCIFDR: 601 - 1000 amp: 601-amps-t000vr MINOR LABEL'.
1000.amp/volt:
PLAN REVIEW SECTION
Rororinect only:
>-4 RES UNITS: SVC/FDR> 225 A.: 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 8 STEREO. VACUUM SYSTEM: AUDIO d STEREO FIRE ALARM, INTERCOMIPAGING: OUT LNDSC LT:
Al 1Rrl AR AI ARM OTH: BOILER: HVAC: LANDSCAPEIIF RIG: PROTECTIVE SIGNL!
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL, OTHR:
HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 3,462.68
This permit Is subject to the regulations contained in the
MATRIX DEVELOPMENT CORP LEGEND HOMES CORP Tigard Municipal Code,State of OR Specialty Codes and
6900 SW HAINES ST STE 200 11130 SW BARB UR BLVD all other applicable laws All work will be done in
TIGARD OR 97224 PORTLAND.OR 97219 accordance with approved plans This permit will expire A
work is not started within 180 days of issuance,or if J.e
work is suspended for more that 180 days ATTENTION
Phone: Phone Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Reg N. uC 0009r_,1,3 forth in OAP.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 844-8444 PostBeam Mechanical Mechanical Insp Framing Insp Gas Fireplace Electrical Final
Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Footing Insp Crawl Drain/Backwater Plumb Tap Out Exterior Sheathing Inst Rain drain Insp Plumb Final
F.,undation Insp Footing/Foundation Dr Electrical Service Low Voltage Water Line Insp Fir,al inspection
Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Building Final
Issued By . i-C -n�-� Permittee Signature
` -� � '"�' 9
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000-00211
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/15/00
SITE ADDRESS; 08818 SW ASHFORD ST PARCEL: 2S111DA-16500
SUBDIVISION: APPLEWOOD PARK NO, 3 ZONING: R-7
BLOCK: LOT: 158 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: S/F PATH I
Owner: ---- — FEES
MATRIX DEVELOPMENT CORP -
6900 SW HAINES ST STE 200 Type fey Date Amount Receipt
TIGARD, OR 97224 PRMT DEB 8/15/00 $2,300.00 004496
INSP DEB 8/15/00 $35.00 004496
Phone: Total $2,335.00
Contractor:
Phone:
Reg #:
Regiiired Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
180 days from the date issued The total amount paid will be forfeited if the permit expires The Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and
Side Sewer' Permit and the Agency will install a lateral. 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 or direct questions to OUNC by calling (503) 246-1987.
Issued by� _/-eOe IL�h,/ Permittee Signature. ����t w
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 Check# - 2a�
13125 SW HALL BLVD. New Construction Recd By
Date Rec' �—_/-7 Ot
TIGARD, OR 97223 Single Family Attached Date to P.E. 7 ,4 <'
V 503-639-4171 Date to DST
F 503-684-7297 1 // Permit# ..
Print or 1-\/pe Called _i
Incomplete or illegible applications will not be accepted r'Na� ` "—f I Ora T"a.--C-'
Name of Project Name
Job AfQck'waot> Pka-k l S� 05�E '� - --_——
Address Site Add 5 Architect Mailing Address 4
Name Clty/Slalq Zip one
-- Name
Owner MaiI Address G
i I
Engineer Mailing Address
Cit /Slate Zip hone gneer (AJ AAti
City/State Zip Pho
General Name `T"lbVd ,t� q-772 Yr_-1bc '
Contractor xboj(> � Describe work New O Addition O Alteration O Repair O
Mailing Address — to be done;
Prior to permit __1.2-15-s '%L.x.7 tATI, fad AddiN,, 91 Description of Work:
issuance,a copy City/State Zip Phone
of all licenses tJt �Ql q'rj,23 6 io-8d6
are rec+uired if Oregon Const Cont Board Ex Date PROJECT •"
g p ►�13 891,
expired in COT Lic.# (pOS�� b ,,�� VALUATION
database _
Mechanical Na mg NEW CONSTRUCTION ONLY:
Sub- V Sq. Ft. Hq s. Sq. Ft. Garaqe 1
Contractor Mailing ddre
Prior to permit = :j �✓ Indicate the restricted energy installation by the electrical
Issuance,a copy City/State p Zi Phone subcontractor in the followin areas
of all licenses t)R- Al 74(o n3_ Restricted Audio/Stereo
are required if Oregon Const0iSont. Board Exp Date 7 Energy System _ Alarms
expired in COT Lic.# ,/ c �j Installations Vacuum Irrigation
database (51 0 r +5" O )" W System System
Plumbing Name (check all that Other:
Sub- tj(j(NJ5-- apply)
Contractor' Mailing Address ,!%D-7— Number of Units in Building Unit Number Designation
`=�� Has the Subdivision Plat recorded? N/A Y NO
Prior to permit Cit /State Zi P one
issuance,a copy of all licenses are Oregon Const. Cont Board Exp. Date
required if Lic#
IC)- Q'�p I hearby acknowledge that I have read this application,that the
expired in COT Z3gj
4-1
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 laws.
Name Signature of Own gr/eget / /,/ Dat
Electrical �f�CQFJ�1lL t i2-l�- _2t�t'-�,,fl/,(XStt LteCt r�(X42y U1 '1 7 C
Sub- Mailing Address �— -u Contact Person Name Pon W,
Contractor 214Tv FhWk r
City/State Zip Phone X 2 O 2—
Prior to pa copy &W" f� 61� Sl I' `"3X
issuance,a co 'J FOR OFFICE USE ONLY:
of all licenses are Oregon Const Cont. Board Exp Date
required it Lic.# ` i 5 Plat# 2 h Vv T Map/T./
.�
expired in COT (_)� _ r
database Electrical c q i Exp D to Setbacks: t/ Zone
- 3oS� to- �-Di _ - nD
Electric I Supervisor Lic # Exp Date Engineering Approval: Planning Appro a1' TIF:
i ldststforms\.sfa-new doc 11/20/98
.-
FL OT FLAN
�,.. OT #50, AFFLEWOOD PARK
R123111DA
T zAX L.(-)T 1016500
`.611 r-W 4,07AFORD STREET
. 1/4 OF SECTION 11, T.2, R,1W, W.M. jJ WATER, METER
OF T16ARD lU -- — WATER LINE
UJA,-.�i .NGTON COUNT, ORE00N SS --"— SANITARY SEL'UER
SD— - — 5TCFW11 DR41N
-t OF STREET
MANHOLE
CATCH BASIN
STREET ED
TREES
STREET LIGHT
FIRE HYDRANT
- ------; ------------- .. ---
5W A5HFORD STREET
CURB i ' -i--- ,
SIDEWALK
I
_
8' UTILIT7" 202.01
EASEMENT - — \�R•I�
'�Ick9
N
UJ
// OT (y , 20'-0..
- -
t 4, 513 SQ, Ft. I 1 lU
REGENT /113,/ I -
-I m
z
19 FIN. PLR 204,t5'
3.5 /GARAGE FLR 2030,
/-,'/4 �� v I _ PROVIDE: EROSION
1
203.1' / I CONTROL FENCE
202.6. I I � PEP. COMMUNIT7
\ I 1 I W EROSION PLAN
N8g•54'25"E
2ra4I' 61.5P�' N
LaT 172 ----
LOT 173
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GARNER ELECTRIC
21785 SW TUALATIN VALLEY HWY S
ALOHA, OR 97006-1248
Electrical Siyii.-'ure Form
Permit #: MST2000-00259
Date Irsued: 8115100
Parcel: 2S111 DA-16500
Site Address: 08818 SW ASHFORD ST
Subdivision: APPLEWOOD PARK NO. 3
Block: Lot: 158
Jurisdiction: TIG
Zoning: R-7
Remarks: SIF PATH I
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 returr. this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections will be amnorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
MATRIX DEVELOPMENT CORP GARNER ELECTRIC
6900 SW HAINES ST STE 200 21785 SW TUALATIN VALLEY HWY S
TIGARD, OR 97224 ALOHA, OR 97006-1248
Phone #: Phone #: 591-1320
'req #: LIC 121159
SUP 3707S
ELE 34-305C
AN INK SIGNATURE IS REQUIRED ON HI F RM
X
Signature of S Kising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
--,✓o z
24-Hour Inspection Line: 639-4175 Business Line: l:3,;-4171
BUP
Date Requested_ /?— y _ AM z--'- PM BLD
Location— �f�t, 5 k.,, All A'-Oe _ Suite MEC
Contact Persone� Ph — -:;-7,;74) PLM —
Contractor Ph SWR
BUILDING Tenant/Owner _ ELC
Retaining Wall ELR _—
Footing Access:
Foundation FPS
Ftg Drain —.
Crawl Drain Inspection NotesSGN —
Slab
Post&Beam ---- --- SIT _ _--
Ext Sheath/Shear
Int Sheath/Shear --
Framing
Insulation —
Drywall Nailing
Firewall
Fire Sprinkler _ r
G --- -
Fire Alarm
Susp'd Ceiling
Roof
Final
PASS PART FAIL
Post& Beam - ----------- -
Under Slab
Top Out -
Water Service
Sanitary Sewer
Drains
Fina -----
ASS PART FAIL
Post& Beam
Rough In
Gas Line
Smoke Dampers
rna -- - -- - - - --
5 PART FAIL
ELECTRICAL
Service
Rough In -
UG/Slat,
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading ----_-- — -- ---- --- ----- —
Sanitary Sewer
Slorm Drain [ ] Reinspection fee of$ _ required before next inspection. Pay at City Hall, 11125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ] Please call for reinspection RE: —__ [ j Unable to inspect- no access
ADA
Approach/Sidewalk
Other Date _ V Inspector—_ _ _ Ext
Final
I
PASS PART I-AIL 10 NOT REMOVE this Inspection record from the job site.
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