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9008 SW A,�-iiford Street
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 12C"4 0
24-1-iour Inspection Line: 639-4175 Businesr. Line: 639-4171 -----
BLIP
_Date Requested_ Z G AM !/_PM BLD -
I_ocation 911U U _ S ��/ � 5� _ Suite _ MEC _—
Cur)taut put bur I -_ Ph �� - ✓7� �� PLM — -_----
Contractor —_ __ Ph SWR
d-U-1E ING Tenant/Owner ELC --
Retaining Wall ELR
Footing Access:
Foundation FPS --_ -._-
Fog Drain SIGN
Crawl grain Inspection Notes-
Slab ---- - - ---------_^.-- -- --- SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -------__-.-- ---- -___ --_--_--
Firewall
Fire Sprink; r - -- -- - ------ --- ------^�--__..._._ ..
Fire Alarm
Susp'd Ceiling --- ------.. - ---- -- - --- --
Roof
Mise - --- - -- - -- ---- - ------------ w
Final ---- - ---
PASS PART FAIL ---- - - - ------ - - -- -
Post& Beam
Under Slab
Top Ou,,
Water Service
Sanitary Sewer
nDrains
FIl
A PART FAIT_
CHANICAL
Po.-,t& Beam ------------- - -------- - -------_-_ _
Rough In
Gas I-ine -
Smoke Dampers
Final ----_- - --- - -- - ---------
PASS PART FAIL
ELECTRICAL -- ----- -------- -__--_____ . -------- ------- ----------
!3ervice -- ------ ----------- ------- --------—-- --- —
Rorigh In
UG/Slab ----------------_. _-.�--- - -- ----
t_ow Voltage
Fire Alarm ------- - --- -----------._- --.__ -----
Final
PASS PART FAIL ----- - - - ------ _-_-_-___ _ -------SITE
Backfill/Grading - ---- ----- _- -- -------- ^--- --
Sanitary Sewer
Storm Drain ( J Reinspection fee of$_ —__required before next inspection. Pay at City Hall, 3125 SW Hall Blvd
Catch Basin t J Please call for reinspection RE. [ J Unable to inspect- no access
Fire Supply Line - -- - - -----
ADA
Approach/Sidewalk
Other Date — Inspector —_-_ Ext _.
--� ----—
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the Job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST -coo-?6C)
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ��---- -
/ BUP _
_— —.—Date Requested__ ' 6 _ �AM —PM BLD _
Location- 2QU R A25/.. �' __- --_—_J—__ Suite _ MEC
Contact Pers -t — -------_ _ ' 'h �= 7C) PLM _ —
l;ontractor _ _ ph _ _ SWR _
BUILDING -- Tenant/Owner _ ELC —
Retaining Wall — u ELR -_-
Footing ---------------+_�.
Foundation
Access: FPS
Ftg Drain 5GN ----�-----�-
Crawl Drain Inspection Notes: S - ------__
Slab — -- — ---- -- SIT
Post& Beam ---
Ext Sheath/Shear
Int Sheath/Shear ---_---Framing
Insulation _�._------- ----------- — ------
Drywall Nailing
Firewall - --
Fire Sprinkler - -- --- --_ --- -----------
Fire Alarm --------.--_.---..._
Susp'd Ceiling
Roof
Misc
Fins! -------- ---
PASS PART FAIL - -- - - - - --- _ - _
PLUMBING
Post& Beam ------ ----- - . . -----------------
Under Slab
Top Out ------ - --
Water Service
Sanitary Sewer
Rain Drains
Final -----
PASS PART FAIL
MECHANICAL
Post&Beam - - - -
Rough In
Gas Line
Smoke Dampers _ -
Final
PASS PART FAIL Y-
Service
Rough In
UG/Slab
Low Voltaoe
,.EiLip Alarm
- -- - ..--
ASS ART FAIL ----.---- -
(Backfill/Grading
Sanitary Sewer _--
Storm Drain ( )Reinspection fce of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( J ')lease call for reinspection RE:- -� ( ] Unable to inspect-no access
ADA
Approach/Sidewalk
Other _ Date _1 !2_'� ._. _ Inspector Jr Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job SHO.
CITY OF TIGARL BUILDING INSPEC7ION DIVISION MST
24-Hour Inspection Line: 63S-4175 Busir,pss Line: 639-4171 BUIP
Date Requested -_ AM— PM ---_ BLD —_
— OCJV :�`�/�S �! °'�'� Suite MEC —_--
Location - —� ---
Contact Person _-- Ph y 33?��— PLM _—
PhSWR -----
_ ELC
BUIL � Tenant/Owner
etainnry Wall EI_R
Footing Access: FPS ----_-- _--
Foundation
Fig Drain _. - SGN — ---.--_--.----
Crawl Drain Inspection Notes. SIT
Slab __-.--- - -—
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing -- - ---—-- - -- --- -- — —-_-----
Insulation
Drywall Nailing —.__�------- -- - -- —--
Firewall
Fire Sprinkler — ------ , —
I-ire Alarm '
SusP'd Ceiling ----- -- — � � —
Roof ------
Misc: — -- - — —
PART FAIL --- —
PLUMBING —_ --- ---- ---
Post& Beam -- _ _—
Under Slab --_r__--_-- --- — ---
Top Out _
Water Service --
Sanitary Sewer
Rain Drains
Final
PA T FAIL --- -
ECHANI
- -
Rouq'i :n
-- r.----
Gas Line
oke Dampers - ----- --
F i n ---- —---—--- ---
PART FAIL
CTRICAL
Service --- --- ----- -- ---------------- ----- ----_—
Rough In --------- .,--
UG/Slab — ----- --- - -------- ---
Low Voltage -------_—..�-- — --
Fire Alarrn — —_------ --- — --
Final ------
PASS PART FAIL. ------ -- -- — ---- ----- ----------
SITE - --- ------ - — — —
Backfill/Grading
Sanitary Sewc
[ ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Storm Drain
Catch Basin I [ ] Please call for reinspection RF: Unable to inspect- no access
Fire Supply Line
ADA 27-0 d l:xt
Approach/Sidewalk Date �d' Inspector _
Other _ --- —r
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
LkCITY OF- TIGARD r MASTER PERMIT v_
PERMIT#: MST2.000-00260
DEVELOPMENT SERVICES DATE ISSUED: 8/15/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 09008 SW ASHFORD ST PARCEL: 2S111DA-17200
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT: 165 JURISDICTION: "FIG
REMARKS: S/F PATH I
BUILDING _
REISSUE. A S"TORIES FLOOR AREAS REQUIRED SETBACKS _— REQUIRED
CLASS OF WORK: NEW HEIGHT. 74 FIRST: 977 sl BASEMENT. at LEFT ., SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD. 4', SECOND: 1.768 of GARAGE. a lq sf FRONT: 30 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT sl VALUERIGHT- 10
: 5 :til1;IS i!
OCCUPANCY GRP: R3 BORM: BATH: 7 TOTAL: 1 74`,00 sf REAR: 15
PLUMBING
SINKS: i WATER CLOSETS: 3 WASHING MACH: I LAUNDRY T7AYSRAIN DRAIN. 100 TRAPS,
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TURISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PRE.VNTR: i GREASE TRAPS:
01 HER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOILlCMP<AHP: VENT FANS: 5 CLOTHES DRYER: 1
1;A5 FURN>-100K UNIT HEATERS: HOODS: I OTHER UN;TS: I
MAX INP: btu FLOOR rURNANCESVENTS: I WOODS',OVES: GAS OUTLETS: I
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER _ TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLt.SOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp- 0 200 amu: WISVC OR FUR: I PUMPIIRRIGATION: PER INSPECTION:
EA ADD'I-500SF: 4 201 - 400 amp. 201 400 amp: 1st WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp. 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT:
MANU HMISVCIFDR: 601 1000 amp. 601rompe-1000v: MINOR LABEL:
1000+amolvoll
PLAN REVIEW SECTION
Reconnect only:
>•4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL.: CLS AREA/SPC OCC
ELECTRICAL-RESTRICTED ENERGY _
A.SF RESIDENTIAL_ B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM. AUDIO&STEREO. FIRE ALARM: INTERCOMIPACING: OUTDOOR LNDSC L T
BURGLAR ALARM: OTIC: 001LER: HVAC: L.ANDSCAPEARRIG: PROTECTIVE SIGNL
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR.
HVAC: DATA/TELE COMM: NURSE CALLS. TOTAL 0 SYSTEMS:
TOTAL FEES: $ 3,430.24
Owner: Contractor: 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 BARBUR B'_VD all other applicable laws All work will be done in
TIGARD•OR 97224 PORTLAND,OR 97219 accordance with approved plans This permit will expire if
work is not started with in 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
Rag N. 11C o00,n563 forth in OAR 952-OCl-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 Post/Beam Mechanical Ftng Drain Bsm't Walls Framing Insp Insulation Insp Mechanir:,;;1nal
Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Rain drain Insp Plumb Final
Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Inst Water Line Insp Final inspection
Foundation Insp Footing/Foundation Dr; Electrical Service Gas Line Insp Appr/Sdwlk Insp Building Final
Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Fireplace Electrical Final
\\ 117
By : _1 J ��i X9-/2,� _ g
Issued f3 riPermittee Si natures
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
ACITY OF T'IGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000-00212
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/15/00
SITE ADDRESS; 09008 SW ASHFORD 5T
PARCEL: 2S111 DA-17200
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7
BLOCK: LOT: 165 JURISDICTION: TIG
ENANT 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 Type By Date Amount Receipt
6900 SW HAINES ST STE 200 _
TIGARD, OR 97224 PRMT DEB 8/15/00 $2,300.00 0004497
INSP DEB 8/15/00 $35.00 0004497
Phone: Total_ $2,335.00
Contractor.
Phone-
Reg #:
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of tie Unified '.ewage Agency. The permit expires
180 days from the date issued The total amount paid will be forfeited if the perrr�t expires. The Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not ioc.ated a! the measurement given, the installer
shall prospect 3 feet in all directions from the distance given If not so located, the installer sh,,11 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 Permittee Signature.
�. .—
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next businbss day
CITY OF TIGARD Residential Building Permit Application "Ian Check:/
_
13125 SW HALL BLVD. New Construction Recd By
ecd 'I
J
TIGARD, OR 972.23 Single Family Attached Date Date RR P.E. -.
V 503-639-4171 \ w Date to DST_
F 503-6$4-7297 /C Permit#/
Print or Type Called .N
Incomplete or illegible applications will not be accepted r / - " °c' v
Name of Project Name
Job Wcewt= —:� Name 2n
-- ---. Mailing Address
Address Site Add Archltec, s .�a �—
> uo Pc�. fir, I _AVT sw C� �Ei1E /o0
- - -- -- Cit /State Zip Phon.,
Name •�A. .f1,
��^��"1._�� __ ---------------- Name
Owner MailinAddress /It
1,2-17 !;-S- :�w (d-'7 N xt�Q� o
Cit /State Phone Engineer Mai
ling ntv�uD,cR ��1 M136 to-gc�8b (OAC� �- S
City/State Zip on
General Name �f �/� M �23 �p24-1`MV
Contractor ��_ Rv rrv'�_ Describe work New O Addition O `Altteration O Repair O
Mailing Address to be done:
Prior to permit Additional Description of Work.
issuance, a copy City/State Zip Phone
of all licenses
are required if Oregon Const cont. Board Exp. Date PROJECT ������
expired in a Lic# Or OSL3 Cn �_E VALUATION � _ I , ✓
database �O _
Mechanical Name - ---- NEW CONSTRUCTION ONLY:
Sub- `pUP6LDk) _ Sq Ft House. Sq Ft. Garage
Contractor M III 9 Address _ _
Prior to permit ;L� IDSI Indicate the restricted energy installation by the electrical 1
issuance,a copy City/State -ZIP � Phone subcontractor in the fo;lowin areas
of all licenses `7jlj� Restricted Audio/Stereo
are required if Oregon Const.Cont.Board Exp. Date Energy System Alarms
expired in COT Lic# �[ ��1— - Installations Vacuum Irrigation
database "( 1 Sr 30' p l System _ System
Plumbing Name (check all that Other:
Sub- V-J C)L '0T'T' F�_v rl,gwk— apply)
_
Contractor Marling Address Number of Units in Building Unit Numbe;Designation
F r.) 15CK Has the Subdivision Plat recorded? N/A YE NO
Prior to permit CCtit /State Zi w Phone
issuance,a copy C�wj�7ACtt�x 47✓.moo jingri
of all licenses are Oregon Const Cont. Board Exp Date
required if Lic# p a Q
expired in COT 2-384-7 lC'� {'d 1 hearby acknowledge that I have read this application, that the
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 Owne Ag D to
Electrical &'_�N�r< f�l�. _��-_�Y.tJ`,,tt� L. F�a�� 7 17 as
Sub- Mailing Addres! 'r Contact Person Name UPhone#
Contractor I.V1$S S0 TV CCIU� ( uR•EriJ
i,
City/Sta a Zip Phone
Prior to permit �/ 111.
issuance,a copy 4 _`��0_
I�w FOR OFFICE USE ONLY: _
of all licenses,.re Oregon Const Cont. Board Exp Date , —
required if Lic# Plat# MaplTL#:
expired in COT
database Electrical Lic # Ex Date Se tba s: Zone:
Electrical Supervisor Lic # Exp Date - Engineering Approval Planning Approval
i`dsts\forms\sfa-new doc 11/20/98
FL OT FLAN
LOT 1*1(o5, AFFLEWOOIJ FARK
R7 251 11 IDA
TAX LOT '011200
9008 5LU 451-4FORD 5'TREET
S.E. 1/4 OF 5ECT!ON 11, T.2, rm).W, 1,U.M.
C I T`r OF T IGARD o WATER METER
W,451-4INGTON COUNTY, OREGON WATER LINE
SS——--— SANITARY SEWER
SD— - - -- STORM DRAIN
— — t OF STREET
MANHOLE
LE G E N ® CATCH BASIN
PROPOSED
H NIOME STREET TREES
® STREET LIGHT
�n a n _ (1'n!T'(r) FIRE HYDRANT
' 5W ,45HPORD STREET
SD -- - - -- - - ----- _ _ _ _ .-- SD -- - -
---------------------------— ---� ---W----
CURB
I N89'5 4'2 E i 51DEWALK
49.00'
rq7o 8' UTILITY
IL f EASEMENT
i
X0,.9'
Ln
�r
- FIN. FLR. - 208.6' /
PR0\/lDE EROSION f I I I I GARArsE FLP- Z�BZ' ,
GONTROL FENCE "' I ; 61 .j
PER COMMUNITY
ERC?51CN PLAN
1 r 208.a'
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� Lor 166
CITY OF TI(7-ARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GARNER ELECTRIC
21785 SW TUALATIN VALLEY HWY S
ALOHA, OR 97006-1248
Electrical Signature Forma
Permit #: MST2000-00260
Date Issued. 8/15100
Parcel: 2S1.11 DA-17200
Site Address: 09008 SW ASHFORD ST
Subdivision: APPLEWOOD PARK NO. 3
Block: Lot: 165
Jurisdiction: TIG
Zoning: R-7
Remarks S/F PATH
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
I
OW BIER: ELECTRICAL CONTRACTOR:
MATRIX DEVEI-OPMENT CORP GARNER ELECTRIC
6900 SW HAINES ST STE 200 21785 SW TUALA i iN VALLEY HWY S
TIGARD, OR 97224 ALOHA, OR 97006-1248
Phone #: Phone #: 591-1320
Rep #: LIC 121159
SUP :+707S
ELE 34-305C
AN INK SIGNATURE IS REQUIRED TI-JS F/,6RM
X
Signatur o S pervisino Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
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