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Case File t A _ TAX MAP NO. 751 1105 TAX LOT 1600 ag-I iERFIELD NO. 10 LOT 44.4 ZONE: R-1 SET13ACK5: FRONT: 15 FEET SIDES: 5 FEET ' REAR: 15 FEET �-- —_ _.,. ,,,,,, .._._,.,.,....•., _,_, °` 85.80' S 86.59'44' E • • • • • • • • • • • • • ' . . SETBACKS i I a 1 �, �i---EXISTING 5RICK W LL ' RROF'ROSED I � r4DDITIOir� i �ST ui WALK i . u I EXISTING OUSE U CORNER ST EXISTING= EXISTING RESIDENCE ~� DRIVEWAY • 2 12 X15' • W I I_ Q ' ommum Gomm 84-51'248 Gomm own. I ' 1 • NOTICE: IF THE PRINT OR TYPE nNANY ri � � � � � ► 1I1 II ► 1 � 1 iII 1 � 1 1 � 1 II1 1 � 1 I � f 1 i �_1 i � 1 T 1 i � I i � i 1 � 1 l � i 1 � 1 i � f l � i ► lil 111 r� 1 >� �1 lil . � i ill. 1� 1 � 1r1 �ir�-1 � 11111 111 1 � 1 � 1 � 1 nTip �1 .-.- 1 2 4 12 IMAGE IS NOT AS CLEAR AS THIS NOTICE, __ _ 3 _ _ '� 8 _ _ 9 � lU 11� IT IS DUE TO THE QUALITY OF THE � c . ORIGINAL DOCUMENT ou 6Z SZ ` LZ 3 5 vZ EZZ IZ OZ t SI LI 9t 5t � IEI ZI tt t 6 $ L99�uJill �� ►t►� �►i� �� t� ,�i1iiiii�i �►�i �:<< 1� � .iii� u� �� i�f� iii� � u 1 - j F- Ln cn CZ) 0 �N E � n N CL co �i ET y U � U C� H (7 F- 15500 SW ALDERBROOK CIRCfE IF CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Ph ne: 639-4171 ' � � A. � MST Date Requested: --- Blm: —T— I,ocatiOn: _ Suite: Bldg: Contractor: 1 � ! 1_ ?1 -- PLM: 0%mi v {'hone. �' �j ELR: SIT: BUILDING i�� BLD(%(Co ) PLUMBING AL ELECTRICAL SITE N Site - oAW tt I'osUfderun Post/Beam Cover/Service Sewer/Storm Footing Root' UndH/Slut Roug;; Ceiling Water Line !:: Slab Frami,rg 'for(nit Gas Line Rough-ht [l(3 Sprinkler Foundation Ins.ration Sewer I lorn.UDuct Reconnect Vault ldsutt Damp Ihywall Stonn Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spk1r/Alm Crawl/I-ound Dr heat Pump Low Volt rove ApprovedApproved Approved Approved Appr/Sdwlk Not A)noved Not Aprroved Not Approved Not Approved Not Approved AL '� FINAL FINAL FINAL FINAL C��i.P��.sg<C')v�.S !�/O�ins�__t�S/�✓O!� �l�'c'AUi�.�------- r elk, Q4,d t* 'f1.4��C�fc. 01 Call for reins c o O Reinspection fee of S_ required before next inspection ❑Unable to inspect Inspector --- ----- -- Date: 'r L- — O Page of — CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 BUP Date Requested [ AM PM BLD Location �� t i cm�c) Cc� 3 Contact Person �i�-✓ 41 Cl— Ph PLM Contractor_ Ph _ SWR BUILDING Tenant/OwnerOC�(v Retaining Wall /!� ELR _ Footing ACCpss: Foundation E i (_ FPS Drain GN Crawl Drain Inspection Notes: /� Slab t r SIT Post&Beam I , -- 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 - - -- --- - ---... ---- --- PLUMBING Post& Beam -- �— -- -- - Under Slab -------- — ---- Top Out Water Service Sanitary Sewer Rain Drains Fin.il P RT FAIL ECHANIC Post Ba _ Zm - Rough In C C Gas Line --- Smoke Dampers PART FAIL_ [Se,v,ce Rough In UG/Slab --- ` -- _-- Lc w Voltage / Fire Alarm AS PART FAIL _ Backfill/Gi a6ing -- -- Sanitary Sewer Storm Drain ( ] Reinspection fee of$ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I J Please call for reinspection RIF __--_ [ J Unable to inspect-no access Fire Supply Line - ADA Approach/Sidewalk Date R�7 Ins ector_ Ext Other _ _—.— Final --- — PASS PART FAIL DO NOT REMOVE this inspection record from the job site. i F CITYOF T I G A R D ELECTRICAL PERMIT�� /' PERMIT#: ELC1999-00736 DEVELOPMENT SERVICES 5P)4 DATE ISSUED: 12/16/99 13125 SW Hall Blvd., Tipard, OR 97223 (503) 639-41 /'�j PARCEL: 2S111DB-01600 SITE ADDRESS: 15500 SW ALDERBROOK CIR 6./15 SUBDIVISION: SUMMERFIELD NO.8 ,, ZONING: R-7 BLOCK: LOT : 444 ' JURISDICTION: TIG Proieet Description: Installation of three (3)branch circuits to an existing dwel;in 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 HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT: 601 - 1000 amp: _PLA_ N REVIEW SECTION _ 1000+ amp/volt: >=-4 RES UNITS: > 600 VOLT NOMINAL: _ Reconnect only: _ SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ELARDO, VIRGINIA M POONES -ERRY ELECTRICAL 15500 SW ALDERBROOK CIR PO BOX 628 TIGARD, OR 97224 WILSONVILLE, OR 97070 Phone: Phone: 682-4936 Reg M SUP 3170S LIC 00088482 ELE 3-223C �-- —__ FEES - �-- Required Inspections Type By Date ^ Amount Receipt Elect'I Service PRMT DEB 12/16/99 $48.20 99-320472 Elect'I Final 5PCT DEB i2/16/99 $3.86 99-320472 Total $52.06 This Permit is iasued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans Tnis permit will expire if works not started within 180 days of issuance or rf work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain oonlwt of these rules ordirect questions to OUNC at(5031 2.46.198' PERMITTEE'S SIGNATURE / �L(L 13$U 9Y I' /l 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 S!(-,NATURE OF SUPR. ELEC'N: jl' C1�1 _i ____ _ DATE: LICENSE NO: p 17 ;_c) Call 639-4175 by 7:00pm for an inspection the next business day CITY OF•TIGARD EI& YOdrmit Application � Pia"Check 8 13125 SW HALL_ BLVD. U/ Reed By TIGARD OR 97223DF C, Date Recd Phone(503)639-4171, x304 Date to P E. - I;UMMUNIfY UEVE Date to DST Inspection(503)639 4175 �f Type - I Permit r Fax(503)5913-1960 iii.omplete or illegible will not be accept caned 1. Job Address: 4. Complete Fee Schedule Below: _ Name of Development Number of P _ - Inspections per permit avowed Name(or name of business) V ' A �LL V / Service included: Items Cost --Sum Address 4a. Restdcn;,l-Por unil City/Stalejzp at Y- c� 9 y:��h� tow v1 fl w less $ 117 75 4 y -- T E.ady ft i additional SW sor --- - portion lhereol S 2E',25 i Commercial❑ ResidentialYU Drnhed Fnergy f fi0 00 Eads Manufd Home o:Modular - 2a. Contractor installation only: Dwslring Service or Feeder s 72 75 - 2 (Prior to permit Issuance,applicants must Provide contractor license 4b.Services or Feeders information for CO f data base). Installation,alteration,or relocation f;ectrical Contractor IIUO N E S F E$p Y E L 'C'I R C 700 amps or less s w 75 Address_______ P_0 Pox 628 201 amps to 400 amps —� S 85.50 ^— - 2 city_W j 1 s o n v i l 1 state OR Zip 9 7 0 7 0 - 401 amps to 6W amps --- S 128.50 2 — 601 amps to 1000 amps - $ 19250 Phone No ')O3- 682-4936 _-- - Elver 1000 amps of volts - s 36375 Job No _ _ __ _ Reconnect only S 5350 Elec.Cont Lice No. -2 2 3 C Exp.Date 1 3 1 0O 4c.Temporary Services or Feeders OR State CCB Reg No. 8 4 8 2 Exp.Date 2_ZZ /O 1 Installation,alteration,or relocation COT Business Tax or Metro o. . 02851 4ED ate��9 700 amps or Mss s 5350201 amps to 400 amps S 80.25 Signature of Supr EIeC'n 6M401 amps to 000 ampsf 10700 Over 6amps to 1000 volts. —�- License No 3170 S see"b"above Exp.Date 10 1 01 Phone No. ^6—82-4 9 3 4d.Branch C(rrufts �- - New.alteration or extension per panel a)Thr Ne for branch circuits 2h. For owner installations: with purrhase of service or feeder fee Print Owners Narne _ _ Each branch circuit S 5.35 2 Address i l b)The tee for branch circuits --- City - wNhour Purclhase of service ~ Slate_ Zip` -- -- or feeder fee. Phone No First txandh circuil $ 37.50 Each addnicnal branch circuit — S 515 The installation is being made on property I awn which is not 4e-Miscellaneous intended for sale,lease or Fent. (Servic)e nr feeder nor ir+juded) Cacti pump or inigalion circle $ 42 75 Chillies Signature_ �- Each sign at outline lighting - S 42 75 Signal cimrtt(s)or a limited energy f panel,afteration or extension S- 6000 3. Pkn Review section (if required): Minor tabels(10) _— $ 10700 J Please check appropriate Item and enter fee In section 5E3. 4f.Each additional Inspection over - 4 or more residential units in one structure the allowable in any of the above Servilm and feeder 275 amos or more Per Inspection S 50.00 --- - --- Sys9em over 600 volts nominal Per hour S SO.OUIn Plant ---- S 59 00 --- Classified area or structure containing speraal nccuoancy as - - -- described in N E C Chapter 5 5. Fees: Sa.Enter total of above fees $ Submit 2 sets of plans with application whore any of the above aPPI Y. �/�+Surcharge(OS x total tees) S Not regcdred for temporary construction services. Subtotal S Sh.Filter 25%of line Sa It. NOTICE Plan Review it required(Se-.3) S PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subfotal S -' IS NOT COMMENCED WITHIN 180 0AYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS �� 1 r.rst nrcrainl lt _ l` AT ANY TIME AFTFR WORK IS COMMENCED Tota!balance Due -s i�ds lformskelectric dor mrcnrr r.. retie ..,,..� ...... ...... .. ., . . ... . CITYOF T I G A R D MECHANICAL PERMIT PERMIT#: MEC1999-U0531 DEVELOPMENT SERVICES DATE ISSUED: 12/06/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S1 11 DB- DB-01600 SITE ADDRESS: 15500 SW ALDERBROOK CIR SUBDIVISION: SUMMERFIELD NO.8 ZONING: R-7 BLOCK: LOT: 444 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES _ 0 3 HP: 1 DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR_ HANDLING UNITSOTHER UNITS: FURN >=100K BTU: <= 10000 cfm: 1 GAS OUTLETS: > 10000 cfm: Remarks: Replace exterior heat pump and air handler in single family dwelling. Heat pump must not encroach within 5 tt. of side or rear setbacks. _ Owner: FEES ELARDO, VIRGINIA M Type Byv Date!_ Amount Receipt 15500 SW ALDERBROOK CIR PRMT KJP i2/06/19� $50.00 99-320177 TIGARD, OR 97224 5PCT KJP 12/06/19E $4.00 99-320177 Total $54.00 Phone: —`— --- Contractor: CLIMATF CONTROL INC 3315 N`JV 26tH AVE PORTLAND, OR 97210 _ REQUIRED INSPECTIONS _ Heating Unt Insp Phone:223-4393 Misc. Inspection Reg 4: LIC 62196 Final Inspection ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore. Specialty Codes and all other applicable laws. All work will be done in ac%ordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in GAR 952-001-0010 throng OAR ^52-001-0080. You may obtai c pi s of these rules or direct questions to OUN"y Gall (503 46� 189. Issue By: _�Q/Ln,�, Permittee Signature: x Mall (503) 639-4175 by 7:00 P.M. for inspections neede -the hext buss ess d' 4 Check #_ CITY OF TI�GARD Mechanical Permit Application Plan Che Recd By he 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P.E (503) 639-4171, x304 Date to DST _ Print or Type Permit#MA, o05 33j _ Incomplete or illegible applications will not be_ac.cep'tc-d Called ed Name of Development/Pro ( � Description Table — --1 II l t Table 1A Mechanical Code 0 Prire And I F— \ -- ------- Job Street Address Suite# A) Permit Fac 16.00 1 1) Furnace to 100,000 BTU Address t u ��_�C C�-'1\��, ( including ducts&vents see foo'note 1,2 9.55 Bldg# Cny/state Zip 2) Furnace 100,000 BTU+ ,xt\ t�` It ( r,1 including ducts&vents see footnote 1,2 Name(or name of business) 3) Floor Furnace - Owner t \j,t including vent _see footnote 1,2 9 65 4) Suspended heater,wall heater Melling Address or floor mounted heater see footnote 1,2 3.65 5) Vent not included in appliance permit 4 75 city/state Zip Phone Check all that apply "Boiler Heat Air '\ (,I, ; ,� C 1u`\ �c 14 L4 For Items 6-10,see or Pump Cond Qty Price Amt Name(or ame 61 business) – footnotes 1,2 Comp 6)<3HP;absorb unit to 100K BTU _ 965 Occupant Mailing Address �, 7)3-15 HP,absorb unit t •, ' ��` �x t\l' 100k to 500k BTU 1765 _ City/Stale Zip Phone 6)15-30 HP; absorb unit.5-1 mil BTU _ 24.15 _ `� J. ��'_ c1 1ZLL\ �. t' t absorb 9;30-50 HP, absorb Contractor Name unit 1-1.75 mil BTU _ 3600 10)>50HP,absorb unit Prior to permit Mailing a ldress >1.75 mil BTU _ 60 15 issuance,a copy (- ' 11 Air handling unit to 10,000 CFM Of 811 IICen$l•.S CitylState Zip Phone 7 00 are required if -_t ,. (i C f \ 12)Air handling unit 10,000 CFM+ expired in COT Oregon Const.;ont B and Lic# Exp.Date I- 11 85 database c �' 1,,� l� -t 13)Non-portable evaporate cooler Architect Name _ 7,00 14)Vent fan connected to a single duct or Mailing Addiess 4,75 15)Ventilati(n system not included in City/State a plias;e permit 7.00 Zip Phone �--- "—'----- Engineer ' 16)Hood served by mechanical exhaust – _ 7.00 I scribe work to be done 17)Domestic incinerators _ 12.00 _ New O Repair O Replace with like kind Yes'A No O 18)Commercial or industrial type incinerator Residential to Commercial(D 48.25 19)Repair units Additional information or descnption of work' .0`_` _ 8.40 r 20)Wood stove/gas FP/other units/clothe dryer/etc .51 , _ _ 7.00 NOTE: For Commercial projects only,Units over 400 lbs require 211 Gas piping one to four outlets i — structural gas talcs See footnote 1 _ 3.75 -- Type of fuel oil O natural gas O LPG O electric O 22)More than 4-per outlet(each) 75 Minimum_Permit Fee$50.00 SUBTOTAL ti 5 �; 5 U 0 I hereby acknowledge that I have read this application,that the information 8%SURCHARGE 1 rA given is correct that I am the owner or authorized agent of V PLAN REVIEW 25%OF SUBTOTAL the owner,that plans submitted are in compliance with Oregon State laws Required for ALL commercial permits only u>r TOTAL xf, Signature of OwnerlAgent Date I - Other Inspections and Fees: 1. Inspections outside of normal business hours(mininum charge-two hours) $50.00 per hour Contact Person Name Phone � i p 2. Inspections for which no fee Is specifically Indicated (minimum charge-half hour) $50.00 per hour – 3. Additional plan review required by changes,additions or revisions to Foonotes ior 4n iercial projects only: 1. Provide full schematic of exlstirg and proposed gas line and pressure plans(minimum charge-one-half hoer)$50.00 per hour 2 Provide drawings to scale showing existing and proposed mechanical units. 'State Contra-tor Boiler Certification required "Residential AX requires site plan showing placement Of unit I:unechperm doc rev 7/19/99 iW Qf. WMATE CONTROL 16500 SW 72nd Avenue Portland, OR 97224 HEATING & AIR C O N D I T I O N I N G 503-453-4822 FAX: 968-7224 503-453-HVAC +;20 r �nP1 I (Tara q� I� 15o u SYS'EM DESIGN INSTALLATION--- SERVICE - MAINTENANCE PORTLAND • 453-4822 VANCOUVER • 360-254-3063 CITY QF TIGARD MASTER PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST96-0016 DATE ISSUED: 02/03/9813125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL: 2S111DIS-01600 S I.TF... ADDRESS. . . : 15500 SW Ai-DFRBROOK C I R i3UBDIVISION. . . . :SUMME"RFIELD NO. 8 ZONING: R-7 R1.-OCK.. . . . . . . . . , LOT. . . . . . . . . . . . . :44li JURISDICTION: TIG Remarks: Enclosinq and @;istinq covered patio PATH I ------------------------------------I---------------------- BUILDING ----------------------------------------------------------------- _ REISSUE: STORIES.......: I FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------- r;LASS OF WOR1c.:ADD HEIGHT........: 14 FIRST....: 70 sf GAIAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS: TYPE OF [ISE...:SF FLOOR LOAD..... 40 SECOND...: 0 sf FRONT.........: r PARKING SPACES: 0 TYPE OF CONST.:5N DWELLING UNITS: 1 :•INBSMENT: 0 sf RIGHT.........: 0 OCCUPANCY GRP.:113 BDRM: 0 BATH: 0 TOTAL------: 70 sf VALUE..f: 4663 REAR..........: 17 ----------------------------------------------------- ----------- PLUMP,ING -----------------------------------------•--•---------------------- IINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 Tl111!SHOWER9...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER, LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 - ----------------------------- MECHANICAL ---------------------------------------------•------------------- FUEL TYPES----------- FURN ( 100K ..: 0 BOIL/C14P l 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0 FURN )=100K ..: 0 UNIT HEATERS..: 0 HOOD.........: 0 OTHER UNITS... : 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS......... : 0 WOODSTOVES....: 0 GAS OUTLETS...: 0 _ --------------------------------------------------------------- ELECTRICAL -•---------•--------------------------------•---------------------- RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDFRS-- ---BRANCH CIRCUITS-- ---MISCELLANEOUS---- --ADD'L INSFf CTIONS-- ION SF OR LESS: 0 0 - 200 asap..: 0 0 - 200 amp..: 0 Wr'SVC OR FDR..: 0 PU1MP/IRRIGATION: 0 PER INSPECTION: 0 FA ADD'1. 500SF.: 0 201 - 400 amp..: 0 201 - 400 asp..: 0 1st W/O SVC/FDR: 0 SITS!/OUT LIN LT: 0 PER HOUR......: 0 LIMITED FNERGY.: 0 401 600 amp..: 0 401 - 600 alp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MAW HM/SVC/F.)R: 0 601 1000 alp. : 0 601+asps-1000 v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: A ----------------------------------- PLAN REVIEW SECTION ---------------------------------.. I Reconnect only. : 0 )=4 RES UNITS..: SVC/FDR)=225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ------ ----------------------.-------------- ELECTRICAL - RESTRICTED ENERGY ------------------------------------------------------- n. SF RESIDENTIAL.---------------------------- B. COMMERCIAL------------------------------------------------------------------ --------- AUDIO 6 STEREO.: VACUUM SYSTEM..: AUDIO 6 STEREO.: FIRE ALARM...... INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: OTH: :: BOILER... ......: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE 91GW: GARAGE OPENER..: CLOCK........... INSTRUMENTATION: MEDICAL...... .. i".dR: :. Hi,Ff...........: DATAiTELE COMM.: NURSE CALLS....: TOTAL 1 SYSTEMS: 0 Owner: --------------------------------------Contractor: ------------------------- --- TOTAL. FEESA 85.86 VIRGINIA ELARDO BRUCE ABRAHAMSW CONSTRUCTION This permit is subjec` to the regulations _ntained in the 15500 SW ALDERBROOK CIRCLE 12735 SW MARIE CT Tigard Municipal Code, State of Ore Specialty Codes and all TIGARD OR 97224 TIGARD Oh 97223 other applicable laws. All work will be done in acceirdance with approved r'ans. Th,,s nervi; will expire if work is Phone 4. 603-0462 Phone 0: 539-6790 not started within 180 days of issuance, or if the work is Peg N..: 010263 suspended for more than 183 days. ATTENTION: Oregon law - __..---------------.___------_-_--__--_----------- ._.-------.--- - requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set rorth in DAR 952-001-0010 through OAR 952-001-0080. You ray obtain copies of these rules or direct question to UK by calling 1501246-1987. ---- REQUIRED INSPECTIONS ----------------------- - ----------------------------------------------------- -------------------------------- - - Erosion Control Building Final ----- Pr,st/Beae Struct __ ------ --- framing Insp — - Insulation Insp - fiyp Board In - � ------_�� --- f; 4 I s s i_r e d � v�-�i.�—. F'e r m i t t e e Signa r F+++4f+i+FV.+-++�}++t+4++++++++r++++++++�+-++t•Ft++++.4-+--+++++t ++t+th *t+ttttt+ti++ Call 639--4175 by 7:00 p. m. for an inspection needed the next br_isiness day Plan Che -a G TIGARD Residential Building Permit Application Recd By 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd= TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. V 503-639-4171 Date to DST - 2 1 - F 503-684-7297 Permit# � Print or Type Called Z l _ Incomplete or illegible applications will not be accepted ( Name of Project Marne (/ R, ' AM Job '"`' ' j!• �� r� b Architect Mailind Address Address si(W ass �j DC-�/ l3 l�(�c K t I �:� A E N4�Y Z�/U —_ l> City/State Zip Phone rJa mt3, r I _ I rf rl rZ 1--,) Q or 3s' • c, I � /4 / rt f)G - Na Owner Mailin Address -�-L Engineer Mailing Address City/Slate Zip Phone p r ZO Z Z c_ 6< C City/State Zip Phone General Nae Cc ntractor iJrZa(-c w WLAI',NKiSGR- (t,,s 1 Describe work New O Addition O Alteration -Repair O Mailing Addressto be done. __ - Piior to permit 1 Z }35 "W YA 01Z I C f T tAditional Description of Work issuance, a copy City/State Zip Phone -of all licenses I,tA A K(') 12 3 S 31-L _19� are required if Or goo Const Cont Board Exp. Date � � 7 v�.r, expired in COT Lic# 1 VALUATION ( database (-I/,-) L�� T - � A� _ -CONSTRUCTION - Mechanical ---- Mechanical Name NEW CONSTRUCTION ONLY: Sub- / -1 Sq. Ft House. �� Sq. Ft. Garage Contractor Mailing Address _ Prior to permit Corner Lot YES NO Flag Lot� NO issuance.a copy City/State zip Phone (check one) _ (check one) -_ of all licenses _ Restricted Audio/Stereo Burglar are required if Oregon Const.Cont.Board Exp. Date EnergySystem_ _ Alarm e::pjred in COT Lic# Installation — Garage Door---'-- HVAC __ database _ Plumbing Name -- -- Opener--_` Systems _% (check all that Other Sub- -- --- — apply) - Contractor Ma ling Address Will the electrical subcontractor wire for all YES NO _— restricted energy installations? Prior to oermt City/State Zip Phone Has the Subdivision Plat recorded? I NIA YES NO issuance. a copy of all licenses are Oregon Const Cont Board— Exp Date ---- required if Lic# Reissue of MST#: Solar Compliance expired in COT _ — (Calculation Attached) database Plumbing Lic # Exp Date I hearby acknowledge that.I have read this application, that the information given is correct that I am the owner or authorized Name _ agent of the owner, and that plans submitted are in compliance with Oregon State laws J- _ Electrical _ "ignature of Uw %/Agont Date l m Sub- Mag Address - -� 1,1*10-111 — Contractor _—_ Contact Person Name Ph e# ` City/State Zip Phrne - Prior to permit FOR OFFICE USE ONLY: _ issuance. a copy __ Plat#:,, of all licenses are Oregon Const Cont Board Exp. Date , I'`7� ` / 't. ,�� required if Lic# a tick Zon S,iar. expired In COT _ __ _ I' ' (,ifJ1 ) V database Electrical Lic # Ex Dale - - Exp Fngineen pproval Planjirrg Approval TIF ^� I SFREM DOC (DST) 4/97 1J SEE 3 !) MM ROLL# 22 FOR LARGE DOCUMENT