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8020 SW CHURCHILL COURT c �i(IL11 ti�� Churchill Court CITY OF TIGARD ZIJILDING INSPECTION DIVISinN 24-Hour Inspection Line: ,9-4175 Business Line* 6-". '171BLIP --- — _ _Date Requested—_ �/- ---.--_�_AM _PM BLD --- Location_ (Wose '5W CA Jet-&f- /A / Ce Suite A MEC - ---- ---- Contact Person Ph (� u r� c PLM, - ContractorPh SVVR _ — - - Tenant/Owner ELC Retaining Wal—I w ELR Footing Access: FPS Foundation Fig Drain SGN Crawl Drain Inspection Notes: Slab -- SIT Post&Beam ExtSheath'Shear --- - —� Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler -- ------- --- —- - - - -- Fire Alarm Susp'd Ceiling - - Roof MJK f. S PART FAIL - PLUMBING Post&Beam Under Slab Top Out i Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL NICA os ear Rough In Gas Line - -- - Smoke L"impf -P, S PART FAIL. TR ICALL Service - Rough In UG/Slab Low Voltage Fire Aiarm -- 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 [ ]Please call for reinspection PE: [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector _ v _ _Ext _- Other - Final PASS PART FAIL DO NOT REMOVE this inspection record from the Job site. I !'Y OF TIGARD PI JILDING INSPECTION DIVISI(-'N MST 24-Hour Inspection Line: 3-4.175 Business Line: 63. ,171 - BUP Date Reques",ed _ _� _-AAA. -PM _ BLD ---- - Location_ 4,t��'% 2 Lt�1'G" 1 ! �_C _ Suite — MEC ---� Contact Person �' '1� Ph _� /�'`S 711 _ PLM Contractor 06 w S-OAI Ph _ _ SWR — BUILDING Tenant/Owner ELC Retaining Wall ELR -------------------------------- Footing Access' Foundation FPS Ftg Drain -- SGN Crawl Drain Inspectionf / Slab ��f. -- `� _L1'r!c` Z' SIT Post&Beam �/� --- ---- -- _ -. Ext',;heath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling _-- Poof Misc - - --- - - Final f �' PASS PART F AIL PLUMBING Post&Beam --- Under Slab Top Out Water Servicu _ Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam — — -- - Rough In Gas Line - - -- - ----- Smoke Damper. Final - PASS PART FAIL Service Rough In UG/Slab I — Low Voltage PPASS AR r FAI'_ _— _ ----- — S Backfill/Grading — Sanitary Sewer Storm Drain [ )Reinspectwr tee of _ required before r ext inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RF: ( )Unable to inspect-no access ADA Approach/Sidewalk. Other Date - -- _ Inspector ��Q Ext Final - PASS PART FAIL DO NOT REMOVE this Inspection reccrei from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISInN MST.-qO 24-Hour Inspection Line: -1••4175 Business L;ne: 63. 171 — l- BUP - ---- Date Requested -3 _—AM—�<—PM _ _ BLD _ r Location— ©� :f . 1 /Z Suite MEC Contact Perst-n ,�� �L/CQ Ph ��^�y��711 PLM -- - Contractor Ph SWR _ BUILDING Tenant/Owner ELC Retaining Wall ELRFoong Foundation A�c"S: 412 6 � 1"� � _ �,r� FPS Fig Drain '1 !/�/ SGN Crawl Drain Inspection Notes: 1 E / Slab 7 �L'� SIT Post& Beam r Ext Sheath/Shear I InIJ4 /1-7 Int Sheath/Shear Framing _— Insulat:on Dry',,,all NaillnoFirewall Fit- Sprinkler _ --- Fire Alarm Susp'd Ceiling — — -- Roof Misc: -- Final — PASS PART FAIL ----— - Post& Beam — --- — Under Slab Top Out Water Service _ Sanitary Sewer — — Rjjig.prains ji—AS9 ,PART FAIL .GNANICAL Post& Beam -------___— Rough In Gas Linc —— --- —— — Smcke Dampers Fine I --- -- -- —— — P/SSS PART FAIL EI_'GTRICAL —���- - ------- — ----- Service —__-- Rough In UG/S, .v --- -- — --- — Low Voltage Fire Alarm Final PASS PART FAIL _ --- — — -- -- -— SITE Backfill/Grading — - — — Sanitary Sewer Storm Drain ] ]Reinspection fee of S required before next inspo-Mion. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Linp [ ]Please call for reinspection RE:._ [ ]Unable to inspect no access ADA Approach/Sidewalk Other Date �f`% /, Inspector_ �� 1 - Ext (� — ._— Final PASS PART FAIL DO N07 REMOVE this inspection record from the job site. Plumbing Permit Application Date received: Permit no.: City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard phone: (503) 639-41't i Projecl/appl no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case file no.: Payment type: ttwm -1 ;UNew &2 family dwelling or accessory U('�>muicrcial/iudusina! U Multi-family U Tenant improvement construction Addition/alteration/re.placement U Foodservicc J t hltrtdress: 6'.20 5tJ �V\urC��tJI C_+ Description ljty. 1C•c(rA.) IOIAI Bldg,no.: —Suite nu Nei 1 and 2 fstmily dwclliuRs only: Tax map/tax/tax lot/aCcounl no.: (include+100 fl. w"ach utility c•onnecllon) P SFR(1)bath Lot: Block: 'Subdivision: SFR(2)bathe - - -- Project name: SFR(3)bath City/county: ZIP: Each additional bath/kitchen Description and location�o(work on premises:_ Site utilities: R..MGA.l AL,2" Ja-PSg�(eC,o_ Catch hasin/area drain Est.dale of completion/inspection _,04"_242) D welhs leach line/trench drain Fcx)ting drain(no.lin. ft.) Manufactured home utilities Business name: j ,,; Manhole., Address: Rain drain connector City: _ State: 7.IP: Sanitary sewer(no.lin.ft.) Phone: Fax: Email: Storm seiner(no.lin.ft.) CCB no.: Plumb.bus.reg.no: Water service(no.lin.ft.) City/metro lic.no.: Fixture rsr kern: Contractor's representative signature: Absorption-alve Back Clow pi aventer Print name: I);dc Backwater valve CONTAct 1 Basins/lavatoy Name: Clothes wast e- _ Address: Dishwasher Drinking fountaiti!s) City: — State: _LIP`_ E'ectom/sump Phone: I ax: Gm,til: Expansion tank Fixture/sewer cap Name(print): �; T Floor drains/floor sink,.'hub i' �" L Garbage disposal Mailing address: rj I IC Hose bibb City: c State:�' ZIP: 2 _ Ice maker Phone: 3 p < Fax: ! E-mail: �r Interee ter/grease trap owner installation/residential maintenance only: The actual instal latiorlr Primer(s) will be made by me or the maintenance and repair made by my togular Roof drain(commercial) employee on the properly I own as per ORS Chapter 447. Sink(s),basin(s), ays(s) I Owner's signature: Date: SumpE Tubs/shower/shower an as Urinal _ Name: Water uoset Address: Water heater City: State:_ ZIPS Other: Phone: E-mail: Tota J Nor it)urisd colons accefA credit cards,please call Jurisdiction for oexr inkrctnauon 'Notice:This permit application Minimum fee................$ t D Visa J MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit cad .uv,Ner __ _— __L1 within IRO days after it has been State.surcharge(8%)....$ F.spirr. Nameor ca older as shown on credit cad - accepted as complete. TOTAL .......................$ -- .-- S _ _ Cardholder signature Amount_) 44046:6 thAXWOM) PLUMBING PERMIT FEES: - PRICE �70TAL Now 1 and 2•famlly dwellings only: FIXTURES (individual) QTY ea AMOUNT (includes all plun,bmg Rxtures In PRICE TOTAL Sink 16.60 1 (r �( the dwelling and the Rrstf00 ft. QTY (ea) AMOUNT 16.60 for each utl!!ty_connection Lavatory One 1 bath $249.20 Tub or Tub/Shower Comb. 16.60 _ Two 2 bath $350.00 16.60 Three 3 bath $399,00 Shower Only -• - Water Closet 16.60 SUBTOTAL Urinal 16.60 8•/.STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25'/.OF Sli9TOTAL Garbage Disposal 16.60 - TOTAL _ Laundry Tray 16.60 Washing Machine - 16.60 FloorOrafn/Floor Sink 2" 16.60 PLEASE COMPLETE:3 _Y 16.80 4" - 1;.60 - Water Healer O conversion O like kind 16.60 Quantity b Work Performed _ Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ Ca d permit. MFG Home New Water Service 46 4J Sink _ MFG Home New San/Storm Sewer 46.40 Lavatory Tub or Tub/Shower Hose Bibs 16.60 Ccmbinatlon Roof Drains 16.80 Shower Only Drinking Fountain 16.60 Water Closet Urinal Other Fixtures(Specify) - 16.60 Dishwasher - Garbage Disposal - -- Laundry Room Tray _ Washin Machine ___-- ---- Floor Drain/Sink: 2" Sewer-1 st 100' 55.00 3" Sewrlr-each additional00'T 46.40 4" - WWater Heater ater Service-1st 10(r' 55.00 --- ---; - - - -- Other Fixtures (Specify)___ Sp _-� Water Service-each additional 200' 46.40 S ecf .__- Storm 8 Rain Drain-1st 100' 55.00 _- Storm 6 Rain Drain-each additional 100' -46-40- Commercial Back Flow Prevention Device 46.40 Residential Backflow Preventlon Device27.55 - Catch Basin 16.60 Inspection c f Existing Plumbing or Specially 72.50 Requested Inspections per/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 - - Grease Traps 1660 - - -- QUANTITY TOTAL - isometric or riser diagram is required if quantity Total Is >9 'SUBTOTAL - 8%STATE SURCHARGE PLAN REVIEW 55%OF SUBTO T AL Re uired only if fixture qty.total is>9 TOTAL s' i` lllwf "Minimum permit Ise is$72 50-a%state surcharge,except Residential Backflow Prevention Device,which is$38 25+8%state surcharge ~All New Commercial Buildings require plans with Isometric or riser diagram and plan review 1:ldstslforms\plm-fees.doc 10/10/00 i �l CITYO F T I G A R D MASTER PERMIT PERMIT#: MST2000-00403 DEVELOPMENT SERVICES DATE ISSUED: 9/13/00 13,125 SW Hall Blvd., Tigard, OR 9722.3 (503) 639-4171 SITE ADDRESS: OB020 SIN CHURCHII-L CT PARCEL: 2S112CC-03700 SUBDIVISION: BUND PARK NO. 3 ZONING: R-12 BLOCK. LOT: 165 JURISDICTION: TIG REMARKS: Addition above garage Path 1 420 sq ft addition and 137 sq foot deck BUILDING REISSUE STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: of BASEMENT sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FL.00R LOAD: SECOND: 420 sf GARAGE: of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: FINSSMENT. sf RIGHT: VALUE: $35.000 00 OCCUPANCY GRP R3 BDRM: 13ATH: TOTAL: 4;10 00 of REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: I AUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: 3F RAIN DRAINS: I CAI CH BASINS: TUBISHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFI_W PREVNTR: GREASE TRAPS: OTHER FIXTURES: Mr,CHANICAL FUEL TYPES _ FURN<100K: BOIL/CMP c 3HP: VENT FANS: CLOTHES DRYER: GAS FURN>•100K: UNIT HEI,TERS: HOODS: 01 HER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS CUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp0 200 amp: WISVC OR FDR: I PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 400 arnp 201 400 amp: 1st W/O SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 000 amp' 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 001 - 1000 amp. 6014amps•1000V: MINOR LABEL: 10004 amp/Vol PLAN REVIEW SECTION Reconnect only: >-4 RES UNITS: SVCIFDR>a225 A.: >000 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO. FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMEN I,TION: MEDICAL: OTHR: HVAC: DATAITELE COMM: 'IURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 765.61 RANDALL ELLIOTT pWNF_R This permit is subject to the regulations contained in the 8020 SW CHURCHILL CT. Tigard Municipal Code,State of OR Specialty Codes and 8020 S , CH RCHI all other applicable laws. All work will be done In TIGaccordance with approved p'3ns. This permit will expired 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 are set Reg 0: 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 Underfloor Insulation Suear Wall Insp Electrical Final Mechanicil Insp Exterior Sheathing Insl Mechaniral Final Electrical Service Low Voltage Plumb Final Electrical Rough In Insulation Insp Final Inspection Framing Insp Rain dra!n Insp Issued By: /-� _ Permittee Signature : >,�,� � a � , :7 _ 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# 11126 '3W HALL BLVD. Additions or Alterations Rev'd B _ cd TIGARD, OR 97223 Single F. Date Re ,mily Detached or Attached (Duplex) Date to c'd V 5033-639-4171 Date to DST - -y!, F ti0;�-684 7297' Permit#.�bf 4d9eV 004(03 Print (`,- I ypp Called-'/- �+o Incomplete or illegib:,,� applications will not be accepted Name of Project Name .101) C/�'� -Address site AddressI �I C - -- Architect Mailing Address P0,20Sit,' C�t�p \,. City/State Zip Phone — - --- Nam ----- - Owner Ma'ing Addrese -- Name - �^ s�� ,; C P Y e 6A;4,1 r� ---- City/State Zlp Phone Engineer Mailing Address _ _�► 0/e nJ JI r� U 1 3►F City/State zip phone General Name _ Contractor Describe work New O AdditicliA Alteration,, pair O Mailing Address - to be done Prior to permit _ Additional Desc►iption of Work: - - issuance,a copy City/state Zip Phone _ of all licenses ---are required if Oregon Const.Cont.Board Exp Date PROJECT e expired T c.# l VALUATION_ Mechanical Name `- NEW CONSTRUCTION ONLY: Sub- IPC I e► Sq. Ft, House: Sq.Ft. Garage Contractor Ma Ing Address Prior to permit Indicate the restricted energy Installation by the electrical Issuance,a copy City/State Zip Phcne subcontractor in the following areas or all licenses Restricted Audio/Stereo are required if Oregon Const.Cont.Board Exp.Dnte Energy System Alarms expired in COT Lie.# Installations Vacuum Irrigation database System System Plumbing Name (check all that Other: - Sub- ` Ny�Ar owner apply) Contractor Mailing Address -- Corner Lot YES NO Flag Lot YES NO check one (check one Has the Subdivision Plat recorded? N/A YES NO Prior to permit City/State Zip Phone issuance,a copy of all licenses are Oregon Const Cont.Board Exp. Date required if Lie.# expired In COT I hearby acknowledge that I have read this application,that the database Plumbing Lie.# Exp.Date information given is correct,that I am the owner or authorized agent of the owner,and that plans submitted aru in compliance with Oregon State laws. Name Sign of O ner/AQate Electrical y�,� n v✓ l �.. / -� Sub- Ma Ing Address Co tat ars n ame Phone# _ Contractor City/State Zip Phone Prior to penrit Issuance,a copy FOR OFFICE USE ONLY: of all licenses are Oregon Const.Cont.Board Exp Date required H LIc.# Plat#: Maprro: expired Ir,COT database Electra al Lie.# Exp.Date Setbacks: Zone: Solar. Electrical Supervisor Lie. 0 Exp Date Engineering Approval: Planning Approval TIF: I Wsts\forms\sfaddalt doc 11/20/98 Permit#: Address: -_.TVJ C -t y-t4i, .w Issued by: Date: /" Uy 18=,9 Statement: Information Notice to Property owners About Construction Responsibilities Note: Oregon Law, URS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate, blanks and initial boxes 1 and 2, and either box 3A or 313: 1. 1 own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3A. My general contractor is (Name) Contractor regis. # 1 will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board, If I change my mind and hire a general contractor, 1 will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property 0%ners about Construction Responsibilities on the reverse side of this form. ' -- r� Avtoi 2� (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink cony to applicant) Information notice to Properly Owners About C;nmstru�:tion Responsibilities _ � ., � lt._ .1 � _ �.,. t t1i�„ ,rl 111.. it'I✓.r ,lel; ,jtuilp t..l'itl;_. ..���) ..711, 'I �r .x .� .t•�r e. 1111}�tlr�ae ui., t�l11' 9 . .I-� i:.r.!,. � �. �ai. i .�� � hr. ,. is It.�,. � I ;,iilj ;�7ti.,It+ I11 1.f.I l)ll1 t, 'dllf{ {If+l{It t .:i:l�rtidf Ikif.'t l.i Y''f�li�f41M1:': ��'rkr� 'rif'•�� � •+n 119t'f•,It,�.,�.�t^rrrilr,!�f,.�;l''1'1�,��)I1�[�St�1„ ,.,�I rII��,��,tea:'t��f. lr�f't�nl':IIt±_f[r�tlT�t�'.r��l�. ���,t���� I= i1�an,llli�r��i IIAdl.• Ilit I to ttr-itt!t 11,11 Ithfir 111!I(ill 1,; ill Ilit, (Ippfopritity tlt(N', • , IItr'V i_;m !it,0,01-1l1 the rl(itltri'(1 Iflvty t I fI, It t .;t Imi, ;ddvi;rnaI rir,.tion�, t,titc .tr:,tII :I w CtuleIII11 1111111 k�nt1"It"mrs11nrrd 010 Box 1•1140, St;,-m Ok �;()tr 3' 16"I IFitt• l omll I,, lot ;it '00 Stlmmet ,tit NI- 3M, lit S Ilvm. 1,1t)p uttn Imrl 11,94 it CITY OF T I G E R® ______ MASTER PERMIT PERMIT#: NIST2000-00403 DEVELOPMENT SERVICES DATE ISSUED: 9/13/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 08021) SW CHURCHILL CT PARCEL: 2 S112CC-03!00 SUBDIVISION: BOND PARK NO. 3 ZONING: R-12 BLOCK: LOT: 065 JURISDICTION: TIG REMARKS: Addition above garage Path 1 420 sq ft addition and 137 sq foot deck, one backflow preventor BUILDING REISSUE: STORIES. rLOOR AREAS _REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: of BASEMEf iT, al LEFT SMOKE DETECTORS. Y TYPE OF USE: SF FLOOR LOAD: SECOND: 420 at GARAGE sl FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: al RIGHT: VALUE: E 38.193 00 OCCUPANCY GRP: R3 BORM: BATH: TOTAL: 42000 at REAR: PLUMBING SINKS: I WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS 1 CATCH BASINS: TUBISHOWERS: GARBAGE DISP: WATER HEATERS WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: I MECHANICAL FUEL TYPES FURN<100K: BOIUCMP<3HP: VENT FANS: CLOTHES DRYER: GAS FURN�-•100K: UNIT HEATERS: HOODS- OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS 1000 SF OR LESS: 0 •200 amp: 2 0 200 amp: WISVC OR FDR- I PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 400 amp: 201 400 amp: tat Wlo SVC/FDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 000 amp: 401 800 amp: EA ADDL BR CIR: 1 SIGNAL/PANEL: IN PLANT. MANU HMISVCIFDR: 801 1000 amp: 601+ampa•1000v: MINOR LABEL: 1000•amplvolt: PLAN REVIEW SECTION _ Racnnnect only: >•1 RES UNITS: 9VCIFOR>•225 A.: >800 Y NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURf3LAR ALARM: 0tH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIONL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 1,000.13 RANDALL ELLIOTT SMITH GENERAL CONTRACTORS This permit is subject to the 1L gulatlons contained in the RAN AL CHURCHILL CT. PO BOX 68362 Tigard Municipal Code,State of OR Specialty Codes and 8020 S , CH RCHI PO BOX 683 2 97268 all other applicable laws. All work will be done in TIGaccordance 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: OrEjon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Reg N: LIC 0097275 forth in OAR 952-001-0010 through 952-001-0080 You may obtain Copies of these rules or direct questions to OUNr by calling(503)246.1987 REQUIRED INSPECTIONS i Footing Insp Underfloor insulation Shear Wall Insp Electrical Final Footing Insp Mechanical Insp Exterior Sheathing Insi Mechanical Final Footing Insp Electrical Service Low Voltage Plumb Final Foundation Insp Electrical Rough In Insulation Insp Final Inspection Foundatior Insp Framing Insp Rain drain Insp J) Issued By : �_._ / _ Permittee Signature Cc Aw Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day