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8058 SW Carol Ann Court
CITY OF TIGARD MASTER PERMIT
PERMIT#: MST2001-90295
DEVELOPMENT SERVICES DATE ISSUED: 5/31/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 630-.4171
SITE ADDRESS: 08058 SW CAROL ANN CT PARCEL: 2S112CC-16100
SUBDIVISION: DURHAM SCHOOL PARK ZONING: R-12
BLOCK: LOT: 031 JURISDICTION: TIG
REMARKS: S/F Path 8
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS_ REQUIRED
CLASS OF WORK: NEW HEIGHT: 21 FIRST: 636 of BASEMENT: at LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 798 of GARAGE: 380 of FRONT: 20 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5
VALUE: $132.780 20
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,43400 of REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: 1 BOILICMP<AHP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN>•100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FIIRNANCES: VENTS: 1 WOOOSTOVES GAS OUTLETS: 1
ELEC rRICAL
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: 1 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 2 201 400 amp: 201 -400 amp: 1st WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BP CIR: SIGNALIPANEL: IN PLANT:
MANU HMISVCIFDR: 601 - 1000 801p: 801+arttps-1000v: MINOR LABEL:
1000+amplvoll
PLAN REVIEW SECTION
Reconnect only: >•4 RES UNITS: 'tVCIFDR>•225 A.: >800 V NOMINAL: CLS OREAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNUSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC DATA,TELE COMM: NURSE CALLS: TOTI.I.a SYSTEMS:
Contractor: TOTAL FEES: $ 6,086.23
Owner: This permit is subject to the regulations contained in the
HERB HOFFART HERB HOFFART Tigard Municipal Code,State of OR Specialty Codes and
4632 SW VERMONT STREET 4632 SW VERMONT a':other applicable laws. All work will be done in
PORTLAND,OR 97219 PORTLAND,OR 97219 accordance with approved plans. This permit will expire If
work is not -carted within 180 days of issuance,or if the
work is suspended for more than 180 days ATTE14TION.
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg 0: LIC 34247 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
Erosion Control Insp 8, Underfloor insulation Electrical Service Low Voltage Appr/Sdwlk Insp
Footing Insp Fooling/Foundation Dr; Electrical Rough In Gas Flreplaia, Electrical Final
Foundatlon Insp PLM/Underfloor Framing Insp Insulaticn Imp Mechanical Final
PosVBeam Structural Mechanical Insp Shear Wall Insp Rain drair Insp Plumb Final
Post/Bearn Mechanica plumb Ton Out Exterior Sheathing Insl Water Line Insp Final Inspection
Issued By : Permittee Sionature : "`�!< •.-.► c
Call (503) f-9-4175 by 7:00 p.m. for an inspection needed the next businesk 6
r
r
CITYOF TIGARD -_ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2001-00168
13125 SW Hall Blvd., Tigard, OR 97223 (503) 633-4171
DATE ISSUED: 5/31/01
SITE ADDRESS; 08058 SW CAROL ANN CT PARCEL: 2S112CC-16100
SUBDIVISION: DURHAM SCHOOL PARK ZONING: R-12
BLOCK: _ LOT: 031 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: Sewer connection for new SF detached dwelling
Owner:
HERB HOFFART ---Fr r:S --
41532 SW VERMONT STREETType By Date Amount Receipt
F'uRTLAND, OR 97219 PRMT CTR 5/31/01 $2,300.00 27200100000
INSP C-f R 5/31/01 $35.00 27200100000
Phone: 503-244-0876 �� Total $2,335.00
Contractor:
Phone:
Reg#:
Required Inspections
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 ri or direct questions to OUNC by calling(503) 246-1987.
Issued by: �-1.�, P•.rmittee Signature:
Call (503)639-4175 by 7:00 P.M. for an inspection needed the next. business day
>�asA
Sw �'
Bidlding Permit Application ';t' 001 - Colt,
City of Tigard Date received: 0 t Pe tno.:'�oo I —!! y .—
Address: 131'25 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date:
CiryojTtgard phone: (503) 639-4171 Date issued:
_ By: Receipt no.:
Fax: (503) 508-1960 Case tile no.: Payment type:
Land use approval: I&2 family:Simple Complex:
X1 &2 family dwelling or accessory U Commercial/industrial U Multi-family 0 New construction O Demolition
0 Addition/alteration/replacement U'renant improvement ❑Fire sprinkler/alarm 0 Other:
111110111111110
Job address: f0 "Y S&J 64,904 dAJJ a Bldg.no.: Suite no.:
1.01: / Block: Subdivision_? Tax map/tax lot/account no.:ay//.I a
Project name. q e- A
doedy
Description and location of work on premises/special conditions: .".✓
— (2.
Name:
Mailing address: 1 6t 2 family dwelling:
City: 7_I P: Q 7 Valuation of work......I Z 3......... ....U...... ..... $
.
Phone: ,W_pp Fax: .o! E-mail: No.of txdrooms/baths................................. 3 a- 1.5
Owner's rerrescntative: . Total number of floors.................................
Phone: ,X-Cr76 IF= o E-mail: New dwellinb area(sq.ft.
Garage/carport area(sq.ft.)......................... 3�O
Name: „c�, ' Covered porch area(sq.ft.) ........................ __—
Mailing address: .,�e.�A .SaeJ �� Deck area(sq.ft.)........................................
City: f��..rr�..L. !'tate: ZIP: 7 Other structure.,rea(sq. ft.).........................
Phone:a - r Fax:_ r,Q7 E-mail: Cornrnerclal/industrlat/multi-family:
Valuation,of work........................................
Business namedL_x' ' J Existing bldg.arra(sq.ft.) .......................... __ --
Address: New bldg.arca(sq.ft.)................................
pQ ZIP: 7 Number of stories........................................
City: State• -
Phone:,;V,-1.a 6 Fit x:j -C E-mail: Type of construction.................................... _
CCB no.: ,3 Occupancy group(s): Existing:
City/metro lic.no.: New:
Notice:All contractors and subcor.trictots are required to be
_FJ 11 Do Ingla licensed with the Oregon Construction Contractors Board under
Name: ,J1yLe.`d _' Q , , - ''&) _ provisions of ORS 701 and may be required to be.licensed in the
Addresses,! �� � V jurisdiction where work is being performed.If the applicant is
City: i�,..eeC State: ZIP: exempt from licensing,the following reason applies:
Contact person: q oho e.J I Plan no.:
Phonc: _�; 1•ax. E-mail: -
Name: P"o.. 7P Contact person: Fees due upon application ................. ... $
Address: _ _ Dale received: --
City: State: zlP: Amount received .. ... $_
....................................
Phone: Fax: E-mail: _ Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all iuriadkdow scapi richt cwb,please call jurisdiction for mitre inGmutian
attached checklist.All provisions of laws and ordinances governing this ovist O MasterCard
work will be complied Wi4r,whet ter specified herein or not. credit card number
Authorized slgnat bate:
e Name R cardt wlder ii shown on credit cant —
Print name: - $ J
cardholder sipatury � n,
Notice:This permit application expires if a permit is not obtained within 180 day s alien it has been acre,+r-d as complete. Noel_,ttyatrt a Mr
Electrical Permit Application
Date received: Permit no.:
City of Tigard Project/appl.no.: Expire date:
Ciryoffigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: -
TYPE OF PEAMIT
x1 &2 family dwelling or accessory U Conuncrclal/industrial U Multi-family U Tenant improvement
New construction U Addition/alteration/replacement U Other: U Partial
JOB t t
If
Joh address: fp - C,Q�CO A�J� CT Bldg.no..f Suite no.: Tnx map/tax lot/account no.
Lot: Block Subdivlslon: �1f/QNAcs•( 40!91�_0401f- AUZ,<
Project name'' a i4 �C',%lyos. De cripuon sail loclium of work on premises: ,,
Estimated date of coin le ion/inspection: r-, s2G of
&IN tell 1
Job no: Fee Ntax
Business name: C�� ��,j Description (Mv. (ca.) Tonal no.insp
-- New re6letdial-%Ingle or multi-Tamil),per
Address:/ /V .1/_Fs / �r - � dNellbtgunit.lmcluck-%attachedgarage.
City: Stab;: ,� ZIP: qyA ,v Seniveh,dufled:
Ph0nC:y'45_,%- �p I'ax: ,� E-mail: IlxNltiy It ++t leu .. ......
_ t
�—��tl/ r3�—'Z I•.�tch additional 500 sy A.or portion thereof
CCB no.: 32 l Elec,hus.lic.no: ,gC, _jj�,C)C Immicticnergy,residcnnnl 2
City/metro_lic. no.: _—_ Limited energy,mun tesidennal —
n71�P �.j�J Servi manufactured home or modular dwelling
ref 4 su�peivi%in Electriciasn(arc c)fined) bate ��f s- Service and/or feeder '-
Sup.rl-ct nane(pnnU: pwN (� �� License no: ticrvlcesorfeeders-Installation,
alteration or relocation:
I-ROPI*TYt 2W amps or less _ 2
Nance(print)���,f�1p,e�" - 201 amps In 402 amps -^ 2
401 amps to ISM amps
Mailing address: r,�W a o,J 601 amps to 1000 amps _ 2
City: T ,,,,gyp Slate: ,Q ZIP: 97a,'4 Over 1000 amps or volts 2
Phonc:ayy-pjp„ Fax:,gyy-qWE-, , Reconneclonly I
Owner installation:'rhe installation is being mad' .i properly I own Temporary services or feeders-
which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation:
2W amps or less
221011
ORS 447,455,479,670,701. _ 2
am4Mps u,A(x)amps 2
Owncr's Si ,nalufe: Date: 401 to(0)amps 2
Branch circuits-new,alteration,
or exlenslon per panel:
7CAddrcss.:
111C �� A. Feefar branch circuits with punhase,d
service or feeder fee,ench branch circuo 2
ty: _[State: ZIP: 11 Fee for branch circuits without purchase
of service ar feeder fee,first branch circuit 2
Photic: -_ ----- �I :�� E-mail: ---
Eiach additional branch circum
Mise.(Sen ice or feeder not Included):
•Service over 225 wnps-conutics ial U Health-care facility Each pump o,irrigation circle 2
U Service over 320 amps-rating of l&2 11 Hazardous location Each si gn or outh ne I i ght ing 2
familydwell ings U Builduis_-•r In non<ludlc feet four(it Signal circuit(s)nr a limited energy panel.
U System over 600 volts nominal more residential units in tine sticture alteration,or extension* '-
U Building over three stories U Feeders,4(x)amps ar rm+te *Description
U Mcupant load over 99 persons U Manufactured structures or RV pail, Each additlomrl Impectlor r.. the allowable In any of the abate:Y
U Egrefouf ightingplan U Other: _ Perinspection
Submit^__sets of plans with any of the above. Investigatinui ree
The above are not applicable to temporary construction service. Other
Nei
U Villa 1 uriadiUiont wM•Cn credit rnrib,li tease call I udstiction for more""emu"on Notice:�I�,Is permit application Permit fee.....................$ -^
-
lva
cxpires if a permit is not obtained Plan review(at _ %) $
Crede cod numl+er.._Y_�-----�__.,.-----__---,. . �__._.1.__
wahin I R0 days oner it has been State surcharge(9%) ....$
P,c pi era -
Name of can,ol r as owa on credit card _ accepted as complete 'f0'1 . .......................$ _�
cardholder signature �—” s Amount J 410.461.1(6MC'OM)
Plumbing Perinit Application-
City of Tigard Datereccived: Permit no.:
-- -
Address: 13125 SW I lal I III k d.•Illm
, 1,I)It n7:_.'1 Sewer permit no.: Building permit no.:
City of Tigard phone: (503) 639-4171 i'roject/appl.no.: Expir:date:
Fax: (503)598-1960 Date issued: By: Receipt no.: -
L.and use approval: Case rile no.: payment type:
TYPE 0
1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
'New construction U Addition/alteration/replacement U Food service U Other:
r ; r ' SCHEDULE
Job address: p �,J �- Description (1h', hce(cA.) I_+t:rt
Bldg.no.: Suite no.: — -- New 1-and 2-family dwellings only:
Tax ma /lax lot/account no.; — (Include.4100 ft.foresch utility connection)
P .a 5/�.1 C C -%(0/00 SFIZ(1)hath
Lot: 3 IBlock: Subdivision. R SFR(2)hath -_ -- -- --- ---
Project name�-wo �S d o4 �i42,� SFR(3)hath --- -- -___
City/county:7- q ZIP: y'7�a.�/ Each additional bath/kitchen -
Description and location of wor on premises: Sitentilitles:
Catch basin/area drain
L.tLdate of compleU n/inspeGion: OGr, Dwellsleach line/trench drain
. o
Hrxriin r drain(no. lin. ft.)
PLUMBING CONTRACIOR
Business name:e Manufactured home utilities ---
tap, Manholes
Address: 77J(._�S-r,.l. Rain drain connector
City; State:p LI p: 9y�0'_47 Sanitarysewer(no. I_iC ft.)
Phone: 4 d1cl,pe. Fax: e,/y, E-mail: Stonn sewer(no.lin.ft.)
CCB no.: 79 Plumb.bus.reg.no: g p. rater service(no, fin.ft.) ---
City/mctro lic.no.: 2,5,o Fixture or item:
/ -)rption valve _
Contractor's representative signature: ,.et..,a (lack flow preventcr
Print name: Fr- OF
I Date: tS o Backwater valve _
COBasins/lavatory
Clothes washer
Address: Dishwas ter
`'�
Drinking fountain(s)
City: Statc:C.e FLIP: 57 7A v _ Ejectors/sump
Phone: _p j Fax: E-mail: Expansion tank
ixturc/sewcr cap
Name(print): 616--19A l oor drains/floor sinks/hub
Mailing address: 44Garbage disposal
Hose bb
State:o,t Zip: �7 i k
_.� cc maker
Phone: _ Fax: _Vr E-mail: Interceptor/grease trap _
Owner installation/residential maintenance only: The actual installation Primer(s)
will he made by me or the maintenancc and repair made by my regular Rool'drain(commercial) _ J
employee on die property I own as per ORS Chapter 447. Sink(s),hasin(s),lays(s)
Owner's si mature: Date: Salm i �-
Tubs/shower/shower pan
Name: Urinal
- /�o've. -- `'`��-t'd ED -- ----- Water closet
Address_- Water heater
City: State: ZIP: Other:
Phone: Fnx; E-mail - Tota
Not all Jurisdictions trxep credit sante,please call IuritdreNon for more Ink rrrwti m Minimum fee................ _
Notice 171is permit application
U Visa U MasterCard Plan review(al
t'rcdit cord number: c�pires if n penrlif is not obtained
----.�----
-- - --- �cithin IRtJ days after it has been State surcharge(R%J . ..1;
-- acct ted as cam lete. TOTAL ... ..$ —
iUllle of cardholder u ehnwn nn credit card -.._ � p p ..................
Cardholder signature Amount
4404616 IKfiIfY('f)N1
Mechanical Permit Application
Date received: Permit no.:
City of Tigard Project/appl.no.: Expire date:
City nfTigard Address: 13125 SW Hall Blvd,Tigard,OR 9722.3 Date issued: By: Receipt no.:
Phone: (503) 639-4171 -
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval _ — Huildingpermit no.:
iFVPE OF PEMT 777--7 1
1 &2 family dwelling or accessory ❑Commercial/industrial J Mulli family U Tenant improvement
New construction J Addition/alteration/replacement U t ghee
1INFORMATION1 1 ^ 1.
Job address: C, eA- ,Q,J,J C r- Indicate equipment quantities in boxes Wow. Indicate the dollar
Bldg.no.; "t-5c no.: value of all mechanical materials,equipment•labor,overhead,
Tax map/tax lot/account no.: 7,a i.?CC /G io0 profil. Valuc$
Lot Block: Sutxlivision �NAdtd. ez 'See checklist for important application information and
Project name: jurisdiction's fec schedule for residential permit fee.
City/county: ZIP: ryama gic
Desc if tion and alio of wo k on premises:
C,,1itn►2 t:l�_`
Ls(.date of comp) olt/inspection: /Q cTr. s o r _ — I1ca tipNon 011. Iter.only Re%.oolt
Tenant improvement or change of use: Air hm,dlh, unit CFM
Is existing space heated or conditioned?U Yes ❑No Alt conditioning(site an require )
Is existing space insulated?U rev U No Alit-ration of existing HVAC system
Boller/compressors; --
Business name: State boiler permit no.:
HP Tons__BTU/H
Address:/' Vir smo a nmper. uctsmo a detectors
City:LtiJA.L' Stale:Ce ZIP: y yp 21V1 cat pump(site plan require ) --
Phone: . / Fux of Email nstn rep ace urnac umer
Including ductwork/vent liner ❑Yes❑No
CCB no.: -7/19-7 1 nslal Itteplace/rclocale heaters-suspen e , --
City/metro lic.no.: wall,or floor mounted
Name(please print):A4 , p CS —Refrigeration:
vent424,� for a lance of er than furnace _
1 c goat on:
Absorption units HTU/H
Name: �� 7c ,��a, Chillers__ H11
n - Com ressors_ — HI'
Address:14., 3a Iy_ ~�
nv ronmenta ex attst an ventilation:
City: Slate:Oe ZIP: 97a i" Appliance vert _
Phone:,24 . , Fax:• y,e_o E-mail: )yc�r—CTiaust
1
Hoods,Type res. ace a7r at
hood fire suppression system
Name: _ Exhaust fan with single duct(bath fans)
Mailing address: Exhaust s stem a art from heating or AC
City: br State:04 ZIP: 7 � Fuelp p ng an st of on(up to outlets)
— Type: LWP NG Oil
Phone: p I ax:� �/-U 1:-mail' Fuel piping each a iuona over 4 outlets
Process piping(schematic require ) _
Number of outlets
Name: `77o-,..✓_ �,4Other listed appliance or equipment:
Address: Decorative fireplace
City: State: LIP: Insert-type_
Phone: Fax: E-mail: oo slov tv let stove
(ter:
Applicant's signatur :r upc Date: b d o i 1 ter:
Name(print): '"L — - -- ^—'
_Not all p,ddiclims accept cmdh carte,pkaa call)uriahctlm far more InrarnutimPermit fee.... ...............$
Notice:this omit a lica'ion
❑visa U Mastercard p no Minimum fee................$
expires if a permit isnot obtained "—
Cmdil earl nnmbet: / Plan review(at _ %) $ _..-_. .
Expires ithin Igo days alter it has been Slate surcharge(8%)....$
Name accepted as complete,i TOTAL .......................$
Cardholder dttnatute — Amount
--.-- I4O4617(tH)t]tCOMI
May 22, 2001
EXHIBIT "A"
LEGAL DESCRIPTION
FOR A
RECIPROCAL INGRESS and EGRESS
EASEMENT
The following described Joint Ingress and Egress Easement is for the benefit of Dots 31
and 32 of the duly recorded plat `Lt!rham School Park", being described as follows:
Beginning at the NW corner of lot 31, thence S 88°42'32" E 18.00 feet, thence
S 01°17'28" W 10 50 feet, thence N 88°42132" W 27.80 feet, thence
N 01°17'28" E 10.50 feet, thence S 88042'32" E 9.80 feet to the point of beginning.
Containing: 292 square feet
EXHIBIT •A•
RECIPROCAL INGRESS AND
EGRESS EASEMENT SKETCH
FOR THE BENEFIT LOTS 31 AND 32 OF THE DULY
RECORDED PLAT OF " DURHAM SCHOOL PARK".
23 MAY 2001 N
SCALL: 1" = 20'
HARRIS-McMONAGLE ASSOCIATES, INC. w E O 5/8" X 30" IRON ROD WITH
ENGINEERS—SURVEYORS RED PLASTIC CAP STAMPED
TIGARD, URR 9772222 3-662872H7
12555 s - "W.L.Mc., L.S. 808".
PHONE: (503) 639-3453 S
FAX: (503) 639-1232
SW CAROL ANN COURT
N 88'42'32" W - - - - — -
/ 17.20' P.O.B. "'
oo / 9.80 18.00' 16.00' _
v�f'tiry �Q, N 8 '42'32" w N
I Q- P _
/ / 27.80' ao'sA
top.I&
I'°---- 21' — / JOINT ACCESS
E- EASEMENT
3 ` � a0 -
IN U " N 32 g 31 C'4 g .30
2,804 sq.ft. 0 2,804 -1 11 .
`^ 3,075 sq.f t.
Q \
I
X06'- N 88 42'32' w� _ N 8842'32' w
——21.80' — 34.00'
I
SW DURHAM ROAD
I
1
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CRAFTWORK PLUMBING 'NC
77315 SW NIMBUS AVE
BEAVERTON, OR 97008
Plumbing Signature Form
Permit #: MST2001-00295
Date Issued: 5/31/01
Parcel: 2S112CC-16100
Site Address: 08058 SW CAROL ANN CT
Subdivision: DURHAM SCHOOL PARK
Block: Lot. 031
Jurisdiction: TIG
Zoning: R-12
Remarks: S/F Path 8
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.
HERB HOFF�,RT CRAFTWORK PLUMBING INC
4632 SW VERMONT STREET 7736 SW NIMBUS AVE
PORTLAND, OR 97219 BEAVERTON, OR 97008
Phone #: 503-244-0876 Phone #: 644-8698
Reg #: I Ir. 79666
PI M 20-148PB
AN INK SIGNA'rURE IS REQUIRED ON THIS FORM
Signature of Authorized Plumber
If you have any questions, please call (503) 639-4171, ext. # 310
A�
CITY OF TIGARD
'13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
EASTGATE ELECTRICAL INC
1410 SIE 106TH
QUITE 206
PORTLAND, OR 97220
Electrical Signature Form
Permit #: MST2001-00295
Date Issued: 5131101
Parcel: 2S112CC-16100
Site Address: 08058 SW CAROL ANN CT
Subdivision: DURHAM SCHOOL PARK
Block: Lot- 031
Jurisdiction: TIG
i Zoning: R-12.
Remarks: ''IF Path 8
Your company has been indicated as the electrical contractor for the permit indicated above. In crdPr 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 �o the address above, ATTN: Building Dept.
No electrical inspections will to authorized until this completed form is received
OWNER: ELECTRICAL CONTRAGTOR
HERB HOFFART EASTGATE ELECTRICAL INC
4632 SW VERMONT STREET 1410 NE 106TH
PORTLAND, OR 97219 SUITE 206
PORT AND, OR 97220
Phone #: 503-244-0876 Phone
Req #: LIC 43701
ELF. 26-3400
SUP 1.5125
AN INK SIGNATURE IS REQUIRED ON THIS FORM
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Si atur of Supe6isirig Electrician
If you have any questions, Nease call (503) 639-4171, ext. # 310
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CITY OF TIGARD 24-Hour
BUILDING inspection Line: (503)639-4175 MST G�
INSPECTION DIVISION Business Line: (503)639-4171
BUP -
q AM____ . ___ PM BUP
Received _`_ _ Dale Re � /l. i- - - ----------- -
U 5 l C �1�!'1 (tel Suite,— MEC -- - - --- -
Location __—�_ � "�C
Contact Person Fl±su C — Pt L41_ PLM _- --
Contractor --- __-- -- - -- -- Ph( ) _ __-- SWR
BUILDING Tenant/Ownor -_ _ - __ — ELC - -
Footing ---- ELC
Foundation Access:
Ftg Drain ELR
Ctawl Drain
Slab Inspection Notes: SIT
Post R Beam -_---- --- --
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing -- -- --- - -- - - - ---
Firewall
Fire Sprinkler - - - --- - - - - -
Fire Alarm
Susp'd Ceiling -
Roof
Othor. - - - -- -
Final ---
PA_S_S_ PART FAIL
PLUMBING
Post&Beam
Under Slab
Rough-In
Water Service -
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
rn �
PART FAIL
MEC 4-4,4 AL
Post& Beam
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL.
Service
Rough-In
UG/Slab
Low Voltage --_-----
Fire Alarm
Final Reinspection fee of$__-_ required before next Inspection. Pay at City Hall, 13125 SW Hail Blvd
PASS PART FAIL
SITE [� Please call for reinspection RE: _ U table to inspect-no acres,;
Fire Supply Line
ADA I Date _�__ ZP C Z Inspoetor s►Y—t Exi
Approach/Sidewalk
Other:_ _.
FinalI ADO NO REMOVE this ir�spectlo^ record from the job site.
PASS PART FAIL J
CITY OF TIGARD 24-Hour
BUILDING inspection Line: (503) 639-4175 T7 2,601
INSPECTION DIVISION Business Line: (503) 639-4171
Q' (� BLIP
Received .- -_ Date Requested__ AM__—__._. PM_ BUP _ —
L ocation1
fig,� C���_ 61/1� �Sulte_. MEC --------------
Contact Person __ _ Ph(--) ' 7 7 PLM _
Contractor _ _-__ _ — Ph(---) -_ SWR
BUILDING Tenant/Owner _ - ----� -- - — ELC ------_---- ---______—
Footing
Foundation ELC
Access:
Ftg Drain ELF!
Crawl Drain ----- - --_- - -- _ _
Slab Inspection Notes: -- SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear _
Int Sheath/Shear
Framing ---
Insulation
Drywall Nailing - - - --- - - -- - -----
Firewall
Fire Sprinkler ---
Fire Alarm
Susp'd Ceiling --
Roof
Other: _
Final
PASS PART FAIL. -�- ---- --
PLUMBING
Post& Beam -
Under Slab
Rough-In
Water Service ------ - ---- --- ------ -----
Sanitary Sower
Rain Drains ----- -- --- - -
Catch Basin'Manhole
Storm Drain -------- - -- -----
Shower Pan
Other: -- --- - - ----- -- - -
Final --- -- --
HNSS PART FAIL -----
MECHANICAL - - _-__- ------ — —
Post& Beam -
Rough-In - ------ ----- - ---- ------
Ras Line
Smoke Dampers - - -- — --_--_.--.--
Final
P S PA FAIL --- --- ----------- — ---
- ECTRICA
Rough-In --- — -- - ---- --
UG/Slab
Low Voltage - ---- -- ------ - - -
Fire Alarm
PART FAIL Reinspection fee of$______-.___ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
SITE_ -_ - L] Please call for reinspection RE: -� Unable to inspect-no access
Fire Supply—Lin;------
upply Line
ADA
Approach/Sidewalk Date _Z e ! U L Inspector / "x '� Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site,
PASS PART FAIL
1TY OF TIGARD 24-Hour _
BUILDING Inspection Line: (503) 539-4175 MST
INSPECTION DIVISION Business Line: (5u3)639-4171
BLIP
Received -----------_--__ Uate Requested__� _ I J AKI,__--_-- PM---_--
BUP
Location Lf ' MEC
Conlact Person _ — Ph(__—_) % L� ! ! PLM
SWR
BUILDING Tenant/Owner _-_- -_
- _------ ELC - ._----- - -- - ----- --
Footing ------ --
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain _ - --- - ---- - -
Sian Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing �-= — 5�E Ar�►�C61�=� ,__�
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ------ ------ - ---- — --
Fire Alarm
Susp'd Ceiling
Roof
Other: - - _ -- ---- ---- --------- -- -----
ASS PART FAIL - ---
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& Beam
Rough-In
Gas Line
Smoke Dampers - - ------
PART FAIL - -- --—- ---- — -
ELECTRICAL �—
Service ----------- --__----.--__--_-- - - --
Rough-In
UG;Slab
Low Voltage
Fire Alarm
Final Reinspection fee of R required hehore next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: _ _- - _-_- — _ �� Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date —Z - �� '-�_ ` _ Inspector _ Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL