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12870 SW BLUE HERON PLACE N r 00 4 O CA C CO C (D -r N U 7 T 91 r n fD r' r i it 12870 SW Blue Heron Place sof e ti S 0 O � o V o V c C o � o V L V ~ c 'ti a b n. o 0� M 0 v] � o "+.roo G n CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INE'PECTION DIVISION Business Line: (503)639-4171 BU? Received Date Requested_ i3 AM PM _ BLIP _ Location — 1297z)_9 ✓E /-A(. Suite—____ MEC Contact Person _. _ Ph( ) _ PLM Contractor Ph( _) _ SWR qUILDIN- 0 7 Tenant/Owner _— ELC - Fcundation Access: ELC Ftg Drain ELR Ciawl 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: - It— *LIM PART FAIL N Post& Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manholes Storm Drain -- - ShowerPan Other: - �in RT FAIL IffC-HAN _ Pos earn Rough-in _. Gas Line Smoke Dampers - - - -_- -_ na PART FAIL ELECTRICAL _ Service Rough-In UG/Slab - — Low Voltage _— Fire Alarm -- Final Reinspection fee of$__ re un ed before next Ina PASS PART FAIL f 4 Inspection. Pay at City Hell, 13125 SW Hall Blvd. SITE Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA �> > Approach/Sidewalk Dab—� '� �� Itnspeeter. -- Ext _-- Other: Final DO NOT REMOVE this Inspection record ftrom the Job sit6. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 /— BUP _ Received Date Requ ted �� & AM PM —_—_ BUP _ Location St i!e— — MEC — _-- Contact Person Ph(��3) K(fG) — q.) 75 PLM — _—_— Contractor Ph( ) _ SWR —_ BUILDING Tenant/Owner _ ELC Footing ' Founds.tion ACCs$ � ELC _- Ftg 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 Other:__ _ _ ------ ---------- - ----- —-- Final PASS PART FAIL -- ------ --- -- ---- - --- - PLUMBING_ Post 8 Beam ---- ---------_---- - ---- - .--- Under Slab Rough-In - i- Water Service ----- --- ------------ _ — -- Sanitary Sewer Rain Drains ----- --------- ----- - ---- - --- Catch Basin/Manhole Storm Drain -- - ---------- -.— __ Shower Pan Other._ _ _ --- ----- -- - -- ---- Final --PASS- PART FAIL -- - -- --- - MECHANICAL _ Post 8 Beam —_ -- - - -- - i-- Rough-In - ------ -- --- — Sm Line I-o W f OL_ L EE, GyE'�n C3J\�� - Smoke Dampers - - Final ,_— PASS PART FAIL _ - -- E z ICA _ Rough-In UG/Slab - - Low Voltage -_--- larm 1 f - ------ ASS PART FAIL Reinspection fee of$—_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection NE: - [� Unable to Inspect-no access Fire Supply Line ADA � �O 3peter; Approach/Sidewalk Inti Ext Other: Final ---- DO NOT REMWI this Inspection r000rd from the fob site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received _I Date Reques/ted '� — AM PM____—_, BLIP Location _ Z E Z22_e2' / J �� Suite�___ _ MEC Contact Person __ Ph( ) �� 3 S� PLM Contractor Ph(_ ) _ SWR BUILD Tenant/Owner - --_--__ ELC - Footing ELC Foundaticn Access: j Fig Drain 4* ELR - -- - - - Crawl Drain Stab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear Framing --- — - Insulaiion Drywall Nailing ---- - Firewall VJ�► Fire Sprinkler - � - -- - - Fire Alarm Susp'd Ceiling Roof C y� t Other: 6 L na ) L u V PASS PART FAIL BIN -- - Post&Beam- Under Slab /0000 - Rough-In Water Service - -- Sanitary Sewer Rain Drains - — ---- Catch Basin/Manhole Storm Drain --- 3hower Pan Other: fl. -�-- - � ^- T FAIL CHA Post A Beam Rough-In -- -------- ----- GaFi Line orr,oke Dampers - -- --- - - — - - ' a- EA _ PART FAIL - E RIC -- GF.L 6-4946-e "07` t4ttPC1-t--_57 V40 AcK/I Service Rough-In 6^/t46-e_ UG/Slab E Ej Reinspection fee of$ __ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART AIL SITE Please call(or reinspection RE: __ E] Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk trite_41- U 3- Inspector -�� Ext PP Other: Final DO NOT REMOVE this inspection record from the,fob site. PASS PART FAIL CITY OF T I G wH^ ___ ELECTRICAL PERMIT "i K / PERMIT#: ELC2003 OU746 DEVELOPMENT SERVICES DATE ISSUED: 12/29103 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-417,11 PARCEL: 2S103BC-09200 SITE ADDRESS: 12870 SW BLUE HERON PL ZONING: R-4.5 SUBDIVISION: BLUE HERON PARK BLOCK: LOT : 009 JURISDICTION: TIG Project Description: Install 1 branch circuit for AC. _RESIDENTIAL JNIT _ TEMP_SRVC/FEEDERS MISCELLANEOUS I 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/ 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'I- BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION_ 1000+ amp/volt: >=4 RES UNITS_ -- > 600 VOLT NOMINAL: Reconnect only: SVU/FDR —225 AMPS. CLASS AREA/SPEC OCC: Owner: Contractor: KRAUSE, JEAN ENDERS ELECTRIC 12870 SW BLUE HERON PO BOX 1661 TIGARD,OR 97223 BEAVERTON,OR 07075 Phone: 503-524-6101 Phone: 626-4813 Reg #: LIC 00020718 -- Still 20285 FEES 1 1 1 34-205 Description Date Amount _ Required Inspections �ELI'RM'I'1 LI.0 Permit 1-, 2()O3 $46.85 -- - TAXI M9 State Surcharge - 21)03 $3.75 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 laws. 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 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 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)2466699 or 1-800-332-2344. Issued By: i-) c c c.-`L-« Permit Signature: rt 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 N O: -- ----... —----------- -- — — Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit application 7Dpaeccived77 y'j ` Permit no.-City of Tigard ct/appl.no.: Expire date: City n(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date ssued: Phone: (503) 639-41713 Receiptno.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval' TYPA OF l.AI &2 family dwelling or accessory U`�Y Cominercial/industrial U Multi-family U Tenant improvement U New construction IAddition/alteration/replacement U Other: U Partial JOBSI-TEINFORMAIION Joh address: 12870 Blue heron lilol�.no.: I Suite no.: ITax map/tax lot/account no.: Lot: Block: Subdivision: Project name; Dcscription and location of work on premises: Add Branch Circuitf_or A/C Unit Fstimated date of completion/inspection: _ SOJEDULE Job Ito: I'm * Business name: Enders Electric Inc. Desert tion Qty. (ea.) total- New otal nu.imp Address: pp F3ox 1661 Newresldential-single ormulti-famllyper dwelling unit.Includes attached garage. City: State: 21P:97075 Servicelncluded: Phone: 626-4813 Fax646—i 10W.%q.n or less Each additional 500 sq.ft.or portion thereof CCB no.: j3 Elec.bus.tic.no: 34-26�e Limited energy,rcsidcmial 2 Clly/113C1roI1C. o.: Limi led energy,non-residential 2 _412/24/2 03 Each manufactured homeormodulardwelting SignatLffifgcicfrkilantfeguifeM- Dale Service and/or feeder _ 2 Sup.elert.nanu ( rinU: A1.].('t1 �;. ROiX'1 tS hcrnseno:4685s Servleaorfeedero—Inrlallatlon, alteration or relocation: 200 amps or less 2 Name(print): Jean Krause 201 ams to 400 amps 2 -- — Mailing address: 1'1870 13- 401 amps to 61x1 amps 2 - Qn_. 601 amps to 1000 amps 2 City: .j Slate:Ul^.: ILIP: Over 1000 amps or volts 2 L — Phone:o Fax: I Entail: Reconnect only — I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 200 amps or less 2 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 Branch circuits-new,allemilon, or extension per panel: N ,. ame' A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: Z1P: B. Fee for branch circuits without purchase -- of service or feeder fee,first blanch circuit: 1 2 Phone: �Fax: E-mail: Each additional branch circuit: Misc.(Servile or feeder not Included): U Service over 223 amps-commercial U Health-care facility Poch pump or irrigation circle 2 U Service over 320 amps-rating of 1 Act U Hazardous location Poch signor outline lighting 2 family dwellings U Building over 10,000 squnre feet four o, Signa)circuits)or a limited energy panel, f U System over 600 volts nominal more residential units in one structure alteration,orextension• 2 4 U Building over three stories U Feeders.400 amps or more •Descridon: U Occupant load over 99 persons U Manufactured structures or RV park fweh additional Inspection over the allowable In any of the above: U Egress/lightingplan U Wit _ -- per inspection Submit—_set%of plans vvilh any of the above. Investigation fee the above are not applicable to temporary eowtl adloe aeMCe. Other Not ah jurisdictfoxa accept credit cards,please call jurisdiction for nae Inronnation. Notice:This permit application Permit fee.....................$ _ ' U Visa U MasterCard expires if a permit is not obtained Plan review(at — %) $ Credit cant number. own on ct carte-� (�_ within IRO days after it has leen State surcharge(8%)....$ Name J• 7 5 Expires accept id e """"""""""" s complete. TOTAL . $ _ T, 41) -m�iu�o�er u aTi c -- CluilholifirsignatureAmount ;V'l 140461 ldtxlNOM1 1'O . ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:A 1 TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq.ft.or less $145.15 4 Audio and Stereo Systems' Each additional 500 sq R or portion thereof _ $33.40 1 ❑ Burglar Alarm Limited Energy _ $75.00 Each Manufd Home or Modular ❑ Garage Door Opener" Dwelling Service or Feeder _ $90.90 2 Services or Feeders Heating,Ventilation and Air Cunditioning System' Installation,alteration,or relocation 200 amps or less _ _ $80,30 2 Vacuum Systems 201 amps to 400 amps $106.85 2 401 amps to 600 amps $16060 _ 2 601 amps to 1000 amps _ $240,60 2 ❑ Other.__ �---- Over 1000 amps or volts — $454.65 2 only o Reconnect $66.85 2 Temporary t only s or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY InMallation,allpmtinn,or rAincatinn Fee for each system.......................................................... $75.00 200 amps or less $66.85_ 2 (SEE OAR 918-2bU-260) 201 amps to 400 amps _ $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, ❑ see"b"above. Audio and Stereo Systems Branch Circuits ❑ Boller Controls New,alteration or extension per panel a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder lee. Each branch circuit $6.65 _ 2 ❑ Data Telecommunication Installation b)The fee for branch cirruits without purchase of service Fire Alarm Installation or feeder fee. First branch circuit _ 1 $46.85. 4fi.85 HVAC Each additional branch circuit $6.65 ❑ Miscellaneous ❑ Instrumentation (Service or feeder not Included) Each pump or Irrigation circle _ $5340 ❑ Intercom and Paging Systems Each sign or outline lighting $53,40 Signal circuits)or a limited energy panel,alteration or extension $75.00 El Landscape Irrigation Control" Minor Labels(10) $125.00 Each additional Inspection over F-1 Medical the allowable In any of the above ❑ Nurse Calls Por inspection $6250 Per hair $62.50 ❑ In Plant $7375 Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $46-85 _ ❑ Other — 8%State Surcharge $ -L7Number of Systems 25%Plan Review Fee No licenses are required Licenses are required for all other installations See"Plan Review"section on $ front of application, Fees: Total Balance Due $50,60— Enter total of above fees ❑ Trust Account p 8%State Surcharge $ Total Balance Due $ r\dsts\fnrms\elc•fees.doc 06107/01 CITE' OF 1 IGARD Y MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-00034 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/6/04 PARCEL: 2S103BC-09200 SITE ADDRESS: 12870 SW BLUE HERON PL SUBDIVISION: BLUE HERON PARK ZONING: R-4.5 BLOCK: LOT: 009 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: S= UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APNL: 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: OD GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS nTHFR C FURN >=100K BTU: <= 1000U ctm: GAS OUTLETS: n LETS: > 10000 cfm: Remarks: Install exterior n C unit. DO not place %%1th111 the rcLluireLi;ethack Owner: FEES__ KRAUSE, JEAN Description Date Amount 12870 SW BLUE HERON �NIF?UHC Pcrmit Fee 2/6/04 _ $72.50 TIGARD, OR 97223 rAN1 R':,,State Surcharl. 2/6/04 $5.80 Phone: 503-521-6101 Totalis $78.30 Contractor: PERFECT CLIMATE INC PO BOX 3176 GRESHAM, OR 97030 REQUIRED INSPECTIONS Phone: 503-095-3203 Cooling Unt Insp Final Inspection Reg #: LIC 118424 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 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility,NotffiiEdtbnGenter. Those rules are set forth in OAR 952-001-0010 through OAR 95 01-0100. Yolb may ob o ies of these rules or direct questions to OUNC by calling (5 3)246-6699. 4` Is ued By: Permittee Signature: _ - - Cell (5039-4175 by 7:00 P.M. for inspections needed then t business day 0! 14: 13 5034914849 PERFECT CLIMATE INC PAGE 01 Mill "aN�id Permit A,DDIi lftr E(v City of TigardR Ponrot No 13125 SW Hall 131vd.,Tigard,OR 97223 MA"Revi9v Phone, 303.639.4171 Fax' 503.598.1960 JAN rhoo/gy; (Other Permit: aDb _�7 Inspection Line- 503 639.4175 Date Ready/By: 1� , Internet www ci.ti prd.or.us 0 Seepage 2 for g CITY OFA NotincWNtathod: sapplementnrinformatioa vI (�,) i 'l, 11 din w ti ❑New construction b4 Addition/alteration/repluc:cmcnt Mcc!ianical permit fees*arc based on the value of the wnrk Performed,Indicate the value(rounded to the nearest dollar)of all ❑Domoljtion ❑Other: mechanical materials.equipment labor.overhead,and prole I{ lir G1li4o a' `�.ri. i�w III 1 Value: �(1-and 2-fancily dwelling []Commercial/industrial ❑Accessory building W= r,hh1X1kl'Ili ❑ For special 1#1(o lnalion um chor,Absl Multi-family ❑Master builder Other: Description I y, kR, Total I u 1 •�r� , ,u�lq ( � . i ,,.r„ •,. n�l I�l�!'Nf' nl(�t) lieatia c Ila Joh silc address: 0 +v-'-F n Air eonditieming or heat pump _ (roquliwI19 pion ehowin la nt 14.00 City/State/7-1P. r� Furnace 100,000 BTI.J di,cwvena 14.00 Furnace 100,000+BTU 6p tvcnts 17.90 Suitc/bldgdapt,no,; -._ Project name: _ Gas heat pume14.00 Cross simet/directions to JOU site: Duet work 14.00 W dmnic hot waters tem 14.00 csidrntial boiler(radiator or h dmnic) 14.0 el-type.not cluotr c. In-wall,in-duct,Rus dad.eta 10.00 Subdivision: Lot nu.: IFlue/vent for any of nbove 10.00 -- Other: 10.00 _ Tax mnnlparcel nn.: -Other ruel lallpnce li �v I ;wal{ a l ii! 1i li N r 1Y1�'l li r i Water heater 10.00 83 flrC lace 10.00 Flue vent for water heater or gas Il lane _ 10.00 -- --- Log lighter ) 1000 _—_-- Wood/ Ilet stove _ 10.00 Wood Arc loco/insert 10.00 .',. '•U I , rg;llp Chlmn /liner/flue/vent 10.00 b ' �� Other; 10.00 Name &I Fn ironmental exhaust and venNlatlon Addro5s: *ripe hood/other kitehcn equipment _ 10.(111 City/Statt:/7-TP- Clothes dryer exhaust 10.00 - -- Single-duct cx oust(bathrooms, Phone ( ► Fax:( ► - -- tollct compartments.udN rooms) 6.80 o1111 iMllhfil I - sx: •� 1 1 Attic/crawls floe fens 10.00 Busmess name. Other, _ 10.00 Fuel Piping Contact name: $9.401br nmt urr$1.001br each additional 1 Addra s- Furnace etc. 1 Ons heat um i City/StatdZlP: _ Wall/fiuslmde&unit hater Phone( Fax: i) -- - Water heater i_'•moi1: — - Fireplace 1 Range 1111!' - Business npme: _ Clothesdt cr as)0 pit Address: 10 _ — -- Other: Oil t ,1 City/slole/ZiP: ` Subtotal .� Phone ( ) Fux: ,,/� Minimlcm permit flx(S72,90) �3 3) �" Plan review(25%ofpermit foo) CCp Itc.: _ State surche (R%of permit Ihc) i TOTAL PERMIT V E ' Authorized signattl Thig penult appllnnnn asptrty U n pest t not obtalned.vithln tae doss aver it hnm hem accepW at enaplrte. Feint name: D _ etc: Fcc mnhnrlology wt by TN-County p Ptdldfn inditRl ry tknWec Boxd r,nulMlryU`crmhetM[GlkrmhAppAne t7M) '� M(MIRI?T(IiANCr."Amee) 0. 14:13 5034914849 PERFECT CLIMATE INC PAGE 02 0 I � 1 i h�L 9' i Q��CITY OP TIGARD _ MASTER PERMIT V PERMIT#: MST2002-00364 DEVEI.OPRiN i SERVICES DATE ISSUED: 10/2/02 1312! Hall Blvd.,Tigard, OR 97223 (503) 6,�:,-4171 SITE ADDRESS: 12870 ` : 'BLUE HERON r 1 PARCEL: 2S1036GBHP09 SUBDIVISION: ZONING: BLOCK' LOT: JURISDICTION: REMAI;� S. e, ,tach- 1 Fath 1. _ BUI'uING REISSUE: "TORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NES '-GHT: 2, FIRST: 739 at BASEMENT: of LEFT: 6 SMOKE DETECTORS: Y TYPE OF USE: SFA FLOC IN,: 40 SECOND: 951 of GARAGE: 400 at FRONT: 20 PARKING SPACES: 1 TYPE OF CONST: 5N OWELLIt 1 FINSSMENT: at RIGHT: OCCUPANCY GRP: R7 BDRM: 3 bares: 3 TC;AL: 1,690 e1 VALUE: 165,878.00 REAR: 17 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 3 CARDAGE D13r. i WATER HhA I tK3: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: MECHANICAL O(HER FIXTURES: FUEL TYPES FURN c 100K: 1 BOILICMP<AHP: VENT FANS: 5 CLOTHES DRYER: 1 (;AS FURN>•100K: UNIT HEATFRS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: 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 PUMPARRIUATION: PER INSPECTION: EA ADD'L:OOSF: 3 201 400 amp: 201 400 snip. lel WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp EA ADDL BR CIR, SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601+amps-t000v: MINOR LABEL: 1000+amplvolt: Reconnect only: PLAN REVIEW SECTION >-4 RES UNITS: SVCIFDR>•225 A.: >600 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 l.T: BURGLAR ALARM. OTH: BOILER: HVAC LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATArrELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,116.07 This permit IS Sub)ed to the regulations contained in the W';JDWOOD CONSTRUCTION INC WINDWOOD HOMES INC 12356 SW NORTH DAKOTA 12655 SW NORTH DAKOTA Tigard Municipal Code.State OR Specialty Codes and TIGARD,OR 97223 TIGARD,OR 97223 all other applicable laws All work will be done i accordance with approved plans This permit will expired work is not star led within 180 days of issuance,or if the work is suspended for mole than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Phone: 501-625-6526 Phone: 625-6526 Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through 952-001-0080 You Reg 0: LI(' S019G may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Ins; Rain drain Insp Plumb Final Footing Insp Crawl Draln/Backwater Electrical Service Low Voltage Water Line Insp trial s on Foundation Insp Footing/Foundation Dry Electrical Rough In Gas Line Insp Appr/Sdwlk I pm Posy Struc PLM/Underfloor Framing Insp Gas Fireplace Electrical F at Issu By : /it _ Permittee Signature : 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#: SWR2002-00241 -' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/3/02 SITE ADDRESS; 12870 SW BLUE HERON PL PARCEL: 2S103BC-BHP09 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new S/F. Owner: -- _ WINDWOOD CONSTRUCTION INC FEES 12655 SW NORTH DAKOTA Description Date Amount TIGARD, OR 97223 1SWI ISA ISwrConnect 10/3/02 $2,300.00 Phone: 503-625-6:;26 1SWINS111 Swr Inspect 10/3/02 $35.00 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. 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, thei staffer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall pur as T and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you t nll r701-0100. adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 t ou�A 95 You ma copies of these rules or direct questions to OUNC by calling (50d) 24 6 9. Issued : j _= Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day Plumbing.Permit Application �Datereceivedd:: Per�no.: �1 y? �y,a City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 CiryojTigurd Phone: (503) 639-4171 ProjecUappl.no.: Expire date: Fax: (503) 598-1960 Date issued: By Rcceiptno.: Land use, approval: � _�— Case file no.. Payment type: 1 X1 & 2 Lundy dwelling ur accessory U C oininercial/industrial U Multi-Family U Tenant improvement U New cunsttucUim -J Adduuxt/aheratrun/replacemefit U Food service U Other: _ -- JOB SITU 1 ' Job address: it. Description Qty Fee(ea.) Total Bldg.no.: I Suite no.: - New 1-and 2-family dwellings only: Tax map/tax lot/account no.: 7-5/ V (- 320 O (includes 100 It.for each utility connection) SFR(1)bath Lot: Block: Subdivision: jb J&e lkr,, Ar4 SFR(2)bath Project name: 'IC!^ _ SFR(3)bath _ City/county: IP: Q Each additional bath/kitchen Description and lohtion of work on premises: I Site WNW: _ Catch basin/area drain Est.date of completion/inspectiiin^ Drywells/leach line/trench drain Footing drain(no.lin. ft.) Manufactured home utilities Business ____ Manholes Address: P_ 0 / U Rain drain connector City: State�j/2 ZIP: 7(Xj Sanitary sewer(no. tin. ft.) Phone: L/ -4/0?Y I Fax y3 21 E-mail: Storm sewer(no.iin. ft.) CCB no.: 71 b6 p Plumb.bus.reg. no: 3 41- b(,-- Water service(no. lin. ft.) City/metro lic.no.: (r Fixture or item: Contractor's representative signature:- Absorption valve - -- Back flow preventer Print name T _ nate: Backwater valve 1 Basins/lavatory Name: Clothes washer - Dishwas er Address: Drinking fountain(s) City: _ _ State: LIP: Ejectors/sump Phone: Fax: I: nail: Expansion tank Fixture/sewer cap Name(print): r*P 4.0c"o ele'wS r 4?2 C Floor drains/floor sinks/hub Mailing address: �`S SN^/..r,u� –� �— Garbage disposal Hose bibb City: L.74 .l. I State0rr I'LIP: -A Ice maker Phone: 0, VFax:&) - E-mail: Interceptor/grease tra Owner instailatioru'residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's si natu ate: I Sump I Tubs/shower/shower pan rinal Names _ Water closet Address: Water heater City: tate: ZIP: Other. -- Phone: Fax: [: m Total Nd all joriracdenr accept credit"ds.Mede ail jurisdiction for mese utformttioa Notice:This permit application Minimum fee................S _ U Visa ❑MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card numher within 180 days after it has been State surcharge(8%)....$ Expim Name of cwthokler d a6oreo an cJedlt card accepted as complete. TOTAL .......................$ S — Amtwat 440.4616(6MCOM) Mechanical Permit Application Date received: C :D Pertnit no.: 'rl,� GC City of Tigard City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 F'rojecUappl.no.: Expire date: Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: t ❑ I &2 family dwelling or accessory U Coin mercial/industrial ❑ Multi-family ❑Tenant improvement ❑New construction U Ad(lition/alteration/replacemenl ❑Other: Job address: ,t J014, • Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value of all mecha.iical materials,equipment,labor,overhead, Tax map/tax lot/account no.: 5/ 4L j-L 3 9'00 profit. Value$ Lot: Block_ Subdivision: (/ �^ •See checklist for important application information and Project name: f I!ari"llrti: CC 1CF.cdlat: �;r ac;ivaatiui I,Canur ire. City/county: WcjS # Z / t ZIP: 6/712 l Description and location/of work on premises:_ t Fee(ea.) Total Est.date of completion/inspection: Description Res.only Res.only Tenant improvement or change of use: Is existing space heated or conditioned'?L)Yes ❑No Air handling unit CFM Air conditioning(site plan require ) �— le rxistiny :1l,►cc insulated Y J No Alteration oexisting A system Ill AN IK'101 o►er compressors - Business name: �O State boiler permit no.: - HP Tons BTU/H Address: d Fire/smoke ampers/ uctsmo a actectors -- City: .� f(aaM State: IP: i_!P-Aq3Q Heat pump(site plan require Phone: r- Instal Urefilace fumacelbumer CCB no.: Including ductwork/vent liner U Yes O No Install/replace/relocate heaters-suspended, City/metro lic.no.: wall,or floor mounted Name(please print): A $a,I L Vent for iliance of er t nn furnace e ern on: Absorption units BTU/H Namc: _5a <- Chillers HP Address: -Compressors_ HP Environmental a urt vent ton: City: State: ZIP: Appliancevent Phone: Fax: E-mail: Dryerexhaust t 11 Hoods,Type U Wres. tc a azm�t hood firesuppression system Namc: (1V Q Lt�a jr7 S __4'h 4— Exhaust ran with single duct(bath find Mailing address: cv &/- kleoll? E:r aust systema art from heating or A City: If&/� rY State:Qi- ZIP: 7�3 Fuelpiping an st utrT►r-fin(up taut ets) — Type: __LPG NG Oil Phone:1;o3 S'-!v$e1G Fax: j, E-mail Fuei piping each additional over outlets Win 101 0 Process piping(schematic require ) Name: Number of outlets --------•--- ter te�rppliance or equ pment: Address: _— Decorative fireplace City: State: Insert-type _ Phone: Fax: E-mail: �G`�stovape cts►ovc Chee --- Applicant's signature: Date: t N, Name (print): - Na all jade icaow scop credit card,place can)urtdlcdon for raare I rane.uoa. Permit fee.....................$ !� ❑vias O MasterCard Notice:This permit application Minimum fee................$ Credit card rsmner:, expires if a permit is not obtained Plan review(at _ 96) $ ,ea within I g0 days after it has been State slush 896 Crum of a oe c accepted as complete. �( )....$ CArdimider id Amore S TOTAL. .......................$ � 4404617(001COM) PJMG' rICG- T-,,r6 A,LZ) Q12G= 2,,13 ,M-y /1140 / F 9 2 15 6 cu S�✓Ft zS(� 36 o'! � w i y4, 36 it ei tie/ w /3/li 4 f6 �N—�L,Cti Electrical Permit Application1.0ROPFICE' USEONIS Received Electrical Date/By: Permit No.: City of Tigard Planning Approval Sign `J Date/By: Permit No., 13125 SW Hall Blvd. Plan Review Other - - - Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use ` Date/B': Case No.: Internet: www.ci.tigard.or.us Contact Juris.: See Page 2 for 24-hour l:tspection Request: 503-6394175 Name/Method: Su lemental Information. _ TYPE OF WORK PLAN REVIEW Please check all that a 1 New construction Demolition Service over 225 amps- Health-care facility LJ commercial C1 Hazardous Incation Addition/alteration/replacement Other: ❑Service over 320 amps-rating,of ❑Building over 10,000 square feet, CATEGORY OF CONSTRUCTIONI&2 family dwellings four or more residential units in 1 &2-Family dwelling CommereiaUlndus_trial E]System over 600 volts nominal one structure AccessoryBuilding Multi-Family ❑Building over three stories ❑Feeders,400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder 0 Other: ❑Egress/lighting plan ❑Other: JOB SITE INFORMATION and LOCATION Submit—sets of plans with any of the above. The above are nut Applicable to temporary construction service. Job site address: )A 8)o SW Blue. />'t,„N p1wa FEE*SCHEDULE Suite#: Bld ./A t.#: _ Number of Ins ections per permit allowed Project Name: Re-S d ea« L* 1 2 8)c, S w 81tie Ai'a^r Description Qty I Fee(ea.) Total � New residential-single or multi-family per n�^ Cross street/Directions to job site: dwelling unit.Includes attached garage. Service Included g"t-' 1000 s .R.or less I 1 145.15 1 VS iS 4 Each additional 500 sq.11.or portion thereof 'y 33.40 b. w 1 Limited energy,residential 75.00 2 SUbdlVlglOn: Limited energy,non residential 75.00 2 Tax map/parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 90.90 2 Services or feeders-Installation, Lit.) .Iteration or relocation: 200 amps or less _ 80.30 2 - --- --- -- 201 amps to 400 snips 106.85 2 401 amps to 600 amps 160.60 2 PROPERTY OWNER TENANT _ 601 ams to 1000 amps 240.60 2 - Over 1000 amps or volts 454.65 2 Name: Reconnect only 66.85 2 Address: Temporary services or feeders-Installation. Cit /State/Zi alteration,or relocation: 200 amps or less 66.85 1 Phone: _ Fax: 201 ams to 400 amps — — 100.30 2 APPLICANT I Ll CONTACT PERSON 401 to 600 am a 133.75 2 Branch circuits-new,alteration.or Name: extension per panel: Address: A.Re for rant circuits with purchase of service or feeder feeeach branch circuit City/State/Zip: _ B Fee for branch circuits without purchase of service or feeder fee,first branch circuit 46.85 2 Phone- _ _ PAx:� _ Loch additional branch circuit 6.65 2 E-n1a1 l: Misc.(Service or feeder not included): CONTRACTOR Each pump or irrigation circle — 53.40 2 Each sign or outline lighting 53.40 2 Job No: / O a 1 - _ Signal circuit(s)or a limited energy panel, Business Name: 6rec-wc EIet.1�,.tt- CC.- alteration or extension Pa 2 2 Ihscription Address: isl ys a w G.,)1 0,•. City/State/Zip:/State/ZI eav t^ O2 9joy) Each additional inspection over the allowable In an of the above: Per inspection pet hour(min. I hour) _ 1 1 62.50 Phone: S)9- POSY Fax: r)l " 8cS6 Investigation fee: CCB Lic. #: i53JM__- Lic.#: 3 V-6170 Otte" Electrical Permit Fees Supervising electrician * _ Subtotal 5 II .`t signature requited: Plan Review 25%of Permit Fee $ Print Name: Lic. #: .S State Surcharge i8%of Permit Fee $ r ,S _ TOTAL PERMIT FEE $ -� Authorized Notice: This permit application expires If a permit Is not obtained within Signature: ate: 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. -- --- - ---(Please print name) i\Dsts\Permit Forms\P.IcPcrmitApp.doc 01/03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Feefor all systems............................................................ $75.00 Check Type of Work Involved: MAudio and Stereo Systems* ElBurglar Alarm ElOarage Door Opener* Heating.Vcntilauon and Air Conditioning System* Vacuum Systems* Other --- COMMERCIAL WORK ONLY:__ F'ee for each system................................................. $75.00 (Sl--F OAR 918-260.260) Check 1'vpe of Work Involved: Audio and Stereo Systems Boiler Controls Clock Systems Data Telecommunication Inslallauon ❑ Pirc Alarm Installation E] IIVAC Instrumentation Intercom and Paging Systems ElLandscape Irrigntion t'ontrol* Medical C] Nurse Calls C] Outdoor Landscape Lighting* Protective Signaling Other_ - — Number of Systems * No licenses are required. licenses are required for all other installations i:\Dsts\PennitF6rms\ElcPermitAppPg2.doc 01/03 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 G? f BUP Received � 3 q , Date Requested f/ AM M BUP Location [-Q Suit MEC _ Contact Person ct Ph(— ) 1('�2v/'3 PLM Contractor �� -� �t �..L'1-��- ,� Ph( ) SW�R-�, BUILDING Tenan wne ---�C_C %�� '.�.-�_ G€Ls✓3 C>C� '75�� Footing ELC Foundation Access: Ftg Drain ELR _ Crawl Drain — Slab Inspection Notes: SIT Post& Beam —_ ('2'az Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing --_ —_ — Insulation Drywall Nailing --- __—_ Firewall Fire Sprinkler — ---- Fire Alarm Susp'd Ceiling -- -- Roof Other: _ — Final PASS PART FAIL -- PLUMBING Post&Beam _ Under Slab Rough-In Water Service - — Sanitary Sewer Rain Drains —— -- Catch Basin/Manhole Storm Drain - — — -- - — Shower Pan Other: - Final — — PASS PART FAIL -- — -- MECHANICAL Post& Beam Ruuyli-in Gas Line Smoke Dampers -- — — Final PASS PART FAIL - _ELECTRICAL Service Rough-In UG/Slab — — Low Voltage Fare Alarm Final )) Reins action fee of$__ required before next ins P ART FAIL � p � inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE n Please call for reinspection RE:_ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dab Inspw � � ` �"-- � Ext Other: Final DO NOT REMOVIi this InspoWen nowd from the Job sits. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received ' 3'. '56)Date Requested PM __ BUP Location 1 Suite —_ C mEc `_ �i��0 3 S; Contact Person GCS " ph( v = PLM _- Contractor_- -__ Ph( -) _ _ SWR BUILDING Tenant/ wniYr" �7-��'�C�� C�_1�' ELC _- Footing Foundation Access: ELC r Ftg 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 Other. ---- - Final PASS PART FAIL 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 - -- --a---- Gas Line tndkkDampera - Fi SS PART FAIL - ----- - - - - --- --- EPWIR AL Service -- -- - Rough-In UG/Slab Low Voltage Fire Alarm _ Final Reinspection fee of$__ required before next ins F SW Hall Blvd. PASS PART FAIL pec - inspection. Pay at City Hall, 1312 Please call for reinspection RE:_ - Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk �� ----- InspectorAr'fc9 --_ Ext Other: Final DO NOT REMOVE this llnspec tion reco from the Job site. PASS PART FAIL