6713 SW BONITA ROAD STE 200 6713 SW Bonita Road #200
rA
� ELECTRICAL PERMIT
CITY OF T I G A RD
DEVELOPMENT SERVICES PERMIT#: ELC2002 00058
DATE ISSUED. 2/14/02
13125 SW Hail Blvd.,Tigard. OR 9722:1 (503) 639-4171
SITE ADDRESS: 06713 SW BONITA RD 200 PARCEL: 2S 112AA-00600
SUBDIVISION- NELSON BUSINESS CENTER ZONING: I-L
BLOCK: LOT : C-D JURISDICTION: TIG
Prosect Description: Sign is on East side of building. 2 circuits for 1 sign/outline lighting.
FRESIDENTIAL UNIT' TEMP SRVO/FEEDERS _ MISCELLANEOUS
000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 1
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: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ _ PLAN REVIEW SECTION __
1000+ amp/volt: >=4 RES UNITS:— > 600 VOLT'_NOMINAL:
Reconnect only: _ SVC/FDR >=225 AMPS: _CLASS AREA/SPEC OCC
Owner: Contractor:
SPIEKER PROPERTIES LP JC ELECTRIC INC
4380 SW MACADAM AVE STE 100 118 NW 184TH STREET
PORTLAND, OR 97201 RIDGEFIELD. WA 98647
Prone: Phone: 360-887-7889
Reg #: SUP 4289S
ELE 37-724C
_ LIC 118452
FEES � Required Inspections—
Type
nspections
r---- u __
Type By Date Amount Receipt Elect'I Final
PRMT CTR 2/14;02 $53.40 2720020000(
5PCT GTR 2/14/02 $4.28 2720020000(
Total $57.68 -_
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable lam
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
suspenaed for more than 180 days. ATTENTION Oregon law requires you to follow rule,;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 copes of these rules ordirect questions to OUNC at(503)
246-6699 or 1-800-332-2344.
Permit Signature: rr} �f Issued By:
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: _ I� Gt- ' _
--._� _ DATE:_
LICENSE NO - — �-- - -----
Call 639-4175 by 7:00pm for an inspection the next business day —
Feb 14 02 11 : 11a JC Electric Inc 1 360 887 5584 p, 2
01/14/2002 10:16 FAX 5035®91960
P-,.--. CITY OF TIG
ARD fl�J o003/004
•
Electrical Permit Application
received✓ /t{ do Y Permit noi-zc_;iW'q _oov
�.aay o>� �i�,�' �/r��"^���� Projccr/appl.no.: Expire byte: ,
Cuy oJTigorJ ^ddre"' 13125 S W H iiSrP`I�Melh its Deteissued! By Recclptno.:
Phony ,50"3) 639-0171 -- —
Fnt " :"+) 599-1960 Coso file no.. payment type:
-R 4 '202
Land use approval-
WTILUILU
;0)
&2,family d'Nclltng or 2ect•.Pwry CommeminUludusiti.d Q Multifamily D Tenant improvcptent
cw comtru0ion (7 Addirto:t/ulicialtooln•;71accmt:rr O Other:1 ; r ' JAVONddress C'A—�`�� aldb.r,o.:v Suite no.: i Tax ma tall Itivncrount no.:
Lot- Block, Subdivision
Project name: Q?it &Ei � _ e:tion and locations of work on premises:
Estimated date of cutnrlet on/uaparuon I_ -u" , r_ I
CONAM10R,AMLICA11 ION FEE SCHEM34.
Job no: ro< nuat
Business nanny �3'r f px(.�Q lCr, \i\C ---�� tsacrlptlun_ _ Qtv- faa) I Taint no.Inca
rnr ri+Wmdil•alk or nwld-family Inr
Address:
Nd+rnll:n(<.a+sl.InrluAeaeNctiedyerv -
City �( stntc A ZIP; Scr+iroirtclu,+rd
Phonc: ti{;- Fax E%MMI. 1000 441.u.or lent T. 4
• Each ad(titirmm 100 sq.it or portion the vof
CCF�o.: _ Elec but tic,n0: Um ledenerdy.maidenud 7
City/ uhj.no,: _Skc�l Llmltedener&y,non•rcndenrial 1
Eachmrwracturodbut""- m
heorodulard-Oling
I�eatu •Ir
u pervtftng electrician(ttyWed) _Datates�aci. Smite an;orf"Acr 2
5vp cl t.nun,e(pnnt) CavLt f1C( _l-' ucensene:Cceserft -lrolallas{ee•
atter/tion orrelocatioo:
100 an nodus !
201 am s to eP0 rtmpr
Nun/:(print): 2
— —__.�
- 401 am s to 600 amps — — 2
Mailing address: 1- -
- _-- _ 601 amps to 100 ends
(till Stale: ZIY: er 11x10 amps or vol`.L _ 2
Phone: - --�rax: E-mail: Reconnect onl�- 1
Owner installation.The installation is being made on property i own Tcmp4:c•"it1`terJ°r c^-
which is not intended fo, sale,tense,tent.Or eKehtsnge according In Wall Id".alteriitlon,errelacstion,
ORS 44"l,455,479,610,701. 200 amps ut telt -` - 2
201 nm s 10 400 Vis_ _ 2
Ow"SiDale: _4_F1 t 0000War 1 —_ _ 2 -
stneh eireeits new�e lif-at ,
or exlerrsioa per Wei:
Nome. �. & Pee forbnnrh cltcuiu wiih pumhau of
Addm!;s_: _ _ _ aeivice o.`fecde(fee,trach brertch circuit 2
Clay' �. State: ZIP: B. Fee for branch rlrcuits without purohnf
�- -^— of cervine or feeder fm tit+t bru:ch cimull: 2
Phone- - Fax: N.mail —
ch sdcfivanal branch circuit.
r.�eear ernotIncluded):
Q Scrvtae over 125 empa commrrclsl Q Hoslthayrefacility Psdt pump or irri matin circle
U serviccover310emp•ntingof 1&1 0 Hazardous location Each si4purcudlnatlgMiait -! 2
family dwellingl U Buildin`over Io,000 square feet four or Signal Nrcuit(e)nr s limited energy panel.
ClSystem over 600 voila nonun:d mote reawaritial uniu in one structure Atersdon,or extension, — V
0 Building ov'erthmeatorim 0 Feeders.400arnirs or note sllattll don,
Q Occu amlodoverQV rzmom 7 ManufaentredswenrreaerRd Nit
p f p rile n lione lnapticiiou eyes the dtotrable in any ol1 .1=6.
O P;gress/hghungpian 0 other Per:ntpectnrn
Submit.___sele of plant with am orthe above. InvciiJag tion nee
rie Itboto are not applicable to tenpeavry toastnretioo serrke. 1e�
--- — __';Wail IensAk+iom aemrv.";wile cam.pl.aeew ludaehilua for tnu7irdprmyloa, Notice'this permit application Permit fee................ ..f
s 0 MaararCtttd V IA expires if a permit is not obtitined Flan review(at
tablet venemncc1__1 __1=1L?,f_�� within Is
J_ ager it len been State surcharge(9%)....S
accepted u::omplcto. TOTAL b
Cehk, -��ms�m , ND46te(11WOMl
1
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP
Received Date Requested AM — PM — BLIP _
Location _.-_ Suite ;z 0,C) MEC -.
Contact Person - — Ph 7,S PLM - ---_
Contractor _ _ Ph( ) _ SWR
BUILDING_ Tenant/Owner
Footing
Foundation ELC
Ftg Drain Access:
ELR
Crawl Drain
S,
Inspection Notes: SIT --
Pos!R Beam -
Shear Anchors __ ------
Ext Shnath/Shear
Int Sheath/Shear V -- -- - ---
Framing -- - - - --
insulation l
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceding -- - --- ----
Roof
Other: ----
Final
PASS PART FAIL - - - -
PLUMP!t'�G- ----- -- r
Post &Beam
UndEr Slab _---
Rough-In
Water Service — --- _ -
Sanitary Sewer
Rain Drains - ------ -- --
Catch Basin/Manhole
Storm Drain --- -- -- - --
Shower Pan
Other: - - - - -
Final
PASS PART FAIL --V --" ---
MECHANICAL -
Post R Beam
Rough-In
Gas Line
Smoke Dampers --
Final
PASS PART FAIL .--
ELECTRICAL
Service
Rough-In
-- -- -- -
UG/Slab --
Low Voltage -
Fire
Alarm
F1 Reinspection fee of$ required uired before next Ina
PART FAIL -^ - 4 pectlon. Pay at City Hall, 13125 SW Hall Blvd.
-_ [ ] Please call for reinspection RE:^__-_ _- Unable to inspect-no access
Fire Supply Line
ADA / C
Approach/Sidewalk Date_�2-`� __- Inspector AQ.1C4'1 -�---- -fE1tt-
Other:
Final DO NOT REMOVE this Inspection record frim thejob-alto.
PASS PART FAIL
l b P51, �7_is-G x
Building Permit Application
City of Tigard Date received:(�-(/ -vZ Permit no.:Ort,4XW -p
Address: 13125 SW Hall Blvd,Tig ,QR 97223 Project/appl.no.-. Expire date:
C'ityofTigard 1--
Phone: (503) 6394171 Date issued: By:,; I Receipt,,u.:
Fax: (503) 598-!960 �r y i:' I i . `:? Case file no.: Payment type:
Land use approval: � r � �— 1&7.family:Simple Complex:
TYPE OF
2 family dwelling or accessory 0 CommercialhndList ria l J Multi-liumly 0 New construction ❑Demolition
❑Addition/alteration/replacentent ❑Tenant irnptovernent U Fire sprinkler/alarm ❑Other: .
JOR SITE 1
Job address: A I Bldg.no.: IFuite no.:
Lot: ,'1 Bloc Subdivision: ,� ue /�ian r Tax map/tax lot/acconnt no.7•5/�c/(� T 3y
Project name: k lkm ,J'^
Description and location of work on premises/special conditions:
1
Name: -1-1 edAis7
Mailing address: w /llars� 0—ill. 1&2 finny dweWng:
City: r U ��Stat "LIP: P 2a?j Valuation of work..............................` _$
Phone: WS �_ Fa 6 E mail: No.of bedrooms/baths................................. _„� 2-
Owner's representative /f ,l�(Gh,f,Z-�_ Total number of floors........................a�,...
PhoJFax: E all: New dwelling area(sq.ft.) ............ ....
Garage/carport area(sq.ft.)............rL-
Name: 5/12��_ Covered porch area(sq.ft.) .........................
Mailing address: Deck area(sq.ft.)......
City: --_� _ State: ZIP: Other structure area(sq.ft.).........................
ii�
Fax: E-mail' Commercial/industrial/multi-family:
Valuation of work..................................i:.... $
Existing bldg.arra(sq.
Business name:
---_—�-�� - New bldg.area(sq.ft.)...
Address: ........ ... �..... --.`
City: _ State: LIP: Number of stories..................... ....... .......
-- -- ---- — Type of construction............. .
Phone:
Fax: E-mail:
Occupancy group(s): Existing:
CCB no.: New: _
City/metro lic.no.: Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: �/-, provisions of ORS 701 and may be required to tx licensed in the
Address:— C f N'S_&tom L �— jurisdiction where work is being performed. If the applicant is
City: 02 LIl -- Staters ZIP: Q)-iJp' exempt from licensing,the following reason applies:
ContaPlan no.: V
Phone: x,15- Q/�/ Fax;; E-mail:
Name4� 1tJ Contact person: Fees due upon applieati 3n ........................... $
Address: �� �'< Date received:
City: / State .e ZIP: oL 6 Amount received ......................................... $ _
Phone: Fax: T-G,7G E mail• Please refer to fee schedule. --
I hereby certify I have read and examined this application and the Not all junWictions accept credit canis,please call Jurisdiction for mote info.matiun.
attached checklist. All provisions of laws and ordinances governing this U visa 0 Mastercard
work will ht complied with,whether specified herein or not. Credit Card number:
Authorized atgnatutr• —nmd
ate: ^ — Nae cardlwlder u shown on credit card
S Expires
Print name: •J ��—_ Cwt!Wdetel"we — Amount
1 Notice:Ilia permi I applicat;an expires if a pe mit is not obtained within 180 days atlef it has been accepted as wa+plete. 440.4613(MMCOM)
Plumbing Permit Application �
Date received: Permit no.: b -!'Vel i
A, City of Tigard Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223 — --
CiryofTigard Phone: (503) 6.i9-4171 Prolect/appl.no.: Expire date:
Fax: (503) 598-1960 Date issued: By: Receipt no.:
Case file no.: Payment type:
Land use approvai:
t ,
X1 &2 family dwelling or accessory U Commerrial/indo.,trial U Multi-family 0 Tenant improvement
0 New ctmstniction U Addition/alterat ordre placement U Food service U Other: .._______._._____
t � �
Job address: Description (?ty. Fee(ea.) Total
New 1-end Z-family dwellings only: —
Bldg.no.: Suite no.: (includes 100 ft.for each utility connection)
Tax map/tax lot/account no.: y$/_q—c.. L 3y00 SFR(1)bath _
Lot; Block: Subdivision: A, Ice kr,,,r SFR(2)bath _
Project name: &LIle o11 At.- SFR(3)bath _—
City/county: IP: Each additional bath/kitchen
Description and lotation ot work on premises:_ Siteatllilies:
Catch basin/area drain
- -- _- Drywells/leach line/trench drain _
Est.date of compiction/inspectttm FoodnB:limn(no.lin.ft.)
pill I M III NG t Manufactures home utilities
Business name: _ _ Manholes —
Address: P C) U _ _ Rain drain connector
City: —„�_ State- /r K1TP: i'Gb Sanitary sewer(no.lin.ft.)
Mone: '( [/uIy Fax• ' U_;2 E-mail: Storm sewer(no.lin.it.)
b Water service(no.lin. ft.)
CCB no.: '7/ to O Plumb.bus.reg.no: to^ Fixture or Item:
City/metro lic.no.: 4& Abso tion valve _
Contractor's repmsentativr signature: �1`' "•-- _ _ Back tlow pteventer
Print name: 1A ,-- -' ate: Backwater valve
Basins/lavatory —
Clothes washer _
Name: �t/11 e-- —_-- Dishwasher _
Address:- __ Drinking fountain(s)
City. _ State:_ ZIP: Ejecters/sump — —
Phone: Fax: Email_
Expansion tank
Fixture/sewer cap
Floor drains%floor sinks/hub
Name(print): LU 11�-�i1�c''0 CI S r 4- _
_ Garbage disposal _
Mailing address: S^3 nose bibb _
City: �y: —_ Stater^ i-{ ZIP: :q)-AA [ce maker — —
Phone:0 aG Fax: Email [nterceptor/grease trap _
Owner installation/residential maintenance only: 'The actual installation Primer(s)
will be made by me or the maintenance and repair made by any regular Roof drain(commercial) �_-
employee on the property[own as per ORS Chapter 447. � linbasin_(s),lays(s)_—
Owners si natu ale: Sump _
ilw�--
Tubs/rhower/shower an
l)rival
Name:-_- -----_-- __ Water closet ___---- — —
Addrrss: ___ _ Water heater
City: -� tate: "LIP: --_ Other:
Phone: Fax: E m Total
----- __
------ � Minimum fee................
vd Id jwiwkdom accept ctodlt emb.plea call)wisdledon rat mna inrnrtnrlon. Notioe:This permit application Plan review(at -- %) $ _—.—
U Visa U Mastercard expires if a permit is not obtained
Ctt:dit card mmlw _ —_ _ within 180 days after it has been State surcharge(896) ....$
Eapims
_ acrepted as complete. TOTAL .......................
tuo _—_
Ne of al
nudde a jhownnn cidlitc S
_ —� lxcWddc+�iputwe Amouct 410.1616(&W/COM)
Mechanical Permit Application
Tigard Of Ti
Cit. Datereccived: Petmitno.:4�r, �
--
`J g Projecdappl.no.: Expire date:
CityojTigard Addres3: 13125 SW Hall Blvd,Tigard,OR 97223 —
Phone: (503) 639 4171 Ua'eissucd:_ By: Receiptno.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _ Building permit no.:
Ll I & 2 family dwelling or accessory U Commercial/industrial U Multi-family LI Tenant improvement
U New construction rJ Adclition/alteration/replacement U Other:
t
Job address: kL /rip. 4w/C Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: Suite no.. value of all mechanical materials,equipment.labor,overhead,
Tax map/tax lot/account no.: $/ 6 Lj L 3 y(,U profit. Value$
Lot: Block: Subdivision: [/ kms,^ 'See checklist for important application information and
Project name: Mlae ,jurisdiction's fee schedule for residential permit fee.
City/county: ut, ZIP: cj� t t
Description and location f wort on premises: t t
-- Fee(m) TOW
Est.date of completion/inspection: Description Qty. fres.only Ret.only
Tenant improvement or change of use: RVAC:
Is existing space heated or conditioned?O Yes O No Air handling unit CFM
Air conditioning(site plan require )
Is existing space insulated?U Yes U No terauon o existing A system
Boiler/compressors
Business name: IG State boiler permit no.:
5—--------- HP Tons BTU/11
Address: d (, Fire/smoke damperiMuct smoke etectors
city: 6-CS JtaM State: 21P: e7X3 eaA-tpump(site plan regwre )
Phone./-e955-3 J 3 Fax: E-mail: nsta rep nee urnac utner /
!/b 1 lacluding ductwork/vent liner O Yes O No
CCB no.: Install/replace/relocate beaters-suspended,
City/metro lic.no.: $ `� -_ wall,or Floor mounted
Name(please print): 11AAA Sd,1 Vent fora iance other than furnace
e gest n:
Absorption units _ BTUIH _
Name: '50 Ott r Chillers HP
Address: -- Com ressors HP
Environmental exGust and ventilation:
City: —_----- -- State: ZIP: Appliance vent
Phone: — Fax: E-mail: ryerex gust -Hoods,Type res. its a atmat
hood fire suppression system
Name: -",0 w ,�j4 $ Exhaust fan with single duct(bath fans)
Mailing address: � Exhaust system a tartroam theauor A
Fuel piping an sl tit on(up to 4 outlets)
City: IState:Q/- ZIP: 72,93
Phone:IOaZ -bS�G Fax: (, Email: Type' --LPC'
NO __- Oil
Fuel piping eac a itlona over t e
outs
Process piping(schematic require )__
Name: Numt er of outlets
Address: --� - - ter d aped pl6iorequ- p-1 ment:
Decorative fireplace _
City: State: ZIP: Insert-type _
Phone: Fax: E-mail oo stov pel etstove _--
cr:
Applicant's signature_
Name(print): _ ---`—"
Not NI)urladlctiom accept credi:udi,please call ju isdicdon for Me ininimudon. Permit fee.....................$
OVisa OMasterCard Notice:This permit application Minimum fee................$
r',edil card number' exptrrs if a permit is not obtained Plan review(at %) $
--� Espira within ISO days after it has been State surcharge(8%) ....$ _
Now of cx*otdrr as shown on ue&t cant �— accepted as complete.
� TOTAL .......................$
-- Cadbotdt'r st-Aature� _ Amoam 4404617(&DWOM)
I
I
Electrical P�rnut.Alipli�ation
r. t,•-y., � Dateroceived: Permit no.:
City Ol g'ar'd Project/appl.no.: Expire date:
CitynjTigard Address: 13124 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639-4171 ---
Fax: (503) 598-1960 Case file no.: Payrnenttypc:
Land use approval:
TYPIf OF PIE. RMIT.
U 1 & 2 family dwelling or accessory O Commercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/alteration/replacement U Other: U Partial
JOB SITE INFORMATION
Job address: lildv nn Sui':no.: !:t, rnap/tax lot/account no.:
--- — — -
L.ot: Block: Subdivision:
Project name: I Description and location of work on premises: _
Estimated date of completion/inspeoinn:
1 1 ' APPLICATION1
Job no: I Its Max
DesBusiness name: CT� K� t✓t�'�(_' ' K lC�. criptlan (fit. (ca.) t�,tal no.imp
Address: -7fjo �-f M T New ellingdentlalcludes armuldgli arage.mily r
dwelling unit.Includes attached garage.
City:- i r}fZ`� State:Q ZIP: 7.2a?
Service lncluded
Phone: OX,5Fax: E-mail: taut sq ft.or less
i
CCB no.: no: f Fach additional 500 sq.fl.or portion thereof
5 Elec.bus.tic. j ��r - -- ---
Limited energy,residential
City/metro Ilc.no.: Limited energy,non-residential
Foch manufactured home or modular dwelling
Si nature of supervising electrician(requited) A hate Service and/or feeder 2
Sup.elect.name(print): License no: t Senlcesorfeeders--installation,
dleratiou or relocation:
1 ' 1 200 amps or less _ 2
7Namc(pnnt).- t 201 snips to 400 amps 2
ss: �T� �K-0— 401 ampsta600smps _ 2
—�_ 601 amps to 1000 amps 2
City: aQ�Tj State 'LIP: g Over 1000 amps or volts 2
Phone: I E-mail: Reconnectonly I
Owner installation:The Installation is being made on property I own Temporary services or feeders-
which is not intenders for sale,lease,rent,or exchange according to Installation,alteration,orrelocation:
ORS 447,455,479,6 70,701. 200 amps or less 2
201 amps to 400 amrs 2
Owner's sigm.iure: _ D'1te: 401 to 600 amps 2
Branch circuits-new,alteration,
or extension per pane's
Name: _ _ A. Fee for branch circuits with purchase of
Address: _ _ service or feeder fee,each branch circuit 2
City: State: ZIP: B. Fee for branch circuits without purchase
- -_—� of service or feeder fee,first branch circuit: _ _2
Phone: Y..". E-mail: Each additional bmmchcircuit:
M isc.(Service or feeder not Included): ~
U Service over 225 amps o mmw t ial U Healthcare facility Each pump or irrigation circle 2
U Service over 320 amps-rating of I&2 U Hazardous location Each sign or outline lighting 2
family dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel.
U System over 600 volts nominal more residential units in one structure alteration,or extension* 2
U Building over three stories U Feeders,400 amps or mare 013wri tion:__
U Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable in any of the above:
U Fgres0ightingplan U(fiber. Perinspection _
Submit T sets of putts with any of the above. Investigation fee a
The above are not applicable to tessperary constroMbn service. other
-Nota jurisictl
deau rcel+t credit earth.Waw call)urlym dK:dto more hdaPermit fee.....................$matiam. Notice:this permit application — -
U visa U MasterC&rd expires if a permit is not obtained Plan review(at __ %) $
Cmdtt card number _L-_.l._ within 190 dayr after it has been State surcharge(8%)....$on a6dit card
t.aptR" accepted imoomplete. TOTAl, ...$
S _
Ataousi 4404615(tii0atr-'OM)
l
DESIGN A S S O C I ATF. S, I N C.
Date:5/21/02
To whom it may concern:
With this letter Alan Mascord Design Associates,Inc. gives permission for the Buyer.
Name: Windwood homes,Inc.
Address: 12655 SW North Dakota
Tigard,OR.97223
Phone: (503)625-656
To make revisions to,and additional copies of:
Plan No. 4026
For the construction of a single project located at:
City or County City of Tigard
Lot No. Lot I &2
Subdivision Blue Heron Park
This permission is granted for the specific project and design listed above.This document is valid only
in original form,with an original signature in ink.Any modifications to,or copies of, this letter will
void the permission;g :
in.
1
Alan Mascord
305 NW 1'4'h Avenue
IN)rtlarwL Oregon 97219
S1111.11/225-9161 FAX 503/2254)933
www.mwword.-om
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