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8040 SW BONITA ROAD 00 0 z H H y 0 I i t 8040 SVS BONI`I'A ROAD CITY OF T I G A R D _ MASTER PERMIT PERMIT#: MST2000.01) ,62 DEVELOPMENT SERVICES DATE ISSUED: 10/5/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639.4171 SITE ADIDREaS: 08040 SW BONITA RD PARCEL: 2S112BC-00100 SUBDIVISION: DURHAM ACRES ZONING: R-4.5 BLOCK: LOT:06' JURISDICTION: TIG REMARKS: Construct home occupation office in gara(_ BUILDING REISSUE: STORIES: FLOOR AREAS _REQUIRED SLTDACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: of BASEMENT: of LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: of GARAGE: of 'RONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: FINSSMENT: a1 RIGHT: VALUE: $2,00000 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 000 aG REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH, LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES. SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIuCMP<3HP: VENT FANS: CLOTHES DRYER: F 1RN>•100K: JNIT HEATERS: HOODS: OTHER UNITS. MAX INP: htu FLOOR t:URNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDERTEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS 0 200 amp: I 0 - 200 amp: WISVC OR FDR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF 201 400 amp: 201 400 amp: 1st W/O SVC/FDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY 401 600 amp: 401 500 amp: EA ADDL BR CIR: SIONAL/PANEL: IN PLANT: MANU HM/SVC/FDR: 601 1000 amp: 60148mpS-1000v: MINOR LABEL: 1000.amptvoll PLAN REVIEW SECTION Recnnnect only: >•4 RES UNITS: $VCIFORa.225 A.: >BOO V NOMINAL: CLS AREA/SPC OCC. ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO A STEREO: FIRE ALARM: INTERCOMIPAGING. OUTDOOR LNDSC LT: BURGLAR ALARM: aTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: JTHR: HVAC: DATAITELE'OMMi NURSE CALLSTO1 AL.0 SYSTEMS Owner: Contractor: TOTAL FEES: $ 304.58 This permit Is subled to the regulations contained 01 the DEKORTE,KENNETH J+JANICE R OWNER Tigard Municipal Code, State of OR Specialty Codes and 804)S N BONITA RD all other applicable laws All work will be done in TI(,ARD,OR 97223 accordance 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 Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules ala set Rop a forth in OAR 952-001-0010 through 952-001-0080. You may(•otain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPEr.TIONS Electrical Service Building Final Electrical Rough In Framing Insp Insulation Insp Electrimlr nal Issue 9y : "�� "� Permittee Signature : -G Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day Building Permit Application City of Tigard - Date received: Permit no.: Address: 13125 SW Ball Blvd,'I'igard,OR 97223 ProlecUappl.no.: Expire date: Ciry of Tigard Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Ladd Use approval: I&2 family:Simple Complex: W-1 & 2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Add i I ion/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U 011ier: .1011 SITE i[NFORM�7110N Job address:gGelc- t-A _ _ Bldg.no.: Suite no.: _ Lot: I Block: Subdivision: i Tax map/tax lot/account no.: Project name: -� Description and location of work on premises/special conditions: T/,­16_ Foil ' c Mailing address: sq�.a! _ 1 &2 family dwelling: City: _ State: LIP: _ Valuation of work._..................................... $ Phone: — Fax: 1" mail: No.of bedroomstbadis................................. Owner's representative: _ Total number of floors................................. Phone: Fax: E-mail. New dwelling area(sq.ft.) .......................... Garage/carpori area(sq.ft.)......................... Name: kJc'�F,�i - Covered porch area(sq.ft.) ......................... - —_ Mailing address: Deck arca(sq. ft.) ........................................ C,!y: State: I ZIP: Other structure area(sq.ft.)......................... Phone: I Fax: F mail: Commercial industrial/multi-family: t t , Valuation of work........................................ $. Business name: Existing bldg.area(sq.ft.) .......................... — -- _ - Address: New bldg.area(sq. ft.) ................................ -- --- Number of stories ........................................ City: State: I,IP: __..._.- Phone: _ Faz: E-mail: Type of construction.................................... CCB no.: - Occupancy gmup(s): Existing: New: City/metro lie.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 he required to he licensed in the Address: - _---- - --" jurisdiction where work is being performed. If the applicant is City: State ?_IP: exempt from licensing,the following reason applies: Contact person: I Plan no.: - Phone: Fax: I E-mail: -- iiism Name: _ Contact person: Fees due upon application ........................... _ Address: _ _ Date received: City: State: ZIP: Amount received ......................................... $ Phone: Fax: E-mail: Please refer to fee schedule. I hereby certify I have Head and ezami ied this application and the Nd all Jurisdictions accept credil cards.please call Jurisdictim fa mnre ud tuba attached checklist.All provisions of la.vh and ordinances governing this U visa U MasterCard work will be complied w't ,whether s cifi d herein or not. Ctedil card number,-- / _ Expires Authorized signature' ! d' Date:/C l—!.17' Name of cardholder as shown on credil ciW Print name: i?_-- - — s Cardholder signature Amount Notice:This permit application expires if a permit is not obtained within 180 days attar it has been accepted as complete. 440-4613(fiffl coM) Electrical Permit Application Date received: Permit no: /�sr Ci of Tigard �:. `J gseProject/appl.no.: Expire date: c n•, ,fltgard Address: 13125 SW Hall Blvd,Tigard,OR 97223 pate issued: )3 -- Phone: (503) 639-4171 Y: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: ' &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New constniction U Addition/alteralion/rcry,larrntcni !Other: _ _ _ U Partial JOB SITE INFORMATION Joh address: IiM, n,! tiuilr n.. . I a,�-ntahlta.x lol/occount no.: ck Lot: Blo : Subdivision: — —�-- Project name: scription and location ul work on premises: F listimaled date of completion/inspection: CONUACT011 APPLICATION FEL -k-IIEDUIX Job no: _ rer alar Business name: 15 `L Ih-sc•riptlon O1 tea) Total no.Ins New ri siderdial-single or multi-family per Address: 81O > tye�-��( X0 doellingunit.htcluth-sattached gnraigc. G) City: State: I ZIP: Servicelncluded: Phone: o 3 -'fq Ae, Fax: E-mail: IOtxl sq ft or less _ 4 1 �� C Each additional 500 sq.ft.or onion thercnf CCB no.:/`4/3 Elee.bus.lie.no: ' Limited energy,residential 2 it /metro tic.no.: _ Limited energy,non-residential 2 Ze cpc� Each man ufncturedhome ormodu[at dwelIing -Signature of supervising electrician(required) Date Service and for feeder 2 Sup,elect.name(print)- yLicense no: See rvlcesorfeeders-InslaIIsIIon, alteration or relocatlou: 200 amps or less 2 Name(print): 1)e; _ 201 amps to AIM amps 2 i 401 amps to 6(10 amps 2 Mailing address: �,Qt r 601 amps to 1(100 amps - 2 City: Slate:_ ZIP: Over 1000 amps or volts 2 Phone: Fa) I E-mail: Reconnect on1 Owner installation;The inslallr.tion is being made on properly I own Temporaryservicesorfeeders- which is nut intended for sale,i•:asc,rent,or exchange according to lo!dallatlon,alteration.orrelocation: ORS 447,455,479,670,701. 200 amps of less 2 201 amps to 4(x)amps 2 m OWnet'9 signature: Date: 401 to 600 ns 2 Branch circuits-new,alteration, Name: or extension per panel: - ----- --- - A. Fee for btunch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: f State: ZIP: B. Fee for branch circuits without purchase -- of service or feeder fee,first branch circuit: 2 Phone: Fax: f-mIIll; Each additional branch circuit: —� Misc.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facility Inch pump or irrigation circle 2 U Service over 320 mnps-rating of 1&2 U Hazardous locution Each signor outline lighting 2 familydwellings U Building over 10010 square feet fourot Signal circuil(s)or a limited energy panel. U System over 600 volts nominal nscar residential units in one structure alteration,or extension' 2 U Building over three stories U Feeders,400 amps or marc •i)cscrition VA L-_ _ IAC U Occupant load over 99 persons U Manufactured structures or RV park 1 ash additional Inspection over the allowable In any of the above: U Fgress/lightingpinn U Other Per inspection (—�— Submit__sets of plans with any of the above. Investigation fee The above are not applicable to temporary conctruclion service. other -- Nor all Jurisdictions accept credit cards,please call jurisdiction for more information Notice:This permit application Permit fee..............�$ _ U Visa U MastcKard expires if a permit is not obtained Plan review(at _ 9h) $ — Credit card numba: _ within 180 days after it has been State surcharge(8%)....$ Name c ,alr u shown on credit card Expires accepted as complete. TOTAL $ - S Canlholde�sisnaiurc Amount 440.4615(&MOCOM1 Electrical Permit Fees: Limited Energy Permit Fees: Number of Inspections per permit allowed TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Service Included: Items Cost Total 4a. ResldenUal•per unit Restricted Energy Fee........................................ $76.00 1000 sq 8.of less _ $147.15 4 (FOR ALL SYSTEMS) Each additional 500 sq 8.or Cheek Type of Wohk Involved portion thereof $33.40 / Limited Energy _ _ $75 00 ❑ End,Mamdd Homo of Modular Audio and Stereo Systems Dwelling Service or Feeder _ -_ $90.90 2 Burglar Alarm 4b.Services or Feeders Installation,alteration,or relocation 200 amps or less $80.30_ 2 Garage.Ooor Opener' 201 snips to 400 snips $106.65 2 401 snips to 600 snips $160.60 2 Healing,Ventilation and Air Conditioning System' 601 amps to 1000 amps __ $240.60 2 Ove,'1000 Amps of volts $454.65 _ 2 Vacuum Systems' Reconnect only _ $60.65_ 2 Other 4c.Temporary Services or Fenders _ Installation,alteration,or rdoatipeTYPE OF WORK INVOLVED-COMMERCIAL ONLY 200 amps of less $66.65 2 _ _-- 201 amps to 400 amps $100.30_ 7 401 amps to 600 ams $133 75 -- 7 Fee for each system.............................................. $75.00 Over 600 amps to 1000 volts, (SEE OAR 918-260-260) see"b"above. Cheek Type of Work Involved 4d.Branch Circuits New,alteration or ehdenslon per panel Audio and Stereo Systems a)The fee for branch circuits with purchase of service or ❑ feeder lee. Boiler Controls Each brandh circuit $e G', b)t he fee for branch dicults Clock Systems without purchase of service or feeder fee. El nala Telecommunication Installation First branch circuit Earth additional brand,chwil -_ $ti 65 - ❑ Fire Alarm Installation N.Miscellaneous (Service or feeder not included) ❑ HVAC Each pump or kdgalion circle $53 40 Each sign or outline fighting -_ $53 40-. _..__ Instrumentation Signal ckcuN(s)or a limited energy panel,alteration or extension $1600 _ ❑ Intercom and Paging Systems Minor I.ebels(10) -_ -- $125.00 41.tach additipnal Inspection over Landscape legation Coglfol' the allowable In any of the,above Perkhspedion _�_ $62.50Medical Per hour $6250_e_-- In Plant $7375__ Nurse Cells 5. Fees: Outdoor Landscape Lighting' 6s.Pinter total of above fees $ �--•' 6%Surcharge 108 X total lees) 9-- - Protective Signaling Subtotal _ 6b.Ender 25%of ane Its for Man Review H reguked(Sec.3) $ - Other�.�._- — -----.- —.-- Subtotal $_—-- _Number of Systems ❑ Trust Amount N _ No licenses are requhhed Licenses are required for an other instafialions Total halance Due $ — -- --- FEES: —�-----^-` �, ----.- ENTER FEES $ _-- 8%SURCHARGE(.06 X TOTAL ABOVE) $ TOTAL $_ i A CL f /z y Y ApprovedCITY OF TIGARD —1 Conditionally ed .................. For PERMNO IT the work asyscbed ln: deri .........._ � 1 ( See letter . y Attach Job Address. . ! ! By: _,_��� ......_1 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CORPORATE ELECTRIC 8040 SW BONITA RD TIGARD, OR 9.7224 Electrical Signature Forin Permit #: MST2000-00462 Date Issued: 10/5;00 Parcel: 2S112BC-00100 Site Address: 08040 SW BONITA RD Subdivision: DURHAM ACRES Block: Lot: 069 Jurisdiction: TIG Zoning: R-4.5 Remarks: Construct home occupation office in garage. Your company has been indicated as the electrical contractor for the permit indicated above. In order 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 Fora prior to the start of the work to the address above, AT`TNr Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL. CONTRACTOR: DEKORTE, KENNETH J + JANICE R CORPORATE ELECTRIC 8040 SW BONITA RD 8040 SW BONITA RD TIGARD, OR 97223 TIGARD, OR 97224 Phone #: Phone #: 503-997-2081 Req #: LI,: 143114 ELE 34-5410 SUP 4075S AN INK SIGNATURE IS REQUIRED ON THIS FORM Stgnature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST CGU-60 BUP — Date Requested _ L� PM // --AM- BLD LocationC' Suite — MEC Contact Person-r, Ph _26���_ PLM Contractor `> ph __ SWR BUILDING Tenant/Owner C ' — ELC Retaining Wall ELR Footing Access: --------------- Foundation FPS Fig Drain ---- -- Crawl Drain Inspection Notes SGIN Slab -- - _ --- --- ----• --_ - SIT ost• Beam _------- Ext -- --Ext Sheath/Shear Int Sheath/Shear - - - - - - Framing - -- - - -Insulation Drywall Nailing - - Firewall � - Fire Sprinkler Fire Alarm Susp'd Ceiling -------- ___-- Roof - Misc Final `-- PASS PART FAIL - ---- --- PLUMBING Post& Beam - - - -- ----- -- Under Slab - Top Out ---- -___------ Water Service -� Sanitary Sewer __-----___- Rain Drains Final -- -— PASS PART FAIL.. MECHANICAL Post& Beam Rough In - - - Gas Line ----- - Smoke Dampers Final PASS PART FAIL - 1ervice Rough In - - UG/Slab Low Voltage - - ---- - ---------- --- F rm A PART FAIL r3ackfill/Grading Sanitary Sewer - - Storm Drain ( J Reinspection fee of$ — required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE:_v ' _ [ J Unable to inspect-no access ADA Approach/Sidewalk Other _ Date 4;1 L Inspector Ext Final --- PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF t I G /r♦ p D ELECTRICAL PERMIT I )EVELOPMENT SERVICESPERMIT#: ELC2003-00551 DATE ISSUED: 9/3/03 13125 SW Hall Blvd.,Tiqard, OR 9.1223 (503) 639-4171 PARCEL: 2S112BC-00100 SITE ADDRESS: 08040 SW BONITA RD SUBDIVISION: DURHAM ACRES ZONING: R-4.5 BLOCK: LOT : 069 JURISDICTION: TIG Project Description: Installation of(1)branch circuit for now spa, Job No. 03-267 _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ _ MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: — PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY. 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LAbEL (10): SERVICE/FEEDER ^_ BRANCH CIRCUITS --^ A0D'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: t 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/FOR>=225 AMPS: - _ CLASS AREA/SPEC OCC: Owner: Contractor: BROOK KNOWLTON DEKORTE ELECTRIC 8040 SW BONITA RD PO BOX 12379 TIGARD,OR 97224 PORTLAND,OR 97212-0.,79 Phone: 503-639.1465 Phone: 503-740-9769 Reg #: I:I_E 34-5410 Llc 143114 FEESSUP 40755 Description Date Amount — Required Inspections I I.I PR MTj E LC Permit 9/3/03 $46.85 � -- ---- ----� [TA\ 8%State Tax 9/3/03 $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 'or more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Canter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules ur direct questions to OUNC at(503)2468699 or 1-800-332-2344- Issued By: _v Permit Signature: —_ _ OWNER INSTALLATION ONLY The installation is being made or, property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ON_L_Y SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO. Call 639-4175 by 7:00pm for an inspection the next business day DEKORTE ELECTRIC LLC 50326132231 06/31/03 11146am P. 001 Elee+rleaj Permit Application Received Electrical Dateis . d rM Permit No.; Cit y �+of Tigard RECEIVED Planning Approval sign Date/By: PertnitNo.: 13125 SW Nall Blvd. Plan Review --- Other Tigard,Oregon 97223 [ I Date/13Permit No.: Phone: 503-639-4171 Fax: 50 - 98-1960 Post-Review Land Use - Internet: www.ci.tigard.or.us ate/By: Case No.:Contact - ltuia.: Rg See Page 2 for 24-hour Inspection Request: Name/Mothai. -r Supplemental Information.rut, ,,Ivl:-Linn, - -- New construction Pen3olitlon Service over 225 amps- Health-cue facility . -- --� commercial ❑Hazardous location Additioti/alterationr're lacement Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, 1 &2 family dwellings four or more residential units in 1 & 2-1'anlil dwelling (:o uUlterciaUlndustrial ❑System over 600volts nominal one structure T�--- - ❑Building over three stories ❑Feeders,400 amps or more Accessory Buildin Multi-Family ry_ _ _.�_ -_ .._ ❑Occupant load over 99 persons Manufactured structures or RV park Master Builder Other: ❑Egress/lighting plan 1 J Other: fr u Submit sets of plans with any of the above. - Nif The above are not applicable to temporary construction service Job site address: ppi� _L '_ _ ;� Suite#: _ _ —TBldg•/Apt.#: Number of inspec ons er permit allowed Project Name: �'Q�Q _W assert uon Qty Fee(ea.) rat.t New reaidentlal-slegle or muttl-farrlly per Cross street/Directions to job site: dwelling unit.Includes attached garage. S` L' AA-a 4 Service Included: - ,e 1000 sq ft.or less 145 15 4 Each additional 500 scLfL or portion thereof _ 33.401 Subdivision.- —----- -- -- Lot#: Limited ever residential ____ _ 7$.00 -, 2 --.- - --. -- Limited energy,non residential 75.DO 2 Tax ma / arcel#: Each manufactured home or modular dwelling service and/or feeder 90.90 2 Services or feeders-Installation, //_�� l Z Gt� , - _____ alteration or relocation: �J ! 5 .y _ 200 ams or less 80.30 2 - -- -- - � - 201 amps to 400 amps 106.85 1 2 401 amps to 600 NW. 1.60.60 2 "T 601 eurps to IOuO amps 240.60 _--- 2 woo Over 1000 amps or volts 454.oS 2 Mame: A -. Jai` d-1' Recomtect onl - 66.85 2 Address: l- _ Temporary services or feeders-inttaliation. - - --— - alteration,or relocation: Ci /State/hp: -- -- --- - -- 200 am s or less 66.85 1 Fax: 201 ams to 400 ar!in _ --- 100.30 2 ' ,,F,t • 401 m 6011 amps 133.75 2 �Y - •- Hranch circuits-new,alteration,or Name: extension per panel: Address: A.Fee for bran.h circuits with purchase of service or feeder foe,each branch circuit 6.65 _ 2 Cit /Statc/Zt H Fee for branch circuits without purchase of —�- -- -- service or feeder fee,fust branch circuit 46 85 ` 2 Phone Fax_ Each additional branch circuit 6.65 2 E-mail: --- Misc.(Service or feeder not included): Poch pump or irrtL�tlon eucle _ 53.40 2 Each sign or outline lighting 53.40 _ 2 Job No: _��. 2E.� __ Signal circuits)or a limited energy panel. Business Name: D �lg;� alteration e or — Pa 2 2 - _---- -------- Deacriptitm: - Address_�_ _ /Z-9,73? ---"" -" Each additional Inspection over the allowable In an of the above: City/State/7.i : .,Q Lit 2/Z,"•,>>y – --–-----. IPer ins ingper hour(min. 1 hour —62.50 Phone: v •- 6 I ax: Z�'�=-1 Z / Investiation fee:_---- ------ CCB Other RQISupervising electrician _ Subtotal S _ st ature required: rlr-r� <-2e, Plan Review(25%of Permit Fee) S Print Name Lic. #: fir'S State Surcharge(8°i°of Permit Fce S Jif"' _TOTAL,PERMIT FEE I E 0.14y Authorized > �y Notice: This permit application expires If a permit is not nbtained within Signa r ✓�' - - -- Date: / 51-061� 180 days after It has been accepted at complete. "Fee methodology set by Tri-County Building Industry Service Hoard. ---- (£ease prom iiDsts\PermitFomu\E•1cPermitApp.doc 01/03 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BOP -- - -------- Received c1—�_�_. Date Requested-- � _ AM ---- PM BLIP Location Suite _ - MEC - __--_ -- --_ -- Contact Person _ ---- - —_ Ph( ) -- -------- -- PLM -- Contractor _—___ _.-- Ph( ) —___-- SWR BUILDING — Tenant/Owner /: / -c-C _ ti ELC 3 Footing '= �� `t�i.� ELC Foundation Access: -- - ---_ J— 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 — --T - - - Fire Alarm Susp'd Ceiling — ---- - Roof Other:-------- --- f� --- — -------- - - 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 Rough-In — --- ----- — ----- —� —� Gas Line Smoke Dampers --- -- - -- — — - — --- Final PASS PARTFAIL -- --- _ -- -- ELECT_RICAL__ Service - -- — --- - — — Rough-In --- -- -- ---- -- UG/Slab Low Voltage _ Fir Alarm — �n- Reinspection fee of$.__.-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SS PART FAIL Please call for reinspection RE:__^ F/ Unable to inspect-no access Fire Supply Line ADA A roach/Sidewalk Date /✓_ w , Inspector ��"`�Y�L _zEut PP Other: Final - DO NOT REMOVE this inspection record from the Job site. PASS PART FAIT_ '\ _ CERTIFICATE OF OCCUPANCY CITY OF T I GA R D PERMIT#: MST2000-00462 DEVELOPMENT SERVICES DATE ISSUED: 10/05/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112BC-00100 ZONING: R-4.5 JURISDICTION: TIG ,3I'rE ADDRESS: 08040 SW BONIT'A RD SUBDIVISION: DURHAM ACRES BLOCK: LOT:060 CLASS OF WORK: ALT TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: Construct home occupation office in garage. Owner: DEKORTE, KENNETH J + JANICE R 8040 SW BONITA RD TIGARD, OR 97223 Phone: Contractor: OWNER Phone: 579-9125 Reg#: This Certificate issued 10/19/2111111 grants occupancy of the above referenced building or portion thereof and confines that the building has been inspected for compliance with the State of Oregon Specialty Co-dos for the group, occupancy, and use under which the ref0fe , d permit was is�ti -k- BUILDING INSPECTOR J _ ~f 13UILDINO OFFICIAL POST IN CONSPICUOUS PLACE GIT"' OF i iGARD BUILDING INSPECTION DIVISION ,�on Line: 639-4175 Bijsiness Line: 639-4171 24-W ur Inspec' MST ----,--Date Req: ested AM PM IBUP BLID ca' on Suite MEC Contact Persor, Ph -3 PLM C itractor Ph SWR T, nant/owner ELC it!I'lir"ng Wall � ELR .sting Acs_ss undation rps 1' +.A Drain 1,;(. 11 Drain Inspection Notes: SGN 31 ! --­­----­­.­----- -1 IT I- lo, 3eam Ext"3heath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof PART FAIL ------ PETMBINGS[lost& Beam Under Slab Top Out Water Service I z< Sanitary Sewer Rain Drains er 'r Final PASS PART FAIL ok" LC MECHANICAL Post& Bear" Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In U(31q-iab Low voltage F ire Alarm ril f 111,11 1 PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain I Reinspection fee of$ required before next 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 414 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.