Case File E�
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"- 8641 SW BELLFLOWER W4 S7" _...
CITY OF TMASTER PEIMIT
DEVELOPMENT SERVICES PERMIT #t. . . „ . . . : MST98-01 06
13125 SW Hall Blvd., Tigard, OR 37223 (503)639.4171 DATE: IS11.1-T. • 05/06/96
SI-fE ADDRESb. . . :013641 !.jW bEI_LF'LOWER
�1l
PARCEL: iz S 111 DA--0c'000
SUBDIVISION. . . . :APPI-EWOOD PARK NO. 2 ZONING: R-7 Pik
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :015 JURISL- ICTION: TIG
Remarks: Single family deteched, Path 1.
- - ----- --------••----
-----•-------•----------------------- BUILDING ------------------ ---------•------
REISSUE: S'JRIEP.......: 2 FLOOR AREAS----------- BASEMENT...: 0 sf REQUIRED SETBALi43---- REQUIRED------------
CLASS OF WORK.:NEW HEIGHT........: 24 FlkCT....: 893 sf GARAGE.....: 500 sf LEFT,.........: !3 WE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD...... 40 SECOND...: 1252 sf FRONT.........: 24 PARKING SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 4
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2145 sf VALUE—$- 152341 REPT..........: 19
------------------------------------------------
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: d RAIN DRAIN ft: 100 TRAPS......... : 0
LAVATORIES....: 4 DISHWASHERS...: 1 LuuK DRAINS—: 0 SEWER LINE ft: 100 5F RAIN DRAINS: I CATCH BASINS..: 0
TUB/SHOWERS...: 3 GARBAGE DISP..: I WATER HE,"ERS.: l WATEk 1.?1IE ft: 100 BCKFLW PPEVNTR: 1 GREASF TRAPS..: 0
OTHER FIXTURES: 0
-------------------------------------------------------------- MECHANICAL ------ -- - ----- - — ----- _-------------
FUEL TYPES--------•-- FIIRN ( 100K ,,: 0 BUIL/CMP ( 3HP: 0 VENT FANS..... : 4 CLOTHES DRYERS: 1
GAS FURN )=lW ..: 1 UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS...: 1
MAX INP,: 0 BTU FLOOR FURNACES- A VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: l
----------------------------------------------------------- ELECTRICAL -----------------------------------------------------------_..
--RESIDENTIAL UNIT---- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L 'NSPECTIONS--
1000 SF OR LESS: 1 0 • 200 asap..: 0 0 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INcdECTIDN: 0
EA ADD'L 50PSF.: 4 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC!FDR: 0 SIGN/OUT LIN LT: 0 PER 4WR......: 0
LIMITED ENERGY.: 0 401 600 amp..: 0 401 - 600 Amp—: 0 EA ADDL BR CIR: 0 SIGNAL/PANEI...: 0 IN PLANT......: 0
MANF HM/SVC/FDF: 0 601 1000 amp.: 0 601+amps-1000 V: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 ------ -------------------- - --— PLAN REVIEW SECTION -- ----- ------------- --...-
Reconnect only.: 0 )=4 RES )NITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL.: CLS AREA/SDC OCC:
-----------•------------------------- —- ------ - ELECTRICAL - RESTP.ICTED ENERGY ------------------------------------------------ ----
A. SF RESiDENT1AL-------------- ------ --- B. COW.RCIAL-----------------------------------------------------------------------
AU1bl0 b STEREO.: VACUUM SYSTEM..: AUDIO 6 STEREO.: FIRE ALARM.... iN1E'RCOM/1,AGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: DTH: :: X BOILER.........: HVAC.......,.,.: LANDSCAPE/IRRIG: PROTECTTVF SIGNI:
GARAGE OPENER..: CLUCK..........: 1NSTmIMENTn,TION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COW.; NURSE CALLS....: TOTAL 1 SYSTEMS: 0
Owner: ------------------------------------Contractor: ----------•------------------- TOTAL FEES:$ 3004.21
LEGEND HOMES LEGEND HOMES CORP/MATRIX DEV. This perrit is subject to the regulations contained in the
fro SW HAINES ST PLAZA 11, SUITE OM Tigard Mun,7ipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 6900 SW H02, CTPU T other applicable IaNs. P11 work will be dere in accordance
TIGARD OR 91223 with approvoJ plans. This permit will expire if work is
Phone M: 620-8080 Phone 4: b20-8080 not started within 180 days of issuance, or if the worm is
Reg C.; 000006 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 DAR 952-001-0010 through OAR 952 X01-0080, You may obtain copies of these rules o
direct questions to OLK by calling (503)246-1987.
—---------------------------------------------------- REQUIRED INSPECTIONS -------------------
Frosion 844-8444 Crawl Drain/Back Electrical Rnugh Gas Line Insp Water Line Insp Plumb Final
Footing Insp PLM/Under Floor Framing Insp Gas fireplace Water Service Ir Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp
Post/Beam Str Plumb Top Out Low Voltage Gyp Board Insp Electrical Final _
Post/Beam Chan lectrical Serv; Fir lace Insp Rain drain Insp Mechanic Final
/a
1 ssi-red y : L �_ Permittee Signature:
f +++++++ +++++++++++1-+++++++4-++++t+++++++++++i•++t+•F+. +�-++�F +4 { };}t++i
Call 639-4175 by 7:00 p. m. for an inspection needed the next br.(siness day
CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : SWR98-0ViE,1.,
DATE ISSUED: 05/06/98
PARCEL_: 2S111DA-02000
;ITE ADDRESS. . . :08641 SW BELLFL-OWL::R LN
SUBDIVISION. . . . :APPLE WOOD PARR NO. 2 ZONING: R-7 PID
BLOCK. . . „ . „ . . . . I_OT. . . . . . . . . . . . . :015 JURISDICTION: TIG
TENANT NAME. . . . . :APPLEWOOD PARK #15
USA NO. . . . . . . . . . : FIXTURE_ UNITS. . . : 0
CLASS OF WORT!. . . :NEW DWELLING UNITS. . : 1
TYRE OF USE. . . . . :SF NO. OF BUILDINGS: 1.
INSTALL TYPE. . . . :BUSWR IMP RV SURFACE: 0 sf
Remarks : Single family deter_.hed, Fath 1.
_caner FEES
I-EGEND HOME'S type amol_irr" by date recpt
0,900 SW HAINES ST PRMT $ 2200. 00 DER 05/06/98 98-305523
TIGARD OR 97223 INSP $ 35. 00 DER 05/06/98 98-305521-11
Phone #:
Contractors ----------- -------_____..---__--
OWNER
-----------------------------------------------
t't i o n e #: $ 2235. 00 TOTAL
----- REQUIRED INSPECTIONS -------
This Applicant agrers to comply with all the rules and regulations 5c wer Inspection
of the Unified Sewage Agency. The permit expires 180 days from _
the date issued. The total amount paid -pill be forfeited if the
permit expires. The Agency dues not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer l prospect ? feet in all directions from
tho distance given. It not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
ATTENTION: Oregnn 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 952-0001-0080. You may obtain copies of
these rules or "uestirin� to OUNC by calling 15031246-1987.
Issi.red b �- _-______ Permittee
+++++F++++++++++++i•+++++++++++++++++++++++++-r-,•++++++++++++++++++++++++++++++++++
Cali 639-4175 by 7:00 p. m. for an inspection needed the ne>ct bLrsiness day
+•+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++•4 ,
I
Plan Chock M 1.4- ,5I K`
CITY OF TIGARD Residential Building Permit Application Recd syt- 1
13125 SW HALL BLVD-. New Construction Additions or Alterations Date Rer,"'IGARD, aR 97223 ;tingle Family Detached or Attached (Duplex) Date to P. -
503-63S-4171 Date to DST V
303-654-7297 Permit* d*,
Print or Type
Called,i:r l
�-���� •`�
Incomplete or illegible applications will not be accepted
Av
e of Project F-- ame
Job Wool l _T►c� r�l�. _
Address SitgAddress f , Architect MailiAdAddress k
------- / �. E'
� CIry/$tate
NaPNtl
Owner Mailir4 Address
an
(.i State Zip Engineer
En iMailing Arldress -
Pho � � -
- - City/St'ajate Zip Phone
General Namd- 7
Contractor L'P^'e /�Q/! Describe work ew Addkibn O Alteration O Repair O
I Mailin Address to be done
Drior to permit Additional Description of Work:
issuance,a copy City/State zip, r'hone
of all licenses [c circ !0 62j-) -$rWi
are required if Ore Const.Cont rd Exp.Date PROJECT
expired in(:01' Lic.N , �' � VALUATiON
database ,, 0(Do�( � CJ 7 �__ _
.lechanical Name NEW CONSTRUCTION ONLY:
Sub- 11 Sq. Ft. House: �E ` Sq. Ft. Garage l t:
Contractor Mailing AddraA ^� /J .�• eW
Prior to permit 2 5 C G }h Comer Lot YES NO Flag Lot YES NQ '
issuance,a copy City/State Zip Phone (check one) check one)
of all licenses %r+I rl1 ;?! 3 -2221 Restricted Audio/Stereo Burglar
are required if Oregon Consf.Cont.Board Exp.Date Energy System Alarm
expired In COT Lic.A q g I 'q$ Installation �,� Garage Door HVAC
database
Plumbing Name nl!' _Opener Systems
Sub- LA,2d I C_ y-ff t2!L) II-Not (check all that Other:
a I )
Contractor Mailing Address Will the electrical subcontractor wire for all YES NO
Pv b�k restricted energy installations?
Prior to a coopy ��.��City/Stateissuance,a Dop /state Zip Phone - Has the Subdivision Plat recorded? N/A YES NO
�r� �
of all licenses are Oregon onConst.Cont.Board Exp.Date
requacd if Lica► Reissue of MST#: Solar Compliance
expired in COT d2 3 �/ 1 O-(cf -9 � (Calculation Attached)
database Plumbing Lic.A Exp.Date I hearby acknowledge that I have read this application,that the
-9 information given is correct, that I am the owner or authorized
J agent of the owner, and that plans submitted are in compliance
Name with Oregon State laws.
Electrical C
)CAt't,zr EIt'c,�r t L Signature of OwyreNAgent � Date,
Sub- Mailing Address r 'j
Contractor
_1 5(,v T-V t h WC con ct 06rsoh Name ' Phone fly,
City/State Zip P I i'�I.
Prior to pennkFOR OFFICE USE ONLY:
issuance,a copy Pr CO 59( -(''S20 Plat#: Ma /TLO:
of all licenses are Oregon Co st.Cont.Board Exp.Date
required H Lic.0 �
Setbacks: Zone: �� _ Solar:
expired in COT 1 9 `q
database Electrical Lic.N Exp,Date
Engineering Approval: Planning Approval: TIF:
3� -305 C_ ��, -i- 70
I:SFREM.DOC (DST) 147
I/eg et
Box B. continued Box B2. ,
.Measure change in elevation from front property line to finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If
he lot slopes down from the front lot line to the foundation, the figure is negative. ft
3. Measure distance from finished floc elevation to the affected peak/eave. + ft
4. If the roof line runs Nonh-South, deduct three feet If the roof line runs East-West, fL
deduct nothing.
5. Subtract one foot for each foot of difference in el,!vation from the front property
line to the rear property line, if the lot slopes up from the franc to the rear. If the
lot has no slope or slopes up from the rear to the front, deduct nothing. / ft
6. Total Figure for box B. Z ft
Box C Distance to the shade reduction line. Box C-
1.
-,1. Measure the distance from the North property line to die foundation near the ft
affected peak/eatve.
2. Measure_ the distance from the foundation to the affected peak or eave.
3. Total figure for box C: s ft
It is most useful to draw a ver*2i fine w represent the appropriate figure Found in boot'A'and a lwxirontal Gne to repninent the
appropriate rgore found in box'C'.The inuenecaon of the vwtiol and Mckond Gnm detr?ttnin"the value found in box'D'. The value
in box 'D'OmId be compared to the value in box'B'; if the value in boor'8'is less than or equal to the value found in box'D', then
the building is in eompriance with the wtu balance code. If you have any questions,Ptease contact us at 639-4171,2304 or at the
Community Developrnent Counter.
MmUMUM PERMITTED SHADE POINT HEIGHT(in lFeet)
Distar"to North-south lot dimension On feet)
shade. 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction rine
from northern
let rine rin fees
0 40 40 4O 41 42 43 44
63 38 38 38 39 40 41 42 4
60 36 36 36 37 38 31 40 4 42
53 34 34 34 35 36 37 38 3 i0 41
50 32 32 32 33 34 35 36 3 38 39 40
13 30 30 30 31 32 33 34 36 37 38 .39
40 28 29 28 29 30 31 32 14 35 36 37 38
33 26 26 26 27 25 29 30 32 33 34 35 36
30 14 24 24 25 26 37 r8- 31D -31 -32 -33 34
25 22 „ 22 23 24 25 26 7 28 29 30 31 32
=0 20 20 20 21 22 23 24S 26 27 28 29 30
?3 18 18 18 19 20 21 21 13 24 2S 26 27 28
10 16 16 16 17 18 19 20 21 22 23 14 25 26
l5 14 14 14 15 16 -17 18 119 20 21 22 23 24
Box D. Ma:-ximum allowed shade point height: �~ �j� feet
h'`doalnanc Overtn"2k3OLr.6 p
Solar Balance Point Standard Worksheet
Address
Box A calculations: North-South dimension for the lot. Box A:
This dimension is determined by finding the midpoint of the North lot line and drawing
an intersecting line perpendicular to that point.
First, determir.e which property line is the North lot line. The North lot line is the line
with the smailest angle from a line drawn east-west and intersecting the northern most
point of the lot.
4V
M wLO w
N North-South
Dimension for Lot.
Measure the distance from the midpoin' of the North lot line to rhe South lot line along
the described line. S-7S-feet
1
N
�ncYs�ww o�osou
Box 13 calculations: Shade point hei&'it for your residence.
Box B:
1. Determine wheuher measurements will be based on the peak or eave of your Whi6 describes
structure. The orientation of the ride is also important.
gyour residence?
1 a: If the roof line runs North-South, measurements will (cirde one)
be based on the peak of the roof. TUOUCT3
1C
I
1 b: If tt:e roof line runs East-West and the roof pitch is
less znan ail 2, measurements •.vill be �ase' crr the
i ea,e.
1 c: If the roof line runs East- .Vest and the roof pitch is
5/12 or steeper, measurement-, will be based on the
peak.
r
-- I
F'LOT FL. AN
LOT #15, AFF='L.. EWOOE) f'Al2<
R-1 251 11 DA
aro41 SW 5ELLFLOWER LANE
S.E. 1/4 OF SECTION i 1, T.?, R.IW, UJ.1"1.
CITY OF TIGARD
WASHINGTON COUNTY, OREGON
LEGENDHOMES El WATER METER
(1000 S.W. RAINFS STREET TIGARo, OREGON ---- --- WATER LINE
PI.A7.A 2. SUITE 200 97229-251
OFFICE (509) 620-9060 FAX (503) 599-9900 SS---- °SANITARY SEWER
--- ---�----------- SD-- — — — STORM DRAIN
--- — 4 OF STREET
MANHOLE
® CATCH BASIN
\ PROPOSED
STREET TREES
197 ~ STREET LIGHT
12m'-2 i J FIRE N7"DRANT
H
iowl LOT 13
i N 89"54'15" E
/ w \ A
4c,0
LOT 15 _
L11 I / 4,525 50 FT /
� I
1-4ARCOURT II IA / 7
111I � f,� � � i
E i FiN. FLR-
\ i I / I ti 4 I I GARAGE FLR 1912'
4-3
CONTROL FENCE
PER GC^MMUNITI I i 1 R■1922'--- — wi- — w ---------- —2885' --- �—
E RO51ON PLAN 1 I L a U I U! N89'54'?5"E
N 1 51.Om'
T i a ._
i 5LU BELLF-LOWER &TREET
CITY OF TIGARD
DEVELOPMENT SERVICE
13125 SW Hall Blvd., Tigard,OR 97223 (5 R
03)639-4171 ELECTRICAL
ST R R I CAL_ PERMIT -
RESTRICTED ElVL:KGY
PERMIT #: ELR98-0170
DATE ISSUED: 07/07/98
PARCEL: 26 1 1 1 DA-0000
SITE ADDRESS. . . :O8641 SW BELLFLOWER
SUBDIVISION. . . . :APPLEWOOD PARK NO. 2 ZONING:R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .015 JURISDICTN: TIG
Project Description: Installation of vacuum system.
--------------------------------------------------------------------------
A. RESIDENTIAL---------- B. COMMERCIAL-------------------------------------_
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LA" DI";APE/IRRIGAT. . :
GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . ME )ICA[... . . . .. . . . . . . .
HVAC. . . . . . . . . . . . . a DATA/TELE COMM. . : NURSE CAL.LS.. . . . . . .
VACUUM SYSTEM. . . . :X FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE.:
OTHER: as HVAC. . . . . . . . . . . . : PROTECTIVE !SIGNAL. . :
INSTRUMENTATION. : OTHER. . :
TOTAL # OF SYSTEMS: 0
Owner --------------------------------------------------- FEES --------------------
LEGEND HOMES type amount by date recpt
6900 SW HAINES ST PRMT E 40. 00 DEB 07/07/' 8 98-307113
TIGARD OR 9723 5PCT $ 2. 00 DEB 07/07/98 98-307113
Phone #: 620-8080
ontractor: ------------.--- --------------------------------------------
GARY' S VACUFLO INC $ 42. 00 TOTAL
9015 SE FLAVEL
------- REQUIRED INSPECTIONS
-- -----
PORTLAND OR 97266 Low Voltage Insp -
Phone #: 775-2042 Elect' ] Final
Ray #. . : 069047 -
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Cndes and all ether
applicable laws. All Mork 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 lax requires you to follow r;:!e adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-081-0010 through OAR 952-001-0080. you may obtain copies of
these rules o dire uestion% to OlK at (583)246-1987.
_ _-_-_._----- Permittee Signat Lire
I NS TAI-1-1T I ON 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 a -7r9f
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 P. M. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
,_ 1
'0'd pilo(
Community Development RESTRICTED ENERGY ELECTRICAL. APPLICATION
13185 SW Hall Blvd. Y � r-'1 70
Tigard, OR 97223 PFRfvtIT#
Phone(503)639-4171
FAX (503)684-7297 DATE ISSUED 7- 7- '?r
TDD No. (503) 6+84-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY (T)-f
PLEASE COMPLETE ALL SECTIONS
1. LOJ:ATI()N OF INSTALLATICIN 4. TYPE OF WORK
A� RESIDENTIAL—Restricted Energy Fee . . . . . . . .
(FOR ALL SYSTEMS)
City state Zip Check Tyne of VJork Involved:
PERMITSRE INION-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK r-�Suooar
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSI'FNI)FI)FOR to and Stereo Systems•
180 DAYS ,..,� Alarm
2. CONTA',ACTOR APPLICATION SCJ Garage Door Opener*
L� ! r6g,VrntilaUon and Air Conditioning System'
Contractor _ `Type Va=uum Systems'_-
Address er _._.
GARY ' S VACUFI..O , IvC, 775-2042 COMMERCIAL—Fee for eachsysLertl . . . . . . . . . $40.00
9015 SE LAV1~:L. TLD. OR t`1/l h6 (SFf-)AR 9I8-1b0-.1bW)
DATE: _ /�/ JOF i,
OW,NtR ; Check TUU of Work Invul.red:
CLE, 2672A . ,IL*' 985 , CCL4: f,'ap47 LJ Audio and StereoSysrenls'
❑
Phone Boiler Controls
#
--- - ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑
Print Owner's Nam' Phone No HVAC
❑ Instrumentation
Address D Inte,cum and Paging Systems
❑ Land cape Irrigation Control"
city State 7il)— ❑ Medical
this peermit is Issued under OAR 918.220.370.Thk nppllrant agrees to,viAv nnly ❑ Nurse Calls
reancted enrrgy Installations Iluo voh ae.,trs ter how iinder this pontes anal,n rin,hr
following: ElUunloor Landscape Lighting"
I. Only use electrical licensed persons its do installations Whets rrgw,-t:G.(Certain ❑ Pmroctive Signaling
roWentld and other tnnsactinns err exempt tram NansinK.Thin-c have ❑ Other
asterist sm,All others need licensing)
2 Call for,an inspactinn when all of the installatinns oder this permit ar•.,rpudy
for inspection at 503.639.4175.
3. Purchitsc stparate permits for all installations that are no nady for InspneNnn ❑ —Nue i+ssr of S,-:-ens
+.Isco site inspector is ntu to Inspect under this perm,i
4. Assume responsibility for assuring that alt currrxtlom required by the inspector No Ilcenws inn required. Litr,,.,._,en.required for all other Insbllaticvts
ere done,.,nd '• . ._. _... — ---
5 Assume responslbdlty fur calling for a final inslle0lun when all of llu.corrections
a 5. FEES
n?completed.
The Pelson signing for this permit must be the applit:ant or a parson
G
authorized to hind the applicant. 7. Enter Fat's $ ,
b. 5% Surcharge(.05 x total above) $
Signature —
TOTAL `
Authority if other than applicant
rjr�rlut ENE RGAP.CHP
20*d 'ON I '01df1OW S t A8W S1-L Z 13661-90- 111
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Nall Blvd., Tigard,OR 97223 (503)639.4171 ELECTRICAL- PERMIT -
RESTRICTED ENERr-Y
PERMIT #: ELR98-0178
,( PARCEL_: 2S 1 1 1 DA-0000 DATE ISSUED: 07/14/98
(�\
SITE ADDRESS.. . . :08641 SW BEL_L.FL-OWER y�1G
SUBD I V I c T ON. . . . :APPL..FWOOD PARK NO. 2 ZON T NG:R-7 PD
BL_OCK. . . . . . . . . . . L-OT. . . . . . . . . . . . . :0 i.5 JURISDICTN: TIG
Pro.;ect Descri pt ion : Electrical addition. Phone, TV cable, audio, stereo
---•---------------•-----
A. RETS I DENT T AL---------- B. COMMERCIAL--------------.•--------------------------_--.
AUDIO & STEREO. . . : X AUDIO & STEREO. . : INTERCOM & PAGING. . :
BI.JRGL.AR ALARM. . . . : SOIL.ER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL... . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE AI_.ARM. . . . . . : OUTDOOR L-ANDSC I-ITE:
OTHER:PHONE:, TV : : X HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL_.. . :
INSTRUMENTATION. : OTHER. . : . .
TOTAL # OF' SYSTEMS: 0
Owner- : --------------------------•---
- --
DAVE MCCORMICK type amol_Int by date recpt
8641 SW BELLFI-OWER ST PRMT $ 40. 00 N 07/14/98 98-3O7.326
l I BA.%) UR 5PCT $ 2. 00 B 07/14/96 98-3073.:6
Phone #: 576-0262
Contractor: -----•-------------------------------•---------- --------_ _ -------
OWNER $ 42. O0 TOTAL-
------ REPU I RE:D INSPECTIONS
------
Ceiling Cover 1-ow Voltage Tnsp
Phone #: Wall Cover Eler_t' 1 Final
Reg #. 000000
00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State cf 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 188
days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-881-8818 through OAR 952-881-8888. You may obtain copies of
these rules or di t questi ns to OINVC at (583)246-1967. '
IS5lled b ��
Y. ___�— —.__._..._.-._._-- Permittee S i gflat'_rre x,
___..-----___------.---.--•_-__---OWNER INSTALLATI ONI-Y--------------------------------
The installation is being made on propert T own which is not intended for
sale, lease, or r
OWNER' S :GNATURE: ry
/� / ` ` ------- DATE: 'C O7/ I —
--------------------CONTRACTOR INSTALLATION
SIGNATURE OF SUPR. ELEC' N: i----- --- DATE:
L_.I CENSE NO:
+++++-r-+-+++++++++++++++++++++++++++++++++++++++++++++++r•++++++++++++++++++++++++
Call 639-4175 by 7:00 P. M. for an inspection needed the next bi_rsiness day
F++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++•+++++++++++++
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by:
13125 SW HALL BLVD Date Recd
TIGARD OR 97223 PRINT OR TYPE �
V-303-639-4171 X304 Permit#
F-503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS CIISt Call'd
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
/J{�,L l r/Owv 17 K Restricted Energy Fee. --- �—
//r/GL-1►' i i��` ....................................... $40.00
(FOR ALL SYSTEMS)
JOB Street Address —Ste
Ste#
ADDRESS 9bill�VY '(/F�OW(Ct/iaR check Type of Work Involved
C y/State ip Phon # Audio and Stereo Systems
/ qi� O/� 7Z;.3 n n
Name
Burglar Alarm
OWNER ailing Addrre's5 v ❑ Garage Door Opener'
i5? NG, Jh P�e#U 1 Heating,Ventilation and Air Conditioning System'
0,7a
Name ❑ Vacuum Systems-
Other
CONTRACTOR Mailing Address
TYPE OF WORK INVOLVED - COMMERCIAL-ONLY
- ---
(Prior to issuance a City/State Zip Phone# Fee for each system.............................................. $40.00
copy of all licenses (SEE OAR 918-260-260)
are required if Oregon Contr Brd Lic.# Exp.Date
expired in C.O.T. Check Type of Work Involved:
data base). Electrical Contr. Lic.# Exp.Date
❑ Audio and Stereo Systems
C.O.T or Metro Lic # Exp.Date
—. ❑ Boiler Controls
s Name
a jlcle ❑ Clock Systems
OWNER - Mailing Address
APPLICANT ) ❑ Data Telecommunication Installation
36
Cit /Stgte� Phone#
66S Sy –IOZ6 ❑ Fire Alarm Installation
This permit is issued under OAE 918-320.370 This applicant agrees to
make only restricted energy Installations(100 volt amps or less)under this ❑ HVAC
permit and to do the following:
❑ Instrumentation
1. Only use electrical licensed persons to do installations where required
Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks(*). All others need licensing;
❑
2 Call for Inspections when installation under this permit are ready for Landscape Irrigation Control*
inspection at 503-630-4176; ❑ Medical
3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls
inspection when the inspector is out to Inspect under this pertriit;
4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
inspector are done,and;
❑ Protective Signaling
5 Assume responsibility for calling for a final inspection when all of the
corrections are completed. ❑ Other
Permits are non-transferable and non-refundable and expire if work is not
started within 180 days of issuance or if work is suspended for 180 days. Number of Systems
The person signing for this permit mZtheIicant ora person Nc,licenses are required Licenses are required for all other installations
authorized to bind the applicant _
FEES:
Signature ENTER FEES =
5"n SURCHARGE(05 X TOTAL ABOVE) $
Authority if other than Applicant TorAL s
I\dstsVesele doc 7197
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
1*2
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
Date Requested_ BBLIPq G, C,� AM PM __-_.— BLD ------
! :�
Location Suite / — MEC _
Contact Person Ph Ph j C'I 3�� PLM
Contractor Ph SWR
UILDING Tenant/Owner _ ELC
Rea n ng Wall ELR
Footing Access -y� -------- --
Foundation FPS
� (i �L��� ���i( �� - A� � —.__ -------....-- -
Ftg Drain SGN
Crawl Drain Inspection otes -- -- ---- ----
Slab _-_ L SIT
Post& Beam ----- —
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing - --- - ------ --- ---- --
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: - __ .. -------- --- - - -
JA�
PAS PART FAIL
LUMBING
Post&Beam - - - — --- - -
Under Slab
fop Out
Water Service
Sanitary Sewer -
Rain Drains
in n '0 F - - - - --
$-..PART FAIL
Post& Beam -- --- —
Rough In
Gas Line - ----
Smoke Dam ers
PART FAIL_
TRICAL -- _ -- --
Service
Rough In - -- -- - -
UG/Slab
Low Voltage -------------------- --
Firg Alarme7tx=
Rs
AS PART FAIL
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: [ ]Unable to inspect-no access
ADA f
IAppr+�ch/Sidewalk
Othe- Date I r s rector F.xt
Fin:l
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223(50311639-4171
CERTIFICATE. OF
OCCUPANCY
PERMIT #7 7 7 7 . . . ; M5"rgs--oi�'�;
DATE I�SUt~L1s �<i/12'`3/�79
i
ITE AU17F<E'79. . . a @Wa,41 SW BE.L.LI=L OWER
7,UBD I V I S I ON. . . . s APPLE:Wt)OD PARK. NO. 2 Z ON 7.NIS a F? 7 i''F)
. . . . . , . . . . ,.. LOT. . . . . . . . . . . . . a01.5 1URISDIC-TIONtTIQ
I Lfa'`"iS
OF WORK. :14E.W
1'Yf-',E. OF LIS E- . . a 5F
ryr,F.,. OF C ONSTFt a N
1_](A.UPANCY Cif P- :R3
OCCUPANCY LOAD:
?enot-ks t Single fatily deteched, Path 1,
k_F_6END HOMES
(I3r)V!o SW HA I NE S ST
T I GARD UF? 9��u Z13
;'hone- 1F: 620-60190
Gcrn{;►-act or~a --•-__._.._..........._-__7777.__.._....._..... ..__........._�__ ..
I..EGEND HOMES (5E:E: 60563)
PLAZA IT, Z3UITF. 1F:W
1*-,900 SW HAI NES STREET
ET
T IGAPI) OR 97223
P•Pone #: (:)20-8080
Rey #. . . 000006
This C.'elli -ific.ate grants uc.c'"Wkric�,y of tFoe aticive ref'erprivir>d tOui icJing ,,r por't3
tEoer•eof inti confirms that; the building hi-=s been inspected For LomPl ianre *0 "'
the State of Clr^egon SP& ia.lty 1:0rjus fr - the gr�c+u��, orcik.Aaknry, and use uncle+r
whit t !' t-ofevenc - . r it was i.ssuod.
j
s
........._7777.. 7777._...__.._. 7777.. ........ .. .. _7777_.. _.:- ...
...�.... ...........
n1 ► n 1 NE3 INSPECTOR I3EJr'�,i !"!I"r 1 i'T�l../I NSF'EC SU 'F_'R V
r-,O7 ;T IN C ON:P J C1►1771 1r: S!"'-At-,T