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Case File 00 v A W m r r -n r r O rn rn r f I I 8743 SW BELLFLOWER hW i% CITYOF TIGARD DEVELOPMENT SERVICES 13125 SW Ilall Blvd.,Tigard,OR 97223 (503)639.4171 '' tura t N1. { +' �^ ,i ...._ ..,. �Lln q✓...Z AIS.�J' ffl RtiP'1'.......r.e FINbMrTt 0 if E310 st VAUJT. t; t6 ; BAR..........r 17 . . WAS111% M 'H..: 1 LkMRY TMYS WIN MIN ftl W Trips......,. ='Lmp t3 TNS,,t a MO 1_INE ft V RAIN DRAIRSr 1 CATCH 1AMNS, ; ATTR 11FATFRS.: I WATF'p 'WE 4 IMP V GREAST TRAPS. MER rl.ITURE" 14./r : 0 vEw► cl_0TL CHER L{'TS. .. ; 0; t1! k IlR1d�dF;; 'N'"".,....... {0 r W3C{1�gSdIIES....: a tS Ct1" z AJ.4..n+'rW.0` '.w....- ..... .. ..,.._ ., CLC.L'!•,�4.P7L, -.. ......_ .1�ih�w.... ,. _,._TrW' 7RVC/FttDERS--, -- BR t l_ ice._.,._.. ._R,: ZOO aux,.,a of W/SVC OR FDR..s 0 "OV!RRIAATIOd: 0 OCR Tp!Mrr•T,ro,,. r 400 aap.,: 0 lit W/o SVCIFM 0 5,10N/V LIN I.t: a AER >ga EA AML eR CIR; 0 6'Tri! L/�1.. 0 IN lot 0 �41+alps-lw v} w MIN131I tri" , ;1',;1 t.r Q »_.. ._ i^i.AN MIN f51A"yC*,11 A :�G��. 7 ,«Q fli-w �,nY�•rn..r JW�/��!i�"....W� �.. 1 Olfitl Y �'.1y:,l.i+M.. W..''r� rtA{:' __. ....- �., u t.Y F.�,'gT7TFh rayrFry ._..._.... ..,_..._......_.._..�..__».......,_ rMr. IkW", ,. INTFI+M' tPJI' tIR 1 "Tr.MD.'.-A.7 __ -- This pewit it subject to tfie "tr+�^ a�ptirp61N i,Sws. 4i 1 p:�+-;r w.i 1l he tlnnr "is peril± will vq,- I,r , . 1l3t� .a„ys Go jccu�ls'ir . e 1., •AM MY�” Plan Check# CITY OF TIGARD Residential Building Permit Application Recd 6y Zrl 13125 SW HALL BLVD. New Construction Additions or Alterations Date"iec�d TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date o�P.E. V 503-639-4171 Date to DST F 503-684-7297 / Permit v6M-OZ1 Print or or Type Incomplete or illegible applications will no. be accepted ��— N e of Proiect ame Job I Address Site 40r as �)� , �, � Architect Maili Address — ---- Naity/$tate Zip Phone ar re ro~r /L O1Mn19r Maili Address _lcicm !_1L Na Engineer Mailing Address r State Zip Phon g City/State Zip Nam# Phone General _ , 7d Contractor /)6,77r,•S Describe work eco' Addition O Alteration 0 Repair O .r' MailingrAddress to be done: �At Prior to permitn bAdditional Description of Work: t �� cil. issuance,a copy City/State Zip Phone _ 7. of all licenses are required rf OregW Const.Cont Board Exp. Dale•ti'ea.., PROJECT p`' VALUATION �, ex to in COT Lic.# � A. e Mechanical Name NEW CONSTRUCTION ONLY: ' Sub- U nat — r Sq. Ft. Hpue% Sq. Ft. Gat age Contractor Mailing Add z C "V Prior to permit 2 2 5 L O 0th _ Corner Lot YES NO Flag Lot YES N -.": issuance,a copy City/state Zip Phone (check one) k. (check one) _ % of all licenses Prjf�I n ICv 253 --7 I Restricted Audio/Stereo Burglar are required 1 Oregor Cons.Cont.Board Exp.Date Energy _ database System !',.arm `a expired in CUT Lic# q S I :j. 3�� -Cjg Installation Garage Door HVAC _.— _� Plumbing Name --�- — Opener _ _— Systems Sub- (��U1_ ty� (check all that Other. Contractor Mailing Address apply) Will the electrical subcontractor wire for all YES NO restricted energy installations? _ Prior to permit City/State - Zip Phone Has the Subdivision flat recorded? N/A YES NO issuance, a copy C _Ctl of all licenses are Oregon Const.Cont. Board Exp. Date required if Lic# Rei;:�i-of MST#: Solar Compliance expired in COT �3 P �/ /0 '--(q -9 10 T(Calculation Attached) database Plumbing Lic,# Exp. Date I hearby acknowledge that I have read this application,that the .?4 Z-)JI _ •� 3v q`6 information given is correct, that I am the owner or authorized Name agent of the owner, and that plans submitted are in compliance i with Oregon State I:,ws. Electrical C-- Pec-Vrl c— Signature,o(Otnyner/Agent ! Date Sub- Mailing Address Contractor L �, (y T V h t,�Ir,N Contact Person Name '— Phone# ,- City/State Zip P e f Prior to permit FOR OFFICE USE ONLY: issuance, a copy Arl G�p J(: (A 5� «20 Plat l�: Map(TI-0: of all licenses are Oregon'Co�j st. Cont Board Exp. Date •- ��-z S/// required if t.ic# expired in COT —(9 _Q Setbacks' Zone Solar: /. i f '1 � /c' database Eiectncal Lic.M Exp. Date Engineer g Approval: Pla Hing Approval. TIF: . 11C) I:SFREM DOC (DST)47 'url-03-98 01 : 40P P . 01 Solar BalarlC4_P®int Standard Worksheet Address Pte` ,�i `�•� �... .�� - j a► / S 7 A ,r4 Sac .t calculations: Narth-Soul` dimension for the lot. Box A- This dimension is determined by finding the midpoint of the North lot line and drawing an interwcring line perpendicular to that point. Fir- . determine which property line is the North lot line. The North lot line is the line with the smallest angle from a line drawn east-west and intersecting the northern most point of the lot. 1 N North-South Dimension For Cze Measure the distance from the midpoint of the North lot line to the South lot line along the desc:ibed line.. T/ 1 N feet owray. li B,xt B calculations: Shade point height for your residence Box B 1. Determine whet_'ier measurements will be based on the peak or eave of your st ucturr_ The orientation of the ridge is aL%o important. Whig describes your residence? 1a: It the roof line ruru North-South, measurements will � ((jrde one) be hued on the peak of the roof. ~ oa0a .:; p""" flAD 118 1 v 1 b: i.cFe roof line nuns fast-West and the roof pitch is Iess :.'Ian Si 12, measurements -i'll �e based cn the ea,*e. 7. ..r 0.."a.w IG 1 c-. If the roof line runs East-Vest and the n;.a(pitch ie 5112 or weeper, measurements will be based on the peak. hi t i 0'1 98 O 1 . 40P F' 02 Boz B. continued Boz 8: ,1-11easure change in elevation from front property line to finished floor elevation. if the lot sloprs up from the front loc line to rhe foundation, the Figure is po:in C. If the lot slopes down from the front lot line to the foundation, the figure is negative, � 3. Measure distance from Finished lloon elevation to the affe cred peak/eave. + r ft .t. If the roof line runs North-South, deduct three Fir--et. If the roof line runs East-West, 7 dedua nochin& �. Subtraa one foot for each foot of difference in elevation from the front property line to the rear property line, if the lot slopes up from the front to the rear. If the lot has no slope or slopes up from the rear to the front; dedua nothing. 6. Tool figure for box 8: Z S ft 8o:A C- Distance to the shade reduction line- Box C- I t. measure tate distance from the North property line to dv foundation near the h a rfecxed peak/eeave_ --' �. Measure the distance from the foundapon to the affected peak or eeavG + �'�_S _-- h 3. notal f rgu re for box C Z, Ll �-- ft t's,mast useful to draw a verticil rine m represent the ap¢ruprraw. I{pm faand in boss'A'and a horitmtal Gne w 1.p esev t the apfl'oprl"iVim farad in bax "C'.The wuerseawn d the vertiCt#and hortx�Goes dem-- res d%e yak*fraud m bcx 'CY. Due vaiue n bra 'O' Jf mI! be axnparwd xs :be value in boa'B'; it the v2t,12 in bas'8'is tea dun or aqua!to tt,e vahie found in bax 'O', then :he hwkUrfj.s Ln mrnorunQ w+th the solar balani code. If yo'r raw any qw-jdons, ptea-4e conma us at 639-4171, x304 cw at ehe '�rnmuniry Oevrlq�nren[Ct>,tnerr_ i MAMMUM PERMTTTZ SWWE POW HN7 EICHT (In Feell Oaarlce w Nord-south lat c5rrsen:*m 0 reef — shade 100+ 95 '3eJ 95 80 75 70 �3 60 55 5o 45 40 rp.-duczicinFine from rKrth em IAI.5zlrinIt!1__ 70 40 AQ 40 Al 42 43 44 i 65 38 38 38 39 40 a1 42 43 60 36 36 36 37 38 39 a0 4t1 42 55 3-4 31 34 35 36 37 38 319 -W 41 50 3'_ 32 32 33 34 35 36 37 33 39 40 s3 30 30 30 31 32 33 34 33 36 37 38 39 s0 't' 23 28 29 30 31 32 3 34 35 36 37 38 33 26 23 26 27 28 29 30 3�1 32 33 34 35 36 --Zr _ .z- 2 4 —'2S-_'�"__'T 7t7--?1-'T_'??T3�- � 22)5 r, ,2 23 24 _5 26 228 29 30 31 32 10 20 20 20 21 22 :.3 24 26 27 28 29 30 13 18 18 is 19 20 21 2-1 .1 24 25 26 27 28 10 16 16 16 17 18 19 20 2 2' 23 :4 15 2G 5 14 14 14 15 16 17 18 1 10 21 12 2.3 24 [BoEDis-A imum allowed shade point height: �' Beet r�+cnlsnla�stip I f=L AN LOT 7 , ARRLEWOOD F AR< '-I 2!3 1 11 3-f 43 5W BELLFLOWER LANE -E. 1/4 OF SECTION 11, T.2, R.IW, UJJ-1. CIT'T' OF TIGARD .0,46N INGTON C:0JNT7', OREGON LEGEND ' HOMES 1 8900 S.A HAINES 5'TREET TIGARD, OREGON PIAZA 2, SUITE 200 87223-2514 OFFICE (503) 820-8080 FAX (503) 598-8900 Lor rn Lor ;i X90 1993 N 89'34,-+" E 93 rc PROVIDE EROSION 120rZ' CONTROL FENCE `�' �-• PER COMMUNITY EROSI N PLAN N J ' LOT s6 u+ (n CI WATER METER / 15.m' W-------- WATER LINE �a w LOT/57 / I98.5' S5— ——— SANITARY SEWER lU 3G—- - -- STORM DRAIN n ;n / 4,13.4 SQ. FT./ --- -- (t OF STREET n / COURTLAND MANHOLE �il / FIN. FI-Q, - 198.1' ' ® GARAGE FLR • 191 b'�CATCH BASIN PROPOSED -- ��"' STREET TREES 198.5' ® STREET LIGHT FIRE HYDRANT N --�- - -` :3 - - - - - - -- ----------- 8' UTILITY - �--• U U------- ------ EA5EMENT N89'54'25"E 1 ) 12 a0' SIG`EWALK— _ _ —(IP CURB 198.m' I ti 3 5UJ BEL. I_-FLOWER STREET CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - BUF' Date Requested— �d � �' AM PM _ ULp I.ocation_ L� C ) Suite _ MEC Contact Person Ph C f�7 ��.Z_� PLM Contractor Ph SWR ` BUILDING -� Tenant/Owner ELC Retaining Wall _ ELR -------A------ Footing Access: - — - ----- -- Foundation RPS Ftg Drain _ Crawl Drain Inspection Notes: SGN Slab Post& Beam ....... —_ Ext Sheath/Sh9ar Int Sheath/Shear — ------- raming Insulation -�----- - Drywall Nailing i firewall - -f1 - ------- -------- Fire Sprinkler Fire Aiarm Susp'd Ceiling Roof ------ Misc C� Final - PASS PART FAIL - PLUMBING --- ------ Pos!& Beam ----- ---- ---- -- Under Slab Top Out -- - - Water Service Sanitary Sewer Rain Drains Final PASS PART FA;!- MECHANICAL ly;!MECHANICAL I'ost& Beam __— Rough In Gas Line Smoke Dampers Final PA $--__PART FAIL _ ELECTRICAL -- Seivic Rough In UG/Slab Low Voltage imAlarm Fir - - ! - -- ' PART FAIL [backfill/Grading ----- - -- Sanitary Sewer Storm Drain ( ] Reinspection fee of$ —_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin �- Fire Supply line ( ]Please call for reinspection RE: _ _ ( J Unable to inspect- no access ADA Approach/Sidewalk Other Dat' >_� Inspector-------�- ` Ext c - ---- Final PASS PARI FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION -, 2g-Hour Inspection Line: 539-4175 Business Line: 539-4171 J MST G,� BLIP Requested ' "� AM PM 7 Location 1� �/ — BLD —_7. ) A- Suite MEC Contact Person Ph 5-FJ*—_6&L3 PLM Contractor _ Y Ph SWR _ BUILDING -renant/Owner ELC Retaining Wall ELR `— Footing Access -- — ----- -- Foundation. FPS Fig Drain ----- --- -- Crawl Drain Inspection Notes: SGN Slab ------- - Post& Beam -------- --- ------- -- SIT _ 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,) PosIB Hearn Under Slab Top Out - Water Service Sanitary Sewer - - Rain Drains in - - PASS ART FAIL M EC ArANICAL — Post& Beam - --— ---__—__ Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL ---- — — -- --- Service Rough In - - - UG/Slab Low Voltage -- Fire Alarm Final - PASS PART FAIL SITE Backfill/Grading --- Sanitary Sewer Storm Drain ( ]Reinspection fee of$_ _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE __- [ ]Unable to inspect-no access ADA Approach/Sidewalk ; Other _ Date -/d�- 1c3--��_ Inspectors i Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 82Z 24-Hour Inspection Line: 639 4175 Business Line: 6394171 -z--- BUP _ —Date Requested /O—Z —f s _ AM_/>( —_PM _ BLD Location 7C/ Suite MEC Contact Person ��[ _ Ph 3 PLM _ _ — Contractor Ph —_ SWR — BUILDING Tenant/Owner ELC — Retaining Wall _ ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes ------ ------ Slab -- SIT Post& Beam - Ext Sheath/Shear Int Sheath/Shear —�----- _---- rraming Insulation Drywall Nailing Pirewall - Fire Sprinkler Fire Alarm Susp'd Ceiling ------- Roof Misc: - - -)PART FAIL - - -- -- - ---- --------------- ----- _ PLUMBING _ Post& Beam - - - Under Slab Top Out - - -- - - --- Water Service Sanitary Sewer — --- -- -- - Rain Drains Final _.------ — -- PASS PART FAIL MECHANICAL —` Post& Beam — Rough In ` Gas Line Smoke Dampers T1SSp RT FAIL ----- -- - — ---- ----- -- ELEC'RICAL -- -------- -- - --- -- ----- Servir,E Rough In UG/Slab -- Low Voltage Fire Alarm ------- Final -----Final PASS PART FAILSITE Backfifl/Grading ___._- ---------_ -- --_.-_--Sanitary Sewer Sewer Storm Drain [ ]Reinspection fee of$ 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 Approach/Sidewalk Date /C� z 3- l` Inspector Ext Other - - - -- Final PASS PART FAIL DO NOT REMOVE this inspeco.ion record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tlgerd,OR 97223 (503)6394171 : NO. Or Pl f 1. IrlP1—C c� CITYO F T I G A R D MECHANICAL PERMIT .t DEVELOPMENT SERVICES PERMIT#: MEC2003-00321 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/16/03 PARCEL: 2S 111 DA-06200 SITE ADDRESS: 08743 SW BELLFLOWER ST SUBDIVISION: APPI_EWOOD PARK NO. 2 ZONING: R-7 BLOCK: LOT: 057 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP. R3 VENTS W/O ADPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 3 HP: T 1 DOMES. INCIN: LI_L 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 CS: OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Instal exterior AC unit. AC cannot be placed in the required set backs. Owner: _ FEES DERRICK MCCAIN Description Date Amount 8743 SW BELLFLOWER LN +-- TIGARD, OR 97224 1ME'CHJ Permit fee 6/16/03 $72.50 rrAX) 8%StateTax 6/16/03 $5.00 Phone: 503-624-9993 ____ Total $78.30 — Contractor: SUN GLOW INC 2428 SE 105TH AVE PORTLAND, OR 97216 REQUIRED INSPECTIONS Phone: 253-7789 Cooling Unt Insp Final Inspection Reg #: LIC 48131 This permit is issued Subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Thos,- rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-669911,-- � // Issued By: � ` . . 1f� Permittee Signature: ?C',9�'�ii_ Call (503) 6394175 by 7:00 P.M. for i:ispections needed the next =business day 0.',/32/2003 10:20 5032537593 SUN GLOW INC PAGE 04.'I3'20M 09.23 FAX 5038547297 Citp of Tigard 1 002 Mecha,ical-Permit Application [�lottacived: _� Petmltao.: f fj=•� �� -OJ? "l JIMM (.IBX of Z�11 °illr+� P'roject/appl.uo.. NAM date: yot"7104r.f Adresn: 13175 SW Hall 1 ' td,Tigard,OR 97223 Dateisnual• � g . Phune: (503) 639.41'?1 __ V keceitptno,: rmc (503) 598-1960 Ceneflie. no.: wvytnautty Lan c-ise approval' -_-- -------,--- T1Nldtr�µporrrrirgo.: h' t� fumuy dwelligg OF eeoeet:exy ❑Ccxnmereial/indusuial 0 Multi-family ❑Tenunt improvernnnr New wuysc4c on "ditiordallcra.iudreplac.-mcnt U_tther. indicnie equipmenr rivantitica in boxes below.Indicatc lbe dollar Suit,no.: value of all mechanical materials,cyuipment,1,,N,r,uvr iTeisd, 1� A. :dxlodawtwntnu,: - pmtit.Value$ _ Lot, Hlock: Subdivision: - 'See checklist for important application Information and Pmjeet name: %n — jul-Miction,'t:ter.-chedule for rc-Sidential permit fee. (xq��t:otntra'T�_! ZIP: Dc+sc ' on and I Post of work on promises: s t t bat date of compledor✓rnspcction: nematpdfaa �' 0 3_T � �.-Re.�d xb.� Tenant IMPMvernent or change of use: 7,�_ TA"illtfng tpacc hcailed Or canditioned?,lYns U No nit CFM Ts rxialirtg spare ipsuleted7 Yes lJ No Airoondi0otun9(aioap anrequ ) -�— Alrs[a ono exict�n HVACsystcm o er/romprtsicr/ lium iness namr_• � Siete boiler Hpperrt no.: xo„a BTI1/HAddmts: d - itit/saro C vasmokedetrCtota -- a " Stave 23P: ( rat crop tr p ne - I'hoat. FaxiZ5 • IMMIUrrPlacefurn1 no: R1,3 I Including ductwork/vent liner ❑Yax U No — -_�_ -. tialaivreplat: m wateheaters-tUs - -- Citylmetro tier no.: (?t']/ )f] 1 Z.7 will,or floor mouated Name leasopriml� -- eD Yratforapplisuc7co erthant�iritace - f^ Abnenytion otuta . , _ 6T11/H Natru: �IJa -�y) cninera�_ HP - Ad_ drea9�+t +-YLg� ro in Co re39arc lip - a® �tb"`�veietLLutiao: City: Stele: 2IP A tianoc overt Photic: Fax 13-ttteia: exheuat —� - �� A A Hoods, ypc rrs tr, extnat Name '✓"__r � Y /V 1 _ n .l n hnnd fire ttuppreevinn sysirm 1�.. : , _ Ulaust}tilt with WnB1e aunt to fans MAilin aeklress: Edxbaust system a�art.t umr ea n or �It�"- State LLI". eel1~Q bk �rinmroe up eu e ) 1'battop l"`ax: E-mail: Z l� Type: ---LPG NG Oil ue aping a bona[orer wets Prmmp�eR,9oheMaticrequ ) -- Nw Number of ouiletn ._'_- __._— _ t rr �r7,ppTisrce er t�pr, Addrras: _ Deceey.rlvefi iatie Ci S rue 7 nxn- - P110n0= k�A)t: -- f-mxi!' uevyllnr.atpv A licant's siantitufe' 64�ee Name(lx-iaU- m int] _ � ---- Ns.a}w�raNna Yoap .can coed..f��enynt+,bcuoe for Mort laRxn o; -- Pwnit fee.....................$ aViea (Mostaef5mt . Notice l�ict�n,r iioation .•••••.....•.. e�dte�! nt+Y: i�j�1�Q fCDl _/_. ��/p rYrtrry If a perm+.. R,ubt tinrA Minimum fix ................$ � 'b,11, within Ino dayg eftrr 1�has ben Plan review(et 96) $ �� arrr--xed ere cnmplete, Stale surcharge(896)....$ _ $ Jr. TOTAL.......................$ -j R • �C? tymrldRfR av"n`° _� Avert aaakn r t6+*&VM,0 a 06/12/2003 10:20 5032537693 SUN GLOW II IC PAGE 02 7�bI , I • /�p� �'�� i -i L..1..._ I� .'_.1..- I _ • AG �... _. .�.. .• ... �•. i._ ._.. • ! I d I I I T I I � j.. .1 ._ '......I _.... f •: . a. .. ; . �_. i��Val .��y�l�.�Y.�I�e._wC.� �cy _�. CITY OF TIGAI�D ELECTRICAL PERMIT PERMIT#: ELC2003-00397 DEVELOPMENT SERVICES DATE ISSUED: 6/30/03 13125 SW Hall B!vd..Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DA-06200 SITE ADDRESS: 08743 SW BELLFLOWER ST ZONING: R-7 SUBDIVISION: APPLEWOOD PARK NO. 2 BLOCK: LOT : 057 JURISDICTION: TIG Project Description: Installation of (1)branch circuit for hot tub wiring. r – 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 HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): _ SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: N"' ERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: list W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1100 amp: --_ _ PLAN REVIEW SECTION 1000+ arnp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only___-- SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: DERRICK MCCAIN ROCKY MOUNTAIN ELECTRIC FR743 SW BELLFLOWER LN 8615 SE 157TH AVE TIGARD,OR 97224 GRESHAM,OR 97080 Phone: 503-624-9993 Phone: 503-618-9379 Reg #: ELF 26-7485 — ------ -- LIC 75210 FEES S1111 1103S Description - Date Amount Required Inspections I I I'h11 1 I.LI I'rnnir 6/31/03 $46.85 I \`1 %8" State Tex 6/30/03 $3.75 Rough-in _ Elect'I Final Total $50.60 L� Phis 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 ff work is suspended for more than 180 days. ATTENTION Oregon law requires you tc 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)246-6699 or 1-800.332r44 Issued Permit Signature: g r _ OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale, lease, or rent ()WNER'S SIGNATURE: _ - _ — DATE: — —_ CONTRACTOR INSTALLATION ONLY _ --- — - �" � i --- ,4-�--� SIGNATURE OF SUPR. ELEC'N: '-�L DATE: -- I I C E N S E N O: -------- ---- —�_ --- — ---- Call 639-4175 by 7:00pm for an inspection the next business day OC,124i2003 17:20 FAX 5035981960 CITY OF TIGARD Z002 Electrical Permit A liCation Received Elecvial Dat_dBy: V �GIO� _ pertnitNo. &0„�-00397 Planning Approval Sign City of Tigard [3atelBY___ Permit No.: _ 13125 SW Hall Blvd Flan Review Other Tigard,Oregon 97223 Date/Dy: Permit No ?hone: 503-639-1171 Fax: 503-598-1960 Post-Review Case No.. Uatell3y: Case No.: _ Internet www.ci figard.ur.us Contact Juris, Ste Page 2 for 24-hour Inspection Request: 503-639-4175 NamC/Method: _ Supplemental Information. U_ PORK_ tT, °,,1-f '�'p ��-7 FVANRE'VU'1W PIe!'Se�c1i'eckiill'xtiAt ►".1 New construction_ Demolition mice over 225 amps- ❑Health-care facility commercial ❑Hazardous location Addition/alteration/re lacement Other: _ ❑Scrvicc over 320 attrps-rating of ❑Building over 10,000 square feet, 1 d;2 family da�llin6t four or more residential units in 1 &2-•Family dwelling T COIIlII1GIC1al/Industrial System over 600 vola nominal one structure _ Building over three times n Feederi,400 amps or mor, Access Building Multi-Famil ___ Occupant load over 99 persons U Manufactured structures or RV park Master Builder Other: U Egress/lighring plan ❑Other - Submit_sets of plana with any of the above DK�)C10 N The above arc nota Applicable to tem orary construction service Job site address; 7 3 •,'Lit'. g.`L Suite#: _ Bld ./A t.9: Number of inseedionc erpermit allowed PrOLCt Name:_ _- _ Description Qty Pec(ca.) I Tout New resideotlal-single or multi-family per Cross street/Directions to j^'i 31te: dwelling unit.Includes attached garage Servlet included: 1000 sq.ft.or less Each additional 500 sq.ft_o�rdon thereof _33.40 I -- L Ot# Limited ever ,rendential ^.- 7S00 ). Subdivision: ' Limited me essidenhal _ 75.00 _ 2 Tax ma / arCel � Each manufachued home or modular dwelling service and/or feeder 90,90 2 '' liy,��ng .'1 r 11iJQOk- �_- w '8" Services or faders•(asullatioa, alteration or;elocatlon: 200 amps or less 80.30 2 ---- — - - 2..01 anus to 40,7 yrpa ____ _ 105.85 2 401 amps to 600 amps 160.60 2 NOW 601 snit to I Ono amps _ 14060 _ Z Tim -- Over 1000 amps or volt9 454,6.` 2 m Name: - Rcco ect only66.0 2 Address: Temporary servlets or feeders-Installation, -- - alteration,or relocation: CIt /,State/Z�i 3: _ - -_- -_ 200 or less 66.85 I Fax: 101 vnDs to 400 amp9 100.30 1 Phone: r.wns� 4n+ ampe ---- -- 133.75 2 .;''' `t' - - 'r "� Branch circuits-new, �. dtcratlon,or Name: extension per parrl: — A Fee for branch eirevits with purchase of Address: service or fbedet fix,each branch circuit 6.65 2 Cl /StatC�Z1�: A.Fee for hrarsch circuits without purchase of - --.�- _- ---- - xrvicc or feeder fee,frit brunch circuit / 46.83 2 Phone: Fax: Fach additi.�nal branch circuit 6.1x5 2 E-mail: Misc.(Servicc a feeder not included), t l'.1 Ex__h tit _p or uri tion circle 53.40 1 ct ,c k T �p �f,' ,'• Exch a'�ne li�httng_- --- 33.40 - 2 --- - Job No: Signal circuit(s)or a limited ener(ey panel, -— alteration.or alttansion_. P$•' 2 Business Name: ' o /I�, ec_� -- --_-- --_-- - - - - Desu.ptior. Address: 5 7 `IA_- - ��t - Each additional inspection over the allowable P an of the above: Cl /StatC/Zl t p.r►. Pei taction per hour(mix I hour) Ph G3 ` - !r' �Irrve9tigation fee: _-- --- --, Other: CCB Lic.#: #: JY F-121_ ... Supervising electri ' n _ _ Subtotal—LS si ature It aired: 0-�,.�� Plan Review 25%of Permit Fcc S Print Name: 1 S Li0.#: 03 5 __ State Surcha(ge(8%of Pemut Fee $' �s TOTAL.P>;RMI f FEE S AuthonZed 4otice: Thls permit application expires if a permit is not obtained within Signature 1lattt: 190 day+ager it has been accepted&I complete. - - 'Fee methodology set by Tri-County Building Industry Service Roar d. prim name) t;\psr,\Perrnit Fortni\ElcPermitApp.doc 01/01 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 �) � � BUP Received _ - Date 1equested___1-_-�Q- _ AM PM __. BLIP Location _ Z -7 (,73 r �-k- 1�-A —Suite ME r Contact Person — Ph( ) c�.s^� 7 7 PL Contractor_ _ Ph —) SWR C� BUILDING Tenant/Owner _ --_ ELC Footing ELC Foundation Access: ELR Fig Grn;: Crawl Drai i Slab Inspection Notes: SIT Post&Beam - - - - -- -- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing _ - ---- _ --- ------- ---- Insulation Drywall Nailing Firewall Fire Sprinkler -- - Fire Alarm Susp'd Ceiling Roof - Other: Final PASS PART FAIL PL - _ - -- -__ _ ------- - -_ _ UM_9INt3 --- Post& Beam Under Slab — - - - Rough-In Water Service - — Sanitary Sewer Rain Drains - — Catch Basin/Manhole Storm Drain Shower Pan Other: - Final PASS PARR- FAIL Mid-HANICAL Post& Beam // Rough-In I Gas Line �y� Smoke Dampers -- F ( PART FAIL \ -14101, Service _ Service Rough-In UG!Slab Low Voltag � -� -- Fire Alarm _ Fina L� Reinspection fee of$- - -_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd PART FAIL _ ---- 51 Please call for reinspection RE: Unable to inspect no access Fire Supply Line ADA Inspector ---__-- Ext Date Approach/Sidewalk I-�� .. - - Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL