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9759 SW ELROSE STREET i r 0 H I� I 9759 SW ELRU:?E ST n� CITY OF TiGAi�D _�LECTRICALPERMIT PERMIT#: ELC2004-00476 DEVELOPMENT SERVICES DATE ISSUED: 7/30/2004 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 PARCEL: 2S111BA-09500 SITE ADDRESS: 09759 SW ELROSF_ST ZONING: R-4.5 SUBDiVISION: PP1995-115 BLOCK: LOT : 002 JURISDICTION: TIG Project Description: Install A/C branch circuits. _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLAN=OUS_ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION- EACH ADD'L 500Sc:: 201 - 400 amp: SIGN/OUT LINE. LTG. LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR- 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: -4 RES UNITS- >600 IOLT NOMINAL: L_J Reconnect only: SVC/FDR>=225 AMPS:_ CLASS AF EA/SPEC OCC_ Owner: Contractor: MORSE, PAUL W+MEREDITH M HIGHLEND ELECTRIC COMPANY INC 9759 SW ELROSE ST PO BOX 655 TIGARD,OR 97224 TROUTDALE,OR 97060 Phone: Phone: 220-1935 Reg #: LIC 109850 SLAP 2431S FEES _ _ t:11': 962( Description Date Amount ^ Required Inspections II:LI'RMT1 EL( Permit 7 t0'004 V— $46.85 - --� (TAXI R"6 Statc Surcharge 00 2004 $3.75 Rough-in F Elect'l 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 ume in accordance ::ith approved plans This permit will expire if work is not^carted within 180 days of issuance, or if work is suspended for more than 180 days. Al i-ENTION Oregon law requires you to folloo,,u6s 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) 246-0699 or 1-800-332-2344 i7 Issued By: �ti„�J�–/t! Permit Signatr"re: �— OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _.—w DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: __ _ �._ DATE.__ LICENSE NO: CrI 639-4175 by 7.00pm for an inspertic„i the next business day jEUC Lal Pernift A.nplication it City of Tigard x��e.'ea o e g Date/B : } CJ PernrltNo. 1Z 13123 SW Hall Blvd.,Tigard,OR 97223 Plan paid KOM $03.639.4171 Fax: 503.$98,19t3U pig , ",at Permit lnepeetion Line; 503639.4175 Date Rea y*l 0 see Paan 2 for Internet' '*W'V'-i.d8std.or.us Nodfled/Nothod: - �,U1 supplementsllaG.etradoo ^� '.4.. • 'i-..' R� " if;fir` '. 'x x. "' ' .y ea •jl'y, !�C.w xis; -IC'.S St' •' f!i+i'I '. . ❑New construction Additionl: eration/replacement Ptoaee check all that apply. ❑Demolition Other: ❑Sarvice over 225&rips,corrtm'1 ❑H&z&rdot.t location s, +• ,, ^ ❑Service over 320 amps-rating ❑9uildag over 10,000 sq,ft., 2t!i' 31 rk+� tier .�'e+`iGAR,' • ' t'� i of l and 2•farnily dwellings 4 t�, more new reaidenhai tr•, e ❑ 1•and 2-family dwelling ❑ComrriercisiVindustrial Accessory building Clsystem over 600 volts nominal nolle in one structure ❑Multi-family ❑.Plaster builder []OthcT; []Building over three stones [i Feeders,400 amps or more t ❑occupant load over 99 persona MManufactured structures or ❑Earessilishting plan RV park Job no.: Job site address: S (,J I ©Healthcare facility ❑Other: Submit I.sets of plans with any of the above. City/State/ZIP: �/ The above are not applicable to temporary consmiction service. Suitc/bldg,/apt.no.: Protect name: h- ! " t „„ ` �a f ., Dehripdvn r1ty. � Ret inial Cross street/directions to job site! a L New residential single-or multf•fttnlly dwelllnq unit. Includes attached KaraRe. 1,000 s .ftor loss 145.15 4 Subdivision: LOt UO.: Ea.add'I 500 sq.ft.or portion 33.40 1 Tax reap/parcel no,: - ---- Limited energy,residential 75.00 2 Limited energy,non-teitidendal75.Q0 2 J, Each manufhclured or modular dwelling,service and/or feeder 90.90 2 s -- Services or feeders Installation,alteration,and/or relocation 200 anips or less 8030 2 201 amps.to 4U0 it"s 106.85 2 / __t'Jjjt� 401..caps to 600 strips 160-60 2 Nom' 601 s to 1,000 arms 240.60 2 Address: Over 1,000 amps or tolls 454.6.• 2 Reconnect only 2 Gity/State/Z1P: Temporary services or feeders installation,slteratloi;andtor Phone:( ) '�20 ^,Sp27 rl Fax!( ) --- reltion antis or less 66.85 t Owner installation:This installation is being made on property—that[owr which is not 201 a s to 4(0 amps 100.30 2 intended for sale,lease,rent,or exchange,:according to ORS 447,449,670,and 701. 401 antes to 600&ureic 133.75 2 Owner signature: __ Date:_ Branch circuits-nes,altsratio or extension per panel w + ,t A.Fcc for branch circuit&with ` service or feeder fee,each Business naris: service circuit 6.65 2 branch _ -- — U.Re for branch circuits Contact name: wltriour service or feeder ice, 4695 1 Address: each branch circuit Fach add'1 branch uircuit 6.65 2 City/State/2IP: Misedlaneous(wrvlce or feeder no Included; Phone- Fax: Pu or irrigation circle 53.40 2 :( ) sip or outline ti tin 53.40 2 $' Signal eircuit(s)or limited- n'SY P g en atlel,alteration,or ., e; ►. � r ,r,is extension Deecribc' Page 2 2 Business name: Address. (� Rath additional inspection over'allowable In any of the above_ Per inspection 62 50 City/StatdZIP: - n>` - Q investigation per hour(t hr rein) 62.50 Phone: Fax•( ) / Industrial plant per hour 173 75 CCB Lic.. R1570 Electrical l.icLic.. - P �' Su rv• Subtonl Suprv.Electrician signature,required: Plan revtcw(2Ssf of aetmit fee) _ Authorized signature: per,ntttnc. --- Z - State surcharge(B°%of aetmit feel � y air: �- TOTAL PPRMTT FF.F. TWA permit application expires If A permit is not nhtalne with; 1st Print name: ^r ,, / ^` tieyw soar It has been steepled a complete _40- nate: � e hes mau,oduioKy set by Tri-County Bu:ldiaa indwtry 9ervk Duni "Nuirtbor of inspections per permit aiinwed ,.1eaIdine�RemdttlL'LC-PermnAppQoc I.'0.1 e1Pee1.�T(1MD7/[OMiWAi Zd W,:122:80 t7002! 6? 'I of 9£t•Z+S99 : 'ON 3NOHd o:)'2.0Zi-13'pua-1y6 tH 14084 Y ' CITY OF TI GARD _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#• MEC2004-00517 "1125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED; 8/3/2004 PARCEL: 2S111 BA-09500 SITE ADDRESS. 09759 SW ELROSE S1 SUBDIVISION: PP1995-115 ZON'.NG: R-4.5 BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS- OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERSICOMPRESSOR SHOOD: _ FUEL TYPES 0 3 HP: 1 _ DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < %0K BTU: _ AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 r_fm: > 10000 cfm: GAS OUTLETS: Remarks: Supply l Inst,II / !(' with costumers cxistinl turrr�l air gus Ileal s�titan. Owner: FEES MORSE, PAUL W+ MEREDITH M Description Date Amount 9759 SW ELROSE ST IMI t III Permit Pce 8/3/2004 $72.50 TIGARD, OR 97224 ITA\I x State Surcharl 813/2004 $5.80 Phone: Total $78.30 Contractor: MULTNOMAH HEATING INC 4917 SE CHASE RD GRESHAM, OR 97080 REQUIRED INSPECTIONS Phone: 665-5656 Cooling Unt tnsp Final Inspection Reg#: LIG 00075443 This permit is issued subject to the regulations contained in Die 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. 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 by calling (503)246-6699. Issued By: s. r r.11 Permittee Signature. Call (503) 6394175 by 7:00 P M. for inspections needed the next business day Mechf.nical Permit .A�w.�o City of Tigard % ;3'Y>c1POMVW `N DU3� 13123 sw Hall 61vd,TiVA,OR 9723 U Plae Ravirw Pbone' 503 639 4171 Parc: 503.19 '���� Da.� ��: impcdion line: 303.639.4175 1111�'"'�`"`'���� � �l Daft Ro,dyfgy, McTe�9 Ar Itltat a www.ci.tilplyd,ur,tiu �`�� l NMfisdiAtetbnd: C]New caJ11D whorl AdWti r b)n/mpl&-.t»t>lOM Itteohanicni ndicAd fooe•we(+aaen m the the-) Wvst work prrfrxmad.Indiatte the value(ratnded to tbr.,meat dollar)of aU []Dvwutwn 0 overhead,140profit -- . ,Frlra, .- w +�+. * - — Value:T a•.t I, .Cl. .:. �. �',...�.�'_-_.- 111• 2-family dwelling ❑Conuucsc ayindustrw [J Aocetlpm buddb* dor".,a/info warlon..re chowklisa. D MWI-f roily u Maher tx d&f a other: , � — EL TOW r r.{:.r r4CMnMv Ntl�O'MRrt /furl"xadtti mmnd or heat Pump Job vita ud*w: q2,,j3 �. �/ ores nto .r P! L. 14.00 chy/std�e/ztt,: I ( �rk 1U loo 000 um a�t.w«au 14.00 p FWtnlee 100,0004 Mu auc__A a 17.90 9ulttt/bWgJupt.nn.: Fteljeot Hunte: M Q It.� j Chi Met 14.00 Clea stmVdirechoos to job site! Dud work _ 14.00 _-flyor2oc bnt wdsr lit -- Reeidartiai boiler(mdlatot of If dre tic 14,00 Uri"hew-sm(fue4-type,Dorf ASO tic), i-wall in 0 iselc_ I0.00 BnbditAtioo: Y }- Lot no.: _ Alva for my of Above` 10.00 Othu. I t0.00 Tax mWpaml no.: OOM MI ,f •tS �11i«! 2; •;tlGi�M} 4`r. 17 WAW be" 10.00 1 Cora f4splaue 10.00 1 Flue vett for wider healer or Sta Sr foe 10.00 usI' er a 10.00 Woody letetova 0.00 Wood$repiace/it W 10.00 C /1VWIfine/vanl 10.00 10-00 Nan1e ' -- ttW a>llaat and tgou _ ' lDo�e otMr kitchen Addnu -it)r Y _ 10.00 City/3ttW/Z1P; ( Z, CMhm*MW!lMuet 10.00 — — sin&Avt exhaust(1Mlaooum Phone:( ) Flt1 ( ) toilet campurcmrnu,uaMlrt�^vml-- - -N 6.90 AttiacrerWa ce fim 10,00 ;;,• :, U ; oib� 10.00 Busineta nuns. M�. �} L — - -- ._ Cootwl Herne: Adllteue `t'I t Oae h.d a p _— City/31uWz1P: ha,M iD wow Vmkbeder _ Felt: . Wdatheda _ Ffione (9Q ) ( ) - ky1we __ - E tWW: a e Bwbewe Clclbw Buuteea num: -- Odpw Addleua — _ '� 1 ,r ,. !i♦>rinlal� Cay/snlce/Ztf_ — — Miuitttlm pmaitrue(m.SO Thune:( ) Fant:( ) _ Flan to rtew(25%or�rmit ibe) GCti Itc. --- _ tttw (!!�or r fore EX b �� �—-�-� TOTAL PIEWWrr FEE t tftr�c..liappYceelea W".Ka W"r.ee elaallael 1M AnlbotiLed el�ont+[ro: r.tre~11 bwMax.cspead w eeaapare. 1„-,r_._.— � � A +n �� • c�...-.ti-�.r,,.....�..r1 r.......aatr:....e_�..r...e....�..o-._.i y I 1 •� 1 II IIi b� -- i CITY OF TIGARD 24-Hour BUILDINGInspection Line: (503)639-4175 MST INSPECTION DIVISION J Business Line: (503)339-4171 `/. OUP Received Date Requested �' AM PM _ BUP Location / 1=-� 2- - -� Suite _ MEC ' 6`9-( Contact Person Ph( ) PLM Contractor — ph(-_ j �° S ' S>o- SWR BUILDING TenanVOwner Fonting ELC Foundation Access: Ftg Drain C-a L� 1 ELR Crawl Drain Slab Inspection Notes — SIT Poet&Beam _ Shear Anchors -- - Ext Sheath/Shear - — Int Sheat'dShear Framing ---— --- -- Insulati n Drywall Nailing -- -- - Firewall Fire Sprinkler - - - -' Fire Alarm Susp'd Ceiling '---- Roof Other: --- Final _ PASS PART FA_I_L PLUMBING—_ — Post&Beam Under Slab -- - -- - Rough-In Water Service ---- --- Sanitary Sewer Rain Drains ----- -�---� Catch Basin/Manhole Storm Drain - - Shower Pan _ Ott or:-- ---- — Final - -P/kR FAIL ---hMECHA --- Po0&13et m Rough-In ---- Gas Line Smoke Dampers -------- -- -- -PART FAIL --- -- --- - Service - - - - Rough-In - - UG/SlLb t Low Voltage Voltage ------- Fire Alarm 0 1 -MART FAIL Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hail Blvd. SITE [] Please call for reinspection RE:._-- _- _ F] unable to inspect-no access Fire Supply linExt e-� P ) Approach/SidewalkDura ADAa Ext Ins ectof: ✓,(�' !(�✓J-`�— Other: Final — DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD I . a �I. . . . . COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223-8199 (503)639-4171 ['C I .. •----------•--- I'LLLSE 150k sf ;,LiU'iPL1SETBALKS----- REaLi;EL------------ Cr 4GRK. NEW HEIGHT......,.: 28 FIRST..... 27M sf GARAGE..... : 810 sf LEFT..........: 8 EM04 DETECTRS. OF ISE... Er FLOOD LOAL..... 40 SECOND... , Z sf FRONT.......... 2e PARKING OF CONST.:SN DWELLING UNIT';: I FINBSMENT: @ sf R.7GHT......... 0 5ANIC Y G;lP, :R" BDPM: 3 BATH: 3 TOTAL 2705 st YALUE-1: 20;456 AFAR........... 46 ---------------------------------------------------------------- PLUMBING ---------------•---------------------- ------ - ......... .. L WTE;. W-LUSET:­4 3 WH6hlNG VIALr. I LAUN C Ik Y TRAM'S.. PAN DAN ft: Z T,-%i4rS.......... D;5HWA6HERE... I FLOOR DRAINS.. 0 SEWER LINE ft; 0 SF RAIN DRAINGi I CATCH BASINS.. %5��WERS...: 3 6ARbWA D15'. WTER HEAiERS. I WATER LINE ft. IN 8CKFLW PREVNTP: 4 GREASE TRAPS.. ; OTHER FIXTURES- MECHANICAL ---------------------------------------------------------- FUM ( INK 0 BOILiCKP ( 3HP. @ ANT FANS.....: 4 CLOTHES DRYERS: I FukN )=1 I 'Ali iiLATERS.. i, HOCLS......... 1 ETHER UNITS...; i 0 BTU FLOOR FURNACES! 0 VENTS.........: 0 WOODSTJVES.... 0 GHS OUTLETS...: I --------- ELECTFICAL UNIT--- ---SERVICE/FEEDER---- --TEMP 9AVC/FEEDER.--- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD,L ING4'ECTIONS- 00 ":F C� LESS: : 0 - Z" alp.. 1? 0 - "'1N! asp. : e W/SVC OR FDR.. : 0 PUMP/IRRIGATION: 0 P0 INSPECTION; 0 01L 5NSF.. 4 201 - Alm alp.. 0 201 - 00 alp..: 0 1st W/0 SVC/FDR: 0 SIGN/OUT LIN LT: e PER ,iOUR........ 0 :'Lu LNLRGi. : 41'i - e0il asp..; 0 40i bk$ asp..: 0 LP ADDL BR LIP.: i SIGW4L.4ANL...: 0 1 N PLANT......: rVQ:3VL/i*0R. d 601 1004 alp. 0 60l+a1ps-1@00 vi a MINOR LABEL -& 0 '9004 1 ---- -.-___-•.----- khi REVIEW SECTION Reconnect only.: 0 )=4 Rio" UNITS..: SX/FDR)=2 A.: 600 V NOMINAL: CLS ARSn I -__..-----•.---..________..---------- ELELTRI'J4L - RESTRICTED 5fK.Y ­­ A. V RESIDENT 141. B. CC1*ERC:AL--------------- -----•-------------------------•--_---------------..... ALL;,; -------------------------------------------------- ALLA,; I ['.LRL­; llitiLujirl I STE,`, AUL2 I STEREO.: F I RE ,,,: lh'-ETicom/NGINE; OUTDOOR LNI)SL 01 "ULAk ALARAI.. JIM; A BOILER.......... H'VAC........... AND5—LWE/IRRIG: �ROTELIIYE SiuNL: GARAGE OPENEF.. ;;LOC(,..................... INSIPLAIENTATION: L-74R. PVAC............ DATAITELE COW, WR3E Lk-LS.... TOTAL # SYSTEPS: Okole; - -- ­ -- ---- --- --- ___._Contractor; -------- - TOTAL FEES:I K-'i 3.31 `•ALL MM"a`. CWJEA OR J7224 KWIC? persit is iss-,iej sur.jl?Lt t.1 t'le rRgu4r.',Ivs C."tainea in the Tigara Municipal Code, State of ;re. Specialty Lanes arc ail ottler Laws. ri 14orm will be In a:-.orcance vvitr Approvea plans. INS per/it will eqire if work is nal started IBhA says of issuance, ol• if wore is suspended for ao,,e than 189 days. ­------------- REQUIRED INSPECTIONS ---.--__--- P.M/Underfloor i'7t-amirg Insp Gyp Board Insp Electrical Final mwenical il:'.: LCA voitta.ie Rain. d?-ain !rip Kechanical Final :-1.1su 7jp 1"�SL water Line 'Aq PIUND Final Water Sers._e In iairq Firai Electrical insi: Appr/Sowik :nsp rif -I k 1'-brl —'—V f JA I(.r--('-1-r re CA ef i iJE-..R 14 1 T #. . . . . . . . 6 -0'it 13 CITY OF TIGARD DOTE.- 1.135LJED. 02/14,"9*1.1 COMMUNITY LIEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 ,-),j Lt ID I V I E3 10 1va. I - 000,:5 ZONING: i. 1-0'";J,. . . . . . . . . . . . . . . . . . . . . Remarks: PATH I -----------I----------------------------------------------------- BUILDING --- ----------------------------— REISSUE:15SUE. STORIU........; I PLOC'n ARES- --- --- BASEMEN--,; 15410 5f R.EDUIREI) SETBACK REGUIRED "LASS OF kURK.rNEW HEI[,r1 ........; 28 FIRST.... 2920 sf GARAGL.....: 810 sf LEFT..........: a SMOKE DETECTRS. Y TYPE OF USE...:SF FLOOR LOAL....i 40 SECOND... e ,f FRONT........,. 2e PARKING SFkCE5: I TYrE OF CENST.i5N DWELLING UNITS: ! FINDSMENT: 0 5f RIGHT.........: 12 DC:UPANCY GRP.:R3 BDFM: 1- BATH: 3 TOTAI-------: 2M sf VALUE..1: 220830 REAR..........: 46 ------------------------------------------------------------------- PLUMBING ------------------------------ 51"0•5.........: -----------------------------34,10"s.........: C, WATER CLCS".71". : 3 WASHING MACH.. ; , LALNDRY TRAYS.: I RAIN DRAIN ft: 2 TRAPS.........: 0 LAVATORIES....: 5 DISHWASHERS...: I FLOOR DRAINS... 0 SEWER LINE fti I SF RAIN DRAINS: I CATCH MINS... 0 TUbi mOWEkS...; L GARBAGE I wAiEk iiCATUS.: WATER LINE ft: IN BCKFLW PR&NTR: I GREASE TRAP-S..: 0 OTHER FIXTURES: I MECHANICAL --- ----------------------------------------------- -------- CIJEL TYPES------------ FURN ' Iff 0 COILICAP i 3X: ? VENT FANS.....: 4 CLOTHES DRYERS: I /SAS/ FURN )=IM 1 UNIT HEATERS.. 0 HOOLS......... I OTI-ER ;WITS...: I MAX INP,: 0 BTU FLOOR FURNACES: e VENTS.....,...: 0 WOODSTOVES....i I GAS OUTLETS...: I ------------ ------------ ELECTRICAL --------------—-------- IRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS- RESIDENTIk UNIT---- ---SLR,,CEJEEDEq---- ---TEM; -jPvC/FEEDERS--- -__..BRANCH _L I W 7 CP LESS; 11 0 Zu amp.. 1 0 1`10 a I P..: 0 W/SVC DO FDR.,: 0 PLIMP11RAIGATION; 0 PER 114SPECTION: 0 [A ADD'L 'AISF.1 4 M 4N amp., 0 211 40 amp.. ; 0 1st W/0 SVC/FDA: 0 SIGN/OUT LIN LT: 0 PER HOUR....., : 0 LIMITED ENERGY.. 0 401 600 ate,.: t 401 600 amp.. ; t EA ADDL DR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: MANE HM/5yC/FLR: 0 601 Mo alp,; @ 6%'l-amp5--iM Y; 0 MINOR LABEL -10; 0 IM+ agpivolt.i. 0 ------ PLAN REVIEW SECT 106N Reconnect orl'y.. 0 t=4 RES AIT':;., : SvCiFDk:=2 5 A.: > 608 V NOMINAL. CLS AREAiSPL OCC: ___._._.......---------___---._..___-•- ELECTRICAt. - RESTRICTED ENERGY - -_...--•--__---------.-----...__._---. ._. A. SF RE5IDENTifL-------------.._.._ . _-----.._-- B. CUMMEACIAL-._------._.__-----___.------•-----..____._.-------......__-----------.__---__.._..__.._.__ PJDIO ------------------------- PJDIQ I STEREO.; VACUUM SYSIP".. AUDIS I ISTEREC. FIRS. ALARM.....: INITERCOMiPAGING: OUTDOO1 LNDSC LTi BURGLAR ALARM... OTH.- A BOILER...,...,. : H4[............ LANDSCAPE/IRRlii PROTrCTIVE SIGNL; GARAGE PPENEY.. CLUCt........... INSTRUMENTATION; MEDICAL........: OTHR, 1.: HVAC........... : DATA TELE 'GW.: tJURK CILLS....I TOTAL N Sra'iLMS; 0 TOM FEESO 4322.61 MORSE OWNER rj SW ISOTH AVE ' ARD OR 17244 -ip C 590-2311 Phone #: Peg 0..; ?.Milo ii peesit is istued subject ti the regulations contained in the Tigard M,inicipal Code, State of Ore. Specialty Codes ana all other .,icable iaws. All wovo wi,& be done in accordance with approve„ ;laps. Thi; permit will expire if work is not starter witrin ISe ,s of issuance, or if wt- is sus.opnoed for more tear: 181 days. REQUIRED INSPECTIONS I------------- ting Insp PLM/Underfloor Framing Insp Gyp Board Insp Electrical Final idation Insp Me.,harical Insp Lor, voltage Rain �­ain Insp mechanical Final ,/Beat Struct Plust 'fop D'It :rep ace Insp Water Line Insp Plumb Final ,:/Beat Mechan Electricai 5e, flas .1re Insp wate'. Service In Diildinr ri-.41 0-awi Prain Electrical Rn insulation J-;p App.,/'5dwlk Insp co 1 M j.t t e e i c.� ori -639--4175 P L R1.I T CITY OF TIGARD D_41-E 1 ,j[.0 � 0L214 6. COMMUNITY COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)839.4171 1 'F IItCLL: .t 1 1 EaA Mr'00tc� J13UIVISION. . . . : ZONING: ()Cli. . . . . . . . . . . I_C T. . . . . . . . . . . . . . . . . . . . . » . . FIXTURE UMTS. . . . IZI _P5S OF WORl4. . . :NEW DWht..:._I NG UN I �.. . 1 IPE OF USE. . . . . :aF NO. OF BU I LD I NG5: 1 1IE:TALL TYPC. . . . :SUSWR '!MF'ERV SURFACE: 0 ym4trks : PATH 1 Ain er,. ___. ._..._.._.____.__... _ ._. ._....__...._._._.--- FEEG ---_.-_- Il L I+Il)f2t:;F t yp( amai-rnt by d,?t e recpt. EDW 150TH AVE' F= <M"F 2200. 00 JSD 02/14/96 96—. 75,x., I GAR1) UR 9 7 E�► ,c,ne It. -TRACTOR NOT ON FILE: ane 4s: 9 „5. 00 TOTAL. q #. . . — —'~- — REUU1 RED INSPEC T10NS hppi.cant agrees to comp;y with all the rules and reg;.iations newer Inspection the Unified Sewage Agency. The permit expires 180 days from F. date issued. The total &@aunt paid will be forfeited if the 'lit expires, Ine Agency does not guarantee the accuracy of the it sewer laterals. If the sewer is not located at the measurement �� - ren, the installer shall prospect 3 feet in all directions from distanc^ give, if not so located, the installer shall purchase a "Tap and aide Sewer" Permit and the A enry will install a lateral. 1_a . l for inspection - G39-4175 Residential Buil inq Permit Application City of Tigard ' 13125 SW Hall Blvd. I�o' A6 Tigard, OR 9722 (503) 639-4171 Jobsite Address: C f 75 / S-, 1,/, 6--L/c oSE Subdivision: / Y'h;I�l I(L ' A/ 3 Lot # 2Z, Office Use Only Valuation: Planck/Rec _�Ci. ��0 Corner Lot? Y Permit # Flag Lot? Y (9) Reissue of Map & TL # Owner: P-a t4 Me re Ji 1- , M u Aprovals Required Address: ' �✓ t�i �� ve r- S S ISUPlanning lY3c 111t; ril. U„. "l / 2 2` q — Engineering Phon- : 5 7 0 2 3 11 Other Contractor: (�J.Lry�t-� �Ht Fl 1 h o-r yi e- Items Required Address: ;Z � e--,P-r 13 e>7 d f? Subcontractors T--►, Truss Details Phone: 1,; ZO — .5 2 7 7 Other Contractor's License # D 37 92,6 (attach copy of current Oregon license) Contact Name & Phone: j2a u ( MU rse `.S QG 2 3/ 1 5'�>7te1 r�D� Subcontractors: Architect/Engineer: „Payne H n D wel( q Plumbing: r Address:14.3 43 Sic . 102 a V e Mechanical: D w )4e k- d 7.21 (attach copy of current OR Contractor's License) JOB DESCRIPTION: r 1 Q We �pL( e- ` 0)(e We I - N� Applicant Signature & Phone number Regelved by: _ Date Received: N%W0A0%WMt*Vft8APP L' Permit# Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) 73S S 73s, Plumb. Permit (PLUMB) i Yech. Permit (MECH) E L i / U �/ ALL-.L. a.Y Side--�tx (TAX) /U Bldg: .3�0. 'f d' ✓ Plumb: Mach: .2.2. , F i4 a;vim ��---�� Plan Check (PLANCK) Bldg: r' v ✓ Plumb: Mech: • Z• V Sewer Connection (SWUSA) u U =00 Sewer Inspection (SWINSP) -3 ) ,3S Parks Dev Charge (PKSDC) S'UV J�� Residential TIF (TIF-R) ?U V /q 7 U Mass Transit TIF (TIF-MT) / �t� �/ / y Commercial TIF (TIF-C) Industrial TIF (TIF-1) _ Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) v Water Quantity (WQUANT) Fire Life Safety (FLS) p �p Erosion Cntrl Permit (ERPRMT) 0 y �� '' R Erosion Planck/USA (ERPLAN) G c1 G U Erosion Planck/COT (EROSN) v ✓ ��/� � o TOTALS: �p ss��' 7 1��..�.IrL: t!o.� �-' Solar Balance -Worksheet Addressjj f Box A calculations: North-South dimen_.on for the lot. y Bc:f A: This dimension is determined by finding the midpoint of the North lot Ii a and drawing an -/ intersecting line perpendicular to that point. Measure the distance from the midpoint of the North lot line to the South lot line along the described line. _ 4 _ ft Box B calculations: Shade point height from your structure. Box B: 1. Determine whether measurements will be based on the peak or eave of your structure. The orientation of the ridge is also important. Which describes your lot? 1 a: If the roof line runs North-South, measurers. •its will oe based on the peak of the (Circle one) roof. 1a tb Ic 1 b: If the roof line runs East-West and the roof pitch is less than 5/12, measurements will be based on the eave. 1 C: If the roof line runs East-West and the roof aitch is 5/12 or steeper, measurements will be based on the peak. ft 2. Measure change in elevation from front property line to finished floor elevation. '__'7--�7 + it 3. Measure distance from finished floor elevation to the affected peak/eave. ft 4. If the roof line runs North-South, deduct th,,ee feet. If the roof line runs East-West, deduct nothing. 5. Subtract one foot for each foot of difference in elevation from the front property ft line to the rear property line, if the lot slopes up from the front to the rear. If the lut has no slope or slopes up from the rsar to the front, deduct nothing. 6. Total figure for box B: L:_ , f' Box C. Distance to the shade reduction line. Box C:' � 1. Measure the distance from the North property line to tin foundation. ft 2. Measure the distance from the foundation to the affected peak or eave. + ft f 3. Total figure for box C: I _ ft L Solar Balance Point Standard BoxA. North-South dimension for the lot Box 4. Shade point height from your structure: measured perpendicular to the midpoint of the Change in elevation from front property line to north lot line the finished floor elevation added to the height J of the building from finished floor elevation to the affected peak/eave. If the roof line runs feet NIS, subtract 3 feet from the figure. Subtract one foot for each foot of ifference in elevation from the front property 1 e to the rear property line. .rV feet Box C. Di9tance to the shade reduction line Distance from North property line to foundation added to the d;stance from the foundation to the aE e{\ ed roof peak/eave Feet The following helps explain the graph below: The horizontal axis (rows) represents box "C" figures. The vertical axis (columns) represents box "A" figires. It is most useful to draw a vertica:. line to represent the appropriate figure found in box "A" and a horizontal lire to .represent the appropriate figure found in box "C" . The intersection of the vertical and horizontal lines determines the value found in bcx "D" . The value in box "D" should be compared to the value in box "B" ; if the value in box "B" is less than or equal to thr� value found in box "D" , the building is in compliance with the solar balance code . Distance to shade 10 + 95 90 85 80 75 70 65 60 55 50 45 40 reduction 14xra' from northern; lot line (in deet .70 0 40 40 41 42 43 44 65 8 38 -1; 39 40 41 42 43 60 1 6 36 36 37 38 39 40 41 42 5 '4 34 34 35 36 37 38 39 40 41 0 2 32 32 33 34 35 36 ;7 38 39 40 41 42 5 0 :0 30 31 32 33 34 35 36 37 36 39 40 8 28 28 29 30 31 32 31 34 35 36 37 39 35 6 26 26 27 28 29 30 31 32 33 24 35 36 30 4 24 24 25 26 27 28 29 30 31. 32 33 34 2.5 2 22 22 23 24 25 26 27 28 29 30 31 32 20 0 20 20 21 22 23 24 25 26 z7 28 29 30 15 8 18 18 19 20 21 22 23 24 25 26 27 28 10 6 16 16 17 18 19 20 21 22 23 24 25 26 5 4 14 14 15 16 17 18 19 20 21 22 23 24 Box "D" Maximum allokied shade point height feet U, el. 53 ' �wN�r2S: �aul gMert�i rhe M SSE Phone : S90-2311 Tax DoT- foo I 4 Map j3A 5CALF : 314 ztif' To sewe r PI Pe i � z I`4G STora.ge Roots UNdc �� No4'S� r 1 Floor elevitt,'ON I aJ g � Vgrag e v, iOr.. ve Way I I s te- •+�J%y Url•ll I y eQ S CS Permit #: Address: Issued by: Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contrac,")rs Board to sign the following.statement before a building permit cart be issued. This vatement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the hermit. Fill in the appropriate blanks and initial boxe!c 1 and 2,and either box 3A or 313: 19 1. 1 own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sal'.. before or upon completion. 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board, If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct:end that 1 have read and do understand the Information Notice to Propeirty Owners about Construction Responsibilities Em the reverse side of this form. (Signature of permit applicant) (Date) (White copy to isruing agency permit file, pink copy to applicant) t Information Notice to Property Owners About Construction Responsibilities Note- 1 his#Vilrmation Notion to Propero Oivners uh(7ut Construction Responsibilities wu.r de)rlr,ped by the Constructiran Coninu,wr,iRoarel ftt accrrrdnnee with ORS 701.05501. It yoti are acting as ym ii own contractor it �i ititimIL I ,I ni'ti IIMIK or-make it substLint tat improvement to an e\I"ting stnlcture, `v011 cull prevent many problems by be:.... itwilrc of the to;luwing responsibilities wid areas of c9ncem. EMPLOYER RESPONSIBILITIES: It you hire persons not registered with til (construction Contractlns Board to do labor i i constructing or assisting in the ('I�nstniction or improvement of a re•sicicrrtiul structure.,you will, in most instances, be piled to be an employer and the peopl you hire will be employees. As the employer,you must comply with the following: Oregon's withholding tax law: As an employer,yoti ati tst withhold income taxes from employee wages at the time employees arc paid. You will he !fable for the tax payments even it you don't actually Withhold the tax i'mm your employees. Far more information,call the Oregon Dept. of Revenue at 945-9091. Unemployment insurance tax: As an employer,you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information,call the Oregon Employment Division at the Department of Human Resources a( 378-3524. Workers'compensation insurance: Asan employer,you are subject lothe Oregon Workers'Compensation Law,and ariust obtain workers'compensation ins..trance for your employees. if you Bail to obtain workers'compensation insurance,you flay he subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. Por more informati6n, all the Workers'Compensation Division at the Department of Consumer and Business Services at 945-7898. V.S.Internal Revenue Service: As an employer,you must withhold federal income tax fmm employees'wages. You will IV I iable Im the tax payment even if you didn't actually withhold the tux. For more information,call the.Internal Revenue Service ;if 1-8(X)-929-1040. OTHER RESPONSIBILITIES AND t kREAS OF CONCERN: Code compliance: As(he permit holder for this project,you are responsible for resolving any failure to meet code requirements that may he hmught to your attention througi, inspections. Liability and property damage insurance: Contact your insurance agent to see ii'yott have adequate insurance coverage for t.-idents and omissions such as falling tools,paint co riray,water damage from pipe punctures, tin,or work that must be i, clone. lime to supervise employees: Make sure you have sufficient time to�upet*N ise your employees. V%pertise: Make,,arc you have the expertise to not as vour own general contractor,to coordinate the work of rough-in and rinish I radcs. and to notify building off icials at the appropriate times sa they can perform the tequirrd inspectiops. It you have hdditioindquestinfls,write or call the Construction C+)nttactors Board Wo 4ox 14140, S,ulem,OR 87309-505': -,:).11379-462 1). "The Board is located at 700 Summer St. NE Suite 3tX), in Salem. i,Top-own.ptM ,,94 CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 CERTIFICATE OF OCCUPANCY PERMIT M. . . . . . . o M S T 9 6_7+01 DATE ISSUEcDs 02/06/98 PARCEL i 201 11 BA-09`.500 1.3I TE ODDRESS. . . a 01759 SW ELROSE ST SUTAD I V1 S I ON. . . ., s MLP95-000.3 ZON 1 NO t R•-4. 3 Cs1_OI:K. . . . . . . . . . . LOT. . . . . . . . . . . . . 1002 JURISDICTION►TIU CLASS OF WORK. :NEW T Y IE OF USE. . . o SF TYPE OF CONSTR►5N OCCUPANCY f::RP. s R3 OCCUPANCY LOAD i 1 t0 m ai r k s t PATH I f''AIIL 11ORSL' 1 4.X05 SW 150TH AVE 1"1 t r 4RD OR 97224 Ine N3 !;90-2311 tractors r LHANT PER APPROVAL FROM OWNER i'hrjne M! Pan N. . , 000131 idle Certificate grants occupancy of the above referenced building or pat-tior, thereof and confirms that the building has been inspected for compliance with the State of Oregon Special; y Codes for the group, occupariry, and use under which the referenced pevmi # was issued. BUIL INS 1N5 oppc� TIAL/INSPECT UN 51JPERVIFjUk POST' IN CONSPICUOUS PLACE" 0 CITY OF TIGARD BUILDING INSPECTION DIVISION / 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 Date Requested: dZ— 6 9a L% k P.M. _ MST: location: BUP: Tenant:_ — Suite: Bldg: — MEC: Contractor: Phone: PLM: +caner: _phone. ELC: � ELR: ----- r-�----- � SIT: BUILDING G 't) -(_E mMBIDIG .IANICA� ELECTRICAL SITE tiiu Pos "` over,ervrce Sewer/Storm Footing Roo70Q,,\ f UndI 1/Slab Rough-In Ceiling Water Line Slab Framing Top Chet Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Stam Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire S klr/AIm owtd Dr Heat Pump Low Volt oved ved �ve�d rov , Approved Appr/Sdwlk oved Not A�—ved o ved Not Approved [NAL AL INAL FINAL i f7 Call For ns pt ion > O Rehopection Ibe of S t9fiired[xjbre next inspection C1 Unable to inspect Inspector: _—-- Date:— Page.-- --of—_-- I 7Z3 n CITY OF TIGARD BUILDING INSPECTION DIVISION I� J 24-Hour Inspection Linc: 639-4175 Business Phone: 639-4171 /- Date Requested: A.M. M. MST: �Ip,DD I Location: BUR Tenant: Suite: Bldg: MFC; Contractor:. 1 Phone: t�d — .� PLM: Owner:� r� C�✓ Phone: _ L'LC: 'J GLR: _ C� rrt — SPC. -- BUILDING R� – ---- PLUMBIN gem II ,ECTRICAL SITE.Site Post/Beam o�eam Govern-semLZ-- ",ex%cr/Stonn Footing Roof UndFl/Slab Rough-In Ceiling Water I me Slab Framing Top 0.1t Gas Line Rough-In Il(i Spr "Der Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Chain A/C UG Slab Shear/Sheath lire S klr/Alm Crawl/Found Dr Heat Ptunp Low Volt T V R tk--, ppr„vcd Anprovcd roves A)erovcd Approved -^ Appr/Sdw)k � ttuved ov red o Frt Not Approved FINAL NAL FINAL AL FINAL '01Q11 001VO-5 C3 Call for rein D Reinspection fee of S _required beflo 2 Wxt inspection O Unable to inspect Inspector:_ -- lite:— --- Page___of