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CITY OF T!GARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
/J �_Date
Requested BUP" I " —AM __PM _ _ BLD
Location MEC
Contact Person L?-1LeQG(1 Ph "� _ PLM
Contractor Ph _ SWR
BUILDING — Tena"00wner — y/ ELC _
Retaining Wall PELR CJ
Footing Access:
Foundationc ��^, FPS
Fig Drain CUZ1'1 — `--
Crawl Drain Inspection Notes: SGIN
Slab
Post& Beam i,
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation — -
Drywall Nailing __---- _ -- -- - -
Firewall
. `
Fire Sprinkler
Fire Alarm ,v---
Susp'd Ceiling
Roof - --
Final
PASS PART FAIL
PLUMBING —
Post& Beam - ----
Under Slab
Top Out - -
Water Service
Sanitary Sewer
Rain Drains
Final --
PASS PART FAIL
MECHANICAL
Post& BearTl
Rough In
Gas Line
Smoke Dampers
Final - - - -
PASS T FAIL ------------�--.---�--
ECTRICAL -
Seruice_._ -
Rough In --- - ----
UG/Slab ---- - - -- -- -_—.T_.._----
_Voliag� - - -
Fire Alarm
PART FAIL _ _.---- ---- -- -- _ ----
Backfill/Grading -- — -_-__.---- ---- _-- —
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
[ ? Please call for reinspection RE — Unable to
Fire Supply Line inspect_.- - ..— [ J p.ct- no access
ADA
Approach/Sidewalk
ether Date Inspector l/
Ext --_
Final
PASS PART FAIL) 00 NOT REMOVE this inspection record from the job site.
CITY MJF TIGARD
DEVELOPMENT SERVICES ELECTR?CAL PERMIT
13125 SW Hall Blvd, Tigard,OR 97223(503)6119-4171 RESTRICTED ENERGY
PERMIT #: ELR98-0305
DATE ISSUED: 11/06/98
PARCEL- 2SI11CC-06500
SITE ADDRESS. . . : 15955 SW GREENS WAY
SUBD I V 19 1 ON. . . . :GUMMERFIELD NO. 2 ZONING: R-12'
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .0922 JURISDICTN. TIG
Pro Ject Description: Add hurglar alaram to an existing residence.
A. RESIDENTIAL_----__-___— B. COMMERCIAL_--
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . : LANDSCAPIE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . : NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . :
TOTAL # OF SYSTEMS: 0
Owner: FEES ------------------
CHARLOTTE J RENEAU type amoi.tnt by date reept
15955 SW GREFNS WAY PRMT $ 40. 00 GEO 11/06/98 98--310624
TIGARD OR 97224 5PCT $ 2. 00 GEO 11/06/98 98-310624
Phone #!
Contractor:
BRINKS HOME SECURITY $ 42. 00 TOTAL
8059 SW CIRRUS DR
------ REQUIRED INSPECTIONS
BEAVERTON OR 97008 Low Voltage ITISP
Phone #: 641-0574 Elect' l Final
Reg #. . : 000444
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 rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in DAR 452-001 .0010 through OAR 952-001-0080. You may obtain copes of
these rules or direct questions 9( 603)246-1967.
Is S1.1F?(I Permittee Signati.tre_
---------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:
TRACTOR INSTAIIATTON
SIGNATURE OF S1JPR. ELECINt DAIE:
LICENSE NO:
++++++++++++++++++++++.++++++++•++++•F++4+4..+++++4-4.......4-++-4...................44
Call 639-4175 by 7:00 P. M. for an inspection needed the next b�.tsiness day
++*.............4..........................................................++++++
Community Development RESsTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall BlvdRr!'[IVED G
Tigard,OR 97223 PLRMI i ;<1 �g 63ds
Phone(503)639-417+1,
>X(503)684-7297 G 19% DATE ISSUED
TDD No. (503)68.4-2772
CITY OF TIGARD Inspection(50 1,63g41P,50EVEL0v, ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
/Y Y56- S.4/�� I/
Addr = RESIDENTIAL—Restricted Energy Fee . . . . . . . . 540.00
?�� y (FOR ALL SYSTEMS)
Cil State (Zip Check Type of WorkjnEA d:
PERMITS ARE NONTRANSFERABLE AND NON•REfUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
1b DAYS. Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
❑
ContractoPRINKS HOME SECURZHeating,Ventilation and Air Conditioning System*
y' ALARM ❑ Vacuum Systems'
S.W. CIRRUS DRIVE BEAVERTON 97008 El other
_.
Address 8059 ,
Date __. COMMERCIAL—Fee for each system . . . . . . . . 00
(SEE OAR 918-260-260)
Property Owner 4kLJC Check Type of Work Involved:
Contractor's Board Reg. No.—044421- - ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone#t _ (503) 641-0574 _ ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
_ ❑ HVAC
Print Owner's Nam, Phone No ❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip n Medical
This permit is Issued under OAR 918.320.370.This applicant agrees to male only ❑ Nurse Calls
restricted energy installations(100 volt amps or less)uncle,this permit and to do the ❑ Outdoor Landscape Lighting*
following.
1. Only use electrical licensed persons to do Installations where required.(Certain 11 Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other_ _
asterisks(•)•All others need licensing).
2. Call for an Inspection when all of the installations under this permit are ready
for Inspection at 503.6394175.
Number of Systems
3. Purchase separate permits for all Installations that are not ready for inspection
when the inspector Is out to Inspect under this permit. •No Ikenscts are required. Licenses are required for all odor installations.
4. Assume responsibility for assuring that all corrections required by the inspector -----------------are done,and
5. Assume responsibility for calling for a final inspection when all of the 5. FEES
corrections are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ 7
authorized to bind the applicant.
b. 5% Surcharge i.0.5 x total above) $_�_
Signature
TOTAL $ _
Authority i other than aplAcan
ENERGAPCHP
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
—Date Requested AM PM BLD
Location / 5 /;�� LQ.4'�y(�� �-� cll ; Suite MEC
Contact Person � �_ Ph (v ,F76�:� PLM
Contractor — Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall y ELR
Footing Access: -
Foundation FPS
Fig Drain
Ciawl Drain Inspection Notes: SGN
Slab SIT
Post& Beam --�--�
Fxt Sheath/Shear
Int Sheath/Shear ---- —T
I raming
Insulation
Drywall Nailing
Firewall ___ _
Fire Sprinkler
Fire Alarm
usp'd Ceiling
Roo
sc:
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 PAR1 FAIL.
ELECTRICAL - - -- - - - - - - - -
Service
Rough In ---- -
UG/Slab
Low Voltage ---- - --__ --
Fire.alarm — —— --- --- — _
Final
PASS PART FAIL
81TIE
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 2 0 �
Other Date _ Inspector 6_ _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
� CITY OF T I CSA R D BUILDING PERMIT
PERMIT#: BUP2000-00205
DEVELOPMENT SERVICES DATE ISSUED: 05/31/2000
13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111CC-06500
SITE ADDRESS: 15955 SW GREENS WAY
SUBDIVISION: SUMMERFIELD NO.2 ZONING: R-12
BLOCK: LOT: 092 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALLCONSTR_U_CTION _
CLASS OF WORK: OTR FIRST: -- sf N: S: _E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP. TOTAL AREA: 000 sf ROOF CONS'r: FIRE RET?
OCCUPANCY LOAD BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP, RATED:
BSMT?: MEZZ?: REQD SETBACKS_ REQUIRED
FLOOR LOAD: psf LEFT: �! ft RGHT: !—ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: U P
Remarks: Re-roof an existing 5-plex
Owner: Contractor:
RENEAU, CHARLOTTE J PACIFIC WEST CONSTRUCTION INC
15955 SW GREENS WAY PACIFIC WEST ROOFING
TIGARD, OR 97224 PO BOX 444
Phone: LVoOSV�W&&OVR 97034
Reg#: uc 54111
_ FEES— _ — REQUIRED INSPECTIONS
Type By Date Amount Receipt Final Inspection
PRMT GEO 05/31/2000 $110.00 0002567
5PCT GEO 05/31/2000 $8.8n 0002567 1 n 1
Total $118.80 0 �� �� { rc-` '
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not start9d within 180 days of issuance, ur if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246-1987.
Pennitee
Signature:
Issued By:
Call 639-415 by 7 p.m. for an inspection the next business day
C'TY OF TIGARD Plan Check#: _
13125 SW HALL BLVD Recd By:
TIGARD ^,R 97223 RE-ROOFING PERMIT APPLICATION Date Recd:
Date to PE: _
V- 503-639-417 X304 Date to DST:
F-503-598-1960 Permit
Incomplete or illegible applications will noti be accepted Called:
Name of Development/Business STEP 2. NEW ROOFING ASSEMBLY +
rw%r/1 CA/?,F r r L_VO Material Documentation UBC Appendix 15)
Street Address Ste# _ Please fill out apr licable section and attach copy of roofing
Job Site Ir'01 specifications._T
Bldg# City/Stara — Zip Listed Assemp�ly—LCircle 8 Complete A,B or CJ`
A
_ Name —' 1 Specification#: __.__
1
Applicant Mallin,Address 2 Manufacturer: _
P.6. 60,E ti y ti _
City/State I zip Phone "3a UL Classification.
WIX
Roofing Name Listed UL Building Materials Directory Page#.
Contractor e cr WF-S"1 WD1i:_- �_ (OR)
(Prior to issuance Mailing Arldress '3b Warnock Hersey
applicant must L-1 4L4 _
provide a copy of City/State Zip Listed Warnock Hersey Directory Page#
all contractor L AYe 9,1103`r "COPY OF ASSEMBLY REQUIRED
lir,enses if Phone# F #
expired in COT \03J_pj`10 1 2.7.9 F3. IUBU Research#.
database) State Constr Contr Board# I Exp.Date
59 111 1641H• DATED: --- —
BUILDING INFORMATION A, C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Building- i ype Of Use (circle one) (review required by plans examiner)
SF SFA COMF —� -------
Building- Type of Construction: VALUATION OF PROJECT $ _
5 PLQ-7 ylw6151J �'1QyCT-W-f- sq. ft of roof area
Existing Deck Type: Permit fee based on valuation`
Combustible ( ✓j Non-COmDustible ( ) _ V_ `see chart on back $
RESIDENTIAL,I'VONLYass of Work:Alteration City use only rWACO:
U REPAIR (MAJOR)(review required by plans ex:miner) (BUILD) (UBUILD)
Permit required ONLY when spaced sheathing is covered by
solid sheathing. Changes to roof line require Building Permit _8%_State Surcharge $
Application. City use only: WACO:
SUBMIT TWO(2) SETS OF PLANS SPECIFYING. (TAX)` (UTAX)
A. Roof area&nearest street. 'Required for major repairs of
ReFidential
B. Attic vents-Provide 1 sq,ft.for each 150 sq.ft. of attic or"C" above ` 65% Plan Review $ _
space. Vents shall be located in the upper 1/3 of the roof. City use only: WACO:
Provide 1 sq.ft.for each 300 sq.ft.when eave&attic (BUPPLN) �(UBUPLN)
venting is provided
_TOTAL $
STEP 1. COMMERCIAL ONLY I acknowledge that I have read this application and that the
Class of Work: Repair ; Information given is correct, that I am the owner or authorized
Describe work to be done: (check appropriate box) agent of the owner, and that the plans (if applicable) are in
Li RE-ROOF (circle A,B or C) compliance with Oregon State law
A. Existing built-up roof covering to be REMOVED and deck
repaired Signature of Owner/Agent Date
B. Existing built-up roof covering to REMAIN. note applicant
must submit an engineer's review of the roof structural
elements. Review shall bear the seal(or stamp)of the
architect or engineer licensed in Oregon Contact Person Name Telephone r�
C Asphalt or wood shingle/shake �p��l
(PROCEED TO S rEP 2) _ _
I:dsts\forms\roof.res.doc
x/26/99