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8918 SW GRAVENSTEIN LANE �R L 08918 SAN GRAVENSTEIN LN CITY ®F �I�ARD ELECTRICAL PERMIT PERMIT#: ELC2000-00240 DEVELOPMENT SERVICES DATE ISSLr f): 06/02/2000 13125 SW Hall Blvd.,Tr,drd, OR 97223 (503) 639-4171 pAR(:EL: 2S1 1DA-09100 SITE ADDRESS: 08916 SW GRAVENSTEIN LN SUBDIVISION: APPLEWOOD PARK NO. ZON!,IIG: R-7 BLOCK: LOT : 084 JURISDICTION: TIG Proiect Description: Install 2 branch circuity in single family dwelling. RESIDENTIAL_UNIT TEMP SRVC/FEEDERSMISCELL.ANEOUS 1000 SF OR LESS: 0 20„ amp: _ PL'iMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 am,): SIGN/OUT LINE LTG: LIMITED ENERGY- 401 - 600 arnp: SIGNALIPANEL: MANE HM/SVC/ FDR: 601+amps - 1u00 volts: MINOR LABEL (10): SERVICE/FUEDER BRANCH CIRCUII'S - --- —_.________ ADD'L INSPECTIONS 0 - 2.00 amp: W/SERVICE Ort FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SPVC OR FDR: 1 PEIR HOUR: 401 - 600 amp: EA ADD'L BRNC:H CIRC: 1 IA -I-ANT: 601 - 1000 amp: -ILAN REVIEW SECTION _ 1006+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: _ SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: MELINbA BROOKS NATIONAL ELECTRIC SERVICE INC 8918 SW GRAVENSTEIN 12031 SW WALDEN LANE TIGARD, OR 97224 BEAVERTON. OF: 97008-7041 Phone: Phone: 503-643-5926 n Reg #: ELE 34-5407 `�1 � I C LIC 143082 ``1 SUP 3801S FEES _ Required Inspection!,--- Type nspections _ __Type By Date Amo in: Receipt Elect'I Service PRM? ►.JP 06/02/2000 ;042.85 0002668 Elect'I Final 5PCT KJP 06/02/200( $3.43 0002668 Total $46,28 This Permit is issued subiec-t to the regulations contained in the Tkjard Municipal Code,Sate of OR Specialty Codes and all other applicable laws All work will be done ii;dcoordance 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 tt,follow rules adopted by the Orego Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OQ 952-001-0080 You may obtain copies o/these rules or ire questions to OUNC at(503) 246-1987, PERMITTFE'S SIGNATURE / ISSUED BY: _ OWNER INSTALLATION ONLY ThP ,I,stallation is being madeon property I owr which is not interaed for sale, lease, or rent. OWNER'S SIGNATURE: DATE;_ CONTRACTOR INSTALLATION ONLY J SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639-4175 by 7:00pm for an inspec' the next business day I CITY OF TIGARD Electrical Permit Application Plan Chea 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 Date Recd DowtoPE _ Phone(503)6399171, x304 Data to DST Inspection (503)639-4175 Print of Type Perr,it#GLC Lot:)Q -00 Ay p Fax(503) 598-1960 Incomplete or illegible will not be accepted Called 1. Job Address: _ (4. Complete Fee Schedule Below: Name of Development Number of Inspections per pormit allowed Name(or name of business) (V�-CT1ndv� r av ISS Service included: Items Cost Sunt Address q 91 //'� ✓6 h A 4a. Residential•per unit City/State/Zip r _ 1000 sq ft.or less ! $ 117.75 4 Each additional 500 sq ft or portion of t Commercial ❑ rResidential LimitedOf)Energy $ 6a Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 (Prior to permit issuance,aaplicants must provide contractor license 4b.Services or Feeders Information for COT data basal. Installation,alteration,or relocation Electrical Ci?'ara,icr V A t01 C r C r v r tt t ry c 200 amps or less $ 64.25 2 Addressi 20 3 1 S" u�r.( c. ^ n ► 201 amps to 1,00 amps $ 85.50 W 2 _ 401 amps to 600 amps _ $ 12850 _ 2 City tic Cy {�c 5'Rt@ U K r Zip O r�' 601 amp to 1000 amps $ 192.50 2 Phone No. S.0-� G-4-5 % _ Over 1000 amps or volts _ $ 383.75 2 Job No. _ Re:onnect only _ $ 53.50 2 EIPr cont. Lice. No.34 -5 1 1 J Exp.Date t V IG 1 OO ii 4c.Temporary Services or Feeders OR State CCB Reg. No ll�4, C'�h _Exp.Dat@ I Installation,alteration,or relocation COT Business Tax or Metro No. Exp.Date 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n 401 amps to Coo amps --- $ 100.00 _ 2 Over 600 strips to 1000 volts. see"b^above. License No. -39u�U t S _Exp Date ( I Phone No. _ 5�3 (vel 3 _� a 4d.Branch Circuits New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit - _ $ 5.35 2 Address b)The fee for branch circuits - - without purchase of service City ^State Zip _ _ - --. I or Feeder fee. -f Phone No First branch circuit _ _ $ 37 50 lj I 5 O Each additional branch circuit �j_ $ 5 35 },35 The installation is being made un property I own which is not 4e.Miscellaneous intended for sale, lease or rent. (Service or feeder nct included) Each pump or irrigation circle $ 42 75 Owner's Signature Foch sign or outline lighting $ 42 75 Signal circuits)or a limited energy :*uired j. Plan Review section if re panel,alteration extension $ 60 00 required):* Minor Labels(10) $ 10000 Please check appropriate itern and enter fee in section's. 4f.Each additional Inspection over 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Pqr Inspection _ _ $ 5C 00 p Per hour _ $ 5000 _ System over 600 volts nominal In Plant $ 59 Oc Classified area or structure containing special occupancy as described in N E.C.Chapter 5 Jr. Fees: P 5 5a.Etter total of above fees $ �r 0 * Submit 2 sets of plans with application where any of the above apply. 8%Surcharge 108 X total fees) $ - Not required for temporary construction services. Subtotal $ 5b.Enter 25%of Ili ip as for NOTICE Plan RevieH i;.re qL qg(Sec 31 PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ __ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account 0 `) AT ANY TIME Total balance Due WORK ORK IS COMMENCED $ _ _. _ _ I:\dst_s\forms\eICCIfiC doc rM V �'(�'� TIGARD ■rY OF A I GA R D _MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00183 13125 SW Hall Blvd.,Tigard, OF? 97223 (503) 639-4171 DATE ISSUED: 05/15/2000 PARCEL: 25111 DP.-09100 SITE ADDRESS: ;18918 SW GRAVINSTEIN LN SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7 13LOCK: LOT: 084 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 'I YPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APDL: 'DENT SYSTEMS: STORIES: BOILERS/COMPRESSORS_ HOODS: FUEL TYPES 0 3 HP: 1 LONIES. INCIN: ._M�___ 3 _ 15 HP: COMML. INC!N: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 50 HP: WOODSTOVE-': GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: _ GAS OUTLETS: > 10000 cfm: Remarks: Installation of air conditioning unit for single family dwelling. A/C units cannot be placed within the required setback areas Owner: FEES MFLINDA BROOKS Type By Date Amo,.int Receipt 8918 SW GRAZENSTFIN PRr)IT KJP 05/15/20( $50.00 0002158 TIGARD, OR 97224 5PCT KJP 05/15/20( $4.00 0002158 Phone:503-624-9039 Total $54.00 Contractor: DAVE F ITZPATRICK HEATING+ REFRIGTN 7615 SW CHESTNUT STREET TIGARD, OR 97223 REQUIRED INSPECTIONS Cooling Unt Insp Phone:245-3870 Final Inspection Reg#:LIC 0005335 ORIGINAL 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 dorle in accords ice with approved plans. This permit will expire if work is not started within 180 days 0 issuan(s, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to folio:: luies adopted in the Oragon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through O'ER 952-001-0080. You may obtain pis of these rules or direct questions to OUNC,7)�c ling (503)24('-gA9, _ Issue By: 2' ,-•. a t� Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections ne defi the next business day CITY OF TI BIRD Mechanical Permit A lication Plan Chea _ p� Rec'd By_ 13125 SW HILL BLVD. Commercial and Residential Date Rec'd TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 �� Date to DST Print or Type ' 'ermit# c7�o�0-0019-� Inclumplete or Illegible a plications will not be accepted Called_ Name of Levelopmeni/Pro act Description Table 1A Mechanical Code Qty Price Amt .lob Street AddrossSufteA A) Permit Fee 16.00 Address _, a ,+?� �y 1) Furna^e to 100,000 BTU Bldg City/Slate zip Includingducts&vents 9.65 1 2) Furnace 100,000 B1•tJ+ i (, Including ducts&vents 1 12.00 Name(or name of business) 3) Floor Furnace (Owner HL 1, r„�_ Including vent 9.65 Mai ig Address 4) Suspendc-d heater,wall heater �u� f N ` or floor mounted heater 9.65 5 Vent not included in appliance permit City/State zip Phone 4.75 c, Check all that apply: Boiler Heat Air I I 1- /7 14 `( �/ yC For Items 6-10,see or Pump Cond City Price Amt N (or name of business) footnotes 1,2 Com 6)Rep^lr units Oc( petit Melling Address 8.40 7)<3HP;absorb unit to _ 100K BTU 9.65 City/State Zip Phunn 8)3-15 HP;absorb unit _ 100k to 500k BTU _ 17.65 Contractor Name 9)15-30 HP;absorb c1 ff.// unit.5-1 roll BTU — 24.15 Prior to permit Mailing A dress 10)3050 HP;absorb ✓- (" unit 1-1.7b mil BTU 36.00 Issuance,a copy /_5 "S of all licenses City state zip Phone 11)>50HP;absorb unit>1.75 mil BTI) _ 60.15 arp required If A- C 1 l y y 41 12)Air handling unit to 10,000 CFM expired In COT O on Const Cont Board Lic# Exp Date database :{ 7.00 _ Architect Marne 13)Air handling unit 10,000 CFM+ 11.85 14)Non-portable evaporate cooler Or Malling Address 7,00 15)Vent fan connected to a single c'uct Engineer City/State Zlp Phone 4.75 16)Ventilation system not Included In appliance permit 7.00 Describe work to be done: 17)Hood served by mechanical Pxhaust _ 7.00 New O Repair O Replace with like kind: Yes O No O 18)Domestic Incinerators Residential fJ Commercial O Modification O 12.00 _ Additional information or description of work: 19)Commercial or industrial type Incinerator 48.25 _ 20) Other units,Including word staves NOTE: For Commercial projects only;Units over 400 lbs.,located on the _ 7.00 roof,require structural talcs.prepared by licensed engineer. 21)Gas piping one to four outlets 5 Type of fuel: oll O natural gas O LPG O electric O 3 22)More than 4-per outlet(each) .77 5 1 hereby acknowledge that I have read this application,that the Information Minimum Permit Fee=1"0.0., SUBTOTAL 750 . given Is correct,that I am the owner or authorized agent of 8% SURCHARGE the owner,that plans submitted are In compliance with Orsgon State laws. PLAN REVIEW 25%OF SUBTOTAL Required for ALL cor„ t: mlal permits only Slgnrltof Owner/Agent Date TOTAL a tact Person NamePhone Other Inspections and Fees � q C, , I` 1 Inspections outside of normal business tours(minimum charge-two hours) $50 00 per tour 2 Inspections for which no fee is specifically Indicated (minimum charga-half hour) Foonotes for commercial projects only: $50 ooperhour 1. Provide hell schematic of existing and proposed gas line and pressure. 3 Additional plan review required by changes,additions or revisions to plans(minirncm 2. Provide draMng�to scale showing existing and proposed mechanical charge-one-half hour)S50 00 per hour units. 'State Contractor Boiler Certification required —•-•--- "Residential A/C requires site plan allowing placement of unit I\mechperm.doc rev 11/1/99 CITY O F TIGARD CERTIFICATE OF OCCUPANCY PERMIT #: MST1999-00209 DEVELOP HENT SERVICES DATE ISSUED: 06/17/1999 13125 SW Hall Blvri., -Tigard, OR 9722.3 (503) 639-4171 PARCEL: 2S111DA-09100 ZONING: R-7 JURISDICTION: TIG SITE ADDRESS: 08918 SW GRAVENSTEIN LN SUBDIVISION: APPLEVWOOD PARK NO. 3 BLOCK: LUT:084 FILE COPY CLASS OF WORK: NEW TYPE OF USE: Sl- TYPE OF CONSTR: 5N OCCUPANCY GRP: P3 TENANT NAME: REMARKS: PATH I: New 2-story single family dwelling w/attachf.d garage. Final Building Inspection and Certificate of Occupar-,y Approved 10/13/99 by George Steele, Puilding Inspector Owner: MATRIX DEVELOPMENT 6900 SVV HAINES STREET PLAZA 2, SUITE 200 TIGARD, OR 97223 Phone: 620-80810 Contractor: LEGEND HOMES CORP 6900 SW HAINES ST PLAZA 2, SUITE 200 TIGARD, OR 97223 Phone: 620-8080 Reg#: LIC 0006U563 This Certificate grants occupancy of the above referenced building or f,ortion thereof and confirms that the building has been inspected for compliance v/ith; the State of Oregon Speciality Codes for the group, occupancy, and use nd�'r which the referenced perm,t \vas issued. 1 11''A,C cLC1.'1 BUfLDING IN�9PECTOR BUILD G OFFICIAL POST IN CONSPICUOUS PLACE i CITY OF TIGARD BUILDING INSPECTION n!VISION 24-Hour Inspection 'Line: 639-4176 Business Line: 639-4171 MST BLIP Date Requested____/ /r'S /f AM k PM �B -- - --- -- BI_D Location �'JiE+E-�j1d Suite - -_ MEC _ Contact Payson - / .? _ pry � 0-(l i3 3"7U -_ PLM Contractor Ph � SWR — UILl71NG .- Tenant/Owner -- ELC Retaining Wall Footing - - EI_R Foundation ACC@S5: ----- Ftg Drain FPS -------__ -._ Crawl Drain Inspection Notes: SGN Slab _ --._- -- ---- Post&Beam -- --- ----- ----- S17 Ext Sheath/Shear Int Sheath/Shear __._---__---.---- ...------.-- ---- Framing ---Insulation -_--- Drywall Nai!ng _ Firewall — Fire Sprinkler - Fire A ar n - -- Susp'd Ceiling Root ,---- _ -- in" -- ASS ART FAIL - _ tPLUMBING V I'ost R Beam Under Slab — - Top Out _._ ----- —_—. -- --- - - Water Service Sanitary Sewer ---- - -- ---- _ Rain Drains Final -------- — — — -. —__ PASS PART FAIL _ MECHANICAL ---------- Post& Bean ___--- Rough In ---- ----- --- ----__--_--------------- Gas Line _— Smoke Dampers -`-- - Final --- - _--.-- -- - - ___ PASS PART FAIL — — --'-- ELECTRICAL Service _ Rough In UG/Slab Low Voltage Fire Alarm Fined - - PE SS 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:_ [ J Unable to inspect-no access ADA Approach/Sidewalk Date /C� --/ Other _ Inspectnr Ext Final _ PASS PART FAIL BO NOT REMOVE this inspection record from the joo site. �„ OF-' TIGARD �� ������ MASTER PERMIT DEVELOPMENT SERVICES DATE IS PERMIT 99 00209 ED: 6/1%99 1;125 SW Hall Blvd , 'Tigard, OR 97223 (503) 639-4171 SITE ADDi.ESS: 08918 SW GRAVENSTEIN LN PARCEI • 2S111DA-09100 SUBDIVISION: APPLEWOOD PARK NO, 3 ZONING: R-7 BLOCK: LOT: 084 JURISDICTION: TIG REMARKS: PATI( I: New 2-story single family dwelling w/attached garage. BUILDING REISSUE: STORIES: _ FLOOR AREAS _ REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 977 of BASEMENT: of LEFT' 4 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.260 o1 GARAGtc 479 of FRONT: 23 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5 VALUE: $155,131 45 OCCUPANCY GRP: Ra BDRW 3 BATH: 3 TOTAL: of REAR: 22 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFt W PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN-10014: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: blu FLOOR FURNANCES: VENTS: WOODSTOVES GAS OUTLETS. t ELECTRICAL RESIDENTIAL UNIT SER`/ICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEuUS ADD'L INSPECTIONS 1000 Sr OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: 1 PUMPIIRRIGATIO& PER INSPECTION: EA ADD'L 500SF: 4 201 400 amp: 201 400 amp: lot W/O SVCIFDR: 00 SIGN/OUT LIN LI: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL SR CIR: SIGNAUPANEL: IN PLANT' MANU HM(SVCIFDR: 601 • 1000 amp: 601•ampo•1000v MINOR LABEL: 1000♦Imp/volt _ PLAN REVIEW SECTION Reconnect only: -4 RES UN.TS: SVCIFDR>•225 A.. >600 V NOMINAL: CLS AREA/SPC OCC. ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: i AUDIO 6 STEREO: FIRL-ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: x 0tH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION MEDICAL OTHR: HVAC: DATA7TELE COMM: NURSE CALLS: TOTAL a SYSTEMS: Owner: Contractor: TOTAL FEES: $ 4,933.70 LEGEND HOMES CORP This permit is subject to the regulations contained in the LEGEND HOME:' Tigard Municipal Code,State of OR Specialty Codes and 6900 SW HAINES S BEET 6900 SW HAINES ST all other applicable laws All work will be done in PLA7A 2,SUITE 200 PLAZA 2.SUITE 200 accordance with approved plans. This permit will expire If TIGARD,OR 97223 TIGARD,OR 97223 work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone: ORIGINAL Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules ate set Reg 0: LIC 00060563 forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion 844-8444 Post/Boam Mechanlca PLM/Underfloor Shear Wall Insp Rain drain Insp plumb Final Sewer Inspection Underfloor Insulation Plumb Top Out Low Voltage Water Line Insp Final inspection Footing Insp Crawl Drain/Backwater Electrical Service Gas Line Insp Appr/Sdwlk Insp Building Final Foundation Insp Footing/Foundation Drl Electrical Rough In Gas Firepla;e Electrical Final Post/Beam Structural Footing/Foundation Dr; Framing Inc!, Insulation Insp Mechanical Final Issued By : V lr Permittee Signature r Call (503) 639-4175 by 7:00 p.m, fo,an inspection needed the next business day CITYOF TIGArRD SEWER CONNECTIONPERMIT DEVELOPMENT SERVICES PERMIT#: SWR1999-00123 13125 SW Hall Blvd., Tigard. OR 97223 (503) G39-4171 DATE ISSUED: 6/17/99 SITE ADDRESS; 08918 SW GRAVENSTEIN LN PARCEL: 2S111DA-09100 SUBDIVISION: APPI_EV. )OD PARK NO. 3 ZONING: R-7 BLOCK: — LO r:_084 _ _ JURISDICTION: TIG TENANT NAME: LEGEND HOMES USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer permit for new single family dwelling. Owner: -- - ----FEES— --- LEGEND HOMES -- -- 6900 SW HAINES STREET Type By Date Amount Receipt PLAZA 2, SUITE 200 INSP BON 6/17/99 $35.00 99-316212 TIGARD, OR 97223 NRMT BON 6/17/99 Q2,300.00 99-316212 Phone: 620-80810 Total $2,335.00 Contractor: WOLCOTT PLUMBING CONT. INC PO BOX 2007 GRESHAM, OR 97030 Phone: 667-9891 Reg M LIC 00023847 PLM 26-208PB Required Inspectionr� Sewer Inspection n I This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited it the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer shall prosp-ct 3 feet in all directions from the distance given. It not so located, the installer shall purchase a"Tap and Side Sewc e' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are s..forth in OAR 952-001-0010 through OAR 952-001-0080. r ou may obtai copies of these rules or direct questions to OLINC by calling(503) 246-1987. Issued by: �/(.� Permittee Signatuxe Call (503) 639-4175 by 7:00 P.M. for an inspection needed the ne t*(Jsf fess day o.s CITY Or TIGARD Residential Building Permit Application Plan Check L_ Rec'd By� 13125 SPIV HALL BLVD. Nevi Construction Date Recd TIGARD, OR 97223 Single cami!y Attached Date to P E�--�— V 503-639-4171 Dale to DST r P 503-684-7297 Permit 0 ,11 Print or Type called Incomplete or illegible applications will not be accepted '3 Name of Project Name Job / ti ;1 Gh , Architect Madmg Address �/ Address Site,Apdress b C/00:� ,J/ce�,�v __- _._____ City/State a Zip Phone Nam Name f Owner tvllin ddress 2.,�I I �' rim ldrQss c' st to Zi Phone Erzginee GG �h � e - StaleZip Phone - general Nae _ :< �� 3 Cv.1i ` �J Contractor 'e � Describe work Nett/ Addition O Alteration O Repair O Mailing Adbress to be done: Prior to permit i Additional Description of Work, issuance,a copy City/State Zip Phone --- of all licenses are required if Oregon Const.Cont. Br.rd Exp.Date PROJECT /(C" expired in COT Lic u &-,056 �n // - VALUATION 1 _database 6) c , 5 6 - ----- - " Mechanical Name NEW CONSTRUCTION ONLY: Sub- Sq. Ft. House: Sq. Ft. garage ---� Contractor Maili A dre J-.; V) )C --- �� ,5 � 1�S— Indicate the restricted energy installation by the electrical Prior to permit t subcontractor in the following areas issuance,a copy G""'StAte Zip Phone of all licenses �.".� of `�.-741 1 Restricted Audio/Stereo are required if regort,Con�t.Cont Board Exp. Date Energy System Alarms -;R'expired in COT Uc p / Installations Vacuum Irrigation database ��� 5 f_ System System Plumbing , Name (check all that Other: Sub- af . 11 apply) — _ Contraci.ir 9 Number of Units in Building Unit Number Designation ail Address --- J Has the Subdivision Plat recorded? NIA Y S NO Prior to permit CSIre)ity/Sta e i jp1,� P 7 /,y!/ issuance, a copy , -0, /7 j / JT of all Iicenjes are Oregon Const.Cont.Board Exp Date required if Lic!! V- I hearby acknowledge that I have read this application,that the expired in COT �Z database Plumbing Lica Exp Date information given is correct,that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with Oregon State laws. Name Si lure of Own NA en Date g "41 Electrical �j0,/Is1'l � � C pct ers m �r a hon p Stih- Mailing Address , ' Contractor J, S nI - City/State Zip Phone i Poor to permit issuance a copy /v�Lf / Tod , /�"�� _ FOR OFFICE USE ONLY: of all licenses are Oregon Const Cont Board Exp Date Plat# -- MaplTl-# required if Lic K q r�� /D expired in COT _ yyc 1`/ v '/ f - — database EtectricslLic 7D r Ex Dateag Zone !1 1 L (/� Elect u1 Supervisor Lic.M Exp Date -- Fnginaering Approval Plannirg Approver TIF: i\dVsmformslsta-new do:1 tl�OAA FL_OT FLAN LOT #a4, APPL_EW001D PARK Rl ;?6 1 11 D,4 TAX LOT 0 � /oo 391E c-.jW GRAVENSTE IN LANE 5-E. 1/4 OF SECTION 11, T ?, :.i:U, 1U.M. CITY OF TIGARD W,45HlNr TON COUNT--T', OREGON LEGENLV HOMES 6000 9.II. HAINRS InGARD, ORXivON PLAZA 2. 3)iTR !00 27229'2614 n 3lRICR (60�) e20-e060 PAX (609) see-aeon N` SW GRAVEN50TEIN LANE i T- cu 61I7EW K N 8q'54'25" s mm' .r i• y ,hi. , u., 8' UTILITY" ; WATER METER EASEMENT 2035' • ►a ;03.1' Irrry. ZfL�33'.. ---------- --------------- - -- WWATER LINE �S— -- SANITARY SEWER �� '' 2035' 5D— - - -- STORM DRAIN v 703 b' r`.. � -_---—------ d OF SIRE E"r A � + 5' MANHOLE '�LOT 04 ® CATCH E3ASi'4 ��/ 4,216 SQ. FT. _ PROP03E:D ; 144ARGOURr 1115� B RQ STREET T, EE5 FIN. FLR. = 223.60 a� D S 1 REET LIGHT GARAGE FLR - 2049' `r =1l4E HYDRANT Z04B' 2®4B' l- LOT 83 PROVIDE EPOSION \ r_GNTROL FENCE �...... PER COM-U a l'rY �© EROSION PLAN 9 89'5.425" W 2040LOT •73 6 z mm' LOT i4 CITYOF A •' MECHANICAL PERMIT � DEVELOPMENT SERVICES PERMIT#: MEC2000-00183 13125 SW Hall Blvd., Tigard. OR 97223 (403) 639-4171 DATE ISSUED: 5/15/00 PARCEL: 25111 DA-09100 SITE ADDRESS: 08918 SW GRAVENS- "N L.N SJBDIVISION: APPLEWOOD PARK hw 3 ZONING: R-7 BLOCK: LOT: 084 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: i EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYI;i EMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES - ��- –AFf T DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: RTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOOOSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS FURN >=100K RTU: OTHER UNITS: > GAS OUTLETS: 10000 cfm: Remarks: Installation of air conditioning unit for single family dwelling. A/C units cannot be placed within the required setback areas Owner: FEES EL.INDA BROOKS Type By Date Amount Receipt 918 SW GRAZENSTEIN IGARD, OR 9722.4 PRMT KJP 5115/00 $50 00 0002158 5PCT KJP 5/15/00 $4 00 0002159 Phone:503-624-9039 v Total $54.00 Contractor: AVE FITZPATRICK HEATING+ REFRIGTN 615 SW CHESTNUT STREET IGARD, OR 97223 REQUIRED INSPECTIONS Cooling Unt Insp Phone:245-3870 Final Inspection Reg #:LIC 00052335 41 FXPWED This permit is issued Subject to the regulations contained in the Tigard Municipal Code, State of Ore Specialty Codes ' and all other applicahle 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 word; 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 qAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (50;1)246-9189 .%..* Issue By: Permittee Signature: Call(503)639-4175 by 7:00 P.M. for inspections needed the next business day �,y BUP - Building Permit EIX - Electrical Permit _ Inspection ion Description Date Passed B Itnspection Description Date Passed B Footing/Setback Un&r round cover Foundation walls _ _ _ Wall cover _ Footing drain _ Ceilin cover Waterproof bsmt walls Electrical rough-in Slab Electrical service Crawl drain _ Electrical final Underfloor insulation Post/beam structural Shear walls/anchors ELR -_Restricted Ener P� ermit — Roof nai!ing—_ Inspection Descri .Ion Date Passed B Firewall _u Low voltage Tilt-up , :el Electrical final Masonry/Reinforcement Framing MFG-Structure set-up _ MEC - Mechanical Permit Insulation Drywall nail ng _ ti Inspection Description Date Passed By Post/beam n ianic Sus ended ceiling Gas fine ` En ineered soils Mechani rou iM Welding Lab Final — I fire dayhper Concrete Lab Final _ Duct w k BoltingLab Final Smoke det W Fireproofing Lab Final Mechanical fink] Structural observation Final inspection — T PLM - Plumbing,Permit I BUP - Fire Protection S stem Permit --� ns ection Description Date Passed B Plumbing underslab Inspection Description Date Passed R. Crawl drain Sprinkler underfloor/slab _ _ Post/beam plumbing S rinkk rough-in _ _ _Plumbing top-out _ S rinkler final - RP/backflow preventer _ Fire alarm final Rain drain Storm drain Water service _ SIT - Site Permit Sanitary sewer Inspectionn Description Date Passed B ---, Culvert/catch basin Footings _ Pum /fill septic tank_ Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor/slab _ Catch basin/Manbole SWR - Sewer Permit _ sneered soils �4 Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final iris pectionFinal inspc,i it ni iNtii'r,CTION RECORD - BUP, PLM, SWR, EIC, E'LR, MEC, SIT PERMITS CITYOF TIGARD _ ELEC-IRICALPFRMIT PERMIT#: EL C2000-00290 DEVELOPMENT SERVICES DATE ISSUED: 6/2/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639.4171 PARCEL: 2S111DA-09100 SITE ADDRESS: 08918 SW GRAVENSTEIN LN SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT • 084 JURISDICTION: TIG Project Description: Install 2 branch circuits in single family dwelling. -- RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS Tom — 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANFL: 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: — 201 - 400 amp: 1st W/U SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amplvolt: —>_ --. > 600 VOLT NDNMqWL—'---- -Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: MELINDA BROOKS NATIONAL ELECTRIC SERVICE INC 8918 SW GRAVENSTEIN 12031 SW WALDEN LANE TIGARD, OR 97224 BEAVERTON, OR 97008-7041 Phone: Phi rne: 5'j-643-5926 Reg #: ELE 34-540C LIC 143082 SUP 38015 FEES _ Required Int {sections Type By Date Amount Receipt ---- -- Elert'I Service PP."vi I KJP 6/2/00 $42.85 0002668 Elect'I Final 5PCT KJF 6/2/00 $3 43 0002668 -- I otal $4628 1 L _ 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 �. wnrk will be done in accordance with approved plans 1 his rerrnit will expire if work is not started within 180 days of issuance or rf work is suspended for more than 180 days ATTENT ION Oregon law requires you to follow rules adopted by the Oregon Utility Notificwtior.Center Those rules are set forth in OAR 952-001-00%through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503)246-1987 PERMITTEE'S SIGNATURE ISSUED BY O _ OWNER INSTALLATION ONLY _ -- I lie installation is being rnade 67I5—roperty I own which Is not intended for sale lease, or rent , OiNNER'3 SIGNATURE: -�--- --- --- — ---.__-,_- -- DATE:__ CONTRACTOR INSTALLATION ONLY w SIGNATURE OF SUPR. EI_EC'N: DATE: LICENSE NO: _— ------ -- ---- ---- ------- -_--- -- --------- --- Call 6394175 by 7:00pm for an inspection the next business aay BTJP - Building Permit ELC - Electrical Permit__ _ Inspection Description Date Passed By Inspection Description Date Passed B Footing/Setback - Underground cover _ Foundation walls ____ Wall covet Footing drain _ Ceiling r.ver _ Waterproof bsmt walls _ Electrizal rough-in Slab _- Electrical service Crawl drain Electrical final _ Underfloor insulation -Post/beam structural structural Shear walis/anchors — ELR Restricted Energy Permit Roof nailing _ Ins ection Description Date Passed B Firewall Low voltage Tilt-up panel — Electrical final Mason /Reinforcement _ Framing - MFG-Structure set-up MEC - Mechanical Permit Insulation inspection Description Date Passed B Drywall nailing Suspended ceiling Post/beam mechanical Gas line Engineered soils � Welding Lab Final Mechanical rough-in Concrete Lab Final _ Fire damper Duct work BoltingLab Final Smoke detector Fire rootin Lab Final _ Mechanical final Structural observation -_ Final inspection - --— -- PLM - Plumbing Permit _ Inspection Description Date Passed By BUP - Fire Protection System Permit Plumbingundrrslab -Inspection Description Date Passed B --- ---- - -- --- - Crawl drain Sprinkler underfloor/slab _^ — Post/beam plumbing Sprinkler rough-in Plumbing top-out Sprinkler final RP/backflow preventer Fire alarm final- Rain drain ---- Storm drain _ Water service. SIT - Site Permit _ Sanitary se -(.r Inspection Description Date Passed_ By Culvert/catch basin Footings Pum!/f;il septic tank Foundation walls Plombing fnal Sprinkler supply lines Sprinkler underfloor/slab - Catch basin/Manhole SWR ­ Sewer Permit Engineered soils Inspection Description - Date Passed B En jnrr,;irtna, cceptance Sanity sewer_ Final ins r_ction F,%al inspection _ INSPECTION RFcORD - BUP, PLM, SWR, ELC, ELR, MPC, SIT PERMITS