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9002 SW GREENING LANE n�} N A. D 7Q r m i (" I !, ,� CITY OF TIGARD BUILDING INSPECTION DIVISION !' Cd-Hour Inspection Line: 639-4175 Business Line: 629-41MST71 -- BLIP Date Requested_ l` z `f AM 1!''—PM BLp Location �� Z- `✓ f' i rl L`1 - _ Suite _�--- MEC - - Contact Person ,-� i Ph PLM Contractor _ Ph SWR BUILDING tenant/Owner ELC Retaining Wall ELR Footing ----- ------ Foundation Access: FPS Ftg Drain _1SGN - ---- Crawl b Drain InsPe ton Notes ----- ----- --- J -�' fT�d SIT Dost 1� Beam -- - - ---- Fxt Sheath/Shear Int Sheath/Shear Framing Insulation ------._�.------ Drywall Nailing -- Firewall Fire Sprinkler _-__ --- _� Fire Alarm -- Susp'd Ceiling _- __� L -_.._ Q •�w--S -_------_T---- - Roof Mise�_ ---------- -- Final PASS PART PART FAIL ---- -- ---- -- -- -. -- --— PLUMBING - Post& Beam Under Slab Top Out Water Service Sanitary Sewer - --- - - --- --------- Rain Drains Final -- -- ----- -- PASS FART FAIL MECHP NICAL ----�---- _.. Post & Beam - -- - -- - --- -- ----_ ._—`____�r---- - ----- - - Rough M GasLine --- _.---__�_...------ - ----- -- ------ --- --- -- ----- Smoke Dampers Final ----- --- PASS--PART -. --- PAS T FA:L Service Rough In - ------- ----- UG/Scab _ Low Voltage — 4Alarm ASS�`)PART FAIL - Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required beforen t inspect- n. P t City Hall, 13125'SW Hall Blvd Catch Basin i ll f Please call reinspection RE: Fire Supptv Line Pl ( ] p _ ] Unable to inspect-no access ADA J� Appr,)ach/Sidewalk < /2 Other Date _---_( �/_ �_Inspector__�_- _1 _r- Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY Or TIGARD BUILDING INSPECTION DIVISION MSl. Zee,,_� � Y�� 24-1-Iour Inspection line: 639-4175 Business Line: 639-41; — ------ BUP Date Requested � _ —_AM^y PM BLD --- Location Suite MEC r ---- Contact Person Ph PLM Contractor Ph —— SWR BUILDING TenanirOWner ELC Retaining Wall _---- _ --_-----'- ---_-----�-~— El_R Footing ---- ------ ---- Foundation Ac ass: FPS Ftg Drain 3GN Crawl Drain Inspection Notes ---— -- Slab SIT _ -----_----------- .__.__..-_..---------- Post&Beam ---_--.-—--- --_�_- --- Ext Sheath/Shear Int Sheath/Shear �-'--'- --- Framing Insulation Drywall Nallhig Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mise -----..--__--_-.- Final - - --------------------- ART FAIT_ -- - ._.-— ------ ----- --- L.UM ftst8 Beam -- - ---- - -- - --__------------- .._..------ - -- Under Slab TopOut ------ -------- ----- -- -----.--- -- --------------------._-_-------�---- - -- Water Service Sanitary Sewer - ains Fin, ART FAIL VEMANICAL. Post&Beam - -- ---- ------- ----------- -- Rough In GasLine m- _. --- ------- - ---- ----.--- ----- --- Smoke Dampers Final - -- PASS PART FAIL ELECTRICAL - - Service Rough In -_- -- --- UG/Slab Low Voltage Fire AIArm Final PASS PART FAIL- ---___ ------_ _ --_-- _- SITE ----- - Backf•IUGradmg -- --- Sanitary Sewer Storm Drain I I Reinspection fee of$ _._required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE: Fire Supply Line p -_-- _.-.- ( )Unable to inspect no access ADA Approach/Sidewalk Other Date Z InspectorExt T Final - _ PASS PART FAIL DO NOT REMOVE this inspection record from he job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour InspectiL Line: 639-4175 Business Lint:: 639-4171 - — BUP Date Requested �-` ^AM_y� PM _ BLD Location V�_U Z- M5 L ',� Suite _ MEC Contact Person Ph G 3370 PLM Contractor Ph SWR BUIL UIN Tenant/Owner ELC Retaining Wall — - ELR _ Footing Access: Founda!ion FPS _- Ftg Dra.- SGN Crawl Drain Inspection Note; — Slab SIT Post&f sam _ Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- Roof Misc: - - ... -- ----- --- - ------- F fr- RK PART FAIL - . -- - ---- --- - - -..-- -- --- - PLUMBING Post& Beam _---____-- -- __- Under Slab TopOut ------- _ --- --._ ---------------- .- - Water Service Sanitary Sewer Rain Drains Final -- PASS PART FAIL _ MECHANICAL Pust& 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 [ ] Please call for reinspection RE: ]Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Date - l- C/ _Inspector _ Ext Other - -- - LC Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 1 � '.� � n � � � �.H �.�y ` � � � ~� 0 a. � � � .. a `� � � �. � H Q � � �I :.r � ry p � r � 1 w a � ., a �0 � ti ' �. -� _ ► � o � � R �' p �. c �� � � � �� n �� � � '� �. � � ,r.,, o � o c ro n � y � a °� � v n � Q y � m `� r O o '` �' ° '�S� 'J � � �� Re J S �� O >� \ l ,+ a' x q� I I CITYOF TIGARD _ MASTER PERMIT PERMIT#: MST2000-00430 DEVELOPMENT SERVICES DATE ISSUED: 9/21/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 09002 SW GREENING LN PARCEL: 2S111 DA-13400 SUBDIVISION: APPLEWOOD PARK NO, 3 ZONING: R-7 BLOCK: LOT: 127 JURISDICTION: TIG REMARKS: Construction of new single family residence. Path 1 BUILDING REISSUE: STORIES: FLOOR AREAS _REQUIRED SETBACKS REQUIRED CLASS OF WORK: Nf-W HEIGHT FIRST: 1.121 sl BASE6'L;:T: sf LEFT 11 SMOKE DETECTORS: Y TYPE OF USE: SF FLUOR LOAD: 40 SECOND: 1,294 ct GARAGE: 480 sl FRONT: 21 PARKING SPACES-. TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: sl RIGHT: 11 VALUE: $180,934 21 OCCUPANCY GRP: R) BDRM: 3 BATH I TOTAL: 2.421.00 at REAR: '•, PLJMBING SINKS: WATER CLOSETS: 'i WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: fl,o TRAPS. LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINP: SEWER LINES: too SF RAIN DRAINS: I CATCH BASINS TUB/SHOWERS l GARBAGE DISP. 1 'NATER HEATERS: I WATER LINES. 100 BCKFLW PHEVNTR. I GREASE TRAPS.. OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<10OK: BOIUCMP<3HP. VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN—1100K: 1 /NIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: blu FLOOR FURN,.NCESVENTS: I WOODSTOVES: GAS OUTLETS: I ELECTRICAL. _ RESIDENTIAL UNIT SERVICE FEEDEn TEMP SRVCIFEEDERS BRANCP CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS. 1 0 - 200 amp: 0 - 200 am[): WISV„OR FDR: I PUMPIIRRIGATION: PER INSPECTION EA ADD'L 5DOSF: 4 201 400 amp: 201 400 amp 1st WIJ SVCIFDR: 00 SIGN;OUT LIN Ll': PER HOUR: LIMITED ENERGY: 401 - 600 amp 401 - 600 amp: EA ADDL BR LIW SIGNAI..'PANEL. IN PLANT - MANU HM;SVCIFDR: 601 - 1)00 amp: 601•amps•1000" MINOR LABEL 1000. ImplVoll PLAN REVIEW SECTION Recnnnocl only: "- -4 RES UNITS. SVCIFDRI-225 A. >600 V NOMINAL. CLS AREA!SPC OCC ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO 8 STEREO FIRE ALARM. INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM. OTH. BOILER. HVAC: LANDSCAPEIIRRIG. PROTE JIVE SIGNI. GARAGE OPENER: CLOCK: INSTRUMENTATION: MEOiCAL: OTHR: HVAC: DATA/TELE COMM. NURSE.CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 4,123.72 MATRIX DEVELOPMENT CORP LEGEND HOMES CORP This permit Is subject to the regulations contained in the Tigard Municipal Code.State of OR Specially Codes and 6900 SW HAINES ST STE 200 11130 SW BARBUR BLVD all other applicable laws All work will be oone in TIGARD, OR 97224 PORTLAND, OR 97219 accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone: Phorle: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Rego: I IC non6o5e_1 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 Control Insp 8, Post/Beam Mechanica MP,chanical Insp Framing Insp Rain drain Insp Plumb Final Sewer Inspection Underfloor insulation Mechanical Insp Exterior Sheathing lnsl Water Line Insp Final Inspection Footing Insp Crawl DrainiBackwater Plumb Top Out Low Voltage ApprlSdwlk Insp Building Final Foundation Insp Footing/Foundation Dn Electrical Service Gas Line Insp Electrical Final Post/Beam Structural PLMIUnderfloor Electrical Rough In Insulation Insp Mechanical Final Issued Ely : o Permittee Signatut47��� ` — — Call (503) 639-4175 by 7:00 p.m.for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00285 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/21/00 SITE ADDRESS; 09002 SW GREENING LN PARCEL: 2S111DA-13400 SUBDIVISION: APPLEWOOD PARK 110. 3 ZONING: R-7 BLOCK: LOT: 12.7 JURISDICTION: TIG TENANT NAME: 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 connection permit for new single family construction. Owner: `— -`-- _ FEES MATRIX DEVELOPM_NT CORP Type By Date Amount Receipt 6900 SW HAINES ST STE 200 TIGARD, OR 972.24 PRMT CTR 9/21/00 $2,300.00 27200000000 INSP CTR 9/21/00 $35.00 272000000OO Phone: i Total $2,335.00 Contractor, Phone: Reg #: Required Inspections Sewer Inspection 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 if 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&1 3 feet in all directions from the distance given If not so located. the installer shall purchase a"Tap and Side Sewer' 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 set forth ir,OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. I A/ Issued by' Permittee Signaturb,; Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Ci-i Y OF TIGARD Residential Building Permit Applic, .ion Plan Check is 13125 SW HALL BLVD. New Construction Recd TIGARD, OR 97223 Siz le Family Attached Date Recd Date to P.E. 9 G e-a V 503-639-4171 Date to DST � O- F 503-684-7297 Parrnit# h!771 tx-GYM Print or Type Called Incomplete or illegible applications will not be accepted C Name of Project Name Job L1 / ��= -�' � Address si AddrC Architect Marling Ad trice y .� City/State x_ip Phone Nam ��� Name Owner Mziilin ddress Engineer Ma jin'q A drgss Cjty State Zip Phony � s_7�, � _. .-- -- --- Cit /State Zip Phone General Na7"e--% i� `� 3 &-mi! Contractor L f J—(�� � Describe work New9,/ Addition O Alteration O Repair O Mailing Adfiress to be done Prior to permit _ Additional Description of Work: issuance, a copy City/State Zip Phone Of 311 licenses are required if Oregon Const.Cont. Board Lxp. Date PROJECT expired in COT Lic.# 7r / n�- / + VALUATION $ _database C ) CC7c-�,b --- MechaniCal Name NEW CONSTRUCTION ONLY: _ Sub- Sq Ft. House: Sq Ft. Garage r Cr Contractor Mani; A d g C— _l`�L— — —_ a - ��r��_.) Prior to permit ( � S C /L/ 5 '� Indicate the restricted energy installation by the electrical issuance a co subcontractor in the follow' areas copy C" Slate Zip Phone of all licenses ��f l�,�� - —�) Restricted Audio/Stereo are required if regon on t.Cont. Board Exp Date Energy System _ Alarms expired in COT Lic.# / dr Installations Vacuum Irrigation databaseS_ 1 stem _____ System F'lumbing Name (check all that Other. I Sub- 114 apply'' ////� 11 apps ) _ Contractor a�lpg Address Number of Units in Building Unit Number Designation ✓/�� � Has the Subdivision Plat recorded? N/A Y S NO Prior to permit City/Sta e / Z' h Phonw� ssuance a copy p i) of all licenses are J�Yregon Const Cont. Board Exp. Date required if Lic# , — expired m COT ,Z7 l'/e ' I I hearby acknowledge that I have read this application, that the database Plumbing Lic # Exp Date information given is correct, that I am the owner or alithorized agent of the owner, and that plans submitted are in compliance with Oregon State laws _ Name Sig tore of Own r/Agen Date Electrical (DcT//j,1� F/�� _1, _ C ct Pers e hon p Sub- Mailing Address 0 �-- Contractor J S-��J11/' , ttc� —' C ty/State Zip Phone c7 Prior to permit /�le /`4 ?dO issuance, a copy _/-1/ {1 J FOR OFFICE USE ONLY: of all licenses are Oregon Const Cont Board Exp. Date —----- required if Lic NPlat#: MaplTta#: expired in COT II t�-/I")// -' ?I .gni .1/ database Electrical L� /M ��f_ Ex�Date r- Setbacks: Z JE`iec_lncal Supervisor Lic.0 Exp.Date Engineering Approval. Planning Approval TIF; i tdststforms\sfa•new doc 1120.58 FLOT PLAN LOT #121, APPLE WOOD PARK R-iPD 251 11 DA TAX LOT *13400 , 9002 5W GRE ENleiG LANE S.E. 1/4 OF 5ECTION 11, 7.2, RAU, W.M. CITY OF TIGARD WA5P INGTON COUNTY, OREGON WATER METER W-------- .UATER LIKE 5S-——•- 5ANITARY 5EWE SU- - - — STORM DRAIN LEGEND � ______-- Q OF 5TREET � MANHOLE IHOMES 6M rra loo ® CATCH BASIN orme'l(606)600-OW naw,OL wma ru )ew)e6n-n000 cce�eeeaa PROPOSED S'-REET TREES J !'FEET L'G14T FIRE H'rDRANT I L- -- -�- — -- — - ------ ---- - 1 5D - - --- - - - - _-• - - 5D 5W GREE ING L,4NE I E ,CURB I , T EWALK 1d Cl I I I 8' UTILITY EA5EMEN' I L204g' 205.0' l 50,2) //5,305 SQ. T PROVIDE EROSION CONTROL FENCE PER COMMUNITY" I I I FIN. FLR. = 206.0', ERU9I0N FLAN Z N 5.0' Y , _ IZQ-_ I I n \204.4' I I � _ 12038' -BID - - I I S 89' 52' 001. W 204.2' X0.00, j CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GARNER ELECTRIC 21785 SW TUALATIN VALLEY HWY S ALOHA, OR 97006-1248 Electrica: Signature Foran Permit #: MST2000-00430 Date Issued: 9/21100 Parcel: 2S111 DA-1:3400 Site Address: 09002 SW GREENING LN Subdivision: APPLEWOOD PARK NO. 3 Block: Lot: 127 Jurisdiction: TIG Zoning: R-7 Remarks: Construction of new singE., family residence. Path 1 Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate i idividual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: MATRIX DEVELOPMENT CORP GARNER ELECTRIC 6900 SW HAINES ST STE 200 21785 SW TUALATIN VALLEY HWY S TIGARD, OR 97224 ALOHA, OR 97006-1248 Phone #: Phone #: 591-1320 Req #. �Ic 121159 SUP 3707S EI_E 34.305C AN INK SIGNATURE. IS REQUIRED ON TI!iS FORJl X SignAre of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CI'T'Y OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2003-00356 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/30/03 PARCEL: 25111 DA-13400 SITE ADDRESS: U9002 SW GREENING LN SU3DIVISION: APPLEWOOD PARK NO 3 ZONING: R-7 BLOCK: LOT: 1 '7 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APDL: VENT SYSTEMS: STORIES: _BOILERSICOIl1PRESSOR$ HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: 11_E 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - .30 HP REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOOD GAS PRESSURE: 50 + HP: DRYERS: FURN < 100K BTU: AIR HANDLING UNITS CLU DRRYERS: — ---- OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: I null residential A( mm Owner: ^� FEES ATKIN, ROBERT Description Date Amount 9002 SW GREENING SII ( III Pernul I re 6/30/03 $72.50 TIGARD, OR 97224 �".„ 6130/03 $5.80 Phone: 503-620-0707 Total $78.30 �- Contractor: A-TEMP HEATING & COOLING 16000 SE EVELYN ST CLACKAMAS. OR 97015 REQUIRED INSPECTIONS Phone: X03-650-9602 Coiling Unt Insp Final Inspection Reg#: UC 71878 1 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 dav- 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 thro(.t,h OAR 952-001-0100 You may obtain copies of These rules or direct questions to OUNIS by calling (503)246-6699. tissued By: �, Cl �c ( Permittee Signature: Call (503) 639-4175 by 7:00 P.M. fur inspections needed the next business day JUN-28-2003 08:54 A TEMP HEATING 5035572990 P.02.'03 F.Mechanical Permit Application Rccelved , Mechanical �. 01!lelkly _ -- Permit No.:, - Planning Approval Building CityCiy of Tigard Da1c Permit N o: 13115 SW►iall Blvd. RErENEC Plan Review Usher -- Tigard, Oregon 97223 patdBr ParmilNo.: Phone S03-639-4171 tax: SQf598 19e`,0,, Post-Review (end Usepat�yy, Case Nu.: Inlernrl. www ci.tlgard.or.us Contact Juris,: See Page 2 for M-liou! Inspection Request. 503 639 [IOAI Nznfc/McthoJ _ w_ 15-upplementil Information. iii l.i!!N1-� DIVISi TYPE OF WORK COMMERCIALEE"',SCHEDULE-USE CBECKIJST -- ew construction __ f Demolition Mechanical permit rets'are based on the total value of the work -- - - performed, Indicate the value(rounded to the nearest dollar)of all Addillon/alteration/re lacement Other: !,�,,. -�p -- - mechanical materials,equipment,labor,overhead and profit. ,�"-' ,!VATECORY f NC_ONSTRUC7lON �Rc 7-Famil dwellin Commercial/Industrial t-'a1t:e; s See Page 2 for Fee Schedule --ly d g co — RESI ENTIAL''gC�MFNT/SYSiEMS'FEft-SCHEIIULE Accessory Building Mull" amily '� -_ Descripllon Fee ea. _Total Master Builder Other: _ [featln - 81 „LOB SITE IN_FORIv1ATION and LOCATJQIN Furnace-add-on air conditioning .. Job site address: Gas heat pump 14.00 Suite�': Bld ./A 5: Duct work s _ 14.tl0 - - NYdronic hot wafer system 14.00 Proiecf Name: _ Residential boiler -4 Cross streetll)irectinns to 177 site: for radiator or hydranic s Lath 14.00 Unit hCatl-rs(Fuel,not electric) m wa11�,n ducts suspended,etc)__- 14.00 - Ftue/ven, for to of above 10.00 _ --,� — - --- Repair units 12 15 Subdivision: Lat# _. -- — - Other Fuel Applianca —4 Tax map/parcel#: _ _ -_ Water heater 10.00 r "+'D_ES_CRIPTIONF WORK Gas fi�lacc 10.00 _� -_... _ Flue vent(water heater�as fireplace) _10.00 - - Log li htcr a 10.00 __ _- -- --- - Wood/Pellet stove _ 10.00 Wood fireplacelinsert _1000 _ - Chitnne /liy net/fludvent w10.00 `*— — Other _IO,UU - E'1tOP TY� T NANT -- -- -- _Environmental Exhaust A Ventilation Name. Range hood/other kitchen equipment 10.00 Addr6SS: �a SW V�F+�/tl r Clothes dtyerexhaust T CtState/Zi : 1l2 t� °1' __ �i�Rl�d��t exhaust Phone: © Vax: (bathroom,toilet compartments, PPt,� ONTACT PER50N utility rooms -- -- 6.60 N9.me: � ____ Attic/crawl apace fans �. 10.00 _ - -- — — Other. 10.00 Address: _-...__ Fu#I P!nla� _ ( Its'/StdtP/7 - ••(S.5.40 for first 1,SLG_0 fsch addlslonal^ � _ --. .• Phone: Fax: Furnace etc. �. __ ----- _� Gas heattPaT.P__ __ '• E-mail Wall/suspended/unit heater •' CU�NTRACI'OR _ Water heater •' ----- HusintSS Na[11eIGit� 1 _ �—� Fireplace as Address:lS� �.csw Aa ---- — •: - Clt /CtatC/�1 _�_ Clothes dr etas " _, _ L✓3X: p Othcc " Phone: Sp O7- — CCB LAc. #' --- - Methanttitl Pernrlt Fees• Authorrie _ - t0 Subtotal, S $talUtC - - - - — U � � Minimum Perrntt - V \ V 1 Y Plan Review Fee(2j%of Permit Fee) S (Please print nar+x; State Su_r_char a 8•/.of Permit Fre S TOTAL PIM11T FEB S t Notice. This perm!t application etplrts If a permit is not nbislnrd wllhln •FK methodology set by Tri-Catimy Building Industry Service Board, lAtldaya after It has been accepted as complete. •'Site plan required f--exterior A/r'units. i\rrsts,%pennil Ftxim\MecPcrmitApp.doc Olf0l JI_If1-20-2007 OR:54 A TEMP HEATING, 5035572990 P.03/03 A-Temp Heating and Cool* n Site Plan v Prepared hy:_/�tlilen as</ a_ (���lu: �,� oo _ ' Customer Name» _ ma k Q Addres s;�� Cuslonier pI1or10--C) 70 J 1 aroma Q- I'tnlu•rty lic�nn�ls►ry Linc fi —<7r e- - CITY OF TIGARD — ELECTRICAL PERMIT PERMIT#: ELi;2003-00437 DEVELOPMENT SERVICES DATE ISSUED: 7/17/03 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111 DA-13400 SITE ADDRESS: 09002 SW GREENING LN ZONING: R-7 SUBDIVISION: APPLEWOOD PARK NO. 3 BLOCK: LOT: 127 JURISDICTIO14: TIG Project Description: Exterior A/C unit RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: _ EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FOR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 anlp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FOR: 1 PER HOER: 401 - 600 amp: EA ADD'L :3RNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ a;*."Glt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREAISPEC OCC: Owner: Contractor: A.TKIN, ROBERT EVERGREEN ELECTRICAL CONTRACIO 41002 SW GREENING 23861 SE 442ND JIGARD OR 97224 SANDY,OR 37055 Phone: 503••620-0707 Phone: 503-668-4608 Reg#: LIC 130311 -- ----- ELE 3-472C _ FEE'S _ sup 45815 Description Dade Arrow# Required Inspection I IIRN1'l J LLL 1'ennt " I'ui $46.8` I \\)"I.State Tax 7 17 u3 $3.75 I tiect'i Final Total $50.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specia ty Codes and all other applicable laws. All work will be done in accordance witin approved plans Tinis permit will expire it work is riot started within 180 days of issuance,or 6 work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rubs are set forth in OAR 0,52.001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503)246.6639 or 1-800-332-2344 Issued By: i 1 _ Permit Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sa e, lease, or reit OWNER'S SIGNATURE: DATE:_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: — ___ _ DATE: LICENSE NO: -- C311 639-4175 by 1:00pm for an inspection the next business day 04/23/2002 15: 21 FAX n,035981960 CITY OF TIGARD 10 00: Electrical Permit Application `r tialoroceived: Permit na o -m City of Tigard ( r�"` 1i �� N-oject/appl.no ——i� Expiredatc: Caryu/Tigard Addicss. 13125 SW HMI h1va.,tigard,OR 97223 dace issued__ ©y: — — Receipt no: Phone. (503) 639-417? Pax: (503) 8.196Q Casc file no• Payment type: Land use approval: I r I Ar 2 family dwr.11inp of acecssury Q Commercial/industrial O MU16-family 0 Tenant improvement iJ New construction J Additrunlalteration/replacement J Other J Partial rti lob address: 1(� L11 �1(� ( Bldg.na: j Suite no.: Tax map/tax lo�accuunt no.: but; Block: ISubdivision, Pro act name: sctiption and locution of work on —.L Estimawd date of cont letion/inspection: jl� �­ t Mu Job iota: Descripdon Qty. (ca) Jugal no.lnrp Busir►eisaanu: - Je±rrNew noWealloll-altarorMWH4 typal Aad;;Ts, �j, City: ca tate:L)?_ zm W000). ft to letr 4 E-mtil: - -- FacD_ddiuond S00 sq.h or ponron rhacof CCS no.:1 3 Elec.bus.lie.no. --t1:7.C: -'_-_�F—rrridentiei 2 ��%� — L mitcd carr y, City/metrolic [to��r��. — _ Limited enoMy.non-rwidenual _? C1�j Eech manufnautzd bonne or rnodular dwelling iEl SI rt of tupmising cleetrietan(neyturetl) -- Dare Serviccand/orleedcr _ t l.icettaeno:`�j; 1_� Serricesorfeerleta-installation, Sap,eUct-none(print, r A.I l rfteratloe orrelo"do►: ' 200 amps or lean 2 2U 1 atmos to 600 aropi 2 Narne (pnntl: _ ---. 401 arnpa rr 6t1U aropr 2 Mailiog address- - _ 601 amps io 1000 maps _ — ? City. fState. ZIPS 4:u1n00 torvoIts Phon s t)t` 1(� rax E mall• ltceoruiect oily _ Tdepnn wrnlct+o►frsdeta- owner installation: The irismHation is being made on property I own * � errdoratl.s which is not intencled for sole,lenge,tent,or vxehaug-according to tc�amp<or kgs 2 ORS 441,455,4 N.67f), 701. IOl ampr t«400 amp, _ 2 O()WTMW.-; si nature: Dal.+:: Out ro 600 am 2 Driwchdretlh-teew,a or extionoWn per Parol: A Far for branch tarcolu with purr hose of Aldte55: - �— — --- _ service or feeder fee,ea<L branch cin ion 2 - S1a[e: ZIP: B Fee for branch cirtuits wirhout putchuc ptr_y: of tervi�or feeder fee,lust brenetr:ircvitDFax. B mail' iondbranchcittoiiu service over 12:ampr eDnutre.cial O Health carefeilityFaeh pump d lrriCetlon tittle ch si nor outllrte li htln Q Service over 31c amps*ting of I k: U Hazardouslocation E ��forilvdvellings U Fluildingover lumosyuen:festfourat Signalcircultta)ora *mired .nergypanel,OSvakmover600volunonunsl immresidentialunits10 sneetntnurr alteration.ofcseensione U Building nver ttuee stnti.a l7 Feeders,400 arttps or rn ore 4DL%ri tion: O Occupant load river 94 persons U Manufactured itructumi rt RV park faeA addW06111 boR rdiotl ever the albtsabk k My Tof&c ebovs: _ 0 Egtaalltghtinpplan 0 Mher -- ----- porinspectlon Subak^_no of pWu with ala'of the above. InvcsU auoe fen The above art let applleable to fawprarr coMtructloe wrvke. --- - - -- � Permit fee.... _ _. .......S y,a aU}rrtrtliniuv order.tike call hriaelmm nor mere irua rrrriaa. Notice:This permit applicauun Plan review(at __ 96) S ovjw O MasterCard expires if a permit is not obtained — / / vrrithin Ito days after it has been Stare surchulte(8%)....S Ilapns atxaej;rrd as complete TOTAL ........... ... S . - 3 - -- .-+ crdbddr n nerwm ♦r4�alS tdlxl't-OM7 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST _— BUP Received _. 33 —�. Date Requested_— � — �3 — AM — PM _ BUP � , Location __� d _ _ _ f—yY_ Suite MEC 0357�! Contact Person _—$0-121- -' _ Ph _0 6 7 PLM Contractor .-------r ---- - -- - Ph(-- — ) ._— SWR ---------__ BUILDING TP,iant/Owner ELc —06q-37 Footing ELC Foundation Access: ] _ - Ftg Drain �� �/yj �5"L j"n<;ii / p?`� �✓ ELR Crawl Drain Drain Slab In �Ctl t e- 1 SIT Post 8 Beam Shear Anchors -- Exl Sheath/Shear ' Int Sheath/Shear C. L�`U�,�5 _ 1'✓' \� \ Q ( ter, rr� Framing Insulation Drywall Nailing31_ p�—S� _,_� Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — — - --- Roof Other: �— Firlal PASS PART FAIL - - — - -- PLUMBING Post 6 Beam Under Slab -- - -- - - — �- --------- Rough-In Water Service ----- —.---- -- _ — __ Sanitary Sewer Rain Drains ---- -- - --- --- Catch Basin/Manhole Storm Drain -- — ------ --- Shower Pan Other - -- — — — Final PASS PART FAIL - — MECHANICAL Post 8 Beam --..�� ----- -- - - ---------- Rough-In Gas Line Smoke Damper US.j) PART FAIL -- --- - — ELECTRICAL i Service UG/Slab Low Voltac Fire Alarrr PART FAIL U Reinspection fee of$_ required before next inspection, Pay at City Hall, 13125 SW Hall Blvd. ----------- SI Please call for reinspection RE: — _— Unable to inspeci--no access Fire Supply Line / ADA h : C Approach/Sidewalk Date � _ Inspe } - - -Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS FART FAIL