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10495 SW JOHNSON STREET .r i O A W Cl1 L O T 7 N O 7 0 O C i I� 1 10495 5W Johnson Court CITY OF TIGARD 24-Hour BUILDING Inspection L ne: (503)639-4175 MST INSPECTION DIVISION Business Line. (503)639-4171 BLIP -- -- _-. Received __ -_Date Requested_ _ _�_ ,4M_--_._____ PM ______....._._ BUP Location -�� --.-__--Suite_ -_-. - --- MEC ----- - --- Contact Person _ �� Ph (-------- ) _ �-�--- �,,�o -_- PLM Contractor-- - Ph ( --- - ) - --- SWR -- -- BUILDING _ Tenant/Owner --------- --- ---- _ ELC -- Footing ELC Foundation Access: jat /1/ ,.��,Qcr�{�,�y_I� ---------- _- Ft,Drain �g O ELR Crawl Drain Slab inspection Notes: SIT _ __- Post&Beam Shear Anchors -- Ext Sheath/Shear �. Int Sheath/Shear Framing -- ---- - Insulation Drywall N ailing -- - - -- Fi rawall Fire SprinklerFire Alarm Susp'd Ceiling - -- --- t- - Roof -nn L--w l 5 -- Other: Final �� C ( PASS PAST FAIL - _PLUMBIIR - Post& Beam Under Slab Water Service --- Sanitary Sewer RFin Drains - - --- ---- Catch Basin/Manheie Storm Drain - - Shower Pan Other: Final _ PASS PART FAIL --� MECHANICAL __ __ �' t � � T_CT►� Post& Beam Rough-In - --- _- — -— Gas Line eDampers ---- --- - -- - -- - ------ ----_ --- PASSARTFAIL - --------- ----------- E ECTRICAL _ Service Rough-In ---- ---- -- -------- - - UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$__ required before next Inspection. Pay at City Hall, 13125 3W Hall Blvd. PASS PART FAIL SITE I Please call for reinspection RE:__ -_-___ _- n Unable to inspect-no access Fire Supply Line Approach/Sidewalk r(� Q\ ADA -Daft n 3 _ Inspector _'" v�'" ' " Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF 1"IGAR(� MASTER PERMIT PERMIT DEVELOPMENT SERVICES DATE IS UED: 1002-00457 /603 13125 SW Wall Blvd.,Tigard, OR 97223 (503) 6394171 SITE ADDRESS: 10495 SW JOHNSON CT PARCEL: 2S102BB-00827 SUBDIVISION: BROOKSIDE PARK NO. 2 ZON;NG: R-4.5 BLOCK: LOT: 003 JURISDICTION: TIG REMARKS: Remodel family room Zito (3) bedrooms and convert half bath to fUll hath. BU'LDING REISSUE: "TORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRS1: of BASEMENT; of LEFT: SMOKE DETECTORS TYPE OF USE: SF FLOOR LOAD: SECOND: of GARAGE.: of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: TlyRD of RIGHT 00000. OCCUPANCY GRP: SR2 BDRM: 6BATH: � TOTAL Csl VALUE: 10, REAR: PLUMBING SINKS: 'NATER CLOSETS: I WASHING MACH. LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUBISHOWER4 1 GARBAGE DISP: WATER HEADERS: WATER LINES. BI:KFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: I BOIL/CMP�3HP: I VENT FANS CLOTHES DRYER: FURN>-100K: UNIT HEATERS HOODS: I OTHER UNITS: MAX INP: btu FLOOR FURNANCES: CNTS. WOOUSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SEPVICE FEEDER TEMP SRVUFEtOERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 11 -200 amp: 0 200 amp WISVC OR FDR. PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 annp 1st WU SVCIFnp SIGN/OUT LIN LT FER HOUR LIMITED ENERGY: 401 001 amp: 401 - 600 a••-.p EAADDL BR CIR: SIGNAL/PANEL IN PLANT MANU HMISVCIFDR: 001 - 1000 amp: 601-Amps-1000v: MINOR LABEL 1000♦amolvolt PLAN REVIEW SECTION Reconnect only: >=4 RES 7, rS: SVCIFDR>=225 A.: >000 V NOMINAL: CLS AREA/SPC OCC _ ELECTRICAL•RESTRICTED ENERGY _ A,SF RESIDENTIAL B.COMMERCIAL. AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO S STEREO: FIRE ALARM: !N T ERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM OTH BOILER: HVAC: I-ANDSCAPEIIRR13: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CAI ' TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 484.10 WINDSOR PROPERTY LTA WINDSOR PROPERTIES LTD This permit ispLl jectCod to the regulationsnnialtcontained in the UEA�:S?FFLEY PO BOX 647 Tigard Municipal Code,State Of OR. bhP 1lalty Codes and tt45 NE CORNELL RD HILLSBORO,OR 97124 all other ce wlat le laws. All work will pe one it HILLSBORO,OR 97124 accordance with approved plans. This pem,it will expire if work is not started within 160 days of Issuance,or If the work is suspended for more than 160 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503-283-0977 pilot 0: 640-1755 Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through 952-001-0060. You Reg 0: LIC 00052014 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1967. REQUIRED INSPECTIONS Mechanical Insp Electrical Final Plumb Top Out Mechanical Final Electrical Rough IT Plumb Final Framing Insp Building Final Insulation Insp Issued By : I I Permittee Signature : _ �' — _ _ Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next bu n\ ' s d y 0". Building;Permit Application 4 rProjiect/appl. eived:// // /y Permit no.: �',1 y$ A kCity of Tigard Address: 13125 SW Hall Blvd,Tigard,Or: 97223 no.: �ir ate: City ofTigurd ' Phone: (503) 639-4171 Date issued: By1. p Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: D N ;4- &2 family dwelling or accessory U Commercial/industrial U Multi-family U New cons,ruction ❑Demolition T` Additio alteration/replacement UTewnt improvenivnl U Fire sprinkler/alami U Other:address: D /G�-', �� Bldg.no,: Suite no.: _- Lot: Block: _ Subdivision: -_ Tax map/tax lot/account no. Project name: -- - Description and local'o of wok on remises/sped I conditions*- f_lr4� _L A,441:1 4iAll 04es1t t FOR SPECIAL INFORNIA1 ION, USL' it", Nome: .-41 Ll Ly- 11 Mailing address: 1�' t ;- _ 1 t2 family dwelling: City: st;t .76i ZIP: Vab;anon of work.,... ... Phone: _C Fa E-mail: Nor of bcdrewnts/baths.,.4?,.. aa••J�jR•eh• --- Owner's represt.ntative: ,3;at« Total number of tiers.. .............................. Phone: Fax: E-mail: New dwelling area(an ft.) Garage/t-arport area(sq.ft.) Name: J/Q! Covered porch area(sq,ft.) ......................... _------- - Mailing address: - Deck area(sq.ft.)........................................ - City: -- - State: ZIP: Other structure area(sq.ft.)......................... _ Phone: I;t� E-mail: Commercial/industrial/multi-family: Valuation of work........................................ Business name: / �� fixisting bldg.area(sq. ft.) ......................... --- — New bldg.area(sq. ft.) Address: _ City: Gs�,� � _State: .IP: "7/Z Nutnberofstories....................................... _ Phone:jy 97 Fa .� ,•" :-mail: Type of construction.................................... — Occupancy group(s): Existing: CCB no.: — '� _L' J(_ New: _ City hnetro lie.no.: �.6. Y 7 Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name; provisions of ORS 701 and may be required to he licensed in the -" "- -- -- ---- jurisdiction where work is being performed. If the applicant is Address: City: State: _J/11. _ - exempt from licensing,the following reason applies: Contact person: --- Phone: - - Fax: --- Name: Contact person Fees due upon applicatio,:r .... ...................... $ Address: Date received: City: - State: ZIP: Amount received .................... $ Phone: Fax: I E-mail: _ Please refer to fee schedule. 1 hereby certify I have Nca read a examined this application and the Not all Jurctions acrrpt credit cods,please cell Juriulkm Uon for toe infortnatinn. attached checklist. All provi of laws and ordinances governing this Uvisa ❑MasterCard work will be complied with, her specified herein or not. credit card number`__ _L / _ Expires Authorized signs _ /at/e: - —O�� — Name of cardholder a.4 shown on cn�it card Print name: L F4-44- �/��Qd Cardholder signature s Amount Notice:This permit application expires t a perroi is of obtained within 190(ay ager it hes been accepted as complete. 4404613 tatxucoMt Once-and Two-Family Dwelling Building Permit Application Checklist Reference no.: Cit a Tigard Associated permits: City f 8 City of Tigard U Electrical U Plumbing U Mechanical Address. 13125 SW Hall Blvd,Tigard,OR 97223 OOther: Phone: (503) 639-417 i Fax: (503) 598-1960 TllE FOLLOWING 1 1 ' I band use actions completed.See jurisdiction criteria for concurrent reviews. �2 Zoning.flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plat/lot. 4 Fire district oppro;al required. 5 Septic system permit or authorization for remodel. Existing system capacity _ 6 Sewer permit. 7 Water district approval. _ 8 Soils report.Must cart-y original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required. Include drainage-way protection,sill fence design and location of _ catch-basin protection,etc. 10 Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state l building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed _ il'copyright violations exist. I 1 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property corner elevations(if there is more than t 44 elevation differential,plan must show contour lines at 24 intervals);location of easements and driveway;fcxrtprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage arca;percentage ol'coverage;impervious area;existing structures on site;and surface drainage, 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floo,, wall construction,roof construction.More than one cross section may be required to clearly portray construction.;how details of all wall and roof sheathing,roofing,roof step^,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum.if two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the,change in grade is greater than four foot at building envelope. Full-sirs sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards, 17 Floor/roof framing.Provide plans for all flogs/roof assemblies,indicating member sizin,;,spacing,and hearing locations.Show attic ventilation. 18 Basement and retaining walls. Provide cross ections and details shoving placement of reimr. For engineered systems,see item 22,"Engineer's calculations. 19 Beam calculations.Provide two sets of calculations using current code design values for all beans and multiple joists over 10 fee!long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify the prescriptive path or provide calculations. A gas-piping schema is is reg-Ared far Pout or more appliances. 22 Engineer's calculations.When required or provided,ff.e„shear wall,roof truss)shall he stamped by an engineer or architect licensed in Oregon and shall be shown tit k. ipplicable to Flu' pr-w(1 -1,1­1 tri i u 23 Five(5)site plans sue required for Item I I above. Site pians must be 8-1/2" x I I-or I I' x 17". 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will be not accepted. 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 27 "Drawn to scale"indicates standard architect or engin ser scale, 28 Site plan to include tree size,tyre&location per approved project street tree plan(if applicable),and COT Strect Tree List, t'hecklist must be completed ;t-.fore plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440-0•4 1Nn YCOM) Nov 11 02 09r16a Hughes Plumbing (503) 324-3315 p, 1 NOV-10-02 SUN :08 PM ALLYN HOMES FAX NO. 5036403242 P; 1 Building Fixtures ,LkPlumbing Permit Application /�. q. 3 Date«eeive4. City of,i iR*rd 5ewrr Permit no.: Bwldin6 permit no _-- /rddress. 13125 SW Hall Blvd.Tigerf,OR 97223 ay,/nss ar Phone-(503)639.4171 Noiecyappt no.: Expile date, Fax:(503) 196-1940 Date iwued. ByRRce,psra.: Land use approval:_ c.a<r'L-co, Prymun typo; Cl I&2 family dwelling or accessory ❑Co Mille rial O Mu+:idamily O Tutant improvtol,111 Q New a rstrnehontaalion ep!acernent a Focd a-:+vice G Clher: tt 4 Adda N / Desert Jobaddress. 1-unit 2-elmlly dheW*n'e- a _ f Fee(co� 7'olal only: Bldg.no., $ultu e4-' (1utcltNu 101 R,for uclt ullli(y com.c$ioe) Tali.MapRsx lot/accOYnt no. - - SFR(1)bath Lot! _ Slack: Subdivision• - SFR(2)Wat _ Project name v#,(/ 0A1 , S (3)bdh _ City/county 'LIP- P.ach additional bathilificheft De Ipn n epd locetinn (•work/o�premixes' _ _a Site utilitkr. Vpp,� /�_/y �� J� -- _ - Gatch basin/area drain ryiing iu(nu;erir_(Th rain I Ps+ dere at cornplauonhnapechon' T------ AltrMullmllt -V-.;u drsio(no.Itn ft. anu acwcedilomc wdnee Br$iness namr t i �3 l '�I Il`4 1�sr - _ Manholes Rein duties connector City Stats. ZIP: a Jena(' sewer(no.lin,fl.) - Phonr. ; 19x• r_. B•_- Stomt sewv+(no.lio. .) (JCB t$4-: r Plumb.bus,res no - Water service no.lift, ---a^'tflxfurnorlfeant Cttylmrttehc ay.. I Ifo/. "cv -- Abso iron valve l'ontraeior's represcngttvc sigwlure� _aC ow preveete_r _ � • - Priritoame S, 4 I i N, $r _; *•_ r D*�: ".a! • Baekwatn re ve _ ^ Bastin avatot�! �T hamc _Clothes washor Addrees nkicQ feumi n sj _ City. State, ZIP Fax H-mail: anaion tank t Ixtutelsewct t:a �. Name(print):� / door rains/ ooreiektdhuV _Me_ilfn6nddreas. ! aches cd, osaf-- D {ore bihb Stale Phone:"S.p f1 Pa learail: _ nierc torr§nasoinp _ Owner insullatlWilesidentiel maintenance oNy: The actual Installtnon Prime s C will be made by am or tb$•maintmisnee and repair made by my regular Roof dtoolk(oommerciall)-_ ^ employ"on rhe property I own as per ORS Chopiet 441 Sink(!), veins laviO� Owntis Si nature: _ Date: -gum _ WtslsbowerhWwwr Pon ruu ---�— Wmr. Water CIO't _ Address' _ _ meter bettes. suit 21P:� - Otho Phone. Fax: •mail olar Net as pMa,"eM Kit"cm"ted$•P+eara ism iWidlifil"W me wfje61aliaa Netioe This pennn nPlan le.yy6c ,nn ie fee.. -..S �..�... Plan viewat 5i i O VIM 0 Ma'lerf:aad ptPut:a if a N'mit is net Obre,nr 1 ( � row"data within 180 dav►after d bac beth State sureharte(11%) ...S _. ..r ..- TOIAL..............-. ! NaMeilia�� sat..in en ae'-�1$tM-J��- trre9ted ac R�mplele tlau41144-61. --` — MwM _ 110MItpla6RZM1) ,� Mechanical Permit Application "Datereceived:/0",1,,M1Pc,,-,t no.1��y�;j-•a(<yJ-, City of Tigard Project/appl.no,: Expire date: City ofTit;ard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Recciptno.: Phone: (503) 639-4171 - — -- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ Building permit no.: 7U 1 &2 fam4ly dwelling or accessory J Ctmunercial/industrial U Multi-family U Tenant improvement U New construction Addlti( twMion/replar.cntcnt U Other: JOB SITE INFORMATION Ir Job address: 5Z7t7Indicate equipment yuanlities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: Block: Subdivision: *See checklist for important apt lication information and Project name.: (f _ jurisdiction's fee schedule for r sidential permit fee. City/county: !� Z.,P: _ t IVLE Description and locatic I I'work on mtses:i G L !�•[�' t t t O l i / c�,�1 Fee(ea.) Total Est.date of completion/inspection: Description Res.only Res.oul) h Air handling Tenant improvement or change of use: as CSM Is existing space heated or conditioned?U Yes U No dling unit - _ Air conditioning(site phm rcqulr�— _ Is existing space insulated?❑Yes U No Alteration of existing i , C system oiler compressors Business name: ,�,rf ,� State boiler permit no: HP Tons RTU/H Address: 4'` •trr smo a dampers/duct smoke detectors Citi•: o / State zip: ©-7 eat pump(site plan required) - -- Phonc ,9- -" ax: E-mail: n s t at Urcp ace urnac urn el Including ductwork/vent liner ❑Yes O No i.' CCB - y _. Install/re�ac relocate eaters-susp c, City/metro tic.no.: Ay - ,�` Z - wall,or floor mounted Name(please print): r! ^_ ent fora f ranee other than furnace e gel at on: �Ahwtption units Name: Chillerstil' Address: Eltniv m ressorsronmerta ex gust an vent at on: City: State: ZIP: ppliance vent Phone: Fax: E-mail: I Jrycrex)gust _ Hoods,Type I/TUr_eTVif6hen1hazmat � " � hood fire suppression system Nat Na % Lt'y,�/ �i�; Exhaust fan with single duct(hath fans) _- � Mailing address: ,E' xTaust s � stem a m art frocutin or AC' Cit �Stat ZIP: ue p p ng andistribution(up to out els) y' LC. --^_1-111131 NO OilTyp�e: Phone: FaK er outletsui ng each additional ov r wesspiping(schematicrequire ) Number of outlets Name: _ 1 er liqted appliance or equipment: -� Address: uccorativefireplace - City: h State: IP_ - Insert-type Phone: I Fax: nj -mail: move Pe et stove 0cr: Applicant's sign re: Date: /_/Z 2 olhr Name (print): Permit fee-- Nos all Jurisdictions accept credit cards,please call Jutisdicilm for more information Notice: $ 0 Visn Cl Mnstcr('ard Notice:This hermit application Minimum feeee................$ . expires if a pennit is not obtained Plan review(at %) $ Credit can!number: - —_ _-.L_1_. --- W Expires within 180 days after it has been State surcharge(8%)....$ _ Now of cardholdei ea shown on credit card accepted as complete. TOTAL .......................$ Cardholder sdgnstwe -- — Amount 440.0617(6=1170M) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEL jLE: TOTAL VALUATION: PERMIT FEE: Description: Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Qty (Ea) Amt $5,001.00 to$10,000.00 572.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or includingducts&vents 1a OU fraction thereof,to and Including 2) Furnace 100,000 BTU+ $10 000.00. includingducts&vents _ _ 17.40 $10,001.00 to$25,000.00 $148.50 fol the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent _ 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater _ $25,000.00. or floor mounted heater 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included In appliance permit $1.45 for each additional$100.00 or _ 6.80 'raction thereof,to and Including 6) Repair units $50,000,00. 12.15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Atr $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below. Comp '• Minimum Permit Fee$72.50 SUBTOTAL: 7)<3HP;absorb unit b to 100K BTU 14.00 9%State Surcharge8)3-15 HP;absorb a unit 100k to 500k BTU _ 25.60 25%Plan Review Fee(of subtotal) a 9)15-30 HP;absorb Re uq fired for ALL commercial permits only_ unit.5.1 mil BTU 35.00 TOTAL COMMERCIAL PERMIT FEE: a unit 1-11.7.75 mmi 30absorb unit BTU 52.20 11)>50HP;absorb unit>1.75 mil BTU 87.20 ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM Value Total _ 10.00 Description: Qt Ea Amount 13)Air handling unit 10,000 CFM+ 17.20 Furnace to 100,000 BTU,Including 955 ducts&vents 14)Non-portable evaporate cooler p. Furnace>100,000 BTU including 1,170 yr 10.00 l!- ducts&vents 15)Vent fan connected to a single dud 6.80 Floor furnace Includingvent 955 ✓ Suspended heater,wall heater or 955 16)Ventilation system not Included In 10.00 by floor mounted heater appliancepermit Vent not Included in appliance 445 17)Hood served by mechanical exhaust L' 10.00 ermlt --- Repair units 805 18)Domestic incinerators 17.40 <3 hp;absorb.unit, 955 19 Commercial or Industrial to 100k BTU ) type incinerator 6995 3-15 hp;absorb.unit, 1,700 101 k to 500k B7U 20)Other units,Including wood stoves -- 10.00 15-30 hp;absorb.unit,5011 to 1 2,310 21)Gas piping one to four outlets mil.BTU 5.40 30-50 hp;absorb unit, 3,400 22)More than 4-per outlet(each) 1.1.75 mil.BTU _ 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: S >1,75 mil.BTU _ Air handling unit to 10,000 cfm 656 _ --- - - Air handlingunit>10,000 cfm 1,170 8°/.State Surcharge $ Non-portable evaporate cooler 656 TOTAL RESInENTIAL PERMIT FEE: 11" >' Vent fan connected to a single duct 446 Vent system not Included in 656 appliance permit Hood served b 1 Inspections mechanical exhaust 656 Other Inspections and Fees: Domestic Incinerator 1 170 outside of normal business hours(minimum charge-Iwo hours) x62 50 Far hour Commercial or Industrial incinerator 4,590 _ 2 Inspection-for which no fee is specifically indicated (minimum charge-half hour) Other unit,Including wood stoves, 656 $62.50 per hour Inserts,etc. 3 Additional plan review required by changes additions or revisions to plans(minimum Gas I In 1 4 outlets 380 charge-one-half hour)$62.50 per hour �P.�_ EAch additional outlet 83 "State Contractor Boller Certification required for units>200k BTU. TOTAL. COMMERCIAL ; "Residential A/C requires site plan showing placement of unit. VALUATION: _ All New Commercial Buildings require 2 sets of plans. IAdsts\forms\mech-fees doc 02/11/02 AVY' D'JG IrCD 3.4b r.0 Electrical PermitApplication � (��.,� Gatereeelved_/��;��, tanrt�,t n5.� D� l, Ch of rigard Prnjett'ilpi.tw.- Expire.date: Cvyr.JT qmd Addtsys:13125 ASW Hall Blvd.Tijud,OR 9-223 Dateicstad. ?hon, (503)639.4171 Plus:V03)598-1960 case We no.: payaaenllype Lind use approval -_—_ 1&2 family dwellht>t or"uwry :7 Cnmmrtwl'tp i nsl 0 Muld-fsrrity 0 Tenen:lmprovenwt ":ew cvnaruction Arfdltln tertu:oniro�lceement 0 Othee: ❑Yanlal Job adsluu: Q 8 'r Btdg,noW:_ Stlte nn. l at mnitRa>< ahrrnotnt no.: Lot Block: — SuWlvislun: T Pro)ccr rteme: 1[ktrrlptton end Irecation of work on premiaea: " � .J��a' Fn rnWW data of text IedurJlos 1vn - +ems' Job not Pe! Htislnwa oam,: r—Z� ,G o.u�n len Twit) no.t�yt �t.-an�,mny sc r Address, L� ri1V' Fhon 3tetenQ l :�j'J &e�te:htlalair �61J��� �_ � - E mi!1: IenOaq.ft nr.e,r _ e al 530 mom 4=1 CCB tw, ���/�� — Elan,bu&1,c.eo: q _ C,, _ _ -.�--1. -yldan�T_saeidtil� I C1l rnlOttAIIC,rt0.: -(i�� LtMituleMIRY,noa•eesldtati manufa�r�^ed 6emee•mo4�IV Wt�fnj 51 ,un:n of suoesvlt;na eteelr tion Kr1Wmd) y Date (�- �( jrrvieau d'orleeLrM Y_ j =SenkwotfeeAtrt^IaiulMtMe, �I•• Iftsij wwrsloe d", MIALU III 200 mvirw of IM N Name—ptinq: � eStf� 101amps to4ung- .. '"'F`�'• MACing Address: 401 wrp to 900 amps _ 2r.�tC- �..��ttSQ� Am amp a toxo area Clay atetojMet 1000am efvo!s Phonr. , � Prn -matt' Peso or,v 1 OKr.er msullauon:The ttttallatioe it being made on prowty 1 own 1lastprsttyttrka a IvnAvn• t whie t Is not intended for sale,Lease,tent.rfr ext—angel According t<+ arWtllYfea,,Nlfallagor rrlaraoon+ ORN 44?.d55,479,670."Cl. 2n0 a svrltM S 201 ampt+r400,tnDt thV1K'jft si nature: Z3 O ,c,, ----�-- ortivick airfdb•stow.val"fation, or catearIM wt pastel: ,dame: '_ A r•.fmbranehchruilsvrilhpureY,asr.af Addteid: _ _ urvacaofWdatfayamhIsweha-roul1 2 Clty� _ Suter .. ZIP' P�ri:toihreme uit�e! rtpa'rotiwe / .` ---r---� �-------- er wvia of hada fee,flnt Ateneb citrott. Phnne. _� Fa.�• &mA1L• —Earns nonilbf�. t�rsc�''r't`�— — - --.�.•.•.:.. nleaot ntLre,ethltladi�k .^ OlwtAaof"221affl".om'r trial I]Hsallh-arrflcWtY CacJ+ n+porir"p4oneirdr n Ttt.itravu920emps.runs of 1A2 ''a usa duokrcadon bed's oc"tu�.xl��l tt,tt 1, ryatllyehaaUim. ❑nrl.dlnta,arin,tlpCequaercrrn,rnr clpnateUeei:(s)«aTsttYtidatrgtyonee;, I CSyMtrnt+rea00prvluroNna: rstoanr+3+r.celuniamor.,lueva'wv ,Uu,tioaoraattauloM_---� � 7 Opull Ptewrth�eslew 1 tvdon AWam.+etnv't tl goeyrcnf load uver9e perwna O Maa,fateurl+uuc0 are c!1rV rrtt Ele ...I torpeallaa er.t 3.f ajlairaeta N waT��:t,o.a A grerwc;leuvq•a u ot/,u •--� Pulro o _ . Bt1�R11___ "bofpkanaMtllon)oftbtabafta�•cnaa Met above are lro/ Ala le lem eoartesditty stake, Otiat i _ -- - — ---- Permit fee ....�..,_�A�5 . KN 4r}y,dcdmteea�teredltwrdrrhw�llJrnaitianfwrt,aantmra{et�l N.,I�rc 131s rmne• (ration """ 7VIn uIMutt4w;d I e�lrec I I r petn't Is to r oAlalrcE FIu1 review al Ro) s With!n 190 days After itAaf tm a Sate sumhatbe(8911)....$ ..� — -. as par!,aoomDle a i(IT/al ........... ......... Zd 14985:60 Z00Z 40 6D16 7-92 E05 : 'ON 3NOFId DNI DIMID313 S801390I1NOD W08A C7- 7-3 U� 61 R r .`>�l 1�, V��l�t'.tJ.'�G►aI C7. '7'/r I.',#1r"+4 4/i� CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2003-00218 DEVELOPMENTSERVICES DATE ISSUED: 4/17/03 13125 SW Hall Blvd.,Ticiard, OR 97223 (503) 639.4171 PARCEL: 2S102BB-00827 SITE ADDRESS: 10495 SW JOHNSON CT ZONING: R-4.5 SUBDIVISION: BROOKSIDE PARK NO. 2 BLOCK: LOT: 003 JURISDICTION: TIG Project Description: Installation of(1)ulcctrical service for remodel. RES'DENTIAL UNIT TEMP SRV ';CEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 200 amp_— PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 6G0 amp: SIGNAL/PAN' _. MANF HMI SVC/FDR: 6014amps -10100 volts: MINOR L_ABEI t f: SERVICEIFEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp- 1 W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp EA ADD'L BRNCIi CIRC: IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+amp/volt: -4 RES UNITS: >600 VOLT NOMINAL- Reconnect only: SVC/FDR>=22.5 AMPS: i CLASS AREA/SPEC:C',;: Owner: Contractor: WINDSOR PROPERTY LTA CONTRACTORS ELECTRIC INC. DEAN SAFFLEY 465 NE 181ST 2245 NE CORNELL RD PORTLAND,OR 97230 HILLSBORO,OR 97124 Phone: 503-283-0977 Phone: 762-5828 Reg #: LIC 124818 ---- ELE 26-96(C FEES SUN 25445 Description Date Amount Required Ins,Pctiens �IiLPRM'IJ GL('I'cinut 4/17/03 $80.30 --_ _ ---- � AX1 804,State Tax 4/17/03 $8.42 Elecfl Service T Total $86.72 This Permit is issued subject to the regulations contained in the Tigard Munid�al Code,State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or it work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set fort fri OAR 952.001-0010 through OAR 52-001-0100. You may obtain copies of these rules or direct que, es to OUNC at(503)246-6699 or 1- 0-332-2344 �-1 �,'/ 1 Is ed By: f( 1CLl'Z/ Permit Signature: _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: —__�—�.— _— DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _V_,z J _— DATE: — LICENSE NO: _ _ — �q — — — Call 639-4175 by 7:00pm for an inspection the next business day FROM : CONTRACTOPS ELECTRIC INC PHONE NO. : 503 262 9439 1V , Feb. 1' 2003 12:30PM P. �U.N,1r: Fp Electrical Permit Application Rme,v s atdE3 7 J✓ Palrrit�o..g � PI+ro:1nIIAppto 1 SiBI City o. Tigard adage ; 0125 SW Hail Blvd. Plan MvieA' othx Tigard,Oregon 91,223 oax'8i HmytNo 1,hnnc: 503 639-4171 Fox: 503-598-1960 PocaRevlew UndLao ^" t)ate1D)' Cue No.: Internet: www,cLtiaard.or.us CsnUcl lK v 0Ste'ate 1 for 24-ho,.lr[rlspection Request: 303-039-4175 NemeTft fMe Suppk ceIA11%(4r,n■ o l-- �� �� _ }.r. hi.• -to ♦ _L'i. a CC -, - New conatnxtion Demolition_;; 5ervtee eve 223 amps• Hca tr-coo @cilrty jeorrmoretel 1[I WOwslOcatlen 1 lrlditiOtvalt6ratlotl/r laremerit other: ❑Smice over 110 empf*sting of Buildirls;over 10"M squerr feet. i 2 to nl1,dweltkW rvur or true MS;dentisl anlu In Its no Systel m nvrr 600 wmnal erla It:oclvrr l de 2-Eami dwethtt CemmereiaVIndustrial _, g e+ntovcr three ctotiet I (�r"&rv.400 mpaormvr I Accessory Pul ldue Multi Femil� ]oceupart load over 10 pxraxs C❑1 Mewrat4rod rovcturr,or RV park Matter Builder Other: _ CCII Etreivitandng plan othcr_- m_ -_ _. e1I Submit uta orpism with sny crlbe sh ive. — TMA abrin■ gitt App6able to to o.*a Saot anontervIm gob site eddre":/iGQLrelr��'� ['+< . Sutte#:_ $1 /A #: Nulgberottot on a u@t00!ied - fin___ turlarfen ra[a.) ToW. Pm at Name: 1---.----- ----- R.w roaldteda[ilatlt or moM-6m11r per Cross atreyoVD recticros to job site: t efl/ ■,+nUg■.w[.dada orated ruga.. �" 9ervlr<led■deei: 7A ve/pa/so.er _>'9-�_u kee 14S.iS �� eta u►+Rio +fit goo y.. �pr4w uK.toi __' ),to lVM led MNrQy,reaWln _ Tax ma atCCI#: uh m rwe 1 o,modu'atrdvrelfiq � i J a.w a rid or ObMer 90 ,.r •I r 'r=�: 7r�lrn er ftedrn•Inrtaltatbn, J.- I� 270a.M�crlrs_ � I 11030 — r _. 201 k it t■to 400*W 001 to ...._ I . I utt�l 1�1 + 140. 51111 i! 41465 itewm,tuunl RIFE P1ddPCfeti: d r��� �� T.mporuy Omit ra or freder, -IesuOalloe, _=—Jr' alleMtl^�,m'rdo<a0eo• 66,15 _ City�gtalN2 i tG�rzDs 9'7/ X0 q.ins —- - — - --- Ph 1c: Filx: -001 to etp•_ •,..�•_ _..� ,-I I)7� — � '' ._ ansa etreufn-er.v,atter.tlen.or I Namt; - artenalne pa;panel: — — A.ire for IrgneRdrtutn Wiut pacMw of ` 663 = IAddress chrydam[ ,.r la.e<r«•ta wh j_r /StStt:/z�--f'. ..�_ .�� �B Pa fur Brandi etxulo wl���ih�ou�p�fie of -...— p—-- — ierv�gr DOW fbr PaLbueo Plwne_ Fax: twn.l t><-6.. t _. _ nti,s[etr-+u Ir ft0gim rat I.Wluf,, Job No. 9ipW nirr�iKa)or r limi anergy pitvl. Businsts Nanta: oAiJlpn�iZ1 _i / c� -- At)dreab: �!(le Aft' / r�('C7- f. �_ aMla�tido■overteeNlur I In�r of III dao f,i /State/jai t AJO ©i? — t m1t1--1 ptI,,-_ �'� w- Photx: ) l Fax!6o�--i�Z ---- - - --- C(;B Lie.S: 616- Supervising r.lwtrician _-- SI)¢tlttlrC feQLti►Ld Plan iteviewP TOTAL�Yrint Namr!%;' /C CSC Ssl4�� - siaro 5ur�+ c�o_f perm►( ce Lc.0: ?� h l Authorized Neda Tihi,W_11tp4 ■IeaKplresepnknnt obhv w41 e SIKnown: - — —� bate: teas days grief It hu bran 2e4■gee4 u cmopt4te. -pea■tetMdntngv an by 714-Couaty Buhdbt teoaat•y-+mice Burd. �1De'rJ'enrtir Ferrv`EtrPennitApp dee Olrt)1 CITU" OF TIGARD 24-Hour - BUILDING Line: (50�813914175 ` MST INSPECTION DIVISION Business Line: (513)bl9A-4171 BUP —_ Received _ Date Requested J� AM-- PM_ Bull) _ Location r ��%a-� .—Suite MEC Contact Person Ph(—) kZ�-7- `� i G PLM Contractor --_ _______ Ph( ) — SWR g G ienant/Owner _______ _ ELC Footing ELC Foundation Access: Fig Drain L,�Y1��iL A 4 . t C� Crawl Drain Slab Inspectio Notes: Post& Beam Shear Anchors Ext Sheath/Shear -- Int Sheath/Shear Framing --------- Insulation Drywall Nailing ---- —---- — — - Firewall Fire Sprinkler ---------- --- Fire Alarm Susp'd Ceiling --- — ---_-.�.. _ Root SS PART FAIL P 1NG Post&Beam Under Slab -----------._- _ _. _— Rough-In Water Service - --- - — Sanitary Sewer Rain Drains ---- -----__ _.__ /� Catch Basin/Manhole Storm Drain --------- _ - --- -- Shower Pan /f Other: — ----- - — Final P RT FAIL ------------ - — ECH AL �– -- ------- - - -- Post&Beam Rough-In _— - --- ---- — -- ---- Gas Line Sm a Dampers )AS PART FAIL --- - - -- - - - -..----- --- - --- -._.. _ — E CTRICAL Service Rough-In UG/Slab Low Voltage - ----------- -- -- - -- - - -- - - Fire Alarm Final f Reinspection tee of$- .. _ required before next ins ection. Pa at Ci Hall, 1:1125 SW Hall Blvd. PASS PART FAIL L_-� P q P yr City --- P L] Unable to inspect - no access SITE � � Please rail f r reinspection RE:_______ - ___ ___�_ P --------- - Fire Supply Line ADA �-2 �ZA Approach/Sidewalk Date -�'�. _r` -__-_ inspector __ --- ---�_-.-- -- Other: __- Final DO NOT REMOVE this Inspection record from the Job site. PASS HART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 IV.ST BUP Received Date Requested____ AM PM _ BU►' _ Location _.._�-._ _< ! .-- ��Suite MEC -- Cortact Person _ Ph (— ) "� 6 . PLM Contrac!or ___----- __ __ Ph (---.—) SWR — BUILDING Tenant/Owner ELC _ Footing ELC Foundation Acce s: 'rig Drain ELR Crawl Drain Slab Inspecti Notes: U SIT Post t£Beam Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear - Framing Insulation , D.�wall Nailing -- Firewall 7j Ll 1 h( r Fire Sprinkler --- Fire Alarm Susp'd Ceiling t -- Root Other: - Final PASS PART FAIL --- PLUMB_ING r - Post 8 Beam-_---- - - --- Uoder Slab - -- — -- ---- -- Rough-In Wafer Service -- Sanitary Sewer Rain Drains - - — - Catch Basin/Manhole Storm Drain - - ---- __ ------- Shower.'an Other: — Final -- PASBS PART FAIL -- -- MECHANICAL Post 8 Beam _- - -- ---- ----___-- --------- ---Rough-In - ---------------- Gas Line -- ----- --- _ Smoke Dampers --- - --- Final - PASs5_ PART FAIL - -- ELECTRTy Hugh In t—Volt e Fid larm %ilioPART FAIL Reinspection fee of$-. __ ..____ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE [] Please call for einspect' n HE:_ Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Drb - Inap or, Other: Final DO NOT REMOVE this Inspection record frdin the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (5175 Z 06) �Jr 7 INSPECTION DIVISION Business Line: (5&.4171 MST Received -- C to Requested.—,I-7" _ AM 313M BLIP M BUP Location ----,�=�-[� �, wt ��'� Suite -- Contact Person - -" - Ph Y(27 - PLM Contractor _ - Ph ) _ SWR _ BUILDING Tenant/Owner ___ ELC - Footing ---- — — Foundation Ftg Drain Access. � ELC _ Crawl Drain n` ' ELR - slab Inspection Notes: ,� Ian �;^ 'IT -- Post 8 Beam ----_-. Shear Anchors Ext Sheath/Shear L - Int Sheath/Shear Framing Insulation � 1 � _ Drywall Nailing 2 Y o a 1rL �' Q 4A, Firewall — Fire Sprinkler Fire Alarm Susp'd Ceiling Roof . Final Post& Beam— ---- --. Sy — IJnder Slab Rough-In -------- - - ------ - - — Water Service Sanitary Sewer -- �-- -- ---- Rain Drains Catch Basin/Manhole �— — Storm Drain ---- _ Shower Pan ------ U --- nrin At) PARTFAIL ----- ----- -- - _----_----- __ CHICAL P .t& Beam---- ---- -- -- - ----- --— ----- f fntnlh-In —_-- (,a!, Line ` _-- -- -------- _._ -_----- - ';moke Dampers --------- ----- F i n a l ----- - - ---- PASS PART FAIL ELECTRICAL - -- -- Service-'-" -- — —�_�- —— --- 11G/Slab -- --------- - -- --- - - __-- I_ow Voltage --- --- -- 1-ite Alarm ---- - — - - -_ _ Final Reins PASS PART FAIL Reinspection feae of$ _-______—__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE _ Please call for reinspection,'E: Fire Supply Lino— --- Unable to inspect-no access ADA Approach/Sidewalk DAteZ4�Oj_ Inspector , ` v Ext-- -- Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL ELECTRICAL CITY OF TIGARD RESTRICTEDE ERG RESTRICTED ENERGY DEVELOPMENT ;SERVICES PERMIT#: ELR2003-00044 13125 SW hall Blvd., Tigard, OR 97223 (501)639-4171 DATE ISSUED: 2/12/03 SITE ADDRESS: 10495 SW JOHNSON CT PARCEL: 2S102BB-00827 SUBC"VISION: BROOKSIDE PARK NO 2 ZONING: R-4.5 BLOCK: LOT: 003 JURISDICTION: TIG Proiect Description: NUAA.,+_ A.RESIDENTIAL B.COMMERCIAL AUDIO& STEREO: AUDIO& STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: NURSE CALL : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: WINDSOR PROPERTY LTA A. * E SAFE AND ALARM CO DEAN SAFFLEY PO BOX 179 22.45 NE CORNELL RD MCMINNVILLE, OR 97128 HILLSBORO, OR 97124 Phone: 503-233-0977 Phone: 503-472-6439 Reg#: FLE 36-34CEP LIC 65198 FEES Required Inspections Description Date Amount Low Voltage Inspection I LITMT] t LK I1crmit 2/12/03 $75.00 Elect'I Final TAX] 8%Slalc Tax 2/12/03 $6.00 Total $81.00 This Permit is issued subject to tl�e regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and ill other applicable laws. All work will be done in accoroance 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 v()U to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0019 throuC Issued by 11 i Permittee Signature _ 1!1y1 r�4 -dry_ OWNER INSTALLATION ONLY f tie installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELF:C'N _ DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for an Inspection needed the next business day rt By: AF SAFE AND ALARM; 5034723570; Feb-10-03 12.22; Paye 4/4 �•. ,�,. ,,,,ov.w,v , aaa Vr atvnru WJvur. Electrical Permit Ar► lication Rmeived Will City of Tigard and `� � Planning Approval Sign `� ' R RECF F DatefA Permit No. 13125 SW Hall Blvd, Phan Review Tigard,Oregon 97223 f l o>. e : Perrrot No.: — Phone: 503.639.4171 Pax: 503.598-1960 put-Review L-md Usc Internet' uwvw.ci.tzgard.or.us ___ Case No: _-- 24-hour Inspecnon Request 503-639-4175C) Contact Jud3.: (� See tap 2 s,ir yjl ! NOW/Method: _ Srpplewtolta!InfetmaWn. New con9tniction RCr r i over 223 am s- I _ _ Demolition P Fieailh�.te facility 4i altaratiOn/re lucl iTaCll[ OUAtr. commercial Ha:ndous location —__ ❑Service over 170 VMS of Building over 10,000 aq,.rr feet, ''i i�i�:v�.l,. I':..• ly;�:d�y(]a _ ''m16t10JR�Tci '1C1N r" -•:1 i I k 2 fatrtily(1we11ingi four or mote residenue!IMit%w I&2-Family dwelling Cu,:nr.•iercial/Industrlal syalenn-a boo Volu earned on.atruuure �1 Building over dae:e stories Q Fenders,400 arms ar more J.Ar Gesso Buildin Mc1ti-F'amil ---.. r .----- --- --�_..�_ Occupant load over 99 pertau Mutufaeturcd oruUuros or RV parte _(Master Builder Other. ❑Egress/lighang plan - $' d6 A { Snhmit_eet3 ofplant with any of the awes, .lob S1tC eddl"e55 c� � The a-ve fit:nal■ llica�blee!c tura MCI On aKY1Ce Suite #: I, ,, i, ,• ��$�'� B /���# Nomber ,or ilea ectloall-sr Permit&&vred - Pro eCt Name: e' _ Desert eon T -- -- ---- Qtr Moo_a, Total - ._. ' rosidaotia"Ingle at at lti-tYmlly per Cross Stri;Ct�1iIVCtions t0 job e1te: dweftg axil-Includes attached/erase. Service Included: IOW N R ori4s is a b Addidolul 500 .or on thaeot —11 4V1 Subdivision U'nh0a'"eziesidendy — 75. 7$,00 2 Tax rn Farcel #: _ _ Evrh mut ad hwo or modular dwellint �,.t„•'''dr r,,,1 r �EZiPR�i: _-- h;I servlrr and/or feed,, - services or feeders-inalrllatlou, allcradoaornMtolisa: 200 amps or k_u— ---- 90.30 _ 2 201 MnR310 400 6410 106.13 _ _ _ bmpl l0 600 tmp _ f 160.tS0 2 e; va logo am or vau65 N _- — - 1 _ Rateetmou 06-95 - 2 Addl'CBS: aa-- Temporary sarvico”Mdan-InalWatlne, alteration.at rel-.16n: Clt�+/5tatelZlp: T�/�- _ � -- 2110 urn•3 cr Ips 66,85 - 1 Phone: �^����J� Fax: to 406aalas 10030 z --- J `T' 401 to 600 ate i l 5U;�• '"r, .!{',,,; I; court p_.- i branch circuits-now,dtaralion,Or Nazi)e: axe-molan par panel: i AddrCbS: ---,.. --- ---- A.Fc-fo-tench oi,"itx with purchase of --- --.-_---_. /a•ice or Rader in each branch cu,mh 665 1 City/statc/Zip: _ Far. r Manch thoaWchafrof of _-- tetvice or kcdcr fta firs%broAch,-11 46. 5 2 Phone; _ fix'- --- - --- rlo�.lsr.,,e ,tt = (Los -- 2 E-mail: Mjte.(sar icaorfeedernot ittoluAnd): 1 .yp� w•:6�11°{ Ld, 1.�O17r r..i_. .t., -- Bachnum�irrf- 4.drok�_ 53A0 ---- Z Each i a outltns 11 n —53ATt Job NO. _W / �y p_��"Tr,r d pl ulgs)or a lltnlled rna6v1, - Busi11C.5s Name: r altertdon•at axwesion 2 z ti � Dcsciiptbn: i Addi-esc 10 C>t /�tSt Zl _ Each addidnnal lnepettlen occur the allowable to ay of the ebewlt I��s= P I hour f hh,1Ticu _ 0 Thune: - Othe C_CB Lic. #: - --- - Lit. r Supervising eleelri std _ Subunit 5 _ signature re uired a � - --- Plan Revi�ev I25-Y of�amit Pee s I'rnit Name_ - Lie.# - - __..__.--Starr Sr.rcharge(8°,�ofP tFee S -- --_ T__oTAL Pa _ s Aulb-O ted ����j� Noi4e: This parnsit appUratrea expires It a pritoft it nut btalord wit h $IPndNre y�-r„of'a"".��'�•""�"" - C)atc-.t?e1Q-.A=' 110 dors after It baa bison■aeepced as romplotr. 111 /s beX 4 •pee nn-,cthedololty set by r lA Tt Watintundiat 1adostry5errke neard. �_ (Plisse print name) j,tfhut4\Permit frtrttts\ElcPetmltApp.doc 01'01 CITY OF TIOARD Residential Certificate o f Occupanc y T Permit No.: _� Acldtess: _1_�s��S___�_� `.✓� � 11,.�. ._�:--- Owner/Contractor: Date of Final Inspection: inspector: This structure has been found to be in substantial compliance with the provisions of the State of Oregon One& Two Family Dwelling S erialty Code and is hereby approved for occupancy. _