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10503 SW NAEVE STREET ZS 'iA iVN MS £050 H W a � a� W c z m- p w o 10503 SW NAEVE ST CITY OF TIGARD _ E rRICALPERMIT --PERM1 i s: ELC2004-00305 DEVELOPMENT SERVICES DATE ISSUED: 6/1/2004 13125 SW Hall Blvd .Tioard. OR 97223 (503) 639-4171 PARCEL: 2S110DA-05900 SITE ADDRESS: 10503 SW NAEVF ST ZONING: R-3.5 SUBDIVISION: ERICKSON HEIGHTS BLOCK: LOT: 020 JURISDICTION: TIG Project Description: 2 branch circuits. RESIDENTIAL UNIT_ TEMP SRVCIFEEDERS _ M_13CELLANEOUS 1000 SF OP. LESS: �^ 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED E11ERGY: 401 - 600 amp: SIGNAUPANEL: MANF HM/SVC/FDR: 6014-amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCOITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st WIO SRVC OR FDR: i PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: _ _ _ PLAN REVIEW SECTION 1000+ ampivolt: — >=4 RES UNITS. —+ >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=2.25 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PEARSON,MIKE HEBERLE FLECTPIC 10503 SW NAEVE ST 7456 SW BASEIJNE RD#41,, TIGARD,OR 97223 MLLSBORO, OR 97123 Phone: 503.824-9712 Phone: 503-628-2095 Reg#: SUP 3053S -- — LIC 152342 FEES _ ELE 34-1600 Description Date — Amount Required Ins-actions IELPRMT]ELC Permit 6/1/2004 $53.50 [TAX]8" Final State Surcharge 6/1/2004 $4.28 Rough Elect`I Final Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.Specialty Codes and all other applicable laws All work will be done in accordance with approved plsns. This permit v ill expire if work is not started within 150 days of issuance, or if work is suspended for more than 18.' ays. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You:*ray obtain copies of these rules or direct questions to OUNC at(503) 246-6699 or 1-800 aIssued By: ✓r/ —_ Permit Signature: a7,11 F- OWNER INSTALLATION ONLY i he installation is being made on property I own which is not intended for sale, lease,or rent. J m OWNER'S SIGNATURE: _ DATE: _ CONTRACTOR INSI ALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ _ _ DATE:-- LICENSE ATE: -LICENSE NO: 13051 5 —__---_-- -- _ _ Call 639-4175 by 7:00pm for an inspection the next business day 05/27/2004 19:50 503u283076 FEBERLE ELECTRIC INC PAGE 01 .Lf 1Prtrics>li Permit ApplicationReceived I3lscbll�l City of Tigard ED rlrarrrin( l glen I r>elda�— P'oartpe Nos.. 1.1125 SW hall Blvd, R�.-��' han Review -Other --- ---7 'Tigard,Oregon 97227 S1 ��I' Do,.llyY... Phlme: 503-639A I71 Fax: �-5�I�9 P401.Iteview I.fand iise UaIan Y _ t'ue No Inlemcf: www.ci.ligard.or.ug AR rin►iacl _–_- r,, �_ F.ae s 24 hour Incprchlln RcUue81:Q�1�11(tl$I Narnl:/Mclhod: _�� _ — 1 _J S8lplenlcalu Infsrlanlen. BUILD IV -- -- -- 'YPR OR WORKPLAN REVIEW�Maafw fir a I ai:�pl�—_—_ Ncw cunslruo_lion lacc_ y _nI I�cmiciliIion Cervkr mer 225 of""- 1 kahh•cOrr(M ILIy ot+mnrrmiml Ilvwrrbru%ha:alilm AddiIion/ahcraliott/repmc �)lI1Cf: U Servive over 3211 amps-rating rot Ihrifilmit mor Ill,(lal srpmr loci. _ CATIMAItY OF CONSTRUCTION I A 2 rareilY dwellimp rima fir,rime resirlcm ial unils in I &2-Familydwelling Commercial/Industrial 9yslcm aver 6m 1.1111%nominal rmnc mmoine ----.... .._ ---- nullding over tower,%brie% Cl Fceders,41111 aaryrs rm Qhde ACCCIi621 I,luildln Multi Fnmily Ikcr nl l(wsri aver" rennins ®MarnrraClrrrrll Rlnn:llaee M RV rk Mason Iluildcr Ulhcr: rgrracnighlingplda Inroc. JOB SITE INFORMATION and LOCATION — srinm+l sns of plus.rilh may of the.hnr•• --.-.... __._ ria @have sire wa icmble to lenwrary ewwslrwdl@I Wr%Ice. JOb siIC>addICS3: �t7s0 �. �LV.4 . _._..__ rKvr*SCHYD1,1I.9 tiuilc 11: I I;Idb^/AI)t•N: —� - _ -- pinrnber of lnllpeciiune per I If 1110wMl — _ __ — 1'ru cel Name: O1� --- - _ VI ►rr(n.) Toil pew rewm ewflot4lalde or morello fornlhy per Crofts stivel/)ircclinlls to jots File: C� riwmaing wolf.lorfalkt allaebrd ltarpgr. Fervke larhrded: IOUO"r1.O,err IMO --____ 1�5,IS 4 —_.. —_ r�rh nbiTkionel SINI>n n n LarrNan Axicu - _I.imiled enersyiesirkraial _ - - _ �U6 IlIVI5111t1: I.1)t --... iilnlled@llerdy�nonrasil_ IIT•_ ...- Tax Illa )Marcel #: Fach manurac"Wini hnrae nr"ItAlrhrr dwrlNrtg WC11tlr'I'ION OF WORK %noncewr( (!colo 9u.'N► __ AARrna ker Mrden•MM@aalbn, flow"tnw or rokeelM•nt .--.•. -- -_ .__�_.. 2oi Iu QUO tiM;te4 i dql. I to 60it Imp _w.. -- 160.611 _----- 2 1 POPERTY O MSR 240.W Ovw low Wimps or vole 451.63 2 Address: Tompwrwry servile"or feeffm-IwafaNaflaw• offrraflem,or relocation: Cit late 11 zoo anon r at ksr `_.._.. hA q5 1 phone: I;n, us 4W a� _.. ._ t�,l.m i ._ 401 to 6W anipie 1 APPLICANT �— CONTACr rERSON Branca IdrerNa-sew,lotwook m K Name: — _ V "o a per pow": Fee .ranch rircnks w pwch@ac of Addraes: service or feeder ee rich branch chcuk 6,rts 2 1 CIIZIStitltA/..Ill: Fee fin Manch dreary willmul rarr�haee - - _— ---- -- .,.--- mvice or rknbY fee, n each circuit 46.85 2 1'honc: ....�__ ...._—._...._...�hpx•....._----- .— ... r lar ti�l11ioruTinri�.hoiicuii---- --- - .._ f li-mail: _ Mbc(Servkr or(cefler not incllnkrlr — d CONTRACrOR 1nxfipumpa hofs liaTcircio - � - -- _ .- li m Iwo trx li lily-•_-��__ —_ �SJ.1fl 1 Job No: __ . .• _... _._... s+gr> remk0i r"p limArd mergy r.„.1. _ _ U) 16crsi pr exlemimr 11 2 1 Busin_css Nano: _ ERIE-F�. �I{�4` ��._ �rr;r►1 ----------- •--- — Address: $W BASE HD — Emb additional Inspection_awr the mlbw@bk la as oI tole a1Mve: I'lunlr:_ (� g• _ I'nx: =7 tel '" min. I i�>,wL ei.sa �mer•_. Imes17on Lu (:Y"B Lic,N: l S Z 3Y _ Lits ll`��{ Q �-- Meet roto Permit — fi Fear Supervising electrician - Subtotal S - •i Ig tature r Ircd: �__ Plan Revie* 2( s%orPermit FCe " Print Name:,!t _ L off _ LIC:N: ,�Q_S :5 31N_C Slrrcharsc SAX or Pc�mil recd i_--�1 -- _ T0TAt,rFRvjjT Fr.F s Authorised .. ...w ...- •----�--•� . Nslkr: Thk perwdl wppurwllua @spires If a permh iq nal ohlalMd wilhla Ci�nAhtrr.: r I)IIIe; � '�� in days offer It has been sere"To be ramplM@. •Fox rhoAlnordolegy set bT Tr (:owls bwNdlwa Imluslry!111 vkt/carr. i 1UstsV4rmil tilnpp door, 01103 /7 �(- •� CITY ITY ®F T I G A R D MECHANICAL PERMIT 1 DEVELOPMENT SERVICES PERMIT#: MEC2004-00334 DATE ISSUED: 6/3/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 PARCEL: 2S110DA-05900 517E ADDRESS: 10503 SW NAEVE ST SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT:020 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL_TYPES 0 - 3 HP: 1 DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: RTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: insiall AC Unit Owner: FEES MIKE PEARSON Description Date Amount 10503 SW NAEVE ST [MECH]Permit Fee 6/3/2004 $72.50 TIGARD, OR 97223 [TAX]8%State Surcharl 6/3/2004 $5.80 Phone: Total $78.30 -- Contractor: GAROKEN ENERGY COMPANY 3565 SW 182ND AVE BEAVERTON, OR 97006 _ _ REQUIRED INSPECTIONS Phone: 503-849-1938 Mechanical Insp Final Inspection Reg#: LIC 43124 a ac H W This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Spe:ialty Coles and all other applicable laws. All work will be done in accordance with approved plans. This permit will ,4xpire if v.ofX is not started within 180 days of issuance, or if wort( 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 iii OAR 952-001-0010 through OAR 952.-001-0100. You may obtain copies of these rules or direct questionp io OUNC by calling (503)246-6699. Issued By: --Permittee Signature: -� Call (503)639.4175 by 7:00 P.M.for Inspections needed the next business day JUN-1-2004 14:53 FROM:GAROKEN ENERGY CO.IN 5037569002 TO:5035981%0 F'.1 tr�'L45.2009 19:57 FAX 50950819450 CITY OF TIGARD 1?1 002 MechanicalZe VAiWication ReceivedMechanicalaetVV Permit No.fA rt! JUN-1-2004 14:54 FROM:GAROKEN ENERGY CO-TN 5033569002 TO:50"35981950 P.2 P GAROKEN ENERGY CTE3 . INC . SYNC[ 1479 3366 CW 182NO AVE • OCAVr1RTON. OR 97007 • TEL 18031 9419.3836 • FAX ISCJ31 336.9002 • CCSN 431 24- ff so-3 ` iz /V GLE've- al e- - a � Ilr- cr � .� 3 L /`' �'f 5 10 F. VlN\-r J CITY OF TIGARD 24-Hour BUILDING Inspection Wns:*03)639-41750 INSPECTION DIVISION Business Line: (503)639-417•11 MST _— Q � SUP — Received Date Requestedy �� A M—_— BUP Location —�d�d 3 ��l ax,-c _ Suite _— MEC Contact Person _ _— ��-�G-�� Ph(_) d 0,5— "��� PLM Contractor — Ph(--) _ SWR BUILDING Tenant/Owner —_ — ELCARCV Y-60-3-C-) 5 Footing --- ELC — Foundation Access; Fig Drain ELR _ Crawl Drain _ -- Slab Inspection Notes SIT Post&Beam Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation -- Drywall Nailing -- — Firewall Fire Sprinkler -- -- -- _ Fire Alarm Susp'd Ceiling -- -- — --- �C Roof Other. ___ -- -- — — ---- - Final PASS PART FAIL PLUMBING Post&Beam — — Under Slab —_ — ----_ Rough-In Water Service ---- _ _ Sanitary Sewer Rain Drains ----- ---- ----- — Catch Basin/Manhole Storm Drain -- --- ------ -- Shower Pan Other- Final therFinal PASS PART" FAIL -- MECHANICAL Post&Beam Rough-In — — --— — --_-- ------ IL Gas Line Smoke Dampers --- _--__ �_---_ N Final PASS PART FAIL �i — --- — ---- —- — --- r ELECTRICAL — m Service Rough-In .J Low'✓oltage ------- —-----.— ---- -----—— Fire Alarm _ (SED. EPART FAIL U Reinspection fee of$T --required before next inspection. Pay at City ball, 13125 SW Hall Blvd. SITE Please call for reinspection RE:—_ —__--___—_— Unable to inspect—no access Fire Si-,ply Line ADA 1 p Approach/Sidewalk Dot*.- —�."1__ ..--.-__.--- Inspector_ _.— •��-- _ ff)d Other: -inal -_-- DO NOT REMOVE this Inspection record from the Job alto. PASS PART FAIL f 3 V � O o � � v V t o 0 I y V v L 9I Q C 6! a o � C c7 l� C J � V Lt+ w � e a � � I CITY OF TIGARD 13126 S.W. HALL BLVD. TIGARD, OR 97223 MAY 2 ?00' IMPORTANT PERMIT NOTICE COMMY011) uF , GAGE ENTERPRISES INC S/��D/ �r•��{ PO BOX 1429 ow CLACKAMAS, OR 97016-1429 Electrical Signature Form Permit#: MST2001-002.57 Date Issued: 5/15/01 Parcel: 2S110DA-05900 Site Address: 10503 SW NAEVE ST Subdivision: ERICKSON HEIGHTS Block: Lot: 020 Jurisdiction: TIG Zoning: R-3.5 Remarks: S/F Path 1 Your company has been wdicated as the electrical contractor for the Kermit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual 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 recat /ed OWNER: ELECTRICAL CONTRACTOR: RENAISSANCE CUSTOM HOMES CAFE ENTERPRISES INC 1672 SW WILLAMETTE FALLS DR PO BOX 1429 WEST LINN, OR 97062 CLACKAMAS, OR 97015-1429 Phone #: Phone#: 503-657-0142 IL Req #: uc 3aa5" ELE -1280 F— AN INK SIGNATURE IS REQUIRED ON THIS FORM m Signature of Supervisin Electrician If you have any questions, please call (503) 63941171, ext. # 310 CITY OF TIGARD BU..DING INSPECTION DIVISION MST 24-Hour Inspection Line: S176 Business Line: 539-* /t BUP • Date Requested / _ (2- Y AM_ PM BLD _ Location U�:) 03 _Yl o—a- .)-e— Suite MEC Contact Person S'�-c-{/'-�.. Ph 0 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wali ELR Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: - Slab — SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing — Insulation Drywall Nailing Firewall T Fire Sprinkler Fire Alarm Susp'd CCiling 164QC4 � •C • T _ --_ _ Rocr Misc: --- —-- — — - Final PASS PART FAIL. -- ----- — -- PLUMBING Post&Beam Under Slab Top Out -^- ------- Water Service _ Sanitary Sewer -- �- Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam — ------- — Rough In IGas Line ---- --_-- __—_� Smoke Dampers Final -- — — — PASS PART FAIL ELECTRICAL - -- 1 Service � Rough In --- — ----- — - --- -- Jl UG/Slab - - _--- --- — -- 0- Low Voltage Fi Alarm S PART FAIL U SIT 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: Fire Supply Line ease ( ]Linable to inspect no access ADA Approach/Sidewalk Date L —Inspector� j ^vQ Ext Other .�� Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. IV ELEVATION CERTIFICATION PER SECTION 710.1 of the OSPSC MY OF 11GARD 3510.1 of the OTFDSC r OREGON THE UPSTREAM MANHOLE RIM APPEARS TO BE ABOVE SOME OR ALL OF THE FIXTURE SPILL RIMS IN THIS STRUCTURE. INFORMATION IS NEEDED ON THE ELEVATION DIFFERENCE FROM THE MANHOLE, TO THE LOWEST FLOOR CONTAINING PLUMBING FIXTURES TO ESTABLISH THE NEED FOR A BACKWATER VALVE(S) AND TO DETERMINE WHICH FIXTURES NEED TO BE PROTECTED FROM BACKFLOW. OBTAIN AND SUBMIT WRITTEN DOCUMENTATION TO THE CITY OF TIGARD BUILDING DEPARTMENT WITH THE FOLLOWING INFORMATION: LOT NUMBER Zy SUBDIVISION Z7,,ejc1--Ste' Ae,9h4S _ ADDRESS ( U C-> 0 , 4g e J e.- PERMIT# 0045,4 A TRANSIT SHOT ON(DATEHAS VERIFIED THAT THE FIRST !t" &10" UPSTREAM MANHOLE SPILLRIM IS I(° O HI -HE OR LOWER(CIRCLE ONE)THAN THE LOWEST FLOOR FINISH ELEVATION. a �7?dtP �. DATE PLUMBER H _ DATE JOB SUPERINTENDAN)<' m (7 W 'i ABOVE INFORMATION ACCEPTED AND APPROVED BY: INSPECTOR____.—_ _ DATE 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)6842772 CITY OF TIGARD BU"DING INSPECTION DIVISIO MST �M �S 7 24-Hour Inspection Line: 63 75 Business Line: 639-4 BUP _ Date Requested /0- Z i AM PM BLD _ Location ( U 5 D -3 r �1`-� `� Suite MEC Contact Person �S'�uJ-� Ph Y _at D Z--PLM Contractor Ph SWR — BUILDING 1-enant/Owner ELC Retaining Wall ELR Footing Access: foundation �7 FPS Fig Drain (; k — ''Q r Crawl Drain Inspection Notes: SGN Slab _ SIT Post&Beam - --'--- Ext Sheath/Shear �e Int Sheath/Shear Framing --_ Insulation Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: rival PASS PART FAIL PLUMBING Post& Beam Under Slab Top Out — Water Service Sanitary Sewer Rain Drains P PART FAIL - ANICAL _ — Post P.ueam ----- --- --- - -- Rcugh In Gas Line Smoke Dampers Final — -PASS PART PART FAIL ELECTRICAL -- — - - - fL Service ��.. Rough In -------- ---- —•• — - - •- - UG/Slab Voltage Fire Fire Alarm Final PASS PART FAIL W SITE Backfill/Grading Sanitary Sewer Storm Drain [ I Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ Please call for reinspection RE: [ )Unable to inspect-no access ADA Approach/Sidewalk Other Date �1d/ Inspector� Ext _ Fins! PASS PART FAIL DO NOT REMOVE this Insgrctton record from the job alto. CITY OF TIGARD BUILDING INSPECTION DIVISION MST �Z 01 g2Q� 7 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 SUP —Date Requested f[`) — Ch —AM____ PM ESLD _ Location �� S [) 1 CI Q,(�C 5t- Suite MEC Contact Person — Ph ?qcl- 7� /& L PLM Contractor Ph _i SWR BUILDIN Tenant/Owner ELC Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post&Beam --- - Ext Sheath/Shear Int Sheath/Shear Framing _ — Insulation Drywall Nailing -- Firewall Fire Sprinkler _ ---Fire Alarm Alarm Susp'd Ceiling Roof Misc: --------------- —.—— _._ SS PART FAIL PtUMING Post&Beam —----- — ---..—.__ —_ —_ Under Slab Top Out --- Water Serv:re _ Sanitary Sewe _ Rain Drains Final — PASS F. T FAIL. CMA - - — — --! Post& Beam — — Rough In Gas Line — -- -- — -- Smoke Dampers PART FAIL RICAL --- a Service � I Rough In N (1G/Slab C Low Voltage J Fire Alarm m Final PASS PART FAIL W SITE Backfill/Grading '�— --- ---- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13 W Hall Blvd Catch Basin [ ]Please call for reinspection RF:-- [ ]Unahle to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Other Date �Q Inspector - Ext Final PASS PART FAIL DO NOT REMOVE this Inspection (record from the job site. CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT M PLM2001-00520 13125 SWI Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 10/11/01 SITE ADDRESS: 10503 SW NAEVE ST PARCEL: 2S110DA-05900 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 020 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE Or USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWErtS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS. RAIN DRAIN: ft Remarks: Installation of backflow preventer for sprinkler next to meter. _ FEES _ Owner: Type By Date Amount Receipt RENAISSANCE CUSTOM HOMES PRMT CTR 10/11/01 $36.25 27200100000 1672 SW WILLAMETTE FALLS DR 5PCT CTR 10/11/01 $2.90 27200100000 WEST LINN, OR 97062 e Total ;39.15 Phone 1: Contractor: TRADEMARK LANDSCAPES, INC. 18478W WALKER RD. OREGON CITY, OR 97045 REQUIRED INSPECTIONS Phone 1: 503-631-3890 RP/Backflow Preventer Reg#: PLM 5796 Final Inspection CL a This permit is issued subject to the regulations contained in the Tigard Munic?^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 if 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 forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)22446-1987. Issued B Permittee Signature: Ir Y �1d1 - Call (503)6394175 by 7:00 P.M.for an Inspection needed the next business day • Plumbing Permit Ap n City of Tigard Date received:1U i m d Permit no.: Sewer permit no.: Building permit no.: Address 13125 SW Hall Blvd,Tiger , Ciry n/TiRnrd phone.: (503) 639-4171 Project/appl.rmo.: Expire date: Fax: (501) 598-1960 Date issued: By: Receipt no.: Land use approval: _ Case fife no.: Payment type: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New constriction L.1 Addition/alteration/replacement U Food service U Other: — Job address: 10503 S.W. rIAEQG ST. Qty. Fee ea. Total Bldg.no.: Suite no.: New ll-and - y dw~oely: Tax map/tax lot/account no.: (W1,de+Iofft.rereachMllkycowwdlen) —_ SFR t 0 hath Lot: ZQ I Bleck: Subdivision: SFR(;',bath Project name: L(L%c. ator i HS:jti •I.5 SFR(3)hard -- City/county: TZIP: 72 Tach addi!ional bath/kitchen Description and location of work on premises: a W Sheadlitles: k +s' r)e,c-i'- f4 ►n,4_}c r Catch b isin/area drain Est.date of completion/inspectiorr -12 -24w% Dryweils(leach line/trench drain Fooling drain(no.lin. ft.) Manufactured home utilities Business name: T"OEwt A/LaC LArnQStApC =14C Manhole Address: &,W�)x:tx _ Rain drain connector City: .s- o,,. C,41 State: O zip:S7M,5 Sanitary sewer(no.lin.R.) Phone: 6 1-')S90 JE-mail: Storm sewer(no.lin.R.) e Water service(no. in.l` m �� CCB no.: 0"196 - i 1 Plumb.bus.reg.no: City/metro lic.no.: paSOO 2-03 Flxtwe or ftm: Contractor's representative signature: Absotion valve E Print name: �E VELL is Date: (O-//-Z:1 Back oreverter Backwater valve Basins/lavatory Name: lQi 1=V E ELL is Clothes washer Dishwasher Address: ��Ia�.L Drinking fountain(s) City: _ State: ZIP: Ejectors/sump _ Phone: Sally-'2.Ot 7 Fax_ E-mail: Expansion tank MW Fixture/sewer cap Name(print): Floor drains/floor sinks/hub evme��,�ahc� �4 „f C��� Mailing address: 1612 Wi L le•+•4_ FR[c_5- Di, Garbe. a disposal — - — Hose Bibb City: We ST Lilt- _ State: U LIP: 9 70t,Y� Ice maker 4. Phone: _ Fax: E-mail: Interce tP or/grease trap X Owner installation/residential maintenance only: The actual installation Ptimer(s) Nwill be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) H Owner's si nature: Date: _ Sump -j Tubs/shower/shower pan m Name: Urinal wWater closet a Address: ___ Water heater City: _ State: ZIP: Other: Phone- Fax: E-mail: Total -- P'ot all jaaridictiom raccep credit cards.please call jtariediction for mote infonnelon. Notice:This permit application Minimum fee................$ U visa n I'AastercardPian review(at _ %) S expires if a permit is not obtained Credit cad number:_ _ within ISO days after it has been State surcharge,(8%) ....$ - -- — - Name of cardholder as shown on credit card F.xpircr accepted as complete. - Cardholder siaralmr. Amo mi 410-4616(60 IOMM) PLUMBING PERMIT FEES: _ PRICE -To-Ur-1iffiRillow ly -l" FUSTURES ndivldual _ QTY N AMOUNT I OnWili e s a plumbing fb*m in PRICE TOTAL Sink 16.60 the d"llnptlnd the Hrst100& QTY (In) AMOUNT lavatory iB.80 for"bhutl cot111ectlon _Line(1)bath $249.20 Tub or TuNShower Comb. 16.60Two(2)bath $350.00 Shower Only 16.60 Three(3)bath $399.00 Water Closet 16.60 --- __ Urinal 1680 _ _ SUBTOTAL _ 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OI'SUBTOTAL Garbage Disposal '- 16.60 L TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2' 16.60 3"- 16.60 PLEASE COMPLE 7: 4" 16.60 Water Heater U conversion O like kind 16.60 Y Ouentl b Work Pertontted Gas piping requires a separate mechanical Fixture Type: N Moved Replaced) Remove& permit, MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 -Lavatory Tub or TublShower Nose Bibs 16.80 Combination Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet _ Other Fixtures(Specify) g 80 Urinal Dishvas0fir _ Gartaillib DI sal Lau Room Tray VMshlng Machine ,floor Drain/Slnk: 2' Sewer-1 st 100' 55.00 3" Sewer-each additional 100' 46.40 4• Water Service-1st 100' 55.00 Water Heater Water Service-each additional 200' 46.40 Other Fixtures Y_. (Specify) Storm d Rain Drain-lot 100' 55.00 Storm d Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 _ Catch Basin 16. Inspection of Existing Plumbing or Specialty .50 Reuested Inspections _ rR r� lr COMMENT EGAROING ABOVE: Rain Drain,single family dwelling 85.25 Grease Traps 16.60 _ QUANTITY TOTAL - A lsometric or riser dlapram Is requi- IF' '- Ix Ouantlty Total Is )-9 / -- 'SUBTOTAL - to _ - 8%STATE SJRCHARGE _J "PLAN REVIEW 25%OF SUBTOTAL Required only H t tore qty tow Is>9 TOTAL $ J *Mlnknum p»rmll he is$72.50+s%slate surchsma,except Residential Backsew Prevemlon Device,which Is SM 25•tt%state surcharge ~AII Now Commercial Buildings rsqulrs 2 soft of plans alth isometric ur rtser diagram for plan revlew. l:\tlsts\fnrns\irlm-fees.doc 08124/01 CITY OF TIGARD MASTER PERMIT PERMIT#: MST2001-00257 DEVELOPMENT SERVICES DATE ISSUED: 5/15/01 13125 SW Hall Blvd.,Tigard,CR 97223 (503)6394171 SITE ADDRESS: 10503 SW NAEVE ST PARCEL: 2S110DA-05900 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT:020 JURISDICTION: TIG kEPIARKS: S/F Path 1 BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST 1,818 of BASEMENT: 000.00 d LEFT: 7 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 10 SECONE: 1 711 of GARAGE: 711 of FRONT: 25 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINDSMENT: of MONT: 7 OCCUPANCY ORP: R3 SORRA: 1 BATH: 1 TOTAL: 2.987.00 of VALUE: 11358,717,80 REAR: 77 PLUMBING SINKS: 1 WATER CLOSETS: 1 WASIONG MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHNASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: / GARBAGE DISP: 1 WATER HEATEI S: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: _ MECHANICAL FUEL TYPES FURN<1pOK: BOIL/C MP<SHP,. FENT FANS: 8 CLOTHES DRYER: 1 CAS FURN>-100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX IP/P: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVF_s: GAS OUTLETS: 1 ELECTRICAL ^_ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS _MISCELLANEOUS AWL INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 •700 amp: WfSVC OR FOR: 1 PUMPARRIOATION: PFR INSPECTION: EA ADD'L 600SF: 8 701 •400 emp: 201 -100 amp: td WIO SVClFDR: 00 SIGNIOUT LIN LT: TR HOUR: LIMITED ENERGY: 401 •600 amp: 401 -600 amp: EA ADOL RR CIR: SIGNALIPANEL: IN PLANT: MANU HM/SVC/FDR: 601 - 1000 amp: 601*amps-1000v: MINOR LABEL: 1000+amONO": PLAN REVIEW SECTION Roconnect only: >-1 RES UNITS: SVCIFDR>-278 A.: >600 V NOMINAL: CLS AREAJSPC OCC: ELECTRICAL-RESTRUCTED ENERGY A.SF RESIDENTIAL _ B.COMMERCIAL AUDIO 6 STEREO: X VACUUM SYSTEM: X AUDIO 11 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: l— BURGLAR ALARM: X OTH: Al I_ENCOM BOILER: HVAC: LANDSCAPEARRIO: PROTECTNE SIGHL: GARAGE OPENER: X CLOCK: INSTRUMENTATION: fAlDICAL: OTHR: HVAC: X DATAMPLE COMM: NURSE CALLA: TOTAL/SYSTEMS TOTAL FEES: $ 7,970.12 Owner: Contrac`or: This permit is Subject to the regulations contained In the RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES Tigard Municipal Code,State of OR. Specialty Codes and 1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR al other applicable laws. AN work will be done In WEST LINN,OR 97062 WEST LINN,OR 97068 accordance with approved plans. This permit will expire N work Is not started within 180 days of issuance,or if the a work is suspended for more than 180 days. ATTENTION: Phone: Phone! Oregon law requires you to foNow rules adopted by the N Oregon UtIlly Notification Center. Those rules ale set Rog 0: LIC 049655 forth In OAR 952-001-0010 througth 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. m REQUIRED INSPECTIONS W Erosion Control Insp 8, Slab Insp Crawl Draln/Backwater Plumb Top Out Exterior Sheathing Inst Raln drain Insp Grading Inspection Wtr Proofing Bsm't Wa Footing/Foundation Dn Electrical Service Low Voltage Water Line Insp Sewer Inspection Post/Beam Structural Plm/undslab Insp Electrical Rough In Gas Line Insp Appr/Sdwtk Insp Footing Insp Post/Beam Mechanica PLM/Underftoor Framing Insp Gas Fireplace Electrical Final Foundation Insp Underfloor insulation Mechanical Insp Shear Wall Insp Insulatkm Insp Mpr:flanical Final Issued By : _ _ Permittee Signature Call(503)6394175 by 7:00 p.m.for an Inspection needed the next business day CITYOF TIG,ARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00156 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 5/15/01 SITE ADDRESS; 10503 SW NAEVE ST PARCEL: 2S110DA-05900 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 020 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: Owner: FEES RENAISSANCE CUSTOM HOMES 1672 SW WILLAMETTE FALLS DR Type By Date Amount RecAlpt WEST LINN, OR 97062 PRMT CTR 5/15/01 $2,300.00 27200100000 INSP CTR 5/15/01 $35.00 27200100000 Phone: Total $2,335.00 Contractor: Phone: Reg 0: Required Inspections a ac U) m (7 This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires W 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 prospect 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 in 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. Issued by: Permlttee Signature: Call(503)6394175 by 7:00 P.M.for an Inspection needed the next business day 7'l -oo uo Id5f 7 - ' -00 aS? Building ] City of 7 lgl ceived:Ll`J 7 1 Permit no: CiryojTigurJ _-- Address: 13125 SW lian mvd, I Igaro,Uh VILLS Jappl.no.: Expire date: � --- 1 hone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: I&2 family:Simple Complex: 1 7I %� 2 lamily dwelling or accessory U Commcicial/industrial U Multi-family �lew construction U Demolition U A,ldiiirm/aheraliun/replacement U Tenant improvement U Fire sprinkler/alarin U Other: JOB SITE INFORMATION rZ"r_-"j_c"_' dre:• W503 S WARVE ST_ Bldg.no.: Suite no.: xk: Subdivision: � � 1 E�L�� Tax ma�/tax lOt/accoun[no.: atuc Description and location of work on premises/special conditions: �IfrL,�,_._ ryry Name: FENAI*A lalL��r_1— ����'E,�'� 1=1 , ,: ,jl Mailing addre.s;_ Z H/ (JLM FAu�±.� d &z fauffly dwelling: City: State. ZIP: Ip Valuation of work...;. .0..7/..7................ Phone: Fax: N4 E-mail No.of bedrooms/baths................................. Owner's representative: Total number of floors................................. Plums : I a. E-mail: G - -��/�/ New dwelling area(sq. ft.) .......APPLICANT I 3ry p..7... _ Garagc/carport area(sq. ft.)......................... Name: Covered porch area(sq.ft.) ......................... Mailing address: Deck area(sq.ft.) ........................................ - City: f T State: zlp: Other structure area(sq. ft.)......................... —' Phone. I F. trail- Commercial/industrist/multi-family: CONTRACTOR Valuation of work........................................ $ _ �W Existing bldg.area(sq.ft.) .......................... Business name: ---- Address: PAVZ New bldg.area(sq. ft. ........... ::................ — - - Number of stories............. ..................... City: State: 'LIF': - --- Type,of construction.... ..... Phone: Fax: E-mail: - — -- Occupancy group(s)• Existing: CCR nu.: -- Citv/melto l , no - -- -�--- — New:ARCHITECIUDESIGNER — Notice:All contractors and subcontractors are required to be licensed w th the.Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Q, Address:11L(, _ -( jurisdiction where work is being performed. If the applicant is � City: AftQ State: '7_lP: exempt from licensing,the following reason applies: to _Contact person: Plan no.: — '* Phone:&2A-12,451 hax ; - mail:WIVw.r ® Name: GM Contact person: R, Fees due upon application ........................... $ WAddress: Z I Date received: J City: 0�.71,.AND_ State: 7_IP: al�2O Amount received ......... _ Phone:�j�- Fax2t F E-mail: Please refer to fee schedule. 1 hereby certif,, I have read and examined this application and the Na all jurisdictions accept credit emir%,pirate Tali juriedininn for r attached chec.dist. All provisions of laws and ordinances governing this U Visa U MasterCard work will be complied w i whether specified herein or no . Credit card nutnbec L7Amoun( Authorized SiPlllrl name:- ,:,yNEh Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 410-4613(6MCOM) Mechanical Permit Application Date received: Permit no.: City of Tigard Project/appl.no.: Expiredate: C'iq-njTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no,: TYPE OF PERMIT )<I &2 fatuity dwellntg rn arccssrny lJ Ctnnmcrcial/indusuinl U Multi family U Tenanl improvement XNew consiniction U AtldiuIerr/alterationlr placement U Other. — _ __- _ JOB SITE INFORMATIONCOON SCHEDULE Job address: ((7 SLa� NA EVE 5T Indicate equipment quantities in boxes below. Indicate the dollar ---— - Bldg. no.: _ Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/— lol/arr ,unt no.: profit.Value$ Lot: �j,Q lllock: Subdivision: N �} *See checklist for impunttnt application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: f t�,� ZIP: DWELLING Description and location of work on premises: 1 1 1 I-e eii Tolsd Est.date of completion/inspection: Description Qt . Res.only Res.only Tenant improvement or change of use: H ' Is existing space heated or conditioned?O Yes O No Air handling unit _CFM _- Air condit toning(site plan req is existingspace insulated?O Yes ❑No terationn eexisting ACsyst em rVILCIIANICAL 1 1 of er compressors Business name: ft ��--������ State boiler permit no.: r�rN ftAMS� HP Tons BTII/H Address: 't, 3rD 5 3 _L.00, Fire/smokedampets/duct smo a electors City: dj T Stale:p LIP: A Z eat pump(site plan required) — lton Z Fax: 1"-mail: nstal replace furnacelburner__ / Including ductwork/vent finer U Yes U No CCB no.: D nstall/replac relocate heaters-suspended, City/metro lic.no.: wall,or doormounted Name(please pr ot): Vent for ipplianceotherthan furnace 1 I e gets on: Absorption units _ BTII/lI Name: Chillers.,.,_ HP Address: Com ressors__ „ 1{p .nv rr►emeatal ex aunt an vend anon: City: State: ZIP: , Appliancevent Phone: ill fax: E-mail: Dryerexhaust 1 '-floods,Type Y If/res.kitc'hen/hazmat hood fire suppression system rxbaust fan with single duct(bath fans) _ IL Mailing address: �/ :exhaust systema alt from heatin or A City: W9% (� State _ Zip. v ue pi ping and d ul nn(up l0 4 outlets) t~ Type LPG NG Oil to Phon *}. JWWV I Fa F-mail 1 Fuelpiping eac 1 a ditional over 4 outlets XN I lcea piping;schematic required) J Name: Cr7k Numbecofoutlets ther tste app�t ore or eqa pment: Address: 4 — _ Decor alive fireplace WCity: State: 7.IP: /' Insert-type — _j nsert-type _J Phone a. G-mail: moo st�ove�pohetstove t ur. Appiicant'I signalure: _ Uate 2? ter Name(print): Easpi Not all jurisdictions accept credit cards,please call jurisdiction for mere inarswtion. Notice:This permit application Permit fee.....................$ _ Minimum fee................$ U Visa U MasterCard xpires if a permit is not obtained Credit card number:_ ___ Plan review(at __ %) $. Expires within 180 days after it has been State surcharge(8%)....$ Narne or cardholder a shown on credit card accepted as complete. Cardholder siansture Amount 440 4617(6MIC(th11 Plumbing Permit Application City of Tigaed Date received: _ Pennuno. r ' b Sewer permit no.: Building permit no.: I'l lone: (503c City u/Til and Address: 13125 SW{ all Blvd,Tigard,OR 97223 639-4171 Pro ect/a I __ ) J PP•no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: --__ Case file no.: Payment type: -- &2 family dwelling or accessory U Commercial/indusirial O Multi-family U Tens-tit improvement ew construction U Additiolt/alteration/n•placemeni U Food servic, U Other: Job address. 10505 SW NAEv _ ST. Description Q(Y. ea. Total Bldg. no.: --- Su_ire.no., S1, (1)bath New I-and 2-fandly dwellings only: Tax map/tax lot/account no.: - (includes 100tt•for each utility connection) __-_- -_-_ Lot: Blick: Subdivision: _SFR(2)bath Project name: �} bath City/coumy: p ZIp; —` Each additional batlilkitchen Description and location of work on premises: __ Sheulilitles: '� E- 1E, Catch basinlarea drain 1?st.date of completion/inspection: D wells/leach tin trench drain PLUMBING CONTRACIVOR Footing drain(no.lin. ft.) Business name-. Manufactured home utilities - --L �� —I-L _ _- Manholes - Address: w W1Rain drain connector City: _ State: ZIP: Sanitarysewer(no.lin. ft,) Phvnc: Fax E-mail: Storm sewer(no.lin.ft.) - CCB no.: 7014.&V _ Plumb.bus.reg.no:LQ.�Pij Water service(no.lin,ft.) City/metro lic.no.: -� Fixture or item: Contractor's representative signature: Absorption valve Prin: nanlr: pt --- - P Date: Back flow pteventer- Backwater valve CONTACT Basins/lavatory Name: Q� jLIL- Clothes washer Address: - -- _ Dishwasher City: State: ZIP: Drinking fountains) Phone: Fax: E-mail• L'jectors/sump Expansion tank t Fixture/sewer cap Name(print): Floor drains/tloor sinks hub Mailing address: �Z !�� W� — Garbage disposal City: Hose bibb �NN State: ZIP: Ice in l4. Phone: • Fa - E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The acttai installation Primers) will be made by me or the maintenance and repair made h/my regular Roof drain(commercial) employee on Ute pro y I own as per ORS Chapter 44,. Sink(s),basin s), lays(s) -- Owner's signature: Date: 4 Z d Sump m Tabs/shower/shower pan - Name: 46A Urinal - - •,1 Address: 1 f - Water closet _ i �:Phond2lf ity: - Water heater �N� __ State: 7_IP: '1,tflFa E-mail: Total No all jtuisdlnions accept credit cuss,please call jurisdiction nor more inronnatlort Minimum fee................$ U Visa G MasterCard Notice:71tis permit application -- expires ifs permit is not obtained plan review(at -�96) Credit card number, / / P State surcharge 8� Expires within 190 days n(L r it has been ( )••••$ _ None of cardholder as shown on credit card accepted m complete. TOTAL .......................$ Cardholder signature Amount 440-4616(60WOM) Electrical Permit Application ii�� nate received: Perrtut no.: Lit,' U1r ril�ald'(� Proicet/appl.nu.: Expirer:nte: Ciry0fT1gard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 6:39-4171 Date issued: By; _ Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1 At 2 family dwelling or accessory O Comrnercial/indusuial ❑Multi-family ❑Tenant improvement , lew construction U Addnioillalteration/replacenieilt U Other: _ __ U Panjal 11 1 Job address: �w �.� 57. _uu.: Suite no.: ITax map/tax lot/account no.: Lot. 7.p— Block: Subdivision: tMPW t4 14 r Pruiect name: __ Description and location of workonpremiaoa Estimated date(if rumplrliorl/insprction: 'ji"�---- - 1 Job no: Ree Mex Business nitnie: _— Description Qt .(ea) Tutrl no.lits Address: New nesidewial-single or midti-family per dwelWrgwut.Includes attachedprage. City: L StateW Serriceincluded: Ptlone: •QL F' 7 E-mail: IOM0 q.ft.or less 4 CCB no.: "ch udditional 500 sq.ft.or portion thereof © Elec.bus.tic.no: CityJnretro tic.no.: IFS LinuieJ energy,residential 2 Urnitedenci y,non-tesidential 2 path manufactured home or modular dwelling —' Signalum of supervising electrician(required) pale -- Servicc arid/or feeder 2 Sup.elect n:rmetprintl Y I.iccnxno. Servicesarfeetkrs•-installation, alteration or relocation: �+ 200 amps or leas 2 Name7,�-t;_ I= � S 201 ampst to 400 amps _ 2 - 41114 sm600ams 2 Mailis: _ p Cile601 amps to IOW amps 2 Y _ Stater ZIP; 70 Over 1WOsnips orvolts 2 Phos Fa G mail: Reconnect only _ I Owner installation:The installation is being made on property I own Temporary scrvlcrsrorfeeders- Which is not intended foo -ale,lease,rent,or exchange according to installation,attention,orrelocation: ORS 447,455' 47,455,479,6] T 1. 2W amps or less 2 l Owner's siE�naatrr: — _ pate: 21 Q201 nmps to 4W amps� _ z --- --- 401 to 6W ams 2 Branch circuits-new,alteration, Name: C5A or extension per panel: 3•LW-. A. Fee for branch circuits with purchase of Address: _ service or feeder fee,each branch circuit FP t 2 Y• D_ Stale ZIP: � Z L R. Fee for branch circuiU without purchase n, unr' Fir • E-mail: _of service or feeder fee,first branch circuit: 2 Each additional branch circuit Mtic.(Serrlee^r feeder not Included): ' U Service over 225 amps-colninercial U Health cue facility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting-- 2 fanuly dwellings U Building ovrr lo,000 square feet four or Signal circuits)or a limited energy panel, ..J U System over 6W volts nominal more residential units in one structure alteration,or extorsion* U Buddin uverthreestones 2 m B U Feeder,4W amps or more *Ihscri tion: U Occuparu load over 99 persons t]Manufactured structures or RV park UJ U E r"Ai htin lamach additional inspection over Ilse all N any of tlse abort. B B gP ClU Other. P Investigation Submit�—sets of plans with any of the above. Inveadguion fee --—The above are not applicable to temporary construction service. Other — --- Not all jwisdictir %accept credit cards,please call jurisdiction for nate infanpailon. Notice.This permit application Permit fee..................... ❑Visit U MasmrCard expires if a permit is not obtained Plan review(at __ %) $ ,. , rar �card nwnbu-. ----- — -- --�__ within I RO days after it has been State surcharge(8%) ....$ Espircs - accepted its compicte. TOTAL $ Nome of cardholder as shown on credit cud Cardhrdder siynuure f Antouat 440-4615(rvOry-OM) • `r e S 89'45'1 OW 158.81 us CL - STORM DRAINAGE EASEMENT N � w 0 N o ^ao �• r o O ---- 77.3' -- •.00' iN �----�- -------2. m � ���ll 0.50 ' 8 o.s�o 20 s' 6.00' oncd U N 89'45'10" E 142.88' < N > MoIrE:c�rre�u�ax�c��. . wEXTERU. � lMAM PFIMIDE CL oc rn SCALE DRAWING LOT 20, ERICKSON HEIGHTS t1� ��1Mr 1Ndt S.E. 1/4 SEC. 10, T.2S., RAW., W.M. 10" SW ST. �M�wltEl/IRI�I�IIIN�i Q�w� rwtulaE. CITY OF 11GARD I I --A 2.5 :"OOT OUBLIC LANDSCAPE EAS:'ME,4- WASHINGTON COUNTY OREGON SHAU- EXIST ALONG ALL STREE; =RONTACE. - -A 7.5 :'OCT PUBLIC UTILITY EASEMEN- lB N1 APRIL. 25, 2001 Centerline Concepts Inc . SNAIL EXIST ALONG LANDSCAPE EASEMENT CRAWN BY: MPW CHECKED BY: WGDIII EMAIL WWW•CCIEMAIL®AOL.COM SCALE 1"=20' ACCOUNT 115 64C 82�d Drive Glaastone, Oregon 970?7 M:\ML,\L20ERICK 503 650-0188 fax 503 65C-0189 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE REL-cl ED CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 COMMbNI'Y DGVF!��:'A4F.Mt Plumbing Signature Form Permit#: MST2001-00257 Date Issued: 5/15/01 Parcel: 2S110DA-05900 Site Address: 10503 SW NAEVE ST Subdivision: ERICKSON HEIGHTS Block: Lot: 020 Jurisdiction: TIG ,Zoning: R-3.5 Remarks: S/F Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing Inspections will be authorized until this completed form Is received OWNER: PLUMBING CONTRAC fOFi: RENAISSANCE CUSTOM HOMES CRAFTWORK PLUMBING INC 1672 SW WILLAMETTE FALLS DR 7736 SW NIMBUS AVE WEST LINN, OR 97062 BEAVERTON, OR 97008 Phone #: Phone #: 644-8698 a Req #: I i r. 79666 PI M 20-148PLi a AN INK SIGNATURE IS REQUIRED ON THIS FORM m � W X Signature of Authorized Plumber If you have any questions, please call (503) 639-4171, ext. #310