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10506 SW NAEVE STREET
N 80'59'54" E 117.,67' 2b 42.33' 1 rl- O � r O W I J � 4.00' [� 20. 0' b.GQ. Lri 4.00' 6.00'U w €�-taq,E•� ' ;�, 49.4 -- �- in o N O 42.33' O C U,,p9 % Oar i S 89659'54" W 105.04' S. W. HOODVIEW DRIVE --REVSED HOUSE. 5,/20 MSG --MADE STAKEOUT 1/31/02 MPW STAKED UT LOT 14, ERICKSON HEIGHTS S.E. 1 /4 SEC. 10, T.2S., R.1 W., W.M. CITY OF TIGARD WASHINGTON COUNTY, OREGON JANUARY 24, 2002 CE�n terl in e Concepts is Inc . ---A 2.5 FOOT LANDSCAPE EASEMENT —� �"J SHALL EXIST ALONG ALL STREET FRONTAGE. DRAWN BY; MPW CHECKED BY: WGDIII SCALE 1 "=20' ACCOUNT 115 EMAIL CC1 EMAIL4WA0L. COM --A 7.5 FOOT PUBLIC UTILITY EASEMENT 6�0 82nd Drive Gladstone, Oregon 97027 SHALL EXIST ALONG THE LANDSCAPE EASEMENT M: \MLI\L14ERICK 503 650-0188 fax 503 650-0189 NOTICE: IF THE PRINT OR TYPE ON ANY -�(-III ( � I I I I I I I IIII ► I I I I 11 , ► V I I I , III I I r r��.r�� r i 1� T f�r .i L 1111 III 111 11 1 111 ! ( 1 III ► I I I I 11 1 ( 11 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 I I , IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 27L8I ( I IT IS DUE TO THE QUALITY OF THE -- ____ _ 14 1 I 12 _ No.36 ORIGINAL DOCUMENT - — --- ---- �, _ - ---- -- -- — — — __ — __ E ! 6Z 8Z LZ 9Z 5Z � Z EZ ZZ T7 CMZ 6I 8i LiL 8rT 5i f'1i T'11 ,11 Zt TI T 6 I� 9 EllllllillllllL ILLI (l.' �III111 . �LL I 111111ill III!!! . 111 U- lily Illljil 4 O N O Q1 Z ri fD m fD fD 10506 SW Naeve Street CITYOF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00174 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 712102 SITE ADDRESS; 10506 SW NAEVE ST PARCEL: 2S110DA-05300 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 014 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: 1 CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF Owner: ---- —` _ FEES RENAISSANCE CUSTOM HOMES Type By ` Date Amount Receipt 1672 SW WILLAMETTE FALLS DR �— — WEST LINN, OR 97062 PRMT CTR 7/2/02 $2,300 00 27200200000 INSP CTR 7/2102 $35 00 27200200000 Phone: Total $2,335.00 Contractor: Phone: Reg #: Reaviired Inspections 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 prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Perm f L I / Issued by:r �;A ��. "��, Permittee Signature:_ Call (503) 639-4175 by 7:00 P.M. for an inspection needed the ne*t business d or SwRr �- `�v Building Permit Application Date received:--,,V Permit no#'&T�ja-?VQ City of Tigard Address: 13123 SW Hall Blvd.Ti ard,UR 9;«{ Prc)ect/9ppl.no Expire date: 1 City gfTigard g Phone (503) 639-4171 Date issued: By: Receipt no. Fax; (903) 598.1960 �C�t til tz I Case file no.: Payment type: Land use approval: VA( 3`�3 ' � 1&2 family.Simple Complex: 2 family dwelling or accessory O Commercial/industrial _J Multi-family ,Vyew construction G Demolition -1 Addition/alteration/replacement 0 Ter-int improvement _J fire. sprinkler/alarm ❑Other. Job address; I Bldg.no.: Suite no.: \ Lot: / Block: Subdivision: c� �ii>rr•s v.� !J.,• ,4- ___ Tax map/tax lot/account no.: I Project.name: .s r #e t{ �- Description and location of work on premises/special conditions:. �_ fir.•, /y - Msw. _ 71 Name: /1 rvr�„sJg.rc� CafLsM Al.Mei Mailing address: /6 7Z S'r✓ l/r� . . •//r 1 & 2 family dMelllne: H� City: 1.✓r, 4. l,'.,,n IState: ZIP: �7.,p g Valuation of w,,rk...... ......................... .. .. $ Phone .>J':7)t;+'-rV Fait: U 1(o/ E-m til: No.of bedrooms/baths................. Owner's rereticntative: 51.,. . - 0 F/„N r Total number of floors...... ............. ........•.. 3 _S Phone. G 1,� d0SCn Fax: d70 ?&63 IF-mail: New dwelling area(sq. f"..) `7-3 7 11011 Garage' area(sq. ft.)..... ................... \'ams: sU,.•� Covered porch area(sq. ft.) /f Mailing address: Deck area(sq. ft.) .......... .. . ........................ City. _ State: ZIP Other structure area(sq. rr ................. ...... _Phone: Fax E-mail CutnmerclaUlnduslrial/muhi fatnlly: Valuation of work. ...................................... $ Business name: Existing bldg.area(sq. ft.) ..............1".,,, _ Address: sr�nr New bldg.area(sq. ft.) .............. ../ — City: State: ZIP: -- Number of stones ...,,...'. ....... — Phone: Fax: E-mail: Type of construction Occupancy group(s): Existing: CCB no.: _ _ New: ocity/metro lie.no.: �,, !2��' -_- Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under � Name: provisions of QRS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed.If the applicant is City: State T exempt from licensing,the following reason applies "Phone: : I Plan no.:Fax: E-mail -- lmm Norrie: Contest person: Fees due upon application .. ....................... $_ Address: nate received: I Cit): _ State ZIP: Amount received ..... .... ... ....... .. ... .... ..... $ Phone: Fax: E-mail _ Please refer to fee schedule. I hereby certify I have read and examined this application and the Not WI)urtWu:ionr L:cept ULM utdr,pleroa_111 iuncdichon for mere mrormauon l attached checklist. All provisions of a s and ordinances governing this Q Viso C.MasterCard work will be complied with.# emin or if�L( c,emreud number.Ruthorized signature' Date: �' Nurse of cerdhoider us hown cn ctedu card Pnnt name } Ike." 1 _ � S Cardholder Demure lmaunt Notice This penni!.application expires if a permit is not obtained within Igo days after it has been accepted as complete. N04613(6WCOM) Mechanical Permit Applicati®n rDateceivcd. Permit no City O$ igard appl.no Expiredate: Cin,of Tigard Address: 13125 SW Flail Blvd,Tigard,OR 97223 Date issued By- Receiptno. ~� Phone: (503) 639-417) - Fax: (503) 598-1960 Case file no.: Payment We. Land use approval: Building permt no. 1 &2 family dwelling or accessory J CommerciaUindustrial U Niultt-tamily ZI Tenant improvement New construction :1 Additiotn/alterttiou/replacement U Gidier lob address: V _ hwi, ate equipment quantities In boxes below. Indicate the dollar 1 Bldg.no.: Suite nr _ value of all mechanical materials,equipment,labor,overhead, ax map/tax lot/account no.: - profit. Value$ Lot: Block: Subdivision: C•r�/s,,. �, 'See checklist for important application information and Project name: jrie<<••., v, 4:0y jurisdiction's fee schedule liar residential permit fee. City/county: a 4,,� Descnption and location of work on premises: r A.., A., NO WK1111110 11W1[LINE lu INOW11111111011111111tm Fee(ew) Tow Est,date of con pletioti'inspection: Deacri on Rtss.od Rea.ody Tenant improvement or change of use rkhn(ooingunit CFM I%existing space heated or conditioned"J Ye,, J No Air conditioning(site plan ie Litre ) lk r.xo ting Spate insuldtfui^l.] Yes ZI No Alterulionofexisting vACs;stem i of crrcumpressors Stale boiler permit no., Business name: f HP Ions B1 UCH Address: 6179,0 $, -m Q:/_ ire smo c ampers duct smoke detectors city: ',t,t tov jState:AC ZIP: 970 eat pump iota an require Phrme: r; 7 Fax: 7L'6 7V7#1 E-mail: nsta rep ace unlace umer Including ductwork/vent In^r 0 Yes 0 No CCB ria.: 9 R nsta rep ac re ocate nesters-suspende , City/metrolic.no.: U4 //3� %all,orfloor mounted Name(please print): led r CL r ant ora lance of her than urnace ! D1 Absorption units____ BTUM Name: S�" Chiller HP Cum ressors. _ tip Address: v otuotenu ex tu..n rent at on: City: State: ZIP: A liance vent Phone: f'ax Email: r ere suet -Hoods,Type res tc a azmat hood fire suppression system: dame: /Zrrlc�,js o/►�r ��+7+^+ l fF� _ Exhaust fen with single duct(bath(aril Mailing address: 16 It s;w L/i/%/A,w-7ye F,11X �, :x,aust system a an from heatin Lir- AC 7Q'` ue p p it an n Lit on(up to outlets) :,WCity: W�'r Nf State: ZIP!_ ^ F\pe ._ i_PG _ NO Oil Phone: s_S C 0 Fax: (,s G�L�' Email: Fuel Ping each add itvma Liver 4 outlets Process piping(sr. etnattctequire l Number of outlets Name: ed ap—plTince or equ pment: Address: - —� Loecenitnefire (pace City:� State: ZIP: " nseoti;:,e Phone: Fax E-mail' as SIOVef e;etstase t cr Applicant's signature: Date: 7ither. i 1 Name (print): f'}r✓e PW ---- — --- _-- -1 Nd ah jursdictions accept credit ciuds.please cd,jurisdiction for more ntforniation Permit fee fee ._.............$ N Notice.7hia permit application Minimum fee..... ..........S V15:1 :3 MasterCard expires if a permit is not obtained Coedit cud mtmbec // // within ISO daya atter it has been k8 Plan review(at %) $ � State surcharge 189b)•..•$ ante or car older u mown on cndlt cad - accepted as complete. TOTAL ................... $ s .... I.atdhtdder si tun Amount 440.4617(601COM) Plumbing Permit Application Date received Permit no.: City of Tigard Sewer permit no,! _ Building permit nn Address: 13125 SW Hall Bivd,Tigard,OR 97223 -- Cu;�'fTigard Phone: (.503) 639-4171 Pro;ectiappl no.. Expire date: Fax. (503) 598.1960 Date Issl:ed: By Rece:pt no.: Land use approval: t-,,•rrle no.: Pavmenttvpc I &2 family dwelling or accessory J Commercial/industrial J tilulu-fal'O', Tcn:;nl ,Inpt crit, New construction J Adciitic,n/alteration/replaeemen' _] t n ,J , I i .1 CWier Joh address:�� - J 6 — Description 1 QkvjT ee ea. Total Bldtt. no.: Suite no.: New I-and 2-family dwelling.duly: Tax ma /tax lot/account no.: (Includes 100 ft.for each utillti connection) p SI-R ,1)hada Lot: / Block: _ Subdivision: hath Project name: _ / ., , .�,, /, _ SFR(3)bath City/county:7-,�Od lVcu.H,,,, .• ZIP: Each additional ha kitchen DcscdpUon and location of work on premises: _ .H /c "W, Y IleuttUtles: Catch basin/ares drain Est.date of completionilinspectton: Drywelis/eat line/trench drain Footing drain(no. lin. ft.) Manuractured home utilities Business name: S9.%,< ,�,� Plcee C� anho es Address: 77,16 Swo, 4titj Rtun drain connector City: , ,,tet.;„ I State: ZIP: 97003- Sani'—sewer(no. lin. ft.) Phone:S15-011- ?e Fax: I E-mail: .turm sewer(no, li— n— ft.) CCB no,: 79 'Cl: I Plumb,bus,reg.no: .,� � 6 atet service(no lin t.) City/metro lic.no.: 7 J r 4e Fixture or item: Contractor's representative signature. Ahsnrption valve Back flow preventer _ Print name: Ald# a Date: Backwater valve I -- asins/lavatory _lam l Name yU, Pubes washerI T Address: is twas h e Drinking fountain(c) l City _� r State: ZIP: _ iecterisum Phone: Fax: E-mail: Expansion anslon tank Fixtumsewer cap ): /�',.� ;1� y �o�, _ Floor drains/floor sinks/hub Name(print Mailingaddress: b 7Z y a ��s Garage disposal �_,.✓ � '��_ Hose bib City: wpwf',km _1St_ate: t+/( ZIP: q 7 T 1,a maker Phone: S'e 0,770?IC Fax: I E-mail: 7,terceptor/ cease trap Owner installation residential maintenance only: The actual Installation Primer(s) will he made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property 1 own as per ORS Chapter 447. ink(s),basin(s), ays(s) Owne's si nature: CLPI 1101 IN 0 Date: um Tubs/shower/shower an Urinal Nie' Water closet Address! -Water heater _ City: State: ZIP: Other. — - Phone: Fax. E-mail: rota hot ti l unedtetion_z ecce t ciedtt cetds.plow toll judtdreuon for mon information Minimum fee S � I � Notice: this permit application U%,166 7 Ml nerCerd expires if a permit is not obtained Plan review(at , %) $ ._ Credn cord number ��_. _ Ezp11 i within 180 days after it has been State surcharge(M) , $ None of cardho__ t u tfwwn nn:rant Mrd I accepted as complete. TOTAL . . ............ . ... $ Crdhol&,-s aTwe� _ AtnouriL Lil uo-,516 kvjulcom) Electrical Permit Application Datcreceived. Permit no City of Tigard Pro3ectiappi no Expiredate Cuyn(Tignrd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued By: Recuptno.: Phone. (503) 639-4171 -- Fax: (503) 598-1960 Case file no. Payment type Land use approval: _ =-'ction dwelling or accessory J Cornmerciallindustnal U Multi-family Z)Tenant improvement J Add ition/alicratlonlroplacemeni U Other ZI Partial Joh address: 1131dg. io. Suite ro_. ____ Tax map/tax lot/account no.: Loh Block:T Subdivision E.. /< s ei+ 4 -----_ --- _ �' Project name: i,�/,r �,, 1�, Descnption and location of work un remises: Estimated date of complentm/inspecun:i Job not 1'ee Max p I Business name: .-p l:. we Tr, Micri lion Qtv. ea Tout no,tits Ne" at mil -flendlyper Address dNetlltrgimit.lnetudesattachedprialte City: �'/t State: C( 'LIP: `j7©1 S %-Mceincludedi Phone: �,j( 2 Fax: _ E-mail: linoaq.fterr1ew 4 S` ' y 7 Q r y Each additional SUU sq.ft.or oruv-n thereat CCB no.: Syti Ewe.bus. lic. no: Limntedener y.resident,al Chyilnetrulie. no.: Z - _ l.imitedenerg),non-residenitai 2 Each manufactured home or modular dwelling l Service and/or feeder 2 Signature of ser rvisin cla elcor n,,re uimd) — M Uate --+----+ ,h riot nune,l nnr ( �f�1 Sort cesorfeeders-Installation. o < -a License no: alteration or relocation: 20U amps or leas Name i rir,t): r.�ci, nal �ri 1-a" ��ass 201 amps to a0U ams 2 �2�.1a------7- 401 amps to 600 ramps _ _ _ Mailin address: 1677, !-</,� 1/?q ✓1wor h01 amps to 1000 ams 2 City: • ,,,r State;6W 1 ZIP: Lj7 t;f over IUOU amps or volt 2 Phone. f V jQV7 q',-?! Fax: sos i O E-mai!; Reconnectunl Owner installation:"rhe installation is being made on property I own Tereporaryservkcasorfeedem- -i which is not intended for sale, lease,rent,or exchange according2c4i to 00al ,alteration,orrcioutlnn: ORS 447,455,479,670,701. nmmEs a:)ar toes l l 20:amps to 4011 oma 2 owner's si nature: Date: 4UI to 600 ams i 2 Branch circuits•ness,alteration. or extension per panel: Name: A. I-ee for branch circuits with purchase rat Address: service or feeder fee,each branch circuit 2 ZIP: B Fee fir branch circuits without purchase City: State: of service or feeder fee,first branch circuit: 2 Phone: Fax: E-mail: Each additional branch circuit: Misc.(Service or ee er not inc u ee ~� ationnr m irri Circle pService over 223ampa•commercial :Z1Hetdth•care l'ac+lity Tach up a --t-- - U Service over 320 amps-rating of 1&2 Q Hatudous locauon Each sign or outline lighting fartulydwellings J?,,;ming over 10.000 square feet four or Signal cimuit(s)or o limited energy pane; J System over 600 volts nominal more re.�dential units in one structure alteration,or extentlon• I 2 7 Building over three stones U Feeders.400 amps or more "Description. l occupant load over 99 personal U Manuftu tured structures or RV park Each additional Inspection over the allotvnble In any of the above- J Egress/lightmilpian O Other . - Perinspecuon Submit____sets of plana with arty of the above. Invesr,gation fee The above ate not applicable to temporary cotultruction service. adte r Not all lu,rdictioru accept cabin se cards,pleacart iunsdicr,on forn mo ,nfamu ion Notice:This permit application Plan rl fee.....................$ J'disa MaatorCard expira:+if a permit is not obtained Plan review l.at r %) S c edit cari number:___,____ __ _-L—.L_... .vithin ISO days after it has;been State surcharge(8%)....$ Np1tei accepted as complete. TOTAL . $ ams o c o r as shorn on credit card _ S Cardholder eienature Amount J 40415 trr00/COMi SEE 35MM ROLL # 20 FOR OVERSIZED DOCUMENT CITY OF T I G wH R D _ ELECTRICAL PERMIT PERMIT#: ELC2003-00477 L....� DEVELOPMENT SERVICES DATE ISSUED: 8/4/03 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 PARCEL: 2S 110DA-05300 SITE ADDRESS: 10506 SW NAEVE ST ZONING: R-3.5 SUBDIVISION: ERICKSON HEIGHTS BLOCK: LOT : 014 JURISDICTION: TIG Project Description: Hot Tub _RESIDENTIAL UNIT TEMP SRVCIFEEDERS _ MISCELLANEOUS 1000 SF OR LESS: _ J 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL. (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ ___ –_-- PLAN REVIEW SECTION 1000+ amp/volt: —4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: —SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC:: Owner: Contractor: MCPIKE OLIVER'S PRCISION ELEC. 1(1506 SW NAEVE 17035 SW HIGH HILL LANE BEAVERTON,OR 97007 Phone: Phone: 503-579-7747 Reg #: I I 1 34-521(' -- H( 41435 FEES _ �t I� �s3Os Description Date Amount – _ _ Required Inspections 11i1,l'RM"1'1 FIA'Permit 814/03 - j l'AX 18 State Tux 84/03 Elect'I Final 'Total $50.60 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 apprived 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 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or 1-800-332-2344. Issued By: Permit Signature: OWNER INSTALLATION ONLY The installation is being made on property 1 own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _-_._--- _—____ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _-_-- _---__----- DATE:_ LICENSE NO: - -- -- - _ _ ---— - — — — — - Call 639-4175 by 7:00pm for an inspection the next business day 07/31/2003 15: 33 2035795907 PEVILO SAINTS PAGT Electrical Permit Application Date received: Permit no' -tc q 7 City of Tigard Proect/appl.no.: — Bxpiredate: l City of Tigard Address. 131'25 SW Ifull lilvd,T'pant.OR 91223 Date IssuedBy. Receipt no. Phone: (503) 639-4171 Fax: (503)598-1960 Case file no.: Paymenttype: Land use appmvnl r&2'family dwelling er accrssr+ry U Commercial/industrial ❑Multi-family ❑T'enant improvement ruction ❑Addition/alteration/replacement O tatter: U Partial JOB NITF INFORMATION Job address / SQb -5 p ,+� (�/ - Bldg.no.: Suite nn. lax tnap/tax lot/account no.: — I.<Ir _- ____ Block Subdivision: Project namo mom/ Description and location of work on premisess: ,.r 6449 C*iL4;4dC - Estimnted date orf compllcuorUuln{xcGfro: CONTRUIOR Al"I'LICA11ON 11-1, SCHEDULE Job so: Fee Max Business nan- c' - a le _ tkscription Qh. (ea) Total no,imp New ersfdendd-eYlgle or mild-famity per Address: dweUy,q,nit.hwhiales,atncfKd pavnge. City: state:ple ZIP. 9 7V.7 Sewlalactaded: Phones-V 51 f?I qjj Fax6-Yd Email:QPC x•34 Qd IMo sq.ft.or leas 4 CCD no.: �,"� Elea,bus,licno: e A f JFP Each additional 500 sq.ft.or portion thereof Limite4 energy,residential 2 City/rNtro lic,no.: Limited energy,non-residential y _ 2 Each manufactured home or modular dwelling Signahrre of supervts{n electrician u t �r.lo ��- Date Service and/or feeder 2 - Sup Asst namr(p:mt) v� ( License no. S rdcesorfee ere-Inetallatlon, alteration or rvlocatloir 200 am s or less _ 2 Name(print):( -V� J 201 amps to 400 amps-- - _ 2 401 amps to Amps 2 Mallin address ts�-- 601 amps to 1000 amps 2 City: State: LIF': Over 1000 snips or_volts - -- -- 2 Phone: Fax: E-tttail: Reconnect only I Owner in3lallation:The installation is being made on property I own Temisoraryswrhxaorfeeders- which is not intended for sale,lease,rent,or exchange according to i"'taI1.H°",altmeloh,atreM,ctatlnn: ORS 447,455,479,670,701. 200 amps or leu 2 201 am a to 400 unpe2 Owner's signature, 0 Date: 401 to 606 -- 2 Branch clrculta.new,alteration, or extension per panel: Narlte: _ A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: ZIP: B. Fee for branch circuits without purchase --- -- - 1'honc: Fax: _V17 troll- - of eeryIce or(leder fee,first branch circuit / `��' 2 Each atJdi tionsl brans hs,i s a u l t Fil IM Mac.(Service or feeder not Inc r ): ❑Service over 225 drops-.onunerclal ]I lrellb•carr tanluv Each pump or brig•non circle 2 ❑Service over 320 amps-rating of 1&2 ❑Nazrudous location FAch sign or outline lighting 2 family dwellings U Building over 10,000 square feet four of Signal circuits)or a limited energy panel, O System ovet 600 volts nominal more residential units in one structure alteration,or extension• *Building over three stories 13 Feeder,400 snips or more *Description _ O pccupanl load over 99 persons ❑Manufactured structures or RV part. Fieb additional Inspntion rider the allowable In any of the above — O EgressAightingplan O Other. --- Perm.pection .._ F__7 Subsalt—seta of plans wills s"V of tho 21mve. Investigation fee The above are not apnOcable:o temporary construction service, Other Na All ludsdlrtiaxu axept Credit Cuda,plesse roll junfAcnon for mare inforvufirxl Notice:•F k permit application Permit fee.................... 1 t7 visa 0 MurerCard expires if a permit is not obtained Plan review(at — %) S _I/ within 190 days after it has been Stair surcharge(896) ... S _ Expires accepted n complete. TOTAL .•................... .S -0 .sfl9 N-moo-�&.rats on etrrd� cardholdry elp"Ure _ Amount 4404615(M COM) I T" O� �I� w ^D — ELECTRICAL PERMIT T HK PERMIT 4: EL.C2003-00446 DEVELOPMENT SERVICES DATE ISSUED: 7/24/03 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 2S110DA-05300 SITE ADDRESS: 10506 SW NAEVI ST ZONING: R-3.5 SUBDIVISION: ERICKSON HEIGHTS BLOCK: LOT : 014 -JURISDICTION: TIG Project Description: Install branch circuit for hot tub in back yard. _RESIDENTIAL UNIT TEMP SRVC_/FEEDERS_ _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: — PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601#-amps - 1000 volts: MINOR LABEL (10). SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 arnp: EA ADD'L BRNCH CIRC: IN PLANT. 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: -4 RES UNITS: �> 600 VOLT NOMINAL: �— ____Reconnect only,. >=225 AMPS _ CLASS AREA/SPEC OCC: Owner: Contractor: MC PIKE GOLD STAR ELECTRIC 10506 SW NAEVE 51627SW 5TH TIGARD OR 97224 SCAPPOOSE.OR 97056 Phone: Phone: 503-274-4653 Reg #: ELE 5-55C --------- --- LIC 151939 FEES �;t I' 11054; Description Date Amount Required Inspections (ELPRMT] ElX Pemiit 2'4/03 $46.45 _ -- [TAX]8%State fax 24/0; $3.75 Rough-in Flect'I Final Total $50.60 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 plans This permit will expire if work is not started within 180 dayr.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 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503) 246.6699 or 1-800.332-2344. Issued By: _) `�r, c4 Ey ''� r �c �_ 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: _ __--_-�_ _ DATE:— LICENSE NO: —.— Call 639-4175 by 7:00pm for an inspection the next business day Jul 24 03 Cl-q,. '-)la GUI U i l AR F_L FC: 5035434025 p 1 Electrical Permit Application - Date received P(utnit no.c L City orrigard Project/appl no.: Hitpim due: Gtyof)'rgard Addreati: 13125 SW flail Blvd,Tigard,OR 97223Dnte issual: Hy:�,� Rocapt no.: Phone: (503)639-4171 —"" -- , — Fax: (503) 598-1960 Case file no.: t ayment typo Land use approval —_-- _- -- O i & 2 family dwelling or accessory Ll Commercial/industrial 0 Multi-family Ll 7 errant impytwernent •New construction Ad(lition/altetation/teplaccmenl 0 other _--,Cl Partial lob atid��: DSD V Bldg.no.: Suit.:no.: Tax trap/tax lotla000unt no-- Lot: MBlock Subdivision: Project name: I�J.S.eIJ - -_ "Fa ption and location of wtlrk on premises: 'r _ Estimated date of eompletion/inspacctidm: — •Q Job so: 7- c?--7--') Feu Mix _ - DescrWitate Business n- ame., �� Qty. 1!a) Te1h rwr.int r Address: . - - IVeen�dkxrial-eir�earereib•iadiyrjer ��{�► �. _ �wAa�naY luide+�r.airedprwRe. City: Sc- State 7.1P: F.sriceiarLirl Phone: Fttz� E-trail4 -- . arwl IL or pottier thetmr 11M3 no.: �!5/ Elm.bus.tic.no: _(�. Liuritn! rviderrtial _ 2 Pf"netTo no.: - *1_1 1:2143M _- [al 11 eoerEy, non-iesidraial _ 2-- - 'D EWA nurartictuod hmr or nuAdr daveltinr Uuc of xuprnis g cloetnctaa (required) Date seryor fearker 2 I.icenre m Senitxrnefee(.e.�-IoRdhtloa4 Sagl elect.mttx:(pnet: V a�atlasefR.Ia[aNM: 7¢)arryn or len - 2 Name(print): -1I u l 201 amp,to 400 amps --- — 2 it ' 401 amp.In 60o amps 2 �Mailingaddreas: /U_ bot ampato 10M an" — 2 City: --_�Statc: ZIP:1. 1T— l000 atm M�a1a�'--- 2 Phone: '. Fax: E-trail: Itao,+oect onlyf Chvner nwtallation: I he installation i::being made tm property 1 own T'snpuntryu'iresorfarders- which is not intrnd A fix sale,lease,rent,or exchange according to hOiRgrlaa aitrtrffoa,orn4ocamier OR S 44'7,4 51),47'x,(00, 701. 200 amps ur km 201 amps lir sled w�l rs - z Owner's si tw e: Date. 401 to 60(1 amps 2 -- --- prwbclrrnib-WW' dfeartioa> or extra i-m per panel. A. Fee fa tnarnit rirr,rkx willpuclmr or Ad(hcs: service or ruede fix,eadr twrdr denril (_icy: State: ZIP: ti I;ee for tsaadr aconite wbLar _�/— -'- _---- --- _ -- -__. -— of aavim or feexls fir,fust branch citpre 1- 0 I(r . 2 Ph.nc F rix_ (-mall Each mlliliaoal hraufi cuuA- MimmigufflinItt[tae(sa..tre.rredK.dl.rdraetl: U tia7via over ?15 arryn.irmmrtcul U Ilcakh.arr UpLaIrtr Each pump or irr*i1snn eitek_ �_ I O Servire over 320 amps-rat(ryt of IR7 U Ilannhrr• kvatomn lich ttgo or(saline Ip}rtr — V Z 6mny dweUiw ❑neiNby,—ex 10,000 vgare firs l'ae or Cigml cirtrtil(s)or a limit en"1tY(papal, O system aver 600 ro&remisrl Mow rat rydw rant,in~anrtrrr nMearion,or etdentam• 2 U Huildknl ova lute thwim U FIWAksx,400 naps or mac •Dercri lion ❑OcLi4wo Wd ovrr 99 pawn% U Mraulfacbarerl etnrturet or RV(ark Fick sAdIdesmall ImpecAnn ever dwaaorrable fanny oltbeabore: U 1g"2taAigmins fon U other:---- -- - For - .SOM 1 _arts of plan+mM mI of Oe abaee. IreveslirAjoo fix 'Me aYore we awl oppllnble to teaapwary could aser ice. 0111" NCA an jraridiai rh aeega credit otdr.please all jrrrirdletian ke reree i"rem tion. Notice' This permit applicrttian I'CTlrllt fee......................E i7 — •a — ❑Via U INaet"Catd ewes it a resmit is not obtained Plan review(at -_ (16) S — dtieair card number .-_---� frea within 190 days after it hax teen State surcharge(80A).....S c"'"" accerted as complete TOT.0.........................S T � —. Mme o�aia erne on N 4ard—_ . S / _, ---tlsrrgriosrre .-..-__ __.-_— - - �- _L.. iI�r GC_ /� 4m-1�r•,lNcmonU L����'•Gw- CITY OF TIGARD 24-Hour BUILDING Inspection Lh (51113)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 M BLIP --- - Received _Date Requested AM_- -_ PM __ — BUP Location (.0 _Suite MEC Contact Person ._. _ Ph(—) 1-70 - 63(6 9 PLM --__- Contractor- _ _ Ph(__-) SWR BUILDING Tenant/Owner _ - - - - - - ELC .d U �f 7_7 Footing ELC Foundation Access: Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT -- Post&Beam N��r2, �,l Shear Anchors Ext Sheath/Shear W t Int Sheath/Shear Framing - - Insulation Drywall Nailing Firewall Fire Sprinkler ( --- - - Fire Alarm Susp'd Ceiling - - -- Roof �- Other: - - - Final -�- -- - -- PASS PART FAIL - -- PLUMBING Post&Beam Under Slab -- ----- - -- Rough-In Water Service - - - Sanitary Sewer Rain Drains - Catch Basin/Manhole Sturm Drain - Shower Pan Other: - - - Final ----- . PASS PART FAIL MECHANICAL Post&Beam Rough-in Gas Line Smoke Dampers Final PASS PART_ FAIL ELECTRICAL Service Rough In - t�'1 -- ------ UG/Slab Low Voltage Fir�Alarm Reinspection fee of$. _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PART FAIL SIT E - F-1 Please call fo reinspec'on RE: _ Unable to inspect-no access Fire Supply Lin.? I (_ _ ADA 61 �1 Inspet Ext __ i/ fc3 Approach;SidbDate walk � --- Other: Final DO NOT REMOVE this Inspection record irom the jo site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Businejs Line: (503) 639-4�71 MST BUP Received _-__---- --___--- Date Requested d `v�- AM ---- ---PM -- BLIP ----_— Location _.__ - __ __- -i - Suite MEC -_ X1-- Contact Person - ._..�;����-�- Ph (_- -.1 � � 3-Ld--Z- PLM -_ /,ontracior _-- Ph(_--) -- SWR -- BUILDING Tenant/Owner __ _ ELC ----- Footing Foundation ELC Ftg Drain Access: EL.R 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 --- Roof Other: Final FAIL - - - 1'' Under Slab -. Rough-in Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain 7z - - - - - - -- Shower Pan Other: n -- - S PART_ FAIL_ - — _NICA_L___ Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART_FAIL ------------- -.._ ELECTRICAL - Service Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASA PART FAIL SITE Please call for reinspection RE:__._._ _ L� Unable to inspect-no access Fire Supply Line ✓� _ ADA I �� / �- Approach/Sidewalk D -------- Inspector , Ext Other: Final - _ DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BLIP -. - - - Received _ - .. - .._—Date Requested �3y AMPM BLIP Location 1 0 j��,1�-C� Suite _ MEC Contact Person Ph(-) 2� -3/D 2_-PLM Contractor Ph( ) __-- SWR BUILDING — Tenant/Owner _ ELC Footing _ ELC Foundation Access: Ftg Drain ELR Crawl Drain _ - Slab Inspection Notes. SIT Post&Beam Shear Anchors -- - -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - L- Firewall -- Fire Sprinkler ------------- Fire Alarm Susp'd Ceiling -- - NA 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 PASS PART FAIL - ---- -- -- -- -- - - M_E_CH_A_NICAL Post& Beam - - Rough-In Gas Line Smoke Dampers Final PASS AIL _ �RRICAL- , -_- - Rough-In UG/Slab Low Voltage Fire Alarm Pna ❑ Reinspertion fee of$- - __- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S PART FAIL A STM_ [� Please call for reinspection RE: -. ❑ Unable to inspect-no access Fire Supply LineADA / Approach/Sidewalk Date _ 2�j Q /O/'4n9pector Ext Other: Final DO NOT REMOVE this Inspection record from the Job :Nte. PASS PART FAIL t y t� O y. ► d loo► d �.� G ► *e r b ► 1rD c lool rD oil. o O ► i O c � a °, ► . z �� H ► � � � „ Uq �, o ► r-+ rb ► +1 (Z r+, alp ► 44 Jy e '� Orr ► A M � � M O r ► . 1944 ► �) ► rD 01. 414 NO. 44 7� ► N rvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvI � i ► ► N c" G ti' ry 7 R � a � v n o v; d n 0 �: I CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST ;i, INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received -_ Date RequestedAM--- PM _ BUP I_ecation Suite_ MEC _ Contact Person — _ i1--Q _._ Ph( ) �, 1 _ V Z-- PLM Contractor_ _ ___-__ _ Ph( ) __ SWR -_ BUILDING TenanYOwner -_ ELC Footing ELC - Foundation /access: Fig Drain ELF! ----- --- Crawl Drain Slab Inspection Notes: SIT Post&Beam -- -- Shear Anchors Ext Sheath/Shear Int Sheath/Shoar Framing --- -- -- -------- - - Insulation Drywall Nailing - - -- - -- - -- - Firewall Fire Sprinkler - - - - --�. -- — Fire Alarm Susp'd Ceiling - Roof ')thee F �c A FART FAIL - -- - PLU BINE - - Post&Beam Under Slab - - Rough-In Water Service Sanitary Sewer Rain Drains ----- Catch Basin/Manhole Storm Drain -- - - --- ----__ Shower Pan Other:_ - - Final PASS PART FAIL MECHANICAL - Post& Beam Rough-In - - - ........ Gas Line Smoke Dampers - - - 1=I nal, PART FAIL -- - --- --- RS CAL Service Rough-In --- UGiSlab Low Voltage _ Fire Alarm Final I Reinspection fee of$__�____�required before next inspection. Pay at City Hal:, 13125 SW Hall Blvd, S. PASPART FAIL _ SS SITE I -� Please call for reinspection RE:_-__�..__ i Unable to inspect- no access Fire Supply Line ADA Approach/Sidewalk Date__.�_.�" �'�-___ Inspector ; -Ext - _-- Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL MASTE CITY OF TIGARD PERMIT PERMIT �: MST2002-00268 DEVELOPMENT SERVICES DATE ISSUED: 7/2/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10506 SW NAEVE ST PARCEL: 2S110DA-05300 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 014 JURISDICTION: TIG REMARKS: S/F Path 1 BUILDING REISSUE STORIES, i FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: .11 FIRST: 1.459 of BASEMENT: 09700 s1 V LEFT: 5 SMOKE DETECTORS: Y TYPE.OF USE: SF FLOOR I-OAD: 4o SECOND: 1,501 of GARAG 605 of FRONT: 20 PARKING SPACES. 2 TYPE OF CONST: SN DWEL LING UNITS: 1 FINBSMENT: of RIGHT: 20 VALUE.' $311.000 40 OCCUPANCY GRP: R3 BERM. 4 BArH: 3 TOTAL: 3.04000 of REAR: 4:4 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS LAVATORIES 0 DISHWASHERS: ' FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS. TUB/SHOWERS 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTW 1 GREASE TRAPS. O1:1ER FIXTURES. MECHANICAL FUEL TYPES _ FURN<10OK: BOIL/CMP�3HP. VENT FANS: 6 CLOTHES DRYER: I GA, FURN—100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP. btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES GAS OUTLETS: I ELECTRICAL. _ RESIDENTIAL UNIT_ SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CI4_CUITS MISCELLANEOUS ADD'I.INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: 1 PUMPAPRIGATIOW PER INSPECTION: FA ADD'L 50osF: 8 201 - 400 amp: 201 400 amp'. 1st W/O SVCIFDR. 00 SIGNIOUT LIN LT: PER HOAR LIMITED ENERGY: 401 600 amp: 401 600 amp: LA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVC/FDR: 601 1000 amp: 601-amps-1000V MINOR LABEL 1000-amp/volt _ FLAN REVIEW ttECTION Reconnect only: >=4 RES UNITS' SVCIFDR,=225 A. >ADO V NOMINAL.: CLS AREAISPC OCC. ELECTRICAL•RESTRICTED ENERGY �^ A.Sr RESIDENTIAL __ B.COMMERCIAL _ AUDIO 6 STEREO: VACUUM SYSTEM: NUDIO&STEREO FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH-. BOILER HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR. HVAC: DATA/T�LE COMM. NURSE CALLS TOTAL 0 SYSTEMS: Contractor: TOTAL FEES: $ 8,598.26 Owner: 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 all other applicable laws. All work will be done in WEST L-INN,OR 97062 WEST LINN,OR 97068 accordance with approved plans. This permit will expire tf work is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION. Phone, Phone Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rep 0 LIC 130449 forth in OAR 952-601-0010 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, Slab Insp Plumb Top Out` Exterior Sheathing Ins( Rain drain Insp Plumb Final Grading Inspection Wtr Proofing l3sm't Wa Electrical Service Low Voltage Water Line Insp Final inspection ' Sewer Inspection Plm/undslab Insp Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Footing Insp PLM/Onderfloor Framing Insp Gas Fireplace Electrical Final Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Issued By : Permittee Signature : e-'L 1 Call (50/3) 639-4175 by 7:00 p.m. for an inspection needed the ne t business day J