8425 SW NORFOLK COURT 13 MIOAlON MS 5ZV8
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8425 SW NORFOLK CT
� ELECTRICAL PERMIT
CITY OF TICA�� PERMIT 0: ELC2003-00537
DEVELOPMENT SERVICES DATE ISSUED: 8/27/03
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 2S112CB-15400
SITE ADDRESS: 08425 SW NORFOLK CT
SUBDIVISION: HAMPTON COURT ZONING: Fl 7
BLOCK: LOT: 003 JURISDICTION: TIG
Project Description: Installation of(1)branch circuit for naw a/c.
_ RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS_
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATIOV:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL.
MANF HM/SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10):
SERVICEIFEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: tat W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA AWL BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ _PLAN F.EVIEW SECTION
1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL
Reconnect only: _ SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
LAURA DUTT 8 NATASHA SCHNEFER SLIM'S SERVICE INC
8425 SW NORFOLK CT 2433 SW PHYLLIS DR
TIGARD,OR 97224 GRESHAM,OR 97080
Phone: 503-443-1964 Phone: 503-661-1442
Reg#: LIC 52120
ELE 26-155C
FEES _ SUP 3485
Description Date Amount
._ Required Inspections
(ELPRMT]ELC Pcrmit 8/27/03 $46.85 --`
[TAX]8°S,StaleTax 3/27103 $3.75 Rough-in
Elecctt''!l Final
Total $50.60
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and AN other applicable laws. AN
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.1817 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 thrTgh OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)24&6699 or
1-800-332-2344.
i
IL Permit Si nature: �pL4
Issued By: � - C /�� —� 9 ----- -
OWNER INSTALLATION ONLY _
J The installation is being made on property I own which is not intended for sale, lease, or rent.
m
OWNER'S SIGNATURE: DATE:
W
'J CON-i RACTOR INSTALLAT12N ONLY
SIGNATURE OF SUPR. ELEC'N: r04-5-
'/ DATE:
LICENSE NO: _ d 7 $ -5
Call 639-4175 by 7:00pm for an Inspection the next business day
08/ZS/09 03r04pm P. 002
Electrical Permit Application
rDat7ernclvad; ¢I 0� Permitno.:f��+�id3-rVCity of Tigard ����IVEeppl.no.. Bxpire dr_te:
Address: 13125 SW Hall Hlvd,Tigard,OR 221op Date issued: By: Receipt no.:
City of77aard AUG _
Phone: (503) 639-4171 r�
Fax.: (503) 59R-1960 Case file no.: Poyment type:
GI1 Y !)F 1 IG�+Fi[1
Land use approval:
/41 &2 family dwelling or accessory U Commercial/industrial U Whi-family U Tenant improvement
U New construction ❑Addition/alleration/replacement U Other: U Partial
Job address: �r Id Suite no.: Tax mapltax lot/account no.:
Lot: _ Block: __Sub_divisi -
Project name: Description and location of work on premises:
Estimated date of com letion/ms ction:
Fee Mas
Job no: _ p est (ea Tout no.fro
T"'
Business name: ' r*w -sbg%ortrsm4hodlypas
Address: drre0tu`a1t.IocMdes ttludredgsnuBr.
City: Starks ZIP: Ser,ItxMtcladed
1000 sq.ft.or less 4
Phone: ,Z Fax: Email: G Each additional 500 so.A.Or Portion thereof
CCB no.: s j Flee.bus.lic.no: t.1mitedenergy,residend■1 2
City/metro tic.n0.: / UmitednneMy,non-residential 2
Bach manufactured•tome or modular dwelling
Service and/or feeder _ 2
signature of s �?+Ing elect0.(,�quired _) Date Serd�erf�aders_fesfalbtkm, —��
Sup.elect.name(prir,. �n 7 1-1-n-no: atteration or mwallen:
200 amps or less 2
201 amps to 400 amps i 2
Name(print): -- 2L!TU s to 600 amps 2
Mailing address: 3 601ampstol000smps —
City: te: ZIP: over 1000 amu or volts
Reconnect only 1
Phone: – Fax: E-mail: --
Terapm>try wrvkes or feeders-
Owner in lotion:The installation is being made on property I own asaaBallea alhratlnn,erretecatknt:
which is not intended for sale,lease.,rent,or exchange according to 200 amps or less —f 2
ORS 447,455,479,670,701. 201 amps to 400 amps_—�— 2
Owner's si lure:
Date: 401 to 600 emits 2
Branch clrcaNa-new,alterstba,
Nn 1101 a
or exteaslon per pee,
Name: A. Pee for branch circuits with purchase of 2
AddresR: r service or feeder fee,ench branch circuit
B. Fee for lmnch circuits withont parehase [�(
City State: ZIP:_ of service feeder fee•first branch circuit:
!�' :� _. 2
Phone: Fax: E-mail: Foch adrtitioal Wrench circuit:
MW.(Servlre or feeder act Ineladoo 2
Tach pump or irrigation circle — 2
U Servloe over 225 soups-rnmns trot U Health-care fecilii, Each signor outline lie.ting —
❑Service overt ar Ts-rating of 1&2 U Hazarrt.atslocatirm
Signal dreult(s)or a limited energy pend.
femilydwellingt U Buildi%:o over 10.000 square feel four tx R 2
U System over 600 volts nominal
more residential units in one structure alteration,orextension• — ---�---
O Building over three stories U Fersiers,400 amps or rnoro • ran:
i U Occupant load over 99 persons U Menufactumd structures at RV pm` Fish aAtW{end""CAtrw+ ver Itx allowable in oar-ofd�---e 7b7ver --
U FAres-Alghtingpinn U Other _ ------ ----- Perinspection —__-- —L�—
submit,—act.of plan,with any of the above. lnvestiado"ler.
The abore are oot applicable 10 temporary cotrottrractlon service.e. Other r
_ Permit fee.....................$ _
W1 all}rdadictlam �ptere tall Jnrlsdkflon far more Information. Notice:This Permit RMlic 1NOn plan review(at —_ %) S _
Visa uM gN
expires if a permit Is not obtained
StAte surcharge(896) ....$ 5
within 190 days ettcr R hes been TOTAi. .......................g ---
c�it c m eccrpted ee complete.
er
as a own pn Its ; -
l7.rjfly 14"-A(,1S(6AnIC[IM)
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CITY O F T I GA R® MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00520
13125 S"W Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 8/25/03
PARCEL: 2SI 19C13-1 5400
SITE ADDRESS: 08425 SW NORFOLK CT'
SUBDIVISION: HAMPTON COURT ?ONINr1: R-7
BLOCK: LOT:003 JURISVICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPAP GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS HOODS:
FUEL TYPES �! 0 - 3 HP: DOMES.INCIN:
3 - 15 HP: ,COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN >=900K BTU: , <= 10000 cfm: , OTHER UNITS: 1
> 10000 cfrr.: GAS OUTLETS:
Remarks: Install exterior A/('unit. Do not place within the required setbacks
Owner: SEES
LAURA DUTT&NATASHA SC:HNEFER Description Date Amount
8425 SW NORFOLK CT -
TIGARD, OR 97224 [TAX)R%StateTax 8125/03 $5.80
[MECH] permit Fee 8/25/03 $72.50
Phone: 503-443-1964 1 Total $78.30
Contra:;tor:
TRI STAR WESTERN INC
6469 SE 134TH AVE
PORTLAND,OR 97236-4540 REQUIRED INSPECTIONS
Phone: 503-761-2270 Final Inspection
Reg#: LIC 58302
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w This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Orp. Specialty Cryies
and al!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 in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
Issued By:�� _! Permittee Signature:_� V "°"Lec fl�[.��r ` '– A4—
Call
Call 03 639-4175 h 7:00 P.M.for Inspections needed the next business da
) Y P Y
Mechanical Permit Application
Received Mechanical
DatdB : a Permit No.:/ 0aP 3-pb
CI of Ti and Planning Approval Building
g Date/By: Permit No.:
13125 SW Hall Blvd, Plan Review Other
Tigard,Oregon 97223 Date/By Perrtdt No.: _
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review LAnd Use
Internet: www.ci.tigard.or.us IDate/B : Case No.:
Contact Juris. FoSee Page 2 for
2 hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information.
New construction I D Demolition Mechanical permit fees*are based on the total value of the work
Addition/alteration/re lacemect. I El Other: performed. Indicate the value(rounded to the nearest dollar)of all
. ;., mechanical materials,equipment,labor,overhead and profit.
I &iFatnily dwellinLt Commercial/Industrial Value: s See Page 2 for Fee Schedule
Accesso Building Multi-ratnil Descriptive Fee(ea.) I Tool
Master Builder Other: —
Furnace-add-on air co iditioning•• 14.00
Job site address: o2fot- Gas heat u �`— _ 14.00
Suite #: ^ Bld /A to Art Duct work 14.00 _
Project Name:�dNAI4 (, Hydronic hot water system 14.00
Cross street/Directions to job site: Residential boiler
for radiator or h dronic system) 14.00
Unit heaters(fuel,not electric)
in wall in-duct,suspended,etc. 14.00
Flue/vcnt Lfor any of above 10.00
Subdivision: _ Lot#: Repair units 12.15
Tax ma / areel #: water heater 10.00 `
Gas fir lace _ 10.00
_ 1 L_ 4;A- �t fi_ Flue vent(water heater/gas lace 10.00
Log lighter as 10.00
Wood/Pellet stove _ _ 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
Other: - 10.00
Mime: �� Range hood/other kitchen equipment _ 10A0 --
Address: a r/'�-I- ,11�t.(�(,(,
Cl_t�/S_tate/Zi — .+1t'Tp `- Clothes dryer exhaust 10.00
Zs-Y Single duct exhaust
Phone:/ray[ Fax. (bathrooms,toilet compartments,
_ JffALZ_kJffrJM_ utility rooms) 6.80
Name: Attic/crawl space fans_ 10.00
Address: ocher: 10.00
W111wMcr affirm
City/State/Zip- _ _ **($5.40 for first 4,st.00 eachadditionsO
Phone: ax: Furnace,etc. •+
Gas heat pump +• _
V) E-mail: Wall/suspended/unit heater ••
Water heater ••
Business Name: _ +e Fir lace ••
0o Address: G 0� c'tC. r3 Range ••
W Cit /State/Zi 7 p ,ZL clothes drier as ••
-� Phone: 0 3-'J -a z7 o Fax: 7 b/- G I/ Other: - ••
CCB Lie. #: �''��p-:_ Tom:
;l,: iy
Authorized, .fie, e_0(, G��m _ Subtotal: S
Signature: ate: r Minim—n Permit Fee 572.50 $
Plan Review Fee(25%of Permit Feel S
(Please print name) _State Surcharge 8%of Permit Fee S
_ TOTAL PERMIT FEE j
Notice: This permit application expires If a permit Is not obtained within 'Fee methodology set by Tri-County Building Industry Servi..e hoard.
I RO days after it has been accepted as complete. "Site plan required for aterler A/C unto.
i:',Dsts\Permit Fotms\MecFermitApp.doc 01/03
Mechanical Permit Application -City of Tigard
Page 2 -Supplemental Information
Commercial Fee Schedule:
$1.00 to S.5,000-00 Minimum fee 572.30
$5,001.00 to$10.000.00 $72.50 for the first$y,000.00 and$1.52
for each additional$100.00 or fraction
thereof,to and including$10,000.00.
$10,001.00 to 525,000.00 5148.50 for the tint S10,000.00 and
$1.54 for each additional$100.00 or
fractien thereof,to and including
$25,000.00.
$25,001.00 to$50,000.00 S379.50 for the first$25,000.00 and
$1.45 for each additional 5100.00 or
fraction thereof,to and including
$50,000.00.
$50,001.00 and up $742.00 for the first$50,000.00 and
$1.20 for each additional$100.00 or
fraction thereof.
RAW
Value Total
Descri tiara: _ Ea Amount
Furnace to 100,000 BTU,including 955
ducts&vents
Furnace>100,000 BTU including ducts 1,170
&vents
Flax furnace including vent 955
Suspended heater,wall heater or floor 955
mounted heater
Vent not included in a, liance permit 445
Repair units _ _ 805
<3 hp;absorb.unit, 955
to I 00 BTU
3-15 hp;absorb.unit, 1,700
101k to 500k BTU
15-30 hp;absorb.unit,501k to I mil. 2,310
BTU _
30-50 hp;absorb.unit, 3,400
1-1.75 mil.BTU
>50 hp,absorb.unit, 5,725
>1.75 mil.BTU
Air handling unit to l0 000 cfm 656
Air handling unit>10,000 cfm _ 11170
Non-portable evaporate cooler _ 656 _
Vent fan connected to a sin le duct 446
Vent system not included in appliance 656
permit
Hood served by mechanical exhaust 656
Domestic incinerator 1,170
Commercial or inde.trial incinerator 4,590 _
O. Other unit,including wood stoves, 656
a inserts,etc. _
E.
Gas piping 14 outlets 360 _
U) Each additional outlet 63
TOTAL COMMERCIAL $
VALUATION:
W
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is\Dsts\Permit Forms\MecP.mm'tAppPg2.doc 01/03
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (603)639-4175 � MST
INSPECTION DIVISION Business Line: 1503)639-4171
BIJP ---.___---
Receiv:id ____ _____—_Date Requested_ _ AM _PM _._— BUP
Location _`� a S 41 Suite-- —— (' EC �—
Contact Person ____ _ Ph( _) `� 2'Z PLM _
Contactor__ —_ _ Ph( ) — —_- SWR _ —
BUILDING —_— Tenant/Owner _ EL
Footing ELC
Foundation Access:
Fig Drain _ ELR _
Crawl Grain _
Slab Inspbction Notes: SIT — —
Post&Beam
Shear Anchors C) 5 S - —— —
Ext Sheath/Shear ZIL
Int Sheath/Shear
Framing — — —
Insulation
Drywall Nailing —
Firewall
Fire Sprinkler -- — ---- ----��--+
Fire Alarm
Susp'd Ceiling V-- --
Roof
Other: _ --- --
Final
PASS PAPT FAIL
PLUMBING ----
Post& Beam
lJnder,)lab ---- -- --
Rough-In
Water Service --
Sanitary Sower
Rain Drains
Catch Basin/Manhole
Storm Drain -- ------ —
Shower Pan
Other:
Final
PASS PART FAIL —
MECHANICAL
Post&Beam __
Rough-In n,� �/ ------- -- -
Gas Line I�1
Q Smoke Dampers -- --- --- - — - - ---- ----
ina
� PASS PART FAIL ----�--' '----- — -�----"_--
ELECTRICAL—_ -- __ — — ----- — ----
Service
Rough In ---
UC/Slab
W Low V.)Itage ----— -—------ -- - --- ----- - -----
..A Fire rm _
nal Reinspection fee of$ _—_—_-_ _ required before next inspection Pay at City Hell, 1.3125 SW Hall Blvd.
ASS_PART FAIL
SITE - r] Please call for reinspection RE:__----- _____ Jnable to inspect no access
Fire Supply Line
ADA
Approach/Sidewalk Dry
Other:
Final DO NOT REMOVE this Inspoetion record frolln tho job sfto.
PASS PART FAIL
CITY OF TIGARD 244hour
BUILDING Inspection Line: 1503)63A-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST —
�n �j OUP
Received ___ Date Request _ O _AM —PM _ BUP
Location .__.-- Li suite ,3,_ CEC)3
Contact Person Ph( ) 77G( —.J--7 d PLM
Contractor --�._ Ph( ) SWR
BUILDING__ Tenant/Owner ._____ —`_ 6C)
Footing ELC
Fourdation Access: -
Ftg Drain ELP
Crawl Drain M
Slab Inspection Notes: SIT _
Post&Beam --
Shear Anchors ---
Ext Sheath/Shear _
Int Sheath/Shear
Framing ---- -- -- - -- ---------
Insulation
Drywall Nailing --
Firewall
Fire Spr?nkler - --- --
Fire Alarm
Susp'd Ceiling h ,� ---
Roof -/3 �� �0 V Jl)
Other. -�-
Final
PASS PART FAIL —
PLUMBING
Post 11,Beam
Under Slab
Rough-In
Water Service
3arniary Sewer
Hain Drains - - ---- -- _
Catch Basin/Manhole
Slorm Drain ---
Ohower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post&Beam ^-
Rough-In
Gas Line
L� Smoke Dampers
Ix
~ PART FAIL
MELWICAL
Service `- -- -- ---_
m Rough-in -
UG/Slab ( ------ ----__ _--
W Low Voltage �__ -_.�<J ►�i 1 �� --- - - --------- ------- -
Fire Alarm
V)
l U Reinspection tee of g
PART FAIL _ required before next inspection. Pay at City Hall, i 3 125 SW Hail Blvd.
SIT - Please call for reinspection RE: -_ _ _ --. Unable to inspect--no access
Fire Supply Line 1-4 ADA �
Approach/Sidewalk -- --.
Other:
Final DO NOT REMOVE this Inspoctlon roco hOMAKe Job she.
PASS PART FAIL
& RIGINAL_MASTER PERMITCIT-Y OF TIGARPERMIT*: MST2000-00178
DEVELOPMENT SERVICES DATE ISSUED: 6/28/00
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171
SITE ADDRESS: 08425 SW NORFOLK CT PARCEL: 2S112CB-HCO03
SUBDIVISION: HAMPTON COURT ZONING: R-7
BLOCK: LOT: 003 JURISDICTION: TIG
REMARKS: Path 1, new single family detached residence.
BUILDING
REISSUE: STORIES: 2 _ FLOOR ARLiAS ��• _ FcCIUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRSI 894 of BASEMENT: 4f LEFT: 16 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,180 of GARAGE: a 42 of FRONT: 21 PARKING SPACES! 2
TYPE OF CONST: 5N nWELLING UNITS: 1 FIN135MENT: of RIGHT: F
VALUE: f 1.6.134.42
OCCUPANCY GRP: R3 aDnM: 4 BATH: 3 TOTAL: 2,074.00 of REAR: 39
PLUMBIIJO _ __-
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DNAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER.LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWFRS: 3 GARBAGE DISP: 1 WATER HEATERS + WATER LINES: 100 BrKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<109K: SOILICMP<3HP: VENT FANS: 5 CI OTHF.S DRYER: 1 '
GAS FURN>•100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: I
MAX IMP: blu FLOOR FURNANCES VENTS: I WOODSTOVFS: OAS OIf1LE1S: 1
ELECIRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD•L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMPBRFIIGATION: PER INSPECTION:
EA ADD'1.300SF: 4 101 400 amp: 201 400 amp: 1st WIO SVC/FDR: 00 BION/OI IT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL RR CIR: SIGNALIPANEL IN PI ANT-
MANU HM/SVCIFDR: 601 - 1000 amp. 601�ampo-1000v: MINOR I ABEL:
1000•amp/volt
--PLAN REVIEW SECTION
RnconnoctontV
>•4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS ARFA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL _ _ S.COMMERCIAL _
AUDIO S STEREO: VACUUM SYSTEM: AUDIO JIB STEREO: FIRE ALARM: INTFRCOM/PAGINO: OUTDOOR LNDSC LT:
BURGLAR ALARM: DTH: BOILER: MVAC: LANDSCAPEARRKI: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,152.39
This permit is sobject to the regulations contained in the
LEGEND HOMES MATRIX DEVELOPMENT CORPORAITgard Municipal Code,State of OR. Specialty Codes and
12755 SW 69TH AVE 12755 SW 69TH AAVE 0100 A other applicahle laws. All work will be done in
PORTLAND,OR 97223 TIGARD,OR 97223 accordance with aoproved plans. This permit will expire if
work Is not Started within 180 days of issuance,or if the
d work is suspended for more than 180 days. ATTEN TION:
Phone: Phone: Oregon law requlres you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Rep R• 11C 55151 forth In OAR 952-OC'-0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987"
•J REQUIRED INSPECTIONS
is — ---
(a I Erosion 844-8444 Underfloor insulation Mechanical Insp Shear Wall Insp Rain drain Insp Plumb Final
WFooting Insp Crawl Drain/Backwater Plumb Top Out Low Voltage Water Line Insp Final inilpection
Foundation Insp Footing/Foundation Dr, Electrical Service Gas Line Insp Appr/Sdwlk Insp Building Final
Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Fireplace Electrical Final
Post/Beam Mechanical Mechanical Insp Framing Insp Insulation Insp Mechanical Final
Issued By : 7-C.., Permittee Signature
Call(503) 639-4175 by 7:00 p.m.for an Inspection needed the next bu iness day
ORIGINAL
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT 0: SWA2000-00142
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 6/28/00
PARCEL: 2S112C l3-HC003
SITE ADDRESS; 08425 SW NORFOLK CT
SUBDIVISION: HAMPTON COURT ZONING: R-7
BLOCK: LOT: 003 JURISDICTION: TIG _
TENANT NAME:
USA NO: FIXTURE L'VITS:
CLASS OF WORK: NEW DWELLING +NITS: 1
TYPE OF USE: SF NO. OF Br'eLDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection permit for new single family detached residence.
Owner: _ _ FEES
LEGEND HOMES Type By Date Amount Receipt
12755 SW 69TH AVE —
PORTi AND, OR 97223 PRMT DST 6/28/00 $2,300.00 0003310
INSP DST 6/28/00 $35.00 0003310
Phone: Total $2,335.00
Contractor:
Phone:
Reg#:
Required Inspections
Sewer lnspec'ion
a
oc
v7
m 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
-a 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 follov/ rules adopted
ty 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: { � Permittee Slgnatu t --
Call (503) 639-4175 by 7:00 P.M.for an inspection needed the next bu iness day
S
CITY OF TIGARD Residential Building Permit Application Plan Check 0 9
1312t SW BALL BLVD. New Construction Recd ByA
$-00TIGARD, OR 97223 Single Family Detached Date to P.E.Data Recd 4'--?(J-/V-00
V 503-639-4171 � Dace to DST / -ou_
F 503-684-7297 / Permft -eo�g
Print or Type Caned _
Incomplete or illegible applications will not be accepted
Name of Project Name
Job '�
�
a Architect Halling Address 1 )``Z' --
Cfly(State Zip Phone
we
J�
C-4
/
10
OwnName
�/Owner Mallin Address �1
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Contractor t _ Desctibe work New&, Addftlon G Afteration O Repair O
Mailing Address to be done: _
Prior to permit /.z?,1 j 4::4r,& (i `�M� _�¢�� Additional Description of Work:
Issuance,a copy CR ,State l Zip Phone p
of all licenses GII•&/c'►a c' E'4 U "--
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expired in COT Lic.N / iz , D7� VALUATION $ OI ' _
database _
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- -S f n a Al If r Sq. Ft. Houser �, -Sq. Ft.(Garage
Contractor Meiling Ad s 1140
Prior to permit _S jQ5 ��' Indicate the restricted energy Installation by the electrical
Issuance,a copy C,jjy/State ZipPhone subcontractor In the following areas —�
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database Plumbing Lic.s Ex Date I hearby acknowledge that 1 have read this applicati m,that the
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fl) Name Oregon State laws. _
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Electrical Supervisor Lic. Expo ete Erlglneartng Approval: Planning Approval: TIF:�
WatslformsWel-new.doe 1 f rAM
PLOT PLAN
LOT #03, HAMPTON COURT
Rl 2 51 11 D A -----.
TALC LOT 0- -��� 1- - - - - - LEGEN
8425 SW NORFOLK COURT MHOME
S.E. 1/4 OF SECTION 11, T.2, R.IW, W.M.
CITY OP TIGARD
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UJASNINGTON COUNTY, OREGON �w p�>vIDE EF?�910N
-� CONTROL FENCE
PER COMMUNITY
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/58d9 W. FT. �v+ LOT 02
WINE
FIN. FLR • 200'3 / \ twh,
1. % `� GARAGE FLR
® WATER METER
N lU--- ---- WATER LINE
SS———— SANITARY SEWER �� \ 1Sabi �-
SG�— - - — STORM DRAIN �� \1983' �p
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CITY OF TIGARD
13126 S.W. HALL BLVD.
TIGARD, OR 97223 ��______
'1VFn
IMPORTANT PERMIT IJOTICE JUN 3 G 2000
GARNER ELECTRIC 'Y' --
21785 SW TUALATIN VALLEY HWY S
ALOHA, OR 97006-1248
r
i
Electrical Signature Form
Permit#: MST2000-00178
Date Issued: 6/28/00
Parcel: 2S112CB-HCO03
Site Address: 08425 SW NORFOLK CT
Subdivision: HAMPTON COURT
Block: Lot: 003
Jurisdiction: TIG
Zoning: R-7
Remarks: Path 1, new single family detached residence.
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate 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 received
OWNER: ELECTRICAL CONTRACTOR:
LEGEND HOMES GARNER ELECTRIC
12755 SW 69TH AVE 21786 SW TUALATIN VALLEY HWY S
PORTLAND, OR 97223 ALOHA, OR 97006-1248
Phone #: 620-8080 Phone #: 591-1320
Req #: LIC 121159
SUP 370'9
ELE 34-305C
AN INK SIGNATURE IS REQUIRED O THIS FORM
Signature of ervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hqur Inspection Line: 639-4175 Business Line: 639-4171 MST
BUP
Date Requestt/ed_/_l0—/ AM PM BLD
I-ovation L) S /YO►'AAe C_t,-N Suite MEC
Contact Person Ph G 7- PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC _
Retaining Wall 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
Fire Sprinkler
Fire AlarmAV
Susp'd Ceiling
Roof
Misc: — --
Final
PASS PART FAIL _—
rLUMBIN3
Post&Beam - —_--
Under Slab
1 op Out -- —-- —
Water Service _
Sanitary Sewer — -----
Rain Drains
Final
PASS PART FAIL -
MECHANICAL
Post&Beam ----- -- ---- -- ---- ---
Rough In
Gas Line — — — --- ---
Smoke Dampers
Final — - --- -- — ---
PASS PART FAIL
a -
Service - —---
Rough In
UG/Slab
Low Voltage —
.J Fire Alarm _
In
c j AS PART FAIL
W va
Backfill/Grading -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of E _W required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinaript1inn PF J Unable to Inspect-no access
ADA
Approach/Sidewalk
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
• COW OF TIGARD BUILDING INSPECTION DIVISION
10
24-Hour Inspection Line: 639-4176 Business Line: 6394171 MST � �
8UP
Date Requested AM PM BLD
Location ?q Z ,- 5, o:�� '( Suite _ MEC
Contact Person Ph d 7,3 PLM r
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Fig Drain SIGN
Crawl Drain Inspection Notes:
Slab SIT
Post 6 Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:_
Final
PASS PART FAIL
LUMBI
os Bea
Under Slab
Top Out �—
Water Service
Sanitary Sewer
Rain Drains _
Firl
AS PART FAIL _
WeKNICAL
Post&Beam
Rough In
Gas Line / -
Smoke Dampers
Final
PASS PART FAIL
a_ ELECTRICAL
OC Service _
CO) Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
W PASS PART FAIL
-i SITE
Backfill/Grading —
Sanitary Sewer
Storm Drain J J Reinspection fee of$ _required before neat inspection- Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( J Please call for reinspection RE' ____�� _ �� [ )Unable to Inspect no access
ADA
Approach/Sidewalk Date /0//6/e v Inspector / �/ // /
Other ,! _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the Job sit*.
.CITYOF TIGARD BUILDING INSPECTION DIVISION MST2..* 17 11'
24-Hour Inspection Line: 639-4176 Business Line: 639.4171
/ BUP
Date Requested l/ AM PM BLD
Location 5r- 4.,Z C S w /Y U✓6 Suite MEC _
Contact Person Ph 23 PLM __•,
Contractor_ Ph SWR
<ffI Tenant'Owner ELC
Retaining Wall ELR
Footing ACCe3s: FPS
Foundation
Ftg Drain SON
Crawl Drain Inspection Notes:
Slab SIT
Post&Beam
Ext Sheath/Shear _ —
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling
Roof
Mis
PKARTFAIL
A
PLUMBIN1 _.._
Post&Beam
Under Slab
Top Out
Water Service —
Sanitary Sewer
Rain Drains — -
Final
PA FAIL
Post&Beam
Rough In
Gas Line
Smoke Dampers
PART FAIL
ELECTRICAL
d- Service —�
Rough In
W UG/Slab — —
Low Voltage _
J Fire Alarm
Final _—
PASS PART FAIL —
W SITE _ r.
J Backfill/Grading
Sanitary Sewer
Storm Drain I 1 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE: __ [ ]Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk nate �l ^ _Inspector Ext
Other -
Final
PASS PART FAIL DO NOT REMOVE this Inspoctio record from the job site.
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