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8439 SW NORFOLK CT
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT M PLM2004.00156
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 4/13/04
SITE ADDRESS: 08439 SW NORFOLK CT PARCEL: 2S112CB-15500
SUBDIVISION: HAMPTON COURT ZONING: R-7
BLOCK: LOT: 004 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PR-=VNTRS: 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/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Backflow prevention device for irrigation system
FEES
Owner:
Description Date Amount
ANDERSON, STEVE& BETH
8439 SW NORFOLK CT [PLUMB] Permit Fee 4113/04 $36.25
TIGARD, OR 97223 [TAX] 8%State Surchart 4/13/04 $2.90
Total $39.15
Phone : 503-443-1963 —~--
Contractor:
MARTIN SANDERS GROUNDS MAINTEN
PO BOX 307
NORTH PLAINS, OR 97113
RE(IUIRED INSFECTIQNS
Phnne : 647-5567 RP/Backflow Preventer
Final Inspection
Reg#: LIC 5742
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
m Specialty Codes and all other applicable laws. All work will be done in accordance with approved
V
U 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
("Issued By: / _ Permittee Signature:
Call (50 94175 by 7:00 P.M.for an Inspection needed the next business day
Building Fixtures
PluntbhiQ Permit Application
City of Tigard Plan Review D•t`t By Pemrit No:
13125 SW Ifall Blvd.,Tigard,OR 97223 �L
Other Perini!Na
Phone: 503.639.4171 Fax: 503.598.1960 Date/13y
24-Hour Inspec'.ion Line: 503.639.4175 Date Ready/By. /u'" ® See Pale 2 for
Internet www.ci.tigard.or.us NO111le(t/MCHIMI: Supplemental Information
TYPE OF WORK FEE- S HEDULE _
❑Demolition For special Information use checklist.
New construction Desai tion -Ee_�-Total _
❑Addition/alteration/replacement s ❑Other: New 1-2-famlly dwellings(includes 100 fl.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 249.20
Commercial/industrial
I-and 2-family dwelling SFR(2)bath 350.00❑ ---
- - SFR(3)bath 399.00
❑Accessory building ❑Multi-family
Each additional both/kitchen 45.00
❑Master builder ❑Other: Fire sprinkler(_.sq fl.) Page 2
JOB SITE INFORMATION AND LOCAfib Site utilities
Job site address: Catch basin or arc16.60
a drain i
City/State/ZIP:- cD�, .0- Drywall,leach line,or trench drain 16.60
Footing drain(no.linear fl.: ) Page 2
Suite/bldg./apt.no.. Project name:
Manufactured home utilities 110.00
Cross street/directions to job site: C Manholes 16.60
Rain drain connector 16.60
Sanitary sewer(no.linear ft.: ) Page 2 --
Storm sewer(no.linear fl.:____j Page 2
Lot no.: Water service(no.linear ft.:_) Page 2
Subdivision: i.� O� Fixture or Item
Tax maF/parcel no.: Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer i Page 7.
` Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
fttbiwrff OWNER TENANT Ejectors/sump 16.60
Name_ p .�.1. tXP Ac;1---� - Expansion tank 16.60
Address: J /�/u ,�> Fixture/sewer cep 16.60
City/State/ZIP: Floor drain/floor sink/hub _ 16.60
Garbage disposal 16.60
Phone:( )j 6_]� Fax:( ) 16.(0
Hose bib
l -APPLICANT __ ❑ CONTACT PERSON ��� Ice maker 16.60
Business name: c , r�8 (1f c}�i��i_'y'� Interceptor/greasy,trap
Contact name: 1 ti Medical gas(value:S ) Page 2
d
Address: v , Primer 16.60
J t Roof drain(commercial) 16.60
City/State/Z[P: Sink/basin/lavatory 16.60
Phone:(j i i i� ` Fax::( )
r Y 7 .�:5_� Tub/shower/shower pen 16•60
JC E-mail: Urinal 16.60
_m CONftA&OR Water closet 16.60
LU `- - - Water heater -- 16.60
J Business name: t.. c.... ..
Other:
Address: U U ` cJ Subtotal
City/State/ZIP: AL C ✓ 1 Minirnum permit fee: 572.50 ! a
Phone-( � b( Fax:( ) Residential backflow minimum permit fee: 536.25
CCB Lic.: _
Plumbing Lic.no.� - --- Plan review (25°x6 of permit Ctx)
Stele surcharge(8'16 of permit Cee) V0
Authorized signature: G --- ' TOTAL PERMIT FEE L
Print name �y DateCAJr 3 -0� This permit application expires If s permit Is not ob:alned within
t 100 days after It has been accepted as i:.mplete.
'Fee methodology s,i by Tri-County Buildinp;ndustry Service Board.
i\nuildina\Permit/\PlAg-PerrnitAppdoc 12/03 440-4616T(1(102/C0M/"8)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information '
Fee Schedule: _ Residential Fire Supyression Systems:
Total Tpa
Qty. Fee(ea) o
Site Vtil ties` uar�: tacit et� r;nit ce:
_
Footing drain-I"100' 55.00 0 to 2,000-----__ $11500
46.40 2,001 to 3,600 S 160.00 _
Footing drain-eacb additional 100' 1,601 to 7,200 -_� $220.00
Sewer-Int 100' 55.00 7,201 and greaten5309.00
Sewer-each additional 100' 46.40
Water Service-Iat 100' 55.00 Medical Gas SvstemS:
Water ice-each additional 100' 46.40 Permit Fee:
SS.00
Storm.k R [p
ain ain-1st 100' $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100 46.40 55,0to
' 01 00 $10,000.00 $71.50 for the first S5,000.00 and$1.52 for each
1 TPttil
iadditional$100.00 or fraction thereof,m and
including$10,000.00. _
r719£l4 r " � y�e,
Commercial Back Plow Prevention Device 46.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
tm
each additional$100.00 or fraction thereof,to
Residential Backflow Prevention Device and including S25,000.00. _
(minimum permit fee$36.25 27.55
Rain Drain,single family dwelling 65.25 $25,001.00 to 5:0,000.00 5379.50 for the first$25,000.00 and S 145 for
each additional$100.00 or(Faction thereof,to
Inspection 0f existing plumbing or - and including 550,000.00.
specially requested inspections-per hour 72.50 550,001.00 and up::::=$j742.00forrst 550,000.00 and$1.20 for
Subtotal: 100.00 it fraction thereof.
Fixture Work:
Are you capping,moving or replacing existing fixture If
"yes",please indicate work performed by fixture. Fall a to
accurately report fixtures could result in increased sewn fees*.
f iianU Flxturt Work Verforruet
Flatus p Ret Lgeplsee
nta��a R>udlat . w_,aa Commentq rding fixture work:
New •Moved
- --
Re tis /Font
Hath -Tub/Shower
-Jscuui/Whirl 001 _
Car Wash -Each Stall _
-Drive Thru
Cuspidor/WaterAsirator
Dishwasher Commercial _ --- -
_.0 ---
Drinking Fountain
Eye Wash _ ------ - ---
Floor Drain/sink 2" __-
3..
CL 4" --
R Car Wash[rain
Garbage -Domestic
N Disposal -Commercial *Not If the fixture work under this permit results In an
r -industrial _ incre se of sewer EDUs,a sewer perrrdt will be issued and
5 Ice Mach./Refr .Drains fees as essed for the sewer Increase must be paid before the
Oil Separator(Gas Station)
CQ plumb permit can be issued.
Rec.vehicle Du Station
a Shower -GangILI
1
J _ -Stall
Sink -Rat/Lavatory Ouantit Total
-Radley _ Isometric or riser diagram is required if fixture quantity
-Commercial total is>9.
-Service -
Swimming Pool Filter -
Washer-Clothes
Water Extractor I Plan Review
water Closet-Toilet Plan review is required if fixture quantity total Is>9,
1►r;�
L,:,her Fixtures: _
_--__�:j
i\Puildina\Perniu\PI.M-Pern"Pp doc Lal
CITY OF TIGARD 24-Hour
BUILDING 10 Inspection Line: (503)639,4175 ;� MST — ___—
INSPECTION DIVISION Business Line: (503)639-4171
j� BUP
Received Date Requested T__ /1M ---PM --- SUP
Location _ Q 3 q 2 ------suite- ---^_.__ MEC -•----/-TTS,
Contact Perso,i PL _Z��! �
',ontractor^_— _--- Ph SWR _
BUILDING Tenant/Owner ELC
Footing - ELC
Foundation Access: +`
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT ----
Post&Beam
Shear Anchors --�-`-
txt Sheath/Shear
Int Sheath/Shear -
Framing --- -- -- _-.._-�_- -_
.nsulation
Drywal;Mailing
Firewall
File Sprinkler
Fire Alarm
Susp'd Ceiling - --- --- - --- ---------
Roof
Other: --
Final �.-
PASS PART FAIL --
PLUMBONG —__-
Post& Ream
Under Slab
Rough-In
`• Water Service — ------ - --
Sanitary SeweZZ
Rain Drains - --- ----- --
Catch Basin/Manhole
Storm Drain -`
Shower n --
r:
itj I
S PART FAILVIE
CHANICAL
Post&Beam
Rough-In
Gas Line
8. Smoke Dampers -- -- _
Final
PASS PART FAIL --
ECTRI�L
Service
�p Rough-In -_ -- _- _---_ -
j UG/Slab
WW Low Voliago --
Firc Alarm
Final L_.I Reinspection fee of$ required before ixt Inspection. Pay at City Hall, 13125 SW Hall Blvd.
f:A33 PART FAIL
❑91TE Please call for reinspect; ct�o RE: __-_-. _-, -_- Unable to Inspe -no acce49
Fire Supply Line
ADA '
Approach/Sldewalk �� - --- - IRsp�ater ✓' _-__ - ._Ext _
Other:_
Final / DO NOT REMOVE thle Inspoctlon record from the Job aWs.
PASS PART FAIL
CITY OF-TIGA►RD ELECTRICAL PERMIT
PERMIT#: ELC2004-0008?
DEVELOPMENT SERVICES DATE ISSUED: 2/23/04
13125 SW Hall Blvd.,Tigard,OR 9T223 (503)639-4171 PARCEL: 2S1 12CB-15500
SITE ADDRESS: 08439 SW NORFOLK CT ZONING: R-7
SUBDIVISION: HAMPTON COURT
BLOCK: LOT : n04 ,JURISDICTION: TIG
Project Description: (2)branch circuits to AC unit.
RESIDENTIAL UNIT TEMP SR_VC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION:�
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/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: 1 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+amplvolt: >-4 RES UNITS: >600 VOLT NOMINAL:
Reconnect onl SVC/FDR>-225 AMPS: CLASS AREA/SPEC OCC: _
Owner: Contractor:
ANDERSON,STEVE 3 BETH HILL SBORO ELECTRIC
8439 SW NORFOLK CT 21185 NW EVERGREEN PARKWAY
TIGARD,OR 97223 HILLSBORO,OR 97124
Phone: 503-443-1963 Phone: 503-439-9665
Reg#: ELE 34-43990
LIC 134481
FEES SUP 49415
Description Date Ar:ount Requir_Rd Inspections
[ELPRMT]ELC Permit 2/23/04 $53.50 —�
in
[TAX]8%State Surcharge 2/23/04 $4.28 Rough-
Elecl'I Final
Total $57.78
This Permit is issued sibject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable 12VA.
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 i1 work is
suspended for more than 180 days ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility NotifH,ation Center Those
rules are;et forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules ordirect questions to OUNC at(503)
4. 246.6699 or 1-80 2-2 44.
IX Issued By: r ,tai Zt ,GGJ _ Permit Signature:
:A
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
ra
Irj OWNER'S SIGNATURE: — DATE:
W
J
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N. DATE:_.
LICENSE NO: 501yW-5 — --
Call C39-4175 by 7:00pm fur an Inspection the next business day
Frol:HILLSB0R0 ELECTRIC LLC. 5036013680 02/20/2004 15:28 ,#029 P.002
--- RECEIVED
Elec • 1 er -t Apiplication
FEB l) 2004 Racal we Permit
City of Tigardka �LG1
-tom,
13125 SW Nall Blvd.,Tigard,OR 97223 ITY OF P.GARG pa"
Phone 503 6394111 Fax' 503.598.19i�E Ot1»r Permn
Inspection Line. 503639,4175 BUILDING DIVIS1 Date Reedy/By 0-get Pope 2for �—
IntemeL www.ci,tiprdor.us Noafied/Metlxrd. /(� saPplamantml l.rernutiaa
TYPO OR WORK #� MAN REVIEW
❑New construction Addition/alterstion/replacetrnnt Pleasd check all that apply:
Demolition Other: ❑Service over 225 amps,comm'1 LJ4&xardou3 location
❑Service over 320 omps-rating ❑Buildng over 10,000 sq.R.,
CAT19GORV or CONBTRUCrION or 1-and 2-fhmily dwellingµ 4 or more new residential
1-and 2-family dwelling ❑Commercial/industrial 12 Accessory Wilding ❑System over 600 volts nominal unite in one structure
Multi-familLj Master builder Other. ❑Building river three stories ❑Feem
ders,400 amps or more
❑Occupant load over 99 persons [,]Manufactured structures or
JOB SrM INFORMATION AND LOCATION Q12timsilighnng plan RV park
Zy{tr_ e7 i _ otoliesb1e to temporary construction service,
Suite/hldglapt.no.: P►oject name: FEE' SCHEDULts.i
Cross street/directions to job site: New r'esldendol single-or multi-family dwelling unit
-- Ineledes attached garage,
1,000 aq.R.or lest 145.15 — 4
Subdivision: _ Lot no.: Ea.add'1500 sq.ft or 33.40 1
-- — Limited anergyr,reaidenUal 75.00 1
Tax mlm/poreel no.: Limited onlirgy,^on-residential 75.00 u 2
DESCRIPTION OF WORk':i.!.+.•,..•r;;r�;;rr�.'r.i �. .. r1u.1,-.ntrhrtured or modular
10 Services
rfeed
arid/orIsfowler 90.90 = 2
1 ]d.l� Services or feeders Ineallatlun,altenHon,arU✓or nelocatbe
100 a_mms or less --- 86.30 1
.Yti .•,,,:,; 201 amps to 400 ampt 106._85 1
PROPERTY OWNER _ r�t'..' Tt1�Iit, r' 401 am to 600 amp 160.60 2
Name; �„ f �(t u�-.-`, 601 amts to 1,000 ampe 240.60 2
2vor 1,000 amps or volts 454.65 2
Address: `�C C+o
Reconnect only66.85 2
City/StalCIZIP: Temporary services or feeders lnttallation,altent)en,ud/or
_ std e
Phone-(moi�)�V 3 I 1 3 Fax:(-- ) 200 amps or Icor 66.8.- 1
Owner installation:'ibis installation is being made on property that I own which is nor 201 arnre to 400 amps 100.30 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,6%,u,and 701, 401 amoo to 600 am 133^5 1 2
Owner signature: Date: Branch c)rcults-new,alteradon,or oahnsion,per panel
—
7 LJ A.Fee for branc c rdu b wtrhnrLlTER9DO Nt Ci t
tervioe or fbedet fie.sob 6.65 2
Business name: bmcb circuit —
B,°oefor branch circuifa
Contact name: wilhour service or feeder fee, I
gh branch circuit -� 2
Address: Each add'I branch oircuft 6.63 2
City/Stote/ZIP: Miscellaneous service or leader not included _
—� —- --— Pum or Irrilpliio
a n circle 53.40 2
Phone:( _.) Fax: ( 1 Sigrt or outline Ilubti 53.40 2
l— -int il: Signal circult(s)or I m�ted-
N
CONTRACTOR Sisal
crgy Deibenaecrlen.of
-- — ex --- R Pape 2 2
Busin �a
ename:Hi 1Sbo�o Electric L.L.C.—
_00 Address: 2118 5 NW Ever , Q PKWY 5ttt } 1 Each additional Inspection over allow ableInan of the above
@ Q Per inspection 62.30
City/StateVZIP: H i l l eboro r e 9 712 4 Investigation r hour(I tr min) 62.so
W --
J Phone:(5 0 3) 439-9666 Fax:(5 0 3 )601-3690 I dwtrial dant per hour 73-75
NIUM ICAL PIr. til atit3l� ::''•x''
CCB Lic,:13 4 4 81 Electrical Lic.:3 4--4 9 9 C 3tlprv.Lie.: 4 9 418 M subtotal
Suprv.Electrician signature,required: Plan review(25%orpwmlt fee)
Print name:Joey Vitacco Dine: � —�9tateeuroherye(8liefpermhfee)
-- TOTAL PERMrr FEE
[Authorized signature: Thu Per,rut appllealim,cxp re rs permit b met abtaiaad w r s len
days after It has Mme accepted as complete
t namf: Dote: Fee methodokW sat ty Tri-County Building Industry Somme Bard
••Number of irommilons per o"Tt snowed
kR.ud%\Per,A&LC-Poasunpp.doc 120 411-MM. IUMICOMr1Vaa
- 1MECHANICAL PERMIT
CITY OF TIGARD -
DEVELOPMENT SERVICES PERMIT#: MEC2004-00066
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 2/18/04
PARCEL: 2S 112CB-15500
SITE ADDRESS: 08439 SW NORFOLK CT
SUBDIVISION: HAMPTON COURT ZONING: R-7
BLOCK: LOT:004 JURISDICTION: TIG
CLASS OF WORK. ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS WIO APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 HOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 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: Installation of A/(' unit+ t fnit cannot be placed within required setback.
Owner: FEES
ANDERSON,STEVE & BETH Description Date Amount
8439 SW NORFOLK CT [MECH]Permit Fee 2/18/04 $72.50
TIGARD, OR 97223
[TAX]8%State 2/18104 $5.80
Phone: 503-443-1963 1F`Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SF RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503-640-3607 Final Inspection
Reg#: LIC 66578
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not s!-irted 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 952-001-0010 through OAR
952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-66990"J�)JL--
Issued By: ! Permittee Signature: I'A/
Call (503)639-4175 by 7:00 P.M.for Inspections needed the next business day
v/
Mechanical Permit Application Received Mechanical
r oatdny:- /„3 6` Permit Nn ,
Planning Approlfal Building
City of'i igar G Y Dates _-- Permit No..
13125:iWHallBIVRECEI �/`/E"'�n PlanIteview Other
Tigard,Oteg in 97223 UatdMa : Permit NO.:
Phonc 503-539.4171 �}5q �60 Post-Review --- Land Use
- 7 W Date/B Cast No.:
Internee: www.ci.tigard. Contact— Su J $S'" eat l for
24-hourInsp-ction Rc�tr (r 3 MA*B Nome/Metho_d: �,Icmnurnformatlon.
BUILDING DIVISION
TYPIt_u_r'WORK. - — cnmlvlltLltCIIAIi YEIE•:84nMDULE-USE Cn ECKLJ3T
Ne.v cal Istruction Demolition Mechanical permit fees'are based on the total value of the work
Adj_ttiu_1✓alteration/replacement Other: performed. Indicate the value(rounded to the nearest dollar)of all
CATEGORY OF CON TiR Cxlp mechanical materials,equipment,labor,overhand:end profit
1 8'. z-F•llnily dwell in CommercialMdtastrial Value: 5 See Prige 2 for Fee Schedule
Multi-Famil R991DENPIAL' �U
_EIPM•—LNT/SYSTRMS FEE*SCHEDULE
240 EZ
Dt.qcri tion Fce oa. Total
ster Ilullder Other: tln Coolie
_ JQl t ST E INFORMATION Abd LOCATION. Furnace add-on h c onditionin 14.00
lnh site ader_e.gwx�s A,,o / E heat pum V _ 14.00
Suite P. Bld ./A t.#: Duct work ta.o0
Pro ec t Nor u: It tunic hot water system _14,00
-- Residential boiler
Cross•strce-1/Dircetion3 to jab 3itc: for radiator or hydronic , em 14.00
Unit heaters(fuel,not electric)
in wall in-duct suspended,etc.) 14.00
Pluc/vcnt for any of above i0.00 —
5uhdi��isior: Lot#:
Repair units _ 12.15
Other Fuel-A liances
Tax map/pi fuel #: _ Water hcalpc 10.00
DESC)ILR'TION OF'WORK Gas fireplace _ 10,00
Flue vent(water heater/got nreplocc.)_ 10.00
Lo lig_htet(gas) 10.00
Lo
stove IU.UU
Wood fl , lacdinscrt 10.00
-- --- ,himney/11ner/flue/vent:LI10.00
�R(1PERCYOWNB+ L'8,1*lAnl' r;: :''r' ':•..,t';:, Otho. 10.00
Natxle yt�4't ` C; ,, py, Environmental Exbanat&Ventilation
-�-- Range hood/otheT kitchen equfwment 10.00
Address: Clothes dryer exhaust W 10.00
Cil /��18tCi
Zi -Single duct exhaust
PhoneT 9—�-I • Fax: (bathroom,toilet compartments,
lILICOINT c�rtr�cTrt�ttsoly. ;;: utili room)_ Po --
Name:W Attic/crawl space bins 10.00
---- — Other 10.00
Address: _ _ — — noel P1 laIt
C1 /fitate,Zt�^ —" ems or tlrst91.00 each nddltiona_IL
-- Furn_acr„etc.
Phone: _ Gas heal pump
IL E-mn'.1: WaiV3uspeadtxVu11i1 hcalut - •• -----
_ CON 1"ItA_ CTOR", w+'�'::' Watesheater
N Business f lame: ' t-.l 4-ec•-4 •�c� Fir tact — •`
Ran e
Address: Lir ----
Cit /State Z_IP: I1� 1(� �1� Clothes d r
[0 Phonr_ le 4o 1(�c Fax: j'1 'l T `�1.3 Other: _ ••
'-"' --- ToMI;
WCCB Llc. 4: �� y^�� Mechanical Permit Fee++
J Author zed ) A( 0 y J I Subtotal: S
Signature: �w �'�c'`' f�1' Dace:
Mininuuu Pcrttut Fee$72.50 S
Plan Review Fro(2S'/i of Permit Fee)_ $
t• (Please print name) — _State Surcharge 8%of Pcirttit 1790 $
_ TOTAL PERMIT'FU►E_ S
Notice- This I ermit application expires If a permit Is not obtained within 'Fee mothodoloi_V let by Tri-County 8allding Industry Servite Board.
180 days after it has been accepted as complete. "Site plan required foe exterior A/C unita.
00st0l ermit I'ormsWccPermitA,p.doc 01/03
z •d SILO 869 EOS Su t 2WOH Ra I iia T cads deo t 1r0 b0 el qa A
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SITE PLAN �
--- PL
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26(
Pt,
PL
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STREET -------
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Specialty Heating & Cooling, Inc.
9
528 SW Tigard Street
Tigard, OR 97223
Phone 503.620.5643 Fax 503.598.0718
I-fzllsboro Phone 503.640-3607 Fax 503.68
1 .0793
� 'd SILO ass EOS auxzeaH Ralalv.JS wselen i0 LI QaA
CITY OF TIGARD24-Hour
BUILDING Inspection Lane: (503)539-4175 0
MST
INSPECTION DIVISION Business L,ne: (503)639-4171
BUP
Received Date uestad AM PM BUP
Location r Suite_ MEC _
Contact Person Ph( ) "�'>� c13 PLM
Contractor _ Ph(—) SWR
BUILDING TonanVOwner _ — __ LG1 . 2�L2
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Ins p tion Notes: t, SIT _
Post&Beam
Shear Anchors /1n�G O a (o (e -
Ext Sheath/Shear ( • _, —
Int Sheath/Shear
Framing --
Insulation
irywa6 Nailing ----��--� _ --- —
Firewall _�. '-- -
Fire Sprinkler - -- — --- - -- -
Fire Alarm
Susp'd Ceiling
Roof
Other: - --
Fina! ----- -
PASS PART FAIL —
PLUMBING
Post&Beam^
Under Slab - -
Rough-in Iq-)
P Cut)
Water Service ------- — �v V —
Sanitary Sewer
Rain Drains —
Catch Basin/Manhole
Storm Drain - --- — -- —
Shower Pan
Other: _ -- — -- — �-
Final
PASS PART FAIL +� �—
MECHANICAL
Post&Beam
Rough-In -- — —
IL Gas Line
Smoke Dampers - - —
H Final
U) PASS PART FAIL
J Se - �-
m Rough-In
UG/Slab
Low Voltage
Alarm
PART FAIL
n Reinspection fee of$— required before next inspection. Pay at City Nall, 1:1125 SW Hall Blvd.
ASS
$ F1 Please call fogy reinspection RE:__-_`_._._ __..__-- Unable to inspect-no access
Fire Supply Line — J
ADA
ft
Approach/Sidewalk
Other:_
Final DO NOT REMOVE this Inspsaon cord from the job site.
PASS PART FAIL
5
iGARD 24-Hour
LDING ,� Inspection Lino: 9-417,15 1491
INSPECTION DIVISION t3usl ess Lin 03)639-4171 MST
BUP _
Receivad _ Bate Re uested—_
� y PM BUP _
Location Suite— MEC a2o10 _OCO�
Contact Person p Ph(_ ) �Se 4 Z PLM _---_
Contractor ___ _ Ph(— ) — _ __ SWR --_ —
BUILDINGTenant/Owner ELC —
Footing —
Foundation Access: ELC _—__—
Ftg Drain ELR
Crawl Drain - -- -
Slab Inspection Notes: � � yj — SIT ---.—
Post& Beam �T �•
Sheer Anchors - --
Ext Sheath/Shear L�
Int Sheath/Shear "—~-
Framing ---------- _-- —.-- --- - ---
Insulation
Drywall Nailing ---- ------ ------- ----- - —- --
Firewall
Fire Sprinkler -- -- --- --- __-- —
Fire Alarm
SLjsp'd Ceiling --- — —--- -
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 ---v -- _— ---- -- --- ---___._
MECHANICAL
Post&Beam
Rough-In
Gas Line
IL §Ipg§Dampers
N PAS PART FAIL - —--
ECTRICAL — —
Service
m Rough-In _
F3 UG/Slab —
Low Voltage _ — — �-- ------- — ---- ----
Fire Alarm
Final Reins on fee of$
PASS PART FAIL P required before no s on. Pay at City Halt, 13125 SW Hall Blvd.
SITE — F] Please call for reinspection RE: _ Unable to inspect-no access
Fire Supply Line
ADA OG
Approach/Sidewalk Daft..— IeftsPRetor _.--_—_--_Litt _--
Other:
Final -� DO NOT REMOVE this Inspeetlen from so job site.
PASS PART FAIL
CITYOF TI GARD _ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT ft: PLM2000-00116
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED:
SITE ADDRESS: 08439 SW NORFOLK CT PARCEL: 2S112CB-HCO04
SUBDIVISION: HAMPTON COURT ZONING: R-7
BLOCK: LOT: 004 JURISDICTION: TIG
CLASS OF WORK: .ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTTER FIXTURES:
TUBISHOWERS. SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Residential backflow prevention device. The backflow preventer is located nearest to this property but where
the fence for the subdivision is planned.
FEES
Owner:
Type By Date Amount Receipt
LEGEND HOMES PRMT BON 04/10/200( $25.00 0001290
STE 69TFiA VE 5PCT BON 04/10/200( $2.00 0001290
1000 1
TIGARD, OR 972.23 Total $27.00
Phone 1: 503-620-8080
Contractor:
MARTIN SANDERS
PO BOX 307
NORTH PLAINS, OR 97133 REQUIRED INSPECTIONS
Phone 1: 647-5567 RP/Backflow Preventer M
Reg ft: LIC 11608 Final Inspection
PLM 5742
a ORIGINAL
This permit is issued subject Yo the regulations contained in the Tigard Municipal Code, State of OR.
00 �
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
J "chis permit wi'.I 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) 246-1987.
Issued By: f'�" � i__ Permittee Signature: t
Call(50316394175 by 7:00 P.M.for an Inspection needed the nextilusiness day
CITY OF 1 IGARD Plumbing Permit Application Plan Che
13125 SW HALL BLVD. Commercial and Residential RecdBy 'A.
TIGARD,OR 97223 Date Recd Irl
(503) 639-4171 Date to P.E.
Print or Type Date to DST _
Incomplete or illegible applications will not be accepted Rem,n r ( IR 'ZtZb-CY'►1(0
Related SWR A
Called-
Name of Development/Project FIXTURES (individual) CITY PRICE AMT
Job ��� _ ¢V v �- Sink 11.50
Address Street Ad ess t Suite Lavatory 11.50
1A 7 �JNA -CI Tub or Tub/Shower Comb. 11.50
Bldg! City/State 21p Shower Only 11.50
l�c�a(/_ 1 v c°
Name Water Closet 11.50
C �+,r v--C_ Urinal 11.50
Owner Maifin ddress Sul Dishwasher 11.50
Z �sss4 W Garbage Disposal 11.50
Cit / tote Zip Phone
_ () v e G Laundry Tray 11.50
Nalher _ U Washing Machine/Laundry Tray 11.50
_ Floor DrainlFloor Sink 2' 11.50
Occupant Mailing Address Suite 3' 11.F0
City/State Zip Phone 4' 11.50
Water Heater O conversion O like kind 11.50
Name /- Gas piping requires a separate mechanical permit. _
1 L _(�_ (J7 u i.�5 MFG Home New Water Service 32.00
Contractor ailing Address Suite MFG Home New San/Scor-Sewer 32.00
U (� Hose 8;fir 11.50
Prior to permit City/St to / Zip Phone Roof Drains 11.50
copy Issuance,a co [ IL
`� Q I Drinking Fountain 11-50
of all licenses are Oregon Const.Cont.Board Lic.0 Exp Date
required i1 L) CC.' Fixtures(Specify) 15.00
expired In COT Plumbing Llc.* Exp.Date
database -J7v UV
Name
Architect Sewer-1st too' 38.00
Or Mailing Address Suite Sewer-each additional 100' 32.00
City/State Zip Phone Water Service-1 at 100' 38.00
Engineer Water Service-each additional 200' 32.00
Descri work to be done: Stom16 Rain Drain-lot 100' 38.00
New A_ Repair O Replace with like kind: Yes O No O Storm d Rain Drain-each additional 100' 32.00
Residential O Commercial O
Additional descII/L
tion of work: Commercial Back Flow Prevention Device 3200.
}/� 1�1n l Residential Backflow Prevention Device' 19.00
� u e ` _'X r-�C ` l(}iA) Catch Basin 11.50
Are you capping,moving or replacing any fixtures? Insp.of Existing Plumbino or Snecialty Requested 50.00
Yes O No * Inspections perthr
If yes,see back of form to Indicate work performed by Rain Drain,single family dwelling 45.00
fixture. FAILURE TO ACCURATELY REPORT FIXTURE.. Grease Traps 11.50
F,. WORK COIILU RESULT IN INCREASED SEWER FEES. -----QUANTITY TOTAL
J 1 hereby acknowledge that I have read this application,that the Information Isometric or riser diagram Is required N Quantity TAaI h >a
I0 given Is cored,that I am the owner or authorized agent of the owner,and -;-SUBTOTAL
Ur that Tans submitte are in compliance with Oregon State Laws.
W Slgnstur" er/Age Date
w 'J 8%SURCHARGE
Contact Person Name Phone _
7.
-PLAN REViFW 26%OF SUBTOTAL
F,31T6 Requred onI N.fixture qty.toW Is>9
TOTAL
'Minimum permit foe Is$50+8%suthew.except Residenthl 8acknow Prevention
device,which h$75+@*A stwImgs
-All Now commercial Buildings require plans with Isometric or rher diagram and
pian review.
1\d+1+\!ro m+\plum q(�Aoc 1 111 A/!>9
I
PLEASE COMPLETE:
Fixture Type uantlty by Work Pedofted
New Moved ,'Replaced RemovedlCapped
Sink _
Lavatory _
Tub or Tub/Shower Combination
Shower Only _
Water Closet _
Urinal —
Dishwasher
Garbage Disposal
Laundry Room Tray
Washing Machine_
Floor Drain/Floor Sink 2"
4" 7z
Water Heater —
Other Fixtures (Specify)
COMMENTS REGARDI ABOVE:
CL — -- — — —
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I IMlft.nl%Pk" pp.doe I VIB 9
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested ��` �'Z AM _PM _ BLD
Location Y CW111 k C�' Suite MEC
Contact Person Ph PLM 7000 ' 010114
Contractor Ph SWR
BUILDING Tenant/Owner _ ELC
Retaining Wall ELR
Footing
Foundation ACC@SS:
FPS
Fig Drain `—
Crawl Drain Inspection Notes: SCAN
Slab SIT
Post R Beam -
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing
Firewall — --
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: _
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Sleb
Top Out
Water Service
Sanitary Sewer
Rain Drains
PASS PART FAIL _
NICAL
Post&Beam
Rough In
Gas Line
Smoke Dampers
Final --
PASS PART FAIL
ELECTRICAL-
LL Service
B= Rough In
N IIt',131ab
I ow Voltage
Fire Alarm
Final
m PASS PART FAIL
W SITE
Backfill/Grading -- -- --—
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line i 1 Please call for reinspection RF: Unable to inspect-no access
ADA
Approach/Sidewalk /
Other Datil � J � - � � Inspector � Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the fob site.
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OR I'G I PEp�11T
CITY ®F T i G.4 R® PERMIT 9: MST2000-001 79
DEVELOPMENT SERVICES DATE ISSUED: 6/28/00
13125 SW Hall Blvd.,Tigard,OR 972?1 (503)639-4171
SITE ADDRESS: 08439 SW NORFOLK CT PARCEL: 2S112CB-HCO04
SUBDIVISION: HAMPTON COURT ZONING: R-7
BLOCK: LOT:004 JURISDICTION: TICS
REMARKS: Path 1, new single family detached residence.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACK$ REWIRdD
C-.ASS OF WORK: NEW HEIGHT: 23 FIRST- 918 of BASEMENT: of LEFT: a SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SEC,�ND: See d GARAGE: 499 of FRONT: 22 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 73
OCCUPANCY ORP: R3 eDRM: 3 BATH: 3 T:1TAL: 1,527.00 M VALUE: 6 126,767.63 REAR: 20
PLUMBING
SINKS: 1 WATER CLOSCT-1 3 WASHING MACH: 1 LAUNDRY TRAYS: RA.N DRAIN: 100 1RAPS:
LAVATORIES: 4 DISHWASHERS: I FLOOR DRAIN$: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUSISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
MECHANICALOTHER FIXTURES:
FUEL TYPES FURN<100K: SOIL/CMP<7HP: VENT FANS: 4 CLOTHES OFM 4: 1
GAS FURN>090K: 1 UNIT HEATERS: HOODS: 1 OTHER LPWT.';: 1
MAX INP: btu FLOOR FURNANCES: VENTS: t WOODSTOVES: GAS OUTLETS: 1
_
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCf'EEDERS BRANCH CIRCUITS MISCELLANE014 _ AWL IN!PECTIONS
1000 9F OR LESS: 1 0 200 amp: 0 700 amp: WISVC OR FDR: 1 PUMPARRIOATIM 1: 'ER IN'{PECTION:
EA ADD'L SMSF: 1 201 400 amp: 201 400 amp: tat W/O SVC/FDR: Of, SIONIOUT LIN LT: PER HOOP
LIMITED ENERGY: 401 600 amp: 401 -600 amp: EA ADDL OR CIR: SIGNALIPANEL: IN PLANT:
MANU HMISVCIFDR: 601 • 1000 amp: $01•amps-1000V: MINOR LABEL:
1000•amino":
Reconnect only: PLAN REVIEW SECTION
>-4 RES UNITS: SVCIFDR>-225 A.: >600 V NOMINAL: CLS AREMSPC OCC:
ELECTRICAL-RESTRICTED ENERGY _
A.SF RESIDENTIAL _ a.COMMERCIAL
AUDIO A STEREO: VACUUM SYSTEM: AUDIO S STEREO: FIRE ALARM: INTERCOWPAGrNG: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATMTELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: = '5,63374
This permit is subject to the regulations contained in the
LEGEND HOMES LEGEND HOMES CARP Tigard Municipal Code,State of OR. Specialty Codes and
ORT AN 89TH AVE PORTA11130 ,OR 97 BLVD DIN other applicable Is". AN work will be done in
PORTLAND,OR 97223 PORTLAND,OR 97219
acoordence with approved plans. This permit will expire If
IL 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
N Oregon Utility Notification Center. Those rules are set
Rea/: LIC 00060563 forth in CAR 952-001-0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
OUNC by calling(503)248-1957.
C0 REQUIRED INSPECTIONS
0
W Erosion 844-8444 Underfloor Insulation Mechanical Insp Shear Well Insp Water Line Insp Rnal Inspection
J
Footing Insp Crawl Drain/Backwater Plumb Top Out Low Voltage Appr/SdwIk Insp Building Final
Foundation Insp Footing/Foundation Dr; Electrical Service Gas Line Insp Electrical Final
Post/Beam Structural PLM/Underfloor Electrical Rough In Insulation Insp Mechanical Final
Post/Beam Mechanical Mechanical Insp Framing Insp Rain drain Insp Plumb Final
Issued By : .,f uJ Permittee Signature •
Call(503)639-4175 by 7:00 p.m.for an Inspection needed the next bus ness day
ORIGINAL
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT 0: SWR2000-00143
13125 SW Hall Blvd.,Tlgard,OR 97223 (503)639-4171 DATE ISSUED: 6/28/00
SITE ADDRESS; 08439 SW NORFOLK CT PARCEL: 2S112CB-HCO04
SUBDIVISION: HAMPTON COURT ZONING: R-7
BLOCK: LOT: 004 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection permit for new single family residence.
Owner: -- -
-- FEES
LEGEND HOMES
12755 SW 69TH AVE Type By Date Amount Receipt
PORTLAND,OR 97223 PRMT DST 6/28/00 $2,300.00 0003311
INSP DST 5/28/00 $35.00 0003311
Phone: Total $2,335.00
Contractor:
Phone:
Reg 0:
Required Inspections
Sewer Inspection
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00 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: Permittee Slgnatur : 2 ��
Call (503)639-4175 by 7:00 P.M.for an inspection needed t next busl4ss day
CITY OF TIGARD Residential Building Permit Application Plan Check 0 - Q
13125 SW HALL BLVD. New Construction Recd By
TIGARD, OR 97223 Single Family Detached Date Recd
9 y Date to P.E. &-ifrCO
V 503-639-4171 Date to DST !e G'o-V—
F 503-684-7297 Permit# 'f --00/79
Print or Type
Incomplete or illlegibl pplications will not be accepted
Name of Project Name
Job
Architect Melling� res
Address Si�Addrea 'Z
dr 1 G q .AF-C_
N City/State Zip Phone
Owner Mallin Address r
Name
C tate Zi PhoneEngineer l��ddrass
,47 S4,ej y fes^
Generalcity/state, zipp Phone
Name y'i[>u/4 0/ 1-to%j 4.7Sv`'x'�1
Contractor L e 170-ri -s25- Describe work New^, Addition O Alteration A Repair O
Mailing A dressto be done:
Prior to permit /.1,7 3 1i x'e& G 9"� 11,4' Additional Description of Work:
Issuance,a copy C Lgtate Zip Phone p _
of alllic!nses �r 'W &-A6��`�'
are required If Oregon const.Cont.Board Exp.Date PROJECT ,�-
expired in COT Lic.0
_ database C>4� VALUATION
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- -SU n a Sq.Ft.House- Sq. Ft.Ga
Contractor Mailing Ad s — _
I/ S' /lZ; Indicate the restricted energy Installation by the electrical
Prior to permit G� e� ��`'
subcontractor in the following areas _
issuance,a copy C /Stn a Zip Phone Restricted Audio/Stereo
of all licenses I -r ��-� y^ 77
are required If Oregon Const.Cont.Board Exp.Date Energy S stem Alarms
expired in COT Lica l Installations Vacuum Irrigation
database U /i ✓'�-U System System
Plumbing Nam- (check all that Other:
Sub- f_rJC��Co l� / �a'r'-' % apply)
Contractor Matting Address Number of Units in Building Unit Number Designation
/"�l 1/ f/ aC7f) 7 Has the Subdivision Plat recorded? N/A Y S NO
Prior to permit C /State Zip Pro aJ
Issuance,a copy 1067-1/
of all licenses are Oregon Const.Cont. Board Exp.Date
required If LICA >��>9
expired In COT 4 .� 0 1.3 Lf?
ce
database Plumbing Lic.0 Ex Date I hearby acknowledge that I have read this application,that the
a l► Information given is correct,that I am the owner or authorized agent
3/ of the owner,and that plans submitted are in compliance with
U) Name Oregon State laws.
Electrical Sign ure==gent -' L f fat _J
•.) Sub- Mailing Address
Conte P rs Phone
Contractor / 795-,111)
W City/State Zip Phone
-! Prior to permit
Issuence,a copy A r C7/l a-, FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont.Board Exp.Date
required if Lic.if Plat :�a y a�-a Mep/TL1#: ,Q u
expired In COT ,,� 5 -/ _ //'�L r'C
database Electrical Lic.0 Exp.Date Set cks: Zone: -�
Electrical Supervisor Lic.0 Ex .Datee�q En a proval: Planning Approval: TIF:
I:WftVorrnsWWnaw.doc 1140108
i=LOT PLAN
LOT 004, P,4M =TC'N COURT
RI 251 11 DA
TAX LOT *- - - - - -
5439 SW NORFOLK COURT
S.E. 1/4 OF SECTION 11, T.2, R.IW, W.M.
CITY OF T IGARD � WATER METER
WASHINGTON COUNTY, OREGON W— ------ WATER LINE
SANITARY SEWER
SD-- - - — STORM DRAIN
------ a OF STREET
LEGEN : LE
PROPOSu ,` CAATCHTCW BASIN
i O M E STREET TEREES
G ® STREET LIGHT
6 r o FIRE HYDRANT
SU RV SS STREEEt N
wv
——a
889'54'31"W R•4Sm�'
� / ,� L.499�=ten.,,,.•• ` _-•
l °I �i
��� LOT
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IN 20-30-
OT 04
i •1�'�
6UJI ,242 SGS.FT. -
[�I I W I°� I ,UPE,ATON B� ; 18 vT IRC�L FENCED
111: 11
i _ FIN. FLP- ■ 200.1' �� \ PER COM AINITY
I I • ;"� �i el GARAGE FLR • 19pAV ` \ EROSION PLAN
Al
I ,.I . � •0 i � � 1995' I .l' _ I �+` - � � `\ `
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I I D4.14„E
II LOT CIS \
al
CITY OF TIGARD
13126 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE JUN 3 0 ?000
GARNER ELECTRIC
21786 SW TUAL.ATIN VALLEY HWY S
ALOHA, OR 97006-1248
Electrical Signature Form
Permit #: MST2000-00179
Date Issued: 6/28/00
Parcel: 2S112CB-HCO04
Site Address: 08439 SW NORFOLK CT
Subdi'vision: HAMPTON COURT
Block: Lot: 004
Jurisdiction: )IG
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
Awk. 12766 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
IL Fie 34-oec
ac
AN INK SIGNATURE IS REQUIRED ON THIS FORM
m
W _
Signature of. pervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CELECTRICAL PERMIT
CITY O F T I��R D
PERMIT#: E 0-00281
DEVELOPMENT SERVICES DATE ISSUED: 05/30/2/30/2 000
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112CB-R-O-W
SITE ADDRESS: SW NO ADDRESS 12
SUBDIVISION: 9,A_t4 ZONING:
BLOCK: LOT : C JURISDICTION: TIG
Prosect Description: Install 1 service/feeder and 1 branch circuit. %47) 444k� 6�e
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 HM/SVC/FDR: 601+amps- 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS
—. ADD'L INSPECTIONS _
0 - 200 amp: 1 W/SERVICE OR FEEDER: 1 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
LEGEND HOMES CORP A BETTER E' ECTRIC CO, INC
11130 SW BARBUR BLVD 8192 SW DURHAM RD
PORTLAND,OR 97219 TIGARD, OR 97224.4190
Pho.-le: Phone: ORIGINAL
670-7575
Reg#: LIC 127438
SUP 1444S
ELF 3-4320
FEES Required Inspections
Type By Date Amount Receipt
Elect'I Service
PRMT KJP 05/30/200C $69.60 0002543 Elect'I Final
5PCT KJP 05/30/2000 $5.57 0002543
Total $75.17
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable!aws
4.
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
N rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or dir uestions to OUNC st(503)
C 246-1987.
—� PERMITTEE'S SIGNATURE ISSUED BY:
WNER INSTALLATION ONLY
WJ The installation is being m2de on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: �_ _ DATE:--.--
CONTRACTOR
ATE: --__CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC('/N: _�`�� �`� DATE:_
LICENSE NO: 3 — J
Call 6394175 by 7:00pm for an Inspection the next business day
CITY OF TIGARD Electrical Permit Application Plan Check 0
13125'SW HALL BLVD. Roc'd By _
TIGARD OR 97223 Date Recd
P.E. _
Phone(503)639-4171, x304 Date to Date to P.E.
inspection ---
(503)639-4175 Print of Type Permit
Fax(503)598-1960 Incomplete or illegible will not be accepted Called
1. Job Address: Lev vN Q 1l M t-S 4. Complete Fee Schedule Below:
Name of Development fe.. Nurnbw of Inspections Per pwmlt allowed
Name(or name of business) L� t I__ Service Included: Items Cost Sum
&4-14,11,
Address W e 54- Tac. eh Cuf q 4a. Rooldential-par unit
City/State/Zip. c d�� 1000 sq.ft.or less S 117.75 4
F:•f:h additional 500 sq.H.or
portion thereof $ 28.95 1
Commercial Residential Limited Energy $ 60,00
Each Manufd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder 5 72.75 _ _ 2
(Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders
information for COT date base) Installation,alteration,or relocation
Electrical Contractor ar II Gu Lf,- &, 200 amps or less t 64.25 !r(/•zS 2
Address_J.0 &2 �- 201 amps to 400 amps S 85.50 2
City V'j` State 0A `Zip
401 amps to 600 amps $ 128.50 2
601 amps to 1000 amps $ 192.50 2
Phone No. ��(`t-cL 7 t _ Over 1000 amps or volts S 363.75 _ 2
Job No. 7-7 7_- Reconnect only $ 53.50 2
Elec. Cont. Lice. No. -'f_-32 C- Exp.Date InL Jo 4c.Temporary Services or Feeders
bR State CCB Reg. No._ /Z 7gl%_Exp.Date rl ()j Installation,alteration,or relocation
COT Business Tax or Metro No., Exp.Dat@ 200 amps or less $ 53.50 _ 2
�f 201 amps to 400 amps _ S 80.25 2
Signature of Supr. Elec'n �isu' 401 amps to 800 ar..ps $ 107.00 _ 2
Over 600 amps to 1000 volts,
License No. �� �(- 5 Exp.Date lo esea"b"above.t
Phone No. 4d.Branch Circuits
- New,alteration or extension per panel
a)The fee for branch circuits
2b. For owner installations: wHh purchase of service or
feeder fee.
Print Owner's Name u_ Each branch circuli $ 5.35 2
Address b)The fee for branch dreufts
without purchase of service
City State___Zip or feeder fire.
Phone No. _ _ First branch circum $ 37.50
Each additional branch circuit S 5.35
The installation is being made on property I own which is not 4e.Miscellaneous
intended for sale, lease or rent. (Service or feeder not Included)
Each pump or irrigation circle $ 42.75
Owner's Signature Each sign or outline lighting S 42.75
Signal circult(s)or a limited energy
d panel,alteration or extension $ 60.00
3. Plan Review section(if required):* Minor Labels(10) $ 107.00
CO) Please check appropriate Item and enter fee In section 58. 4f.Each additional Inspection over
4 or more residential units in one structure the allowable In any of the shove
J _ Service and feeder 225 amps or more Per inspection E 50.00
Per hour $ 50.00
QD _ System over 600 volts nominal In Plant
$ 59.00
W __ Classified area or structure containing special occupancy as �-
Lu described in N.E.C.Chapter 5 Jr. Fees:
So.Enter total of above fees $
* Submit 2 sets of plans with application where any of the above apply. 7 Surcharge(.05 x total revs) S
Not required for temporary construction services. Subtotal $
8b.Enter 25%of line Qa for
NOTICE Plan Review H retly!Td(Sec.3) S
PERMITS BFCOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS t--J Trust Arxount#
AT ANY TIME AFTER WORK IS COMMENCED. Total belenre Due $ 5
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST 02�
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP _
Date Requested -- AM_-Z�:Pm BLD
Location ��� S w n P (� Suite MEC
Contact Person Ph -24t .3 T U PLM
Contractor Ph
BUILDING Tenant/Owner _ ELC _
Retaining Wall ELR _
Footing Access:
Foundation FPS _
Ftg Drain SGf4d
Crawl Drain Inspection Notes:
Slab _ — SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing --
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler "000'r--
Fire
_____
Fire Alarm
Susp'd Ceiling
Roof
Misc: - - -- -------
Final
PASS PART FAIL - -- ----
PLUMBING
Post&Beam — - -
Under Slab
lop out - ---- ------
Water Service
Sanitary Sewer — -- —
Rain Drains
Final --
PASS PART FAIL
MECHANICAL
Post& Beam --- --
Rough In
Gas Line --
Smoke Dampers
Final ------ — -
ART FAIL
(JgLECTRIPAD - —
a Service ----- —
Rough In
UGISlab
I_ow Voltage
Fi rm
` ITE PART FAIL
(S --
Backfill/Grading -
Sanitary Sewer
Storm Drain I ]Reinspection fee of S —�required before next inspection Pay at City Hail, 13125 3W Hall Blvd
Catch Basin
Fire Supply Line I ]Please call for reinspection RE: [ ]Unable to inspect no access
ADA
Approach/Sidewalk Datens Inspector Ext
Other
Final ItE
P '
Final —
PASS PART FAIL DO NOT REMOVE this inspectlon record from the Job site.
CITY OF TIGARD BUILDING MSPECTIO�,. DIVISION
MST ka
24-Hour Inspection Line: 639-4176 Business Line: 639-4171
' BUP
Date Requested Z✓— /IV AM PM OUP
OLD
Location(13 Z $-w �Z Or �C Suite [NEC
Contact Person PhPLM
Contractor Ph SMR
BUILDING Tenant/OwnerELC
Retaining Wall � ELR
Footing Access:
Foundation FPS
Fig Drain SON
Crawl Drain Inspection Notes:
Slab SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler —
Fire Alerm
Susp'd Ceiling
Roof
Fig gal
PASS PART FAIL -
LUWB—NG
Tro-7XTFeam
Under Slab _
Top Out
Water Service
Sanitary Sewer �-
5E+lailains
PART FAIL _
MECHANICAL
Post& Beam —
Rough In
Gas Line
Smoke Dampers
Final - ---
PASS PART FAIL
ELECTRICAL
IL Service _
Rough In
F- UG/Slab
U) Low Voltage
Fire Alarm _
J Final
m PASS PART FAIL
SITE
J Backfill/Grading - — �-
Sanitary Sewer
Storm Drain [ ]Reinspection fea of 1 _ required before next insper-41on. Pay at City Hall, 13125:3W Hall Blvd
Catch Basin [ I Please call for reinspection RF:�___�_____ _____y_�_ [ ]Unable to inspect- no;,(,cess
Fire Supply line
ADA
Approach/Sidewalk
Other Date _q Inspector Ext _—
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2-el v:Gol7-f
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
SUP .
Date Requested f U -2w AitAJPM BLD
Location &3� S w n ar,�/� I' - _ Suite MEC _
Contact Person Ph - 3 570 _ PLM
Contractor` _ _ Ph SWR
ILQ Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
l Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: —
Slab -- SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall �G
Fire Sprinkler „���� ne
Fire Alarm
Susp'd Ceiling
PASS PART FAIL/7' ► '����- '
PLUMBING
Post&Beam — —
Under Slab
Top Out —'
Water Service
Sanitary Sewer _
Rain Drains
Final
P T FAIL
fist& Beam ---- —
Pough In
Gas Line — - -
Smoke Dampers
ma — --
S PART
IL ELECTRICAL -(a
R Service _
Rough In
t1G/Slab
Low Voltage
J Fire Alarm
m Final
j PASS PART FAIL
!u SITE
Backfill/Grading -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE:
Fire Supply Line [ ] p _ —�_ I ]Unable to inspect-no access
ADAr,.---
Approach/Sidewalk
Other Date 2 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the Job site.
ary OF TIGARD BUILDING INSPECTION DIVISION MST :2w.,_"179
24-Hour Inspection Line: 639-4175 Business Line: 639 71 ,
BUP _
Dete Requested �U' Z- 3 AM PM BLD _
Location J�!j—3 y 3 W.L*-6z 4/C L,,. Suite — - MEC
Contact Person Ph �r49- �3 �� PLM _
Cutaractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SON
Crawl Drain Inspection Notes:
Slab SIT
Post&Beam
Ext SheathlShear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _
Roof '
rAi _
AS PART FAIL —.
ING
Post&Beam - -- �—
Under Slah
Top Out
Water Sei ,ire
Sanitary Sewer
Rain Drains
Final —_
RT FAIL _ —
MIECHAN
Rough In
Gas Line C2
,1�IUtI
m es 10
F. -
ART FAIL
4.
ELtiffTRICAL -- —�-�—
a Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
m Final
j PASS PART FAIL
W
J SITE
Backfill/Grading - -—
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$_ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I ]Please call for reinspection RE:_� __ -- ___ [ ]Unable to inspect no access
ADA
Approach/Sidewalk Date Z'3 Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspectlo record from the job site.