The URL can be used to link to this page

12298 SW WILMINGTON LANE .a m rn to _ 12998 SW WILMINGTON LN 1 CII( OF TIGARD MASTER PERMIT _^ r'ERMl.T #. . . . . . . t4aT��C�-111;364 DATE ISSUED: 07/. 1/9E, COMMUNITY DEVELOPMENT DEPARTMENT 13125 SOV Hell Blvd.Tigard,Uiegon 07223.8180 1503)639.4171 1-'(aRCF l..; c j 109(-1A—WH 0103, 1r'r)')6 ":: W WILI+IlI•Iv ((31\1 LN SUBDIVISION. . . . WILMINGTON HEIGHTS ZONING: R- 7 LOCK. . . . . . . . . .. . LOT. :Ir171r Remarks: PATH I --------------------------------------------------------------- BUILDING --------------------------------------------------------------- REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 if REQUIRED SETBACKS---- REGUIRED-------------- LLASS OF WORK.:NEW HEIGHT........: 30 FIRST....: 1188 if GARAGE.....: 460 if L.EFT..........: 15 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 978 if FRONT.........: 20 PARKING SPACES: 1 TYPE OF CONST.:5N DWELLING UNITS: 1 F'INBSMENT: 0 sf RIGHT.........: 6 OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2166 if VALUE..{: 147920 REAR..........: 64 -----•------------------------------------------------•---------- PLUMBING -------_---------------------------------------------------------- SINKS.........: I WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN Ft: 0 TRAPS.........: N L.AVATORI(S....: 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: I CATCH BASINS..: 0 TUB/S1401WERS...: 3 GARBAGE DISE..: 1 WATER HEATERS.: 1 WATER LINE fts 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: d OTHER FIXTURES: i ---------------------------------------------- ---------------- MECHANICAL ------------- FUEL TYPES--------- FURN l 10011 ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: I /GAS/ / / FURN )=100K ..: 1 UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: I -------------------------------------------------------------- ELECTRICAL ---- -------------------------- --RESIDENTIAL UNIT--- ---SERVICElFEEDER---- --TEMP SRVC/FEMRS-- ----BRANCH CIRCUITS---- MISCEL:ANEOUS---- --ADD'L INSPECTIONS.- IM SF OR LESS: 1 0 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 504SF.: 5 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/0 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 amp,.: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNALiPANEL...: 0 IN PLANT........ 0 MAW HM/SVC/FDR: 0 601 1000 amp.: 0 601+amps-10x0 v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: 0 .--------------------------..______.---- PLAN REVIEW SECTION ------------------•------------- Reconnect only.: 0 )=4 RES UNITS..: S4C/FDR)-225 A.: ) 600 C NUMINAL: CLS AREA/SPC OCC. ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL----------.----------------- B. COMMERCIAL---------------------------------------------------------------------------- AUDIO d STEREO.: VACL'l1M SYSTEM..: AUDIO 8 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: ;: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPE'IFR..: CLOG(............ INSTRUMENTATION: MEDICAL........: OTHR: HVAC............. DATA/TELE COMM... NURSE CALLS....: TOTAL A SYSTEMS: 0 Omer: -------------------------------- -Cnntractar: ----------------------------- TOTAL FEE;:$ 4549.20 IIEI WAYMIRE MELVIN WAYMIRE 0 0 BOX 231164 PO BOX 231164 TIGARD OR 97223 TIGARD OR 97281 Phone N: 639-042 Phone N: 639-6742 Reg M..: 35976 This permit is issied suaject to the regulations contained in the Tigard Municipal Cede, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will exp u e if Mork is not started within IBP days of issuance, or if work is suspended for more than IN days. ----------_-__.__----------------------------------- REQUIRED INSPECTIONS -------------------------------------.._.---------------- Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Ippr/Sdwlk Insp Erosion Control Past/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final r Post/Beam Mechar Electrical Serv, Fireplace Insp Rain drain Insp Mechanical Final Crawl Drain Electrical Rough Ga: Line Insp Water Line Insp Plumb Final _ I s.mittea Sig" .at,.:r Ism1_Ied La Gall for- i •spectinn -- b39--4175 Residential Building Permit A RIica#ion City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: �S'p L✓1 k./.� ilc ,.4-24: ffi ;.�j�� Oce Use Only Subdivision: I f Cir"` Lot#_ Valuation: �7' �'L' Contact Date _ / r' / Initials Result Planck/Rec # New Constructi n nly: (Square Footage) Permit # 1-rlst&-4 J-P House' Garage: O — Reissue of Map & T.L # Zone Corner Lot? Y CN� Flag Lot? Y Plat # Approvals Re_auired, Owner: zy f� irk �_ _ 7 rr ' P'...nning Setbacksl Solar f'h Address: [� !�c?Y 3/t'�� ----- Engineering Other Phone: �Q 3_) (7 2!Z,2- Items Required ��,f. L _ Subcontractors 011e- Contractor. --� Tn.iSs Details _ Address' Other L-- Noted V -- Pi-one: (,R)3 639-�75�2 ----- Contractors License # attach copy of current Oregon license) Contact Name L rel i .l t —.— Cc ntact Phone //�� Subcontractors: Arch itect/Engineer: : 7 i1 r %f � Plumbing: //,a >. i /i Address. _J3c1 5- AlAk) / `,Y iyc i Mechanical: �� t-t�is a/ ��ru _ `�114g (attach ccry of current OR Contractor's License)OK 1 QdGI H,// E/n3 is 6 (� 5 )# /,Phone 6613 JOB Q. SCR TION: d+ � A plic,x6t Signatw a Applicant Phone number ReceivEd by' _Ch� , �•-� —+. Date Received. 9 n WpnMar.� Permit # Account Description Amount Amt. Pd. Bal. Due BIPdg. Permit (BUILD)Plumb. Permit (PLUMB) �� 2.5 Mech. Permit (MECH) u ' _ 4 Bldg: �.ti i:� 5 , v Plumb: �/ Z Mech: „2 Z t`(C / 7, 7 Plan Check (PLANCK) , y� � )02, y�l Bldg:; Plumb: ��uir�� u✓r Sewer Connection (SWUSA) __ Sewer Inspection (SWINSP) �3 i_ 3 ) — Parks Dev Charge (PKSDC) v]) " Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-i) Institutional TIF (TIF-IS) Office TIF (TIF-0) _.—._— --------- ---- Water Quality (WOUAL) Water Quantity (WOUANT)Fire Life Life Safety (FLS) —_ —------ Erosion Cntrl Permit (ERPRMT) _' _L—ij«.-- Erosion Planck/USA (ERPLAN) � )i �__. s:�L - Erosion Planck/COT (EROSN) .)I, TOTALS: ------------ 7.7 . �� 7 1 'CON° RVATION A EA + Scala: ti' • 20' �j Q� •'. y�'�t�s' / r IN 1 S.W. Wilinfn con Lana zo.3 • GR.ov,��. p,9 O X9.5 ___- Wilmington Heights, Lot 5 ' �:-- Tlgard, Oregon -T_4 /r 11,604 .S.F. m\j\uti-"W. 11/3C/Dr, Al 23,17 - TOTAL. P,02 C11Y OF TIGARD RECEIP1 OF PAYMENI RECEIPT NU. :96-282372 CHELK f-IMLJIJNI - b534. 20 NAME : WAYMIRE, MELVIN CASH HMUUNI 0. 00 ADDRESS : P U BOX 2311E-4 PHYMENI UHIE 0//31/96 SUB JjlVIblUN iIUf)RDv 0:-, 91i=81- PURPOSE OF' AMOUNT PRID PURIJUSE OF PHYMENI HMUUNI PAID BUILDING F,EHMII 553. 00 PLUMB INU PERM C25. Oka MECHANICPL PE 45. 00 ELECTRICAL PLHMIf 275olbw ST. BUILD PER 54. 90 LAUILUINU PLHN CHECK 109. 4b MECHANlU.AL PLAN CHECK 11. 25 SEWER USA 2200. 00 SEWER INSPELT 35. 00 PARKS SUL 1050. 00 MASS i*RANSI'l TIF FEES I eo. 00 H2O QUALI I Y FAGILII-Y 180. LAO H2O UUtANTITY FACILITY FEE 100. 00 ERUSION LION IRUL PENMI 'IFF-F. 64. 00 EROSION CONTROL PLAN CK 20. 130 EROSION LUNTHUL dO. 80 RESIDENTIAL TRAFFIC FEES 1470. 00 MS[96-0364, SWR96--0341 12998 SW WILMINGTON LANE TOTAL AMOUNT' PAID - - - -> 6534. i:-.0 ACITY OF TIGARD V1ECHANICALPERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-26004 13125 SW Hall Blvd., Tigard, OP 97223 (503) 639-4171 DATE ISSUED: 9/30/02 SITE ADDRESS: 12998 SW V'JiL.UIINGTCN LN PARCEL: 2S 109AA-03100 SUBDIVISION: WILMINGTON HEIGHTS ZONING: R-7 BLOCK: LOT:005 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN _ EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS_ HOODS: FUEL. TYPES _ V 0 - 3 HP: 1 DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -. 30 HP. FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K B's U: _ AIR HANDLING UNITS CL.O DRYi_RS: FURN >=100K BTU: _ <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Install exterior AC unit. Cannot be placed in required set backs. Owner: —. FEES NELSON, CHAD T Description Oate A Amount 12998 SW WILMINGTON TIGARD, OR 97224 [MECII I Permit Fee 9/27/02 $72.50 [MECH J Permit Fee 9/30/02 $0.00 [TAX]8%StateTax 9/27/02 $5.80 Phone: [TAX]8%StateTax 9/30/02 $0.00 Contractor: Total $78.30 HARDY PLUMBING +HEATING 14689 NE COUNTRYSIDE AURORA, OR 97002 REQUIRED INSPECTIONS Phone: 222-9654 Cooling Unt Insp Final Inspection Reg #: 00060947 '"^) P1 Fn This permit is Issued subject to the regulations contained In the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not sta ted within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By: �L _�) Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for Inspections needed the next business day Mechanical Permit Application '— Date received: 7^��(d7 Permit no.:xfL1 -��pOO� City of Tigard Project/appl.no.: ire date: City njTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223jj Phone: (503) 639-4171 bate issued: B I Receipt no.: Fax: (503)598-1960 > Case file no.: Payment type: Land use approval: i Building permit no.: 1 74J &2 family dwelling or accessory Li Commercial/industrial U Multi-family U'I'cnant improvement ew construction U Addition/alteration/replacement Ll Other 1 ' 1 ' 1 1 1 Job address: Q' 6./ �tl�( L,/v7/,j J Indicate equipme.it quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: — value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: Block_ Subdivision: •tics checklist for important application inl'ormation and jurisdiction's fee schedule for residential permit fee. Project name: City/county: ZIP: 1 UIE Description and location of work on premises:_�,QI1 t t __ hrr(ca.) 'total Est.date of completion/inspection: — --- Description Qm . Res.only Res.onl Tenant improvement or change of use: c' Air handling unit _ CFM Is existing space heated or co dilioned? -Yes U No Air conditioning(site plan required) Is existing space insulated? Yes U tl I Alteration of existinsystem oiler compressors ,r�3/�D x'1 1 d• 1�G/ State boiler permit no.: Business name: � a _ HP Tons HTII/H Address: i )[_.5 1 •irc/smo c dampers/duct uct smoke ,tcctors City; I St atc:0 fE I 711P:9 cat pump(site plan required--- Phone: Fax:(o B- E-mail: install/replace furnace burner �' Including ductwork/vent liner U Yes U No _ CCB no.: U g Or-, _ I mta I Ureplace re ocateheaters-suspended, City/metro lic.no.: P wall,or floor mounted Name(please print): J ill for appliance of er than furnace PERSONONIACF e gerrl ont Absorption units. _- 1tTU/11 Name: Chillers____._ HP Com ressors __ HP Address: nv ronmenta ex osl an ventilation: ent lat on: City: state: ZIP: Appliance vent Phone Fax: E-mail: )ryerex gust-TT 1905s,' yp1e res. itc bit azmat hood fire suppression system --- Name:� Exhaust fan with single duct(bath fans) _ Mailing address: r.JM.vach em apart from _e_at R�AU— vel State ZIP: ■n str ul on(uto o outlets) City: —_ LFrtl NO `_ Oil Phone: Far' E-mail: n itiona over out et% _ k, Want roeessp p ng(sc ematicrequirec) Number of outlets Name: ter d app(fance or equipment: — Add -,,5: _—. Decorative fireplace City: 'state: Z.IP: nsert-t -- G-mail: r stov >e et stove phone: Other Applicant's signature: -' Date: Z-fi U1, ter: - Name (print)' 0�, __ Per N�bdicti mccept credit cnida,plense call JuriadicUnn fix mule infnrmaunn. ................ Notice:This per7rti►application Minimum it fee mum feeee......... ...... Ll visa U MasterCard � expires if a permit is not obtained Plan review(at 96 _ Credit cord numhrc--- ,� within Igo des after it has been ) $ -ate y' State surcharge(8_•96)....$ Name carC 0 r oss mvn on c IC s accepteu as corn late. TAL . $ ----- f'erdhol kr al6nrlwe Amount wp 4"17(tM1t OM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TO fAL VALUATION: PERMIT FEE: Descr I p bobon: _ Price Total $1.00 to$5,000.00 Minimum fee$72.50 __ Table 1A Mechanical Code Oty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or Includino ducts&vents 14.00 fraction thereof,to and Including 2) Furnace 100,000 BTU+ _ $10,000.00. Including ducts&vents 17.40 $10,001.00 to$25,000.UO $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14.00 fraction thereof,to and including 4) Suspended heater,wall heater $25,000.00. or floor mounted heater 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included In appliance permit $1.45 for each additional$100.00 or 6.80 - fraction thereof,to and including 6) Repair units $50,000.00. 12'15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pun,p Gond fraction thereof. footnotes below. Comp Minimum Permit Fee$12.50 SUBTOTAL: $ 7)<3HP;absorb unit to 100K BTU 14.00 8%State Surcharge $ 8)3-15 HP;absorb 25.60 unit 100k to 500k BTU r _ 25%Plan Review Fee(of subtotal) $ 9)15-30 HP;absorb 35.00 Required for ALL commercial permits onlyunit.5-1 mil BTU -9- -- 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU 52.20 11)>50HP;absorb unit>1.75 mil BTU 1 87.20 ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM 10.00 _ Value Total 13)Air handling unit 10,000 CFM+ Description: Q Ea Amount 17.20 Furnace to 100,000 BTU,Including 955 14)Non-po table evaporate cooler ducts&_vents 10.00 Furnace>100,000 BTU including 1,170 15)Vent fan connected to a single duct ducts&vents 6.80 Floor furnace Including vent 1`955 16)Ventilation system not included i„ Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted he iter -- 17)Hood served by mechanical exhaust Vent not Included in appliance 445 10.00 rmlt 18)Domestic incinerators Repair units _ 805 17.40 <3 tip;absorb.unit, 955 19)Commercial or Industrial type Incinerator to 100k BTU _ 69.95 3-15 hp;absorb.unit, ` 1,700 20)Other units,Including wood stoves - 101k to 500k BTU 10.00 15.30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mil.BTU 5.40 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 frill.bTU _ _ 1.00 >50 hp;absorb,unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil,BTU Air handling unit to 10,000 cfm1 658 _ 8•/.State Surcharge $ Alt handling unit>10,000 cfm 1,170 _ Non- ortable evaporate cooler 658 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a sin Ig a duct 448 Vent system not Included In 656 -.- -- W permit Hood served by mechanical exhaust 656 1 ho-.r Inspections antlin: -1 170 1 Inspections outside of normal business;rours(minimum charge-two hours) Domestic incinerator $62 SO per hour Commercial or Industrial Incinerator 4,590 2 Inspections for which no fee Is Rgecifical.V indicated (minimum charge-half hour) Other unit,Including wood stoves, 656 $62 50 per hour Inserts,etc. _ 3 Additional plan review required by changes,addition*or revisions to plans(minimum Oas I in 1-4 outlr,Ls _ _ 360 charge-one-half hour)$62 50 par hour Each additional outlet _ 83 ---- "State Contractor roller Certification required for ur as>2.00k BTU TOTAL COMMERCIAL $ *sReatder,tial A/C requires site plan showing placement of 1,lit VALUATION: _ _ �. All New Commercial Buildings require 2 sets of plans WatsVormsVnech-fees,doc 02111/02 ct sem' '� CITY OF TIGARD DEVELOPMENT SERVICES 13125SWNall!?Ivd., Tigard,OR 97223 (503)639-4171 CERTIFICATE OF OCCUPANCY PERMIT 11. . . . . . . ; MSETq(-,,--036,i DATE ISSUED: 01 /23/97 JTE ADDRESS. . . s 12990 SW WILMINGTON 1.14 PARCEL: ;UBDJVTSIO14. . . . s WILMINGTON HEIGHTS 7,ONINGsR- 7 . . . . . . . . . . LOT. . . . . . . . . . . . . . ........ ... I-AGS OF WORK. KNEW YPE OF U6E. . . xSF iYPE OF CONSTRt5N 43CUPANCY GRP. :R3 )CCUPANCY LOAD: e mar k 1; 1 ',ATH I MEL WAYMI RE. P 0 ROX 231164 TIGARD OR 97"23 Phone #: 639-674.? Contractors MELVIN WAYMIRE PO BOX 2 31 164 71GARD OR 97201 U)hans, #s 639 -671#;:., s 35976 hiffi Cprtificattp Wrants occupancy of the atlove r1iferencel-I b"lilding or pit;-tion hereof avid confirms that the building lisks been inspected for compliance will he State of Oregon Specialty Codes for the group, cupaylr- and ime uncle -,hicl-i the referenced Permit was Issupd, Y IN I SO I I-D OFFICIAL. POST IN CONSPICUOUS PLACE r CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE HARMONY PLUMBING PO BOX 1007 TUALATIN OR 97062 Plumbing signature Form Permit #• . . • : MST96-0364 Date Issued. : 08/06/96 Parcel. . . . . . : 2S109AA-WH005 Site Address: 12998 SW WILMINGTON LN Subdivision. : WILMINGTON HEIGHTS Block. . . . . . . . Lot: 005 Zoning. . . . . . . R-7 Remarks: PATH I Your company has been indicated as the plumbing contractor for the permit indica for the plumbi.ig permit to be valid, please have the appropriate individual from below and return this Plumbing Signature Form prior to the start of work. No pl will be authorized until this completed form is received. AN :NK SIGNATURE I8 REQUIRED ON THIS FORM OWNER: PLUMBING CONTRACTOR: MEL WAYMIRE HARMONY PLUMBING P O BOX 231164 PO BOX 1007 TIGARD OR 97223 TUALATIN OR 97062 Phone #: 639-6742 Phone #: Reg #. . : 85021 sign4re of Authorized Plumber Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171., ext. #310 CITY 01' TIGARD 13125 S.W. FALL BLVD. TIGARD, CR 97223 IMPORTANT PERMIT NOTICE LADD HILT CONST. ELECTRIC PO BOX 0356 FOREST GROVE OR 9711.6 Electrical Signature Form Permit #. . . . : MSi96-0364 Date Issued. : 07/11/96 Parce.l.. . . . . . : 2S109AA-WH005 Site Address: 12996 SW WILMINGTON LN Subdivision. : WILMINGTON HEIGHTS Block. . . . . . . . Lot: 005 Zoning. . . . . . . R-7 Remarks: PATH I Your company has been indicated as the electrical contractor for the permit indi order for the electrical permit to be valid, the signature of the supervisi.r.g el is required. Please have the appropriate individual from your company sign below and return t Signature Form prior to the start of work. No electrical inspection~ will be au this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: ELECTRICAL CONTRACTOR: MEL WAYMIRE LADD HILL CONST. ELECTFYC P O BOX 231164 PO BuX C356 TIGARD OR 97223 FOREST GROVE OR 97116 Phone #: 639--6742 Phone #: Reg #, . : 60153 Sign urea/ f SuOkrvising-Electr clan Please return this completed form to the address above. ATTN: Building Dent. It you have any questions, please call 639-4171, ext. 0310 RECIVk�} COMMUNi�r ukvt��►'ME�t CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line- 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINA ! Foundation Water Line Ceiling -Plumb Post/Beam Mach. Shear/Sheath Framing ech.-.1 Plbg.Und/Flr/Slab Plbg, Top Out Insulation -Elect. Post/Beam Struct. I'Anch. ,Rough-in Gyp. Bd. -t3ldg� San Sewer Gas Line Appr/Sdwlk Reins. Other. — I Date: r A.M. P.M Entry: Address: Tenant:— Ste: MST: ,'o � BUP: Con/Own: _.JCeMEC: PLM: ELG. — THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: s_ _— Date: __ .PPROVED DISAPPROVED/CALL FOR REINSP CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone- 639-4171 Footing Rain Drain Cover/Service FIKLAI Foundation Water Line Ceiling Post/Beam Mach. Shear/Sheath Framing -Mech. PIbg.Und/Flr/Slab Plbg. Top Out insulation -Elect. Post/Beam Struct, Mech. Rough-in Gyp. Bd -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other- Date: therDate: � �� A.M. P __ Ent Address: LCJ Tenant — -- — - -- —_ Ste:_.-- T: _ - �+ _,.UP: Con/Own: _— MEC: PLM: Fn ELC: rN ---- E . LLOWING CORHECTIONS ARE REQUIRED: ELR: - 50 ---- 12 �- --- Insp tof��' Date ;�VED DISAPPROVED/CALL FOR REINS P. CF CO