10199 SW 87TH AVENUE 10199 SW 87th Avenue
a�ela�+
\ MASTER PERMIT
CITY OF TIGARD _
PERMIT t#: MST2000-00484
DEVELOPMENT SERVICES DATE ISSUED: 12/1/00
1125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4'71
SITE ADDRESS: i0199 SW 87T'H AVE PARCEL: 1S135AA-MRE03
SUBDIVISION- MAPLE RIDGE ESTATES ZONING: R-12
BLOCK: LOT:003 JURISDICTION: TIG
REMARKS: S/F A PATH 1
_ BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 680 of BASEMENT: of LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 648 of GARAGE: 260 of FRONT: 20 PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: of RIGHT: 3
OCCUPANCY GRP: R3 BORM: 2 BATH: 3 TOTAL: 1,328VALUE: 5 121,199 00.00 of REAR: 42
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS:
LAVATORIES 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS GARBAGE DISP 1 WATFR HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
_ MECHANICAL OTHER FIXTURES:
FUEL TYPES FURN c 100K: 1 BOILICMP�3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN>•100K: UNIT HEATERS: HOODS: i OTHER UNITS: i
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
FLECTRICAL
REOIDENTIAL UNIT _ SERVICE FEEDER TEMP SRVCIFEEDERS- BRANCH CIRCUITS _ MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp. 0 200 amp: WISVC OR FDR: 1 PUMP'IRRIGATION: PER INSPECTION:
EA ADD'L 500SP: 1 201 - 400 amp. 201 •400 amp: let WlO SVCIFDR' 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 600 amp: EA ADDL SR I:IR: SIGNAL/PANEL: IN PLANT:
MANU HMISVCIFDR: 601 • 1000 amp: 6014amps•1000v: MINOR LABEL:
1000•amplvoll:
Reconnect only:
PLAN REVIEW SECTION
—4 RES UNITS: SVCIFDR>=225 A: >600 V NOMINAL: CLS AREA SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A,SF RESIDENTIAL B.COMMERCIAL
AUDIO 8 STEREO. VACUUM SYSTEM. AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM. OTH BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES. $ 5,750.50
WINDWOOD HOMES, INC WINDWOOD HOMES INC This permit Is subject to the regulations contained in the
12655 SW NORTH DAKOTA 12655 SW NORTH DAKOTA Tigard Municipal Code,State of OR. Specialty Codes and
"GARD,OR 97223 TIGARD OR 97223 all other applicable laws All work will be done in
accordance with approved pla Ts. This permit will expire if
work Is not started within 180 says of issuance,or If the
work is suspended for more thin 180 days. ATTENTION
Phone: Phone: 780.43751M) Oregon law requires you to folk wrules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg 6: LIC 50196 forth in OAR Q52-001-0010 through 952-001.0080 You
may obtain copies of these rules or direct questir ITs to
REQUIRED INSPECTIONS OUNC by calling(503)246-1987.
Erosion Control Insp 8, Post/Beam Mechanica Mechanical Inap Framing Insp Gas Fireplace Electrics!c!ncl
Sewer Inspection Underfloor Insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechrmical Final
Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final
Foundation Insp Footing/Foundation Drl Electrical Low Voltage Water Service Insp Final Inspection
Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Buildinp Final
Issu�d By ; �, �� _ r''�yL1l- 't rJ F / Permittee Signature
Call (503) 639-4175 by 7;00 p.m, for an Inspection needed the next bu illness day
CITYOF TIGA►RD _ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000-001336
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED:
SITE ADDRESS; 10199 SW 87TH AVE
PARCEL: 1 S135AA-MRE03
SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12
BLOCK: LOT: 003 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SFA.
Owner: FEES
WINDWCOD HOMES, INC. Typo By Date Amount Receipt
12655 SW NORTH DAKOTA —
TIGARD. OR 97223 PRMT CTR 12/1/00 $2,300.00 27200000000
INSP CTR 12/1/00 $35.00 27200000000
Phone: 503-625-6526 Total $2,335.00
r'.ontractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not
guarantee the accuracy of the side sewer iaferals. If the sewer is not located at the measurement given, the installer
shall prospect 3 feet in all directions from the cistance given. If not so located, the installer shall purchase a"Tap and
Side Sewer" Parmit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Orego.i Utility Notification Center. These rules are set forth in OAR 952-001 0010 through OAR 952-001-0080.
You may obtain copies o!these rules rr direct questions to OUNC by calling(503) 246-1987.
Issued Icy: g _
Permittee Si natura
u
Call (503) 639-4175 oy 7:00 P.M. for an Inspection needed the next business day
11'30'00 THI' :1 '31 FAX 5u3 67 ,alai
C:ARLSuN TESTING
Carlson Geotec�l�Y - — --
Main Office Salem t77flce
A Divisiur,of Carlson rosiinp, Inc P(7 Box 2;1814 Bend Offer
61004 :hrdcal Carsu ting Tigard,QrCgon 97?81 4060 Hudson Ave NE
Salem,OR 97301 P•O Box 7918
Ccuietruetion Inspection and Ralated Tes15 Ph"e(503)684 3460 Bend,OR 97708
FAX(503)670 91a7 Phone(503)589 1252 Phone 1541)330 8155
FAX(503)589.5309 FAX 541'
CGT No. G0001565.A i i 330 6163
F�errnit No.
FICLD OI SERVATIGN REPORT
DATER COVERED- November 29,2000
PROJEf;T. Ma le Rid
ADDRESS:
IVY 9e c�ubdivisron
BY: S.V Locust Street&871"Avenue_Tigard, OR
WFATHER W. Sandino
PURPOSE OF VISIT Warm and cloudy
Construction Observation
I arrived an site at 0830
on November 29, 2900 at the request
the time of my arrival, the contractor had excavated lots 1 to 6 to subgrade elevation. the sub rade of
lots 1 to 6 to consist of native slit andsiltya est of Dale Richards of Wrndwcrod Mumes. At
where going to be located and I observed the subgrddrs conditionrhe s ractor thp5e areas I 9
subgra Showed me where the footings
g atle of lots 1 to 6 wittl a Yl- steel probe rod at intervals, and was unable to penetrate mor
about 4 inches in an k Probed the footing
form the footings dirt' K aeon According to a conversation with Dale I understand that he intend-h to
exterior g edlly o, top of the existing subgrade, and backfill p minimum of 1
hooting Nall He will provide insulation
01 perimeter footings will be legis than the 18snches that weerec ummendeinsido of hd ino' r footings 1n 8 inches on the
understand that the design addition while the
Our understanding of g bearing Pressures do not exceed Ihuse given in that same report Ba c)rl Of July 14 �ed rNie
chap 6 the planned building loads and intended construction, we cur dude that the above
changes air. in accordance with the intent Of our recommendations,
obsPrvations arid probing the s.lbgrades observed today have been and therefore
our recommendations. based on my
Prepared in general accordance with
Left the site at()930
VV stun Sandino
Geotechnical Staff FZr.t by. JMN"f
Note: Our reports pertain to the Iocahcns observed at the time of uur
herein is not to be reproduced, except in full, without prior visit only Information contained
authorization from this Office
Attachment Sile plan
Distribution W redwood Homes .
Date Richards -Fax E7.5-1756
Kurahashi A Associates-Greg Kurahashi- Fax:644 9731
City of 1 igard Budding Dept. - Brian Regure- Fax 684-7207
]0.'09•'00 MUV 08:51 FAX 507 598 1980 CITY OF 'CiC,1R0 y—Q Q003
Building P,2rmit Application
City of Tigard flatereceived: Permit no.:1,�k7 aOa 3-DO•%rl
Ci 77 and Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date:
ry of 8 Phone: (503)1539-4171Date issued:
,�.. By: Receipt no.:
Fax:(503)598-1960 : Case file no.:
Payment type:
Land use approval: 1�7t1'�'Cr' S l&2family:Simple Complex:
—�_—
Im
tit 2 family dwolling or accessory L1 Commercial/industrial U%luiu-family U New construction U Demolition
U Addition/alteration/mplaccment U Tenant improvement U Fire sprinkler/alarm U Other.
Job address: S('J / r _ Bldg.nc.:__ Suite no.
Lot: Block: Subdivision: /y) "l+'_�;Lr'C:r; s�Taxm.phaxlot/accountno.: /.5" ,3 cig -
Pmject name: 1!) t.N ,eyr�.`Cali-, . .J —
Description and k-ation of Wc'„on premises/special conditions:---
mill
onditions:
Name:
Mailing address: i: . —"f 1&2 6rmily dtvelllug:
City: i ; �.,�w=tate: %IP: Valuation of work............ f
Phone: - Fax:.,,;" E trail: E ✓--
No.of bedmorng/baths.....:...........:....::.:
Owner's re muntative: ——
,..�:'+= Total number of fltwro.............:...
Phone: &tr
G .• ,yt' az::.�; ► ail: area — —
New dwelling aa(sq.ft.) ....,r..r..,..:'..........
Garagwearport area(sq.tl_) .... ?:..r.;,.'.......
Name: <: :�— " Covered porch area(sq.ft.)Mailing address: ,r:., Deck area(sq.11.)..................•..................... —
..
Clty: _i'; M,"Y-
: Other structurarea s .f )lr: I
Phone: Fax — Email
Commervtal/tisdustrial/muM famlly:
Valuation of worst....................................... E—
Business name: cn Existing bldg.area(sq.ft.) .......... ..............
bldg.Address: r ., � New g.wra(sq.ft.)........ ...............•
Clry:�--- r,t r Stole: Z1P: — Number of stories............. _— --
Phone: Faz: E-mail: Type of cnnstnleNon...............•................... --
CC'B no.: W
_ Occupancy knWs): Existing: _
City/metro New:
Ilc,m,.: ——_ --
Notice:All contractors and subcontractors ate required to be
licensed with the Oregon Construction Contractors Board under
Name: —� _ l provisions of OR.S 701 and may be required to he licensed in the
Addrrss: ffJ f� ,, jurisdiction when worst is being performed.If the applicant is
Ci L _! Stnte:•/-, L1P: , , exempt from licensing,the following reason applies:
Contact rson: Plan no.: -
Phone: :_ Fax: E-mail:
Name: ,��, , y ``` Contact person: Fees due upon application
Address: c, Date ......... S
'!� -- received:
City: State:�.r ZIP: _ Amount received.........................................S _
Perone: � .-
:f ..). Fax: 1 :rl i•.. E mail: _
__ Please refer to fix schedule.
I hereby certify 1 have read and examined this application and the N",u palrlko,an*Teo rndtt cad+•plere ran 1"W&I M fm mnm 4d,amlfianua
attached checklist.All provisions of laws and ordinances governiuR this j v►ea 0 Wilercw
work will be complied with,whether specified herein or not. I malt end ermher
Authurizcti signature: arr: � --_--- -- p'—L
��_=. — D ., _ Ni; W cud"it,,haws ale crnlp era "
Print name:__
_ (:adpM, aRnunee — Amwnu
Notice:This pennit application expires if a permit is not obtained within 180 days after it has been accepted as(complete. WKi13(6AXK Met
10/09/00 MON 08:55 FAA 501 598 1960 CITY OF TIGARD i�J005
Mechanical Permit Application
Datereceived: Penmtno.: _nnY�'
City of Tigard Project/appl.no.: Expiredate:
Ciryofllgard Address:13125 SW Hall Blvd,Tigard,OR 97223 —
Phone:(503)639-4171 Dateissued: _ Hy: Rcueipino.
Fax: (503)598-1960 Can rile no.: Payment type:
Land use approval: Building permit no.:
"&2 dwelling or accessory U Commercial/industrial U Multi-family 01 enant improvement
.iion U Addition/altcration/replacement U Other:
Job ttddm3s: Indicate equipment quantities in boxes below.Indicate Urs doll u
_BW .no.: Suite au.: value of all mechanical materials•equipment,labor,overhead,
Tax ma tax loYaccount no.: i'54 :, profit.Value$
Lit: Block: Subdivision: ,r t- '_;--! ,'C,'.d' 'See checklist for important application information and
Project tl nc: UA 4 r' ; / 1. . jurisdiction's fee schedule for residential permit lee.
City/county,: 't^
Description and location of wort:on premises: IGrsl�:
Fee(ea) Total
Estdate of crrrt� letioinspection: I Ran ostl Rea.ed
t Tenant imptow,ment or change of use:
Is existing space heated or conditionrd'1 q Yes 9 No Air handlingunit • �CFM �
J Is existing space a-olkii d' J 1' •J No Atr can iuunin (sue an requ
le=on of existing FlVAC_system --
oi COLI Mpreasurs
Bugloss name: �rr1 a%:: �, r State builm permit no.:
rAddmas: ..,� �; ` ''� - ,- - lip tons lilll/FI _
. �' +•-'•t"., f 'irrlsmo c dwasnw a tors
^�� ,)•-! / Siete: ZIP: eatpu_(site r tua"ired)—
Phona �" r Pax: -• IE?-mail: nsw rep ace fumac urner
CCB no.. "o Including duceworWvent liner U Yes O No
Instal rep acdre Deane caters-auapen
City/metro lie.no.: wall,or floor mounted
Nance(please tint): � ,,� ent for app lance u er t an mace
gets
Name: r Absorption units---� _. BTUIH
Chlllrrs��___� Hp
Address: l _ Com rtssvra _ lip
City: n e oust and vett ttloo:
,.._ , , State: 'LIP: Appliance vent
Phone ;ver:t,,.- Fax: E-mail. ere auai
a''ypc res�tTtcTcri�nyirtai
hood fire suppression system
Name --_• =- �• 13ahatut fan with singleduet(bath tarn)
Meiling address_ -- - ,= ,; .� atrat a tem art fine/fieaun or At.
City: GIP: , -+ a(up to outlets)
--=-- T LI'G NG l)il
Phone: Fax:,, > "` E-mail; 'dolpiping ea ,t ons over ou ens
r'oem (schematic required-)—
N
equire )
Flame: Number of outlets
--- ------ Other !II� a1rC!Or Cq Iarei7t:u
Address: _ Decora
City: - —_ State: ZIP nice-tivels'Cfueplace
Woudatov etaurve
Phone: i I'ax: E-mail: ��—•—
Applicant's sipaturc: parr; """r•
-_ -- -
Name Iprinq:
Na all jinni uwu wmpi cfadii urth pleas rail juo%Wjun I(*more+nhmra,nn. Permit fee............... .....$
Q Viw O htaamrCwd Notice, this permit application Minimum fee................$ •,
CA41 card mudu. / / expire If a(permit is not obtained Plan rrvicw(at � %) $
H'plrea within 1110 days after it lids been
NState surcharge 89R s
:,me-ni ca�ini3er o:'a7urrn an cn uh cnn accepted as complete. ( )
t ai4MlWc TOTAL.......................$
� -Amuunl _
4414617(600110 )
10'09,'00 MQti 08:54 FAX 503 598 19t10
CITY OF T[C:1RD
Plumbing Permit Application
City of Tigard --- Datereceived:
Permit no.: /%•
Address: 13125 SW Hall Blvd.Tigard,OR 97223 Sewer Permit no.:
Ciryof77gord pR
Phone: (503)6394171 g '•
ojecUBuilding pest no.:
appl.ao.: Expiredate:
Fax:(503) 598-1960 •,y, .�,- - � •
Date issued:
gY:: Receipt no.
Land use approval Case file no.: — ---
- Payment type:
I?f&2 family dwelling or accessory U COMMeMial/induxtrial _
ldew constntetion U Muld-family J Tenant improvement
O Addition/rilteration/replacement U Food service
J fhhcr.
Job address: , y _ ,.%' 131PAIMA
Description
Bldg.no.: 7SiUt fee(ra. 1'utatl
ute no.: ew 1-and 2-faartlly d�relling9 only; -
Tax map/tax loUaccount no.: J . , ^ (lakaaln too rt.err ra,h raility n,onertiw,u)
Block Subdivision: •t �M -�
SFR(1)bath
Project name: " ' a'•. U:.f SNk�2)—hath-- - -- -----
_� c,= t',Jr: SFR(3)bath
City/cotmty: tt5,4-e.1 7 ZIP: r 7 --
7^-i -• 'ch additional bat h/k schen
Description and location of work on premises: SMeoHIMle�:
Cast.date of com edo�n,ly ti..r,: Catch basin/Am drain
D wclls/Icach incJtmoc drain -
Fwtin drain no.lin.ft.) -- -
Busincss nm!: Manufactured home utilities
Address:
City; Stato'-- 71P. f Ain drain connector
Phone: J4 Fax: n Sari sewer(no.lin.IL)
CCB no.: E-mail: Stnrrn sewer(no .lin.ft.)
Plumb.hus.reg,no: , ater seservice no. in.ft. ---
City/metro lic.no.: Flxttare or Mem:
Contractor's repmsettit Ve$i nature: AbalOrDtion valve
Print name: Dom: i -�- lack flow preventer
C' Backwater valve
Bas
Nam / ins/Iavatu
Na - l
,� �.L�' ' ,('� r/✓- .lOf1tC8 W er
Addieaa; r jS,� c rl Uishwaahec
Cit : ry �. ,.1 State: "ir 7.IP: 1 ,' • , Ihiakin fountala(s)
Phone: 4.46 y Fax: li-mail: E ectors/sum
Ex ansion tan
vxture/sew;;r ca -
Name(print); , r„ ",. >•t 1r. Floor d n c a aiaks/ltub
Mailing address: - t . . Q s e tilt
City: S •^ ZIP: A.,t,_ . case bibb -- --
tate, �'
Plume: ,:,•- - :c Fax:.. ..,".• .o';: E-mail cc maker
Owner inatallatiotn/residentia) maint4mance only: The actual installation (nterce tar/grtaee tr
will he made by mr or the maintenance and repair made by my regular mens)
employee on rite in'.)"I own as per ORS Chapter 447. !t Roof drain(commercial)
Owner's si nature: - __ Sink(s),hasin(s),lava(,)
_ Date: �• Sum ----
T uh.Nshuwer,'shower an
Name: Urinal
Address -- -- ater c foset
city: - ater cater
-
--_ oda
Nd VI IatUdr rkm� nalir ted.,tfyx ua MnMaactloe fa Imre mramnim.
UWU U Muslacant Notice:'This permit spplit:utimr Minimum fee-............$
ctMlt tad wmtw,, _ expires if a permit is not obtained Plan review(at _- %) b
within 180 days after it has been State surcharge(8%)....5 _-�-
Z-O i n,'a 6Wo aW— accepted as complete. TOTAL
Cr ods�lVrrwa S
-- Am ww
4046)t(64)"M1
10/09'00 Mtl\ 08:56 FAX 503 598 1960
CITY OF' TIG:IRD
1006
Electrical ['ermitApplication
---
City Of TigardDatereceivcd. Permitno.Y..
---_
City of7igard Addmss: 13125 SW Hall Blvd,Tigard,OR 97223 Pmlcwappl.no.: Fxpiredatn:
Phone: (503) 639.4171 Date issued:
Fax: (503)59$-1960 ., 8Y� Rcceiptno.:
Case file no.:
Payment type:
Land use appmvai
CI 1 Rc 2 fancily dwelling or accessary O CommerciaUndustrial
LI'New construction l.1 Addidon/;ilteration/re lacernent U Multi-family E Tenant intpnroclrcut
p .)naier'------ U Partial
Job address I l
I_ot: ' 13104: BIJg.
S ! a21?`/ti •'no.: rSuite no.:
Subdivision. _ coxmt
no.:
Project name: tion and location of work on
Estimated date of coin letion/ina tion: ises:
Job no:
Business name: t•x I►Ln
�. -.. Ilesriion
Address: y t iVetvrnldrnttal-stnglcorrrsW fa� Oa!• ea) 7ota1 ao.inrp
tnrbnks artacism
City: � Sutc:"v1 ZIP: d"Ung emit
•'*7j.. .- ,pvap�
Phone: I
-,_ ."srrvhrinchWed.
i j F' •• _.___,-• E-Inail: 1000 .tLorkss
CCB no.: Elec.bus.lie,no: Each a"donah.500 6 or 4
rte_ 4 ft. l�rtton dtereaf
City/metro lie.no.:; +y I united merg ,rraidennai
_ Lirtdted energy,non residential 2
Si ofsvhin H;cr,Manu facturedtranceorm�dulardwent,g 2
—g electrician(rtx(,tlred)
Data -?Ao- Servu:c mcd/or feeder
Sup.ettxe name(print): s ��•
r LiOaueool� S Seryk-orfeeders-lostailatior,• 2
atte"(16"or relocatlon:
Na
me(print);
200 amps or less� ,.- •� ,•uYrr, _.—_--
Nfailing addrgs: i --.-- 'h.C. 201 arnM m a()0 sin 2
J /�.'t• 2
to 600 amps
Z
6p►any,atoi000am s - 2
Slate;is IP: � �•.-:
I'honc: .;:,r- r��is Nara::�?C E-Mad: Over 1000 am or volts 2
Owner installation:The installation is being made on property 1 own l�a'P�rY narrvices or trrdrro. 2
i
which in not intended for sale,ICIL'IL,fent,or exchange acronling Ir) id�a+kentioa,o<rrbeatbt►:
ORS 447,455,479,670,701. ztgt ampa of to"
Owner's A nature: 201 to 400an,ps '� 2
Ute: ---- 401 to 6(W)s s 2
Name:
Brandt el t ealh tress,dlera ka, 2
or extes ile"per pend:
Adt1tL'Ss A- Fee for branch circuits with Purmase of
_ service or hider fee.each brsnrh circuli 1
H Fee for bench circ,tits whhout purrhaw,
maul of servtx or faedar
fee,first branch circuit: 2
Lath adNtionar branch circ,rit:
O-"Or over 125 amps-corrrrrxn:iri Mtn•.(Ret ttce are ttder,wl lbcMde�r
❑Service twer310am1a-roting,flR2 uHcvlh�atrfkility E{scirputt,purittiaadoncircle
funilydwellings °ra�"'slr'nl'oO Earhat noroull li ting 2
>4vstemover6W volts nominal u fluilInore ing over ll units I onamet tore Signal circuit(l)of or a limited ene 1
,note residential amts,n otteatructure rAY panel.
JRuildinRover threealorim Ol'eerlerv,400 alteration.of exiem-ions
attrys,or mors 2
t �nnt hoed over 49 parmnr 0 A aufactured structures or kv park shi �YMsai
nca/hctwnyplan N� ariNN
_- tasprrtbn Durr rite rdlawaMe V ary of rhe drwr.
SnbsalY nets of pbiee witll rvr ere t4r as-r. --- Prati
- ion
"flee above etre not applicable to 1 ns
cee tnvr:ddatlon -�
-- - `mirtlon service. Other
-
d as laitodi.:lom axgs sant ea,rh,pleats ell�eridleuan fa m,we not Mira --.-.
O Visa ❑MasterCard Notice:This permlt applicatirn Ferric fee....... _
credit card nems, expires ire permit is not Obtained Plan review(21 %)
within 180 days atter it hw been State sutrharge(A%)....S
�n o"—em it as � w' accepted as complete TOTAL
$
�-� Amount -
4404615(AOOCOM)
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Gal d7 �"A •
�rm�°
FROM : OWENWEST ELECTRIC FAX NO. : 5032976375 Dec. 05 2000 09:09AM P3
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 9722:
IMPORTANT PERMIT NOTICE
OWEN WEST ELECTRIC
8310 NW REED DR
PORTLAND, OR 97229
Electrical Signature Farm
Permit #: MST2000-00484
Date Issued: 1211100
Parcel'. 1 S135AA-MRE03
Site Address: 10199 SW 87TH AVE
Subdivision: MAPLE RIDGE ESTATES
Block. Lot: 003
Jurisdiction: TIG
Zoning. R-12
Remarks- S/F A PATH 1
Your company has heen 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 rer,uired. Please have the
appropriate individual tram your company sign helow and return this Flectrical Signature Form prior to the
start of the work to the address above, / 77N- Rtrilding Dept.
No electrical inspections will be authorized until this rompleted form is rereivecl
OWNS--H: LLLC 1 RICA[ CONI RACTONl
WINDWOOD H011015S, INC. OWEN WEST ELECTRIC
12655 SW NORTH DAKOTA 8310 NW REED DR
TIGARD, OR 97223 PORTLAND, OR 97229
Phone #: 503-625-6526 Phone #: 297-6375
Req # LIC 00029492
SUP 28855
t,LL 26-398r
AN INK SIGNATURE IS REQUIRED ON THIS FORM
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Signature of Supervising Flerthdan
if`.. ul -h=:rlrl�iiMii..�.�:..�� ..I....... ....11 l�nZ\ 9101t4 74 nvf R Z1nPima
CITY OF TIGARD
13125 S.W. HALL BLVD.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
JIM'S PLUMBING
PO BOX 7160
ALOHA, OR 97007
Plumbing Signature Form
Permit #: MST2000-00484
Date. Issued: 1211/00
Parcel: 1 S135AA-MRE03
Site: Address: 10199 SW 87TH AVE
Subdivision: MAPLE. RI^GE ESTATES
Block: Lo '.
Jurisdiction: TIG
Zoning: R-12
Remarks- S/F A PATH 1
Your company has been indicated as the plumbing contracto: for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing 'Signature Form prior to the start of the work to the address above. ATTN Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRAC70R:
WINDWOOD HOMES, INC. JIM'S PLUMBING
12655 SW NORTH DAKOTA PO BOX 7160
TIGARD, OP x'7223 ALOHA, OR 57007
Phone #: 503-625-6526 Phone #: 649-4034
Reg #: Ir 71860
PI M 34-186e0b
AN INK SIGNATURE IS REQUIRED ON THIS FORM
i
Signature of Aey orizec�ber
It you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD PUILDING INSPECTION DIVISION _ CSO vs
24-Hourinspedtion Line: ,9-4175 Business Line: 63 .171 /
f BUP
Date Requested � 7/0 / AM_ PM i BLD
Lavation 01 9 Suite MEC _
Contact Person _�/ /l Ph �� �S� PLM _
Contractor oh SWR
ILDING,,- Tenant/Owner ELC
R n Wall ELR
Footing Access: — s
Foundationc) FPS
Ftg Drain --
Crawl Drain Inspection Notes: SGN
Slab —
Post&Beam SIT
Ext Sheath/Shear
Int Sheath/Shear —
Framing
Insulation —
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm / - --
Susp'd Ceiling --
Roof ---
Misc.
*F' RT FAILfop out
Water Service
Sanitary Sewer
Rain Drains
Dual � —
PARj FAIL
ANI L � !—
P t-& Beam
Rough In
Gas Line
Smoke Dampers
a
PART FAIL -
Service
Rough In —
UG/Slab
Low Voltage --
Fire Alarm
ASS ART FAIL
Backfill/Grading
Sanitai y Sewer
Storm Drain ( J Reinspection fee of$ required before next inspection Pay at City Hall 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( j Please call for reinspection RE:` _
( J Unable to inspect-no access
/%DA
Approach/Sidewalk OtherDate / Inspector
-• Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
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