10225 SW 87TH AVENUE 10225 SW 87'x' Avenue
CITYOF TIGARD _ MASTER PERMIT
PERMIT#: MST2000-00482
DEVELQPMEN"P" SERVICES DATE ISSUED: 12/1/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 10225 SW 87TH AVE PARCEL: 1 S135AA-MRE05
SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12
BLOCK: LOT:005 JURISDICTION: TIG
REMARKS: S/F A PATH 1
BUIL!ING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED _
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 600 at BASEMENT: at LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: I SECOND: 648 at GARAGE: 260 at FRONT: 20 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: at RIGHT: 3
VALUE: S 121,19900
OCCUPANCY GRP: R3 BDRM: 2 BATH: 3 TOTAL: 1.32800 el REAR: 10
PLUMBING
SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAI-NORY TRAYS- 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 3 DISHWASHERS, i FLOOR DRAINS: SEWER LINES: 101; SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 2 GARBAGE o isP 1 WA'.ER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN c.90K: 1 BOIL/CMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN>-100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: '
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
5000 SF OR L'.•3S: 1 0 • 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION:
F1 ADD'L 500SF: 1 701 - 400 amp: 201 - 400 amp: tat WIO SVCIFDR: or) S'GNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 •600 amp: EA ACUL SR CIR: SIGNAL/PANEL: IN PLANT:
MANU HMISVCIFDR: 601 - 1000 amp: 601+3mpa•1000v: MINOR LABEL:
1000+amp/volt
PLAN REVIEW SECTION
Reconnect only: _.--
>•4 RES UNITS: SVCIFDR>.225 A.: >600 V NOMINAL: CLS AREAISPC()Cr.:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDS(.LT:
BURGLAR ALARM: OTH: BOILER. HVAC LANDECAPURRIC PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM: NURSE CALLS TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,750.50
This permit Is subject to the regulations contained in the
WINDWOOD HOMES,INC WINDWOOD HOMES INCTigard Municipal Code,State of OR. Specialty Codes and
12655 SW NORTH DAKOTA 12655 SW NORTH DAKOTA all other applicable laws. All work will be done in
TIGARD,OR 97223 TIGARD,OR 97223 accordance with approved plans This permit will expire N
work is not started within 180 days of issuance,or if the
wor,<Is suspended for more than 180 days ATTENTION
Phone: Phone: 780.4375(M) Oregon law requ res you to follow rules adopted by the
Oregon Utility Nc tification Center Those rules are set
Rep N: LIC 50196 forth in OAR 952 001-0010 through 952-001-0080. You
may obtain copies o'li ncae rules or direct questions to
OUNC by calling(503)246-1987
• !� �, C� ( �/ REQUIRED INSPECTIONS
Eroslon Control Insp 8s PcsUBeam Mechanical Mechanical Insp Framing Insp Gas Fireplace Electrical Final
Sewer Inspection Underfloor Insulation Mechanical Insp Shear Wall In3p Insulation Insp Mechanical Final
Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final
Foundation Insp Footing/Foundatlon Dirt Electrical Service Low Voltage Water Line Insp Final inspection
P:)st/B@am Structural PLM/Underfloor Electrical Rough In Cas Line Insp Appr/Sdwlk Insp Building Final
i
Issued S ,,,— _( �!�l(r /t c_ - Permitts+Signature
Call (503) 639-4175 by 7:00 p m. ;or an inspection need �-6;xtusiness day
CITYOF TI GARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT #: SWR2000-00334
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/1/00
SITE P.Df•RESS; 10225 SW 87TH AVE
PARCEL: 1 S135AA-MRE05
SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12
.31LOCK: LOT: 005 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. - -------
----- __— — _ F E E�
VJIND,NUIDU HOMES, it Type By Date — — Amount Receipt
12655 LAW NORTH DAK,-jTA _ _
TIGARD, OR 97223 PRIv1T CTR 12/1/00 $2,3U0.00 27200000000
INSP CTR 12/1/00 $35.00 27200000000
Phone: 0,03-625-6526 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspection!;
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 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 requir3s 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.
1
Issued'by: ) ( ( ,i �_r , + �- Permittee Signature-- -f
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
1100:00 TNi' 11'31 FAX 503 870 8147
CARLSir� TE5TI��r;
�.=arlson GeOtedinical - _
®_001
' rNam Offl�
A Dwision of
Carlson Tasting, Inc P.O. BOX 23t114 Salem n Ave Bend Office
Geot�.lmlcel Consulting Tigard,Oregon 97281 4080 Hudsrm Ave.,NE
Ganstructien Inspection and pelaied 7es1s Phone(503)on 972B1 Safer OR 87301 P'O BOX 7918
FAX(50.0 8 70-8 14 7 Phone(503)539-1252 Bend,Orr 97708
FAX(503)589.1Ci09
Phone(541),330-91,-,
CGT No, 130001565.:1 DAX(541)330 8103
P-?rmit No.
FILLD OBSERVATION REPOR I
DATES COVERED, November 29,2000
PRO,IE(,T, Maple Ridge SI1bdiv!Slon
ADDRESS: SW Locust Street�,67in
BY: Avenue Tigard, OR
WFA1 HER W Sandino
PURPOSE- Warm anti cloujy
PURPOSE- UE VISIT . onsiruction Observation
I arrived on sites at 0830 on Naveniber 29,
the time of my arrival, the contractor had Cxc8vat de is I t t of Dale Kic;bards of
lots 1 to 6 to consist of native silt and Wrnd the Hames. At
ots 1 to 6 to subgrade elevation I he suograde of
where going to be located and I observed the sufigrade conditions t'actor
subgrade of Ishowed me where the footings
ots 1 to 6 with a yI' steel Probe- rod at intervals, these Areas I Probed h footing
about 4 ruches in any location. ACcardirlg to a conversation with pale, I understand that he the
9
and was unable to penetried more
form the footings direct) ort a than
exterior footingy top of the existing subgrade, and backfill a ninim ntends to
wall Ne will provide insulation um of i8 inches
Perimeter footings will br,less than theon the inside of the footings on the
understand that Uu1 ill be l bearing 18 inches that we recommended In our report of Ju'ho while the
Out understanding of the lane pressures do riot exceed those. ry, Y 2000, we
changes are in accorda�cE. with bthedinTt�r�rof given , that same report Based on
g and intended construrxion we conclude tt,at the above
abservabons and probing the sub rades our recornmFndatrans, and fheretofe „_
our recommendations, 9 observed today have been ba, ..o on my
prepared in general accordance wrfl1
Left the site'It 0930
I
Istuen
fWSandino
Geotechnical Staff Re Owed by, JMN—
Note: Our rpertain
herein is eat to be be to thm locations observed at the time of rn,r visit nnl
reproduced, except in full, without prier author
y Information a,nttlfn�.i1
ration from this office.
Attachrnenf Sito plan
DiFtribtjtion W ndwood Homes Dale Ric,•ards .Fox. 675.1756
Kurahashi A Associates-tree Kurahashi - Fax: 644 9731
City of irgard Budding Dept. Brian Regure- Fpx 684-7297
IV09 '00 40% 08:5:1 I .�� 503 ;;;.ti 1116u CITY OF TIGARD 'C- Ir :-z-dvJ 2003
Building Permit Application
ilatereceived: /r 11,p/ Permit no.:/!>�
City of Tigarc!
City oj77gmJ
Address: 13125 SW Hall Blvd,Tigard,OR 972 2.+ !'rolccVappl.no.: Expire date;
Phone: (503)6394171 Date issued: By: Receipt no.:
Fax:(503)598-1960 Case file no.: -�
Payment type:
tat
Vg1: 1&2 family:Simple Complex:
,Zrf 2 funsory Cl Commercial/industrial U Multi-family U New construction D fkmolidunU Addition/at U Tenant improvement U Fite sprinklerialarm U Othcr~
Job address: I Bldg.no.: Suite no.:
Lor. BSock: 5ubdlviaion: yJ.•l y, =2 Tax maphn lot/account no.: /.s
to ect name:
Description and location of work on premiw. -Vspecial conditions:_ r _ r.+: ,`��/,,,I
1
7No ddn ss: 1 ( 11 &2 badly dwpJll �j} Suuc: %IP: 1 L Valuation of work..�.............. S /.I/ A- Faix: E•mall: No,of hedroomg/baths....r,... .::............ -�
Ownces representative: . , 'Poral number of floors.....•.•....:j.................
New dwelling area(sq.ft.)
tV Phone: �t�, ax: >- +
Garage/carport area(sq.fL) .......-.t............
Covered porch area(sq.ft.)
Name: <'61•, .�"" ......................
Mailing address: ::.,r Deck area(sq.n.)..................................... .
City: i' :. State: ZIP: Other structure area(sq ft.)..... .:................ —_
Phone: /;,: Fax: E-mail: Commerc"adusMal/m Id-fawHy:
Valuation of work..................•..................... $
Business name: Existing bldg.area(sq.ft. ............ ........1.
Address: �' r New bldg.area(sq.ft.)
City: ,n Sttuc: Zll': Number of stories................... ...... .....•....
Phone: Fax: E-mail*
CCB no.: Type of conatruction...... .
�.__ __ --- Occupancy group(s): Existing:
''•<� , � •
Ne;
city/metro lie.no.: Natke:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board ander
Name: , : provisions of QR3 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed.If the applicant is
Ci l State:'/- ill': exernpt from licensing,die following retuon applies:
Contact penrur: Plan no.: -- -- --.-
tAd
:,;.. - i Fax: h-mail: - -_----- --- -
Contact perwn: Fees due m application•y rept pp ........................... S s y :, ; - • ' Date received:State:' JZIP: Amount received .... S
Phone: ` c� r,`j jFix; 1 ;;,�; E ttrall: Please refer in fee ed sch ule. _
s
I hereby certify I have read and examined this application and the tuna nu prl dicum"rrgx ds
ender en ,I*m.Can mil&*O,t,,,""t wa,ndt„2
stitched checklist.All provisions of laws turd ordinances governing this U vin, D MaelaCa w
work will be complied with.whether specified herein or non. Cndaa ears nvinhm
Authorizer signature: ^'' r Date;
Print name _._------C,dhrd&i„ ,! S AnWAW
Notice:llih permit application expires if a permit is nut obtained within 180 days efler it has been accepted as complete. 44040113(6%")*A a
�s�sia
10/09%00 MON 08:55 FAX 503 508 1960 CITY OF TIGARD 0005
Nleclu ical Pcrimit Application
-- Date rani veal. Permit no.:
City of Tigard -
ry ;�gard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: F:xpirndate:
Ci o
Phone: (503)639-4171 Date issued: _ Hy: Receipt no.:
Fax: (503)598-1960 i Case file no.: Payment type:
Land use approval: _ _ Building permit no
J T&2 family dwelling or accessory U Commcutial/industrial U Multi fattulY OTenant improvement
U New urnstructiun U Addition/alicration/repiacement U Other:_
Job address: _',� , 1 Indicate equipment quantities in boxes belo,v.Indicate the dollar
Bldg•no.: Suite nu.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: /.j ; 1;l r -,r �:_ profit.Value$ _
Lot _ Gi�xk: Subdtviaion: r i •> r'"_ C..r 'See checklist for important application information and
Project name: �ylt ,:;+ ;'[: '3 'y S jurisdiction's fee schedule for residential permit fee.
City/county: I'
Descnptimi and location of work on premises: F0001
Eat.date of completioo/inspection: 7i, Rte )only RToid
madly
Tenant impruvemeut or change of use:
Is existing,pace heated or conditioned?Q Yea U IVn CFM
Is existing space insulated?0 Yes ,LI No an—req
NI A teratlon o cx_g HVAC s stem
Boder/compressors
sora
Buaintsas name: - ,• . � Slate bull petmlt no.:
Address: f,t..;, c-_,�- �J, HP Tonx___.HTU/H
p� ,, �- - ,'✓-,�"/' iruamo a +dar.K etno a ectora
J City: "1'1,44 ` Stale: ZIP: _ eat pu (s tc p requ rc
Phone: / ; +- Fax: ' .,-, mail: nsta rep ace urner
CCB no.: t.? + Including ductwark/vent liner U Yea U No
Inst rep ace/re orate(caters-suspen
City/metro lie.no.: — _ wall,or floor mounted
Name(please tint): e-9 nt for Orr
.�ance a rr t-Tan furnace
Reffigm-5Z '—
h ,, -
Absorption units BM/H
Name: Chillers _ HP
Address: -` Compressors _ HP
City: aTveal exhair"andnt)ve
y state:- LIP: ApEliancevent
Phurlr---- i 1 {� 1' ni;ui ---
ere aunt
liondA,I'ypc res. a amnat -
hood fire suppression system
Name r ._.! " _ Hxhaust fan with single duct(bath fans)
Mailing address: r, '-- .A Exhaust system'jgallf'rom heating_or At
.%-�_ _ ..._-+rte--�
City ":i State: ;✓ GIP: , oa papme amOnMauup w d ou
ssuo( t ris)
1•�T_ Tyy' LPG Nil ()ll
Phone: - Fax:. F-mail: Fuel m eac rr nnal over 4 ou eta
rosea P llPme(schematic require )
Name: Number of outlet
Address: - a ipplfaace or rq sad--
Decora t i%,c ruep lace
City' State: ZIP: Tri-type
Phone: Pax: C.-mai/: pe etstnve
Applicant's signature: pate;
Nnnnc
Na ail ludrbcuwu w"Pq uadtt tarda,pleas call iwjmWwn fix nice Indrtnrwlne. Permit fee......................$
OViw U MasterCard Notice:this permit application Minimum fee................$
Cmht card imud,rr. expircw if a permit is not obtaincd
Plan review(at _ %) $
withir. 190 days after it has been Stue surrhnrge(897).,..$
Rome al cot -W r u a kwm an rm U ctrl accepted as complete.
f 'TOTAL.......................$
`la
-" dWdet auxmtwe ArrNi�iai
+4<r-us17 t60MMl
10'09.'00 MO% 08:54 FAX 503 598 1960 r'1TY OF 'F i(;AR1) oo F
Plunibing Permit Application
Date received: perma no.. ;V
g
City of Tigard
---
:Sewer permit no.: Building permitno.
Address: 13125 SW Hall Blvd,Tigard,OR 972''t -----
0yaflYgard phone: (503)6394171 l'roject/appl.no.: Expire date:
Fax:(503)598-1960 Dateimued: By: Receiptno.:
Lend use approval: Case file no.. Payment type:
D If&2 family dwelling or accessory O Commercial/industrial LI Multi-family O Tenant improvement
FJ Kew construction U Additiori/altcrrtion/replacement U NxA service U Other
► ,
Job address: Description tM . Fee(ea.) Total
- --- - - New 1-and 2-famlly dwelling+only:
Bldg.no.: Suitenu.: (Include IIFOR.forenrhutFlFtyrunnrztHm►
Tax.map/tax IoUaccounl no.: SFR (l)hath
LAIC —jBiocic I Subdivision. ,it �.,' ;-*;;,. SPR(2)hath _ —
Project name: ,)j it s!- Z G'; ' :- SFR(3)hath _--
City/county: -�,.� �./� 'Ls ZIP , ,_y _ Fach additional ba itcheu
Description and location of work on premises: - Siteutilides:
_ Catch hasin/area drain
Est,date of completiontinspection: Drywells/lcach linc/treach drain
Footing drain(no.Lin.ft.)
Manufactiaed home utilities
Business name:
Addross: Rain drain connector —
City: '(J./ / .L Stator r-.--T7/UIP: r, r. Sanitary sewer(no.lin.fL)
Phone: c. ,jc Fax: n, 13--mad: Storm sewer(no.lin.ft) -
CCB no.! -,IL 6 / . Plumb.bus.reg.no: �' ;',`' Water service(no.lin. t.) _
City/metro lic.no.: J = �, >,�-' - 1Fbttwe or Mem:
�Ab,,otion valve
Contractor's representative signature: .i r',.�;-L ._ ow roventer
Printttantei / i �y. CAL Date: ater valve _
Basins%lavalory
Name: lay �' ' -• ,.,, . % ;=;.� .. ,_,l.��..r,+
Clo ►es washer
Address: --
1 DishwasherAddress: Dnnlcin fountain(s) -
City: / ,vf State:;",r? 'LIP: y , 8 --
FJcetors/sutnp
Phone: ! < Wf+3 VIM " E-mail: _ xangio tank
ixture/wwcr ca r
Name(print): / .�� 1 a.r• -• �. `�►' r��'' .:'��r�,
Floor ruins/fli,sinkvbub
Mailing address: _ tia_r_bc_a�_disposal
'.y Hose ibb h
City: '% ,; State. ,ZIp: ,� ' ce maker - —
Phone: �',„�.. !:�. Fax: " , ;i;L Email: Intcnce tor/ reesc tr
Owner in-9mllation/rmidential maintenance only: The actual installation 'mems)
will he made by me or the maintenance and repair made by my regular [tour drain(commercial)
employee on die property 1 own as per ORS Chaptet 447. Sink(s),hasin(s),lava s)
Ownn's si mature: _ hate: Sump -
Tu s/shower/shower pan
Urinal
Nam_r..:.__.-_ - --
-
Address: nrrr heater
Uty: State: 71P: Other:
Phone: � Fax- -- E-roaiL•-�_� . .ntd
Nd ell*Wicdm wrcpr crani cod.,1kAW CA headkdro ro mrn laaxmsua, Notice:This permit Minimum fee................$
UVisa U MasterCard a snot obtain Plan review(at _ %) $ - —
expires if a permit isnot obtained
credo cad waste _- Stare surcharge(8%)....$
sin within 190 days after it has beer.
-- me d crdn doe,.�,n�,.,n„e uedn iii -- accepted as complete. TOTAL .......................$
S
cilhdatl:s unur-- -- nrwr`T
♦Ml 4616 If.tgR:f)MI
10/09/00 Nott 08:56 FAX 503 598 1960 Cl' i (IF TIGARD la noli
Electrical.Permit Application
IDcrcccivcd.City of Tigardect/appi.no.: Expiredatc: -
Ciryoj7igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Rcceiptno. ��
Phone: (503) 639-4171
Fax: (503)598-1960 " Case file no.: Payment type:
Land use approval:
ULM
.,Zr &2 family dwelling or accessory U Commerciailindustnal l]Multi-family I]Tenant improvement
,121gew const&vction U Addition/alteradon/replacernent U Other: U partial
Job address: // b c1_ Bldg.aro.: Solite no.. Tax map/tax lot/account
tax Bltx:lc Subilivision: (11 aro.:
Description and location of work on prrmises-
i
timated date of completion/ins ;tion:
Job ooh �- Foe Man
Business name: 111"criptlon r Q'y- (eft) Tool ■o.lass-
Address: t.
New msldnrtiml-star*or sid-Iua1h per
.7 ., - r c' i_'/'
dwelguq snit.Indtwka atrx-Iced gvaRa.
City: ii J; P: ,*. .� So vim bcbaded;
Phone: y,a i_ Fax: --- . F-[trail: 1000 sq.fL or teas 4
Each additional 500 s .ft.or portion thereof
CCB no.: Glee.hug.lie,no: 5 .•' 1-itruitednetly,reindential 2
City/metro he no.. ';. " '3,: Linwedcmrgy,non-residential 2—
Pat h manufactured home or modular dwelling
Signatum of solimising electrician QcquiredDate 7 Service and/or feeder 2
S elect.nun t): / s, Sorvlces or feeders�-iaataffs—d
Sup. 1*►r r License -> aft ationorreloestloc
200 amps or len 2
Mune(print): r c;., Aar - n.0 201amps to fell!)amna 2
to 400 ant 2
Mallin 401 address: - ,� ,L r� 1_ r '� • %� 6U t to 1000 a 2
City: T :Zil_ r' State:�,.' Zi1': i _ over 1000 amps or volts 2
Phone: -;•" ,r,S".•;;, I ax:., I:-mail: CWIU etoN I
Owner installation:The installation is being made on property I own Teuilsoraryser•lrrsorlrrden-
which is not intended for sale.,lease,rent,or exchnnge according to (mialletloo,aNeraticm,or re location;
URS 447,455,479,670,701. 2(x)amps or les" 2
201 to 400 ,,n 2
Owners si nature: Vale: 401 to 600ampit 2
!ranch circuits new,alteradins,
Of eme111Non per IWnel:
Name: _ A. Fee for brancn circuits with purchaaa of
Addfeas:- service or feeder fee,vch branch 7radt 2
Cit - State: ZIP R Fee for brakes circuits without purchase
"—c" of service or feeder fee,first brave![circuit: 2
Phone: l, h' m si l Each additional branch circuie 2
Mbit.(Nerrice or feeder oat bwbdd)-
0 Snvbr over 225 amps-co m:rcn:id O Hr:J,;t tarefsct6� Each pumpar irrigation circle _ 2
O Service iwcr 320 amp%-mtinR or 1&2 U Haxadtas)ocattnn Finch signor outline iighting 2
family dwelliup U Budding over 10,000&quare Gin Inur of Signal circuit(s)or a limited energy panel, -'
O Svttem over 600 volts nominal mom residential snits in om structure alteration.or extension• 2
J Rulldingover three stories U Feeders.400 at or more epescri tion _
U Occupant load over 99 persons U At inulactured atructurrs or Rv pari Faeb ac Wlbrsal tospnrlon nwt the allowalsle Is any of the obeeer
U ti4teaaniglitingplan O(Rher __- -_._ ._. ". Perinapec:un _ ---_��_
Sube ale_set,of planaits woy of the above. Investigation fee 4
The above tree toot applicable to temporary t.�atMroehon service. Other --
-__-- Permit fee ................ _$
_
Ivnl as IQrsdi a sa a uta avers!ealeh please wi pd,dkeon sere Ouse hdMlmvl vc Notice:This permit application
O visa U MasterCard expires if a permit is not obtained Pian review(at ___. %) S
Creat card aember - /_/ within ISO do)s atter it hos been State surcharge(11%)....Scard" _--
�R°1°' accepted as complete. 'TOTAL
— $
afi �r?inwo as c h "—"--
S _
C signalart �A'manr 44(L•Ifi15 tfvgptCvJM)
/si s,�f dA 4�
L G ( .Z--zf ,.
01) rfo
v_i h
w
�lk
IcA
FROM : OWFNIJEST ELEC.TF 1 C FAX NO. : 5032976375 D=c. 05 2000 09:13W F1
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPOR-1-ANT PERMIT NOTIC`
OWEN WEST ELECTRIC
8310 NW REED DR
PORTLAND, OR 97229
Electrical Signature Form
Permit #: MST2000-00482
Date Issued: 12/1/00
Parcel: 1 S135AA-MRE05
Site Address: 10225 SW 87TH AVE
Subdivision: MAPLE RIDGE ESTATES
Block: Lot: 005
.Jurisdiction: TIG
Zoning: R-12
R(-. larks- S/F A PATH 1
Your company has been Indicated as tho electrical contractor for the pe.mit indicated above In order for the
Electrical permit to he valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Forni prior to the
start of thr, work to the address above, A 1-1-N: Building Dept
No electrical inspections will be authorized tintil this CC)mpleted form is received
OV' NLP: LLECTRICAL CONTRACTOR:
W114DWOOD HOMES. INC. OWEN WEST ELECTRIC
121,55 SW NORTH DAKOTA 8310 NW REED DR
TIGARD, OR 97223 PORTLAND. OR 97229
Phcne fl- 503-625-6526 Phone #: 297-6375
Reg #: LIC 00029492
SUP 288bs
ELE 2f, 398C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
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Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171, mt. 11 :i 1 U
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 #: IV1ST2000-00482
Da:o Issued: 12!1;04
Parcel: 1 S135AA-MRE05
Site Address- 10225 SW 87TH AVE
Subdivision: MAPLE R4DGE ESTATES
Block: Lo! 005
Jurisdiction: TIG
Zoning: R-12
Remarks: SIF A PATH 1
Your company has been indicated as the plumbing contractor 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, ATTfN: Building Dept.
No plumbing inspections will be authorized until this complet-d form is received
OWNER: PLUMBING CONTRACTOR:
WINDWOOD HOMES, INC. JIM'S PLUMBING
12655 SW NORTH DAKOTA PO BOX 7160
TtGARD, OP 97721 ALOHA. OR 97007
Phone 4 503-625-6526 Phone #: 649-4034
Reg #. 1 Ir 71860
PI M 34-186ab
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Signature of A10orizedPlumber
If you have any qucc.ions, please call (503) 639-4171, ext. # 3'10
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 c! G
MST
INSPECTION DIVISION Business Line: (503) 639-4171
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Received Date Requested t _AM— _PKI _ BLIP
Location 1& Z x -7 Suite MEC
Contact Person Ph(_ ) __S'_( C 7Pt.M --- ---_ -----
Contrac,':r
SWR - -- - --- _
BUILDING _ Tenant/Owner _ _
ELC __--------- ----- -
Footing
Foundation Access: 1/ ELC
Ftg Drain Ji � �/C 7 ELR
Crawl Drain — --
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors ----
Ex(Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing - ---- - - - - —_
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -
Roof -
Other:
S PART FAIL. _--
_ — -—---
Post&Beam _--
Under Slab
Rough-In
Water Service _---
Sanitary Sewer
Rain Drains -
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: - _---- - - - - ------- —------- ------ - ----
Fin
ASS PART FAIL -- - - - -------_ - ----- ------ —
ICAL
Post&Beam
Rough-Ir - ------__. .-
Gas Line
Smoke Dampers
- S PART FAIL ---_. __ __ ----_--- ._.._--- ---.--------------_____-- ----_--.—
RICAL -
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$_________ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd.
PASS PART FAIL
SITE - - [� Please call for reinspection RE:-r - _ _i F-] Unable to inspect-no access
Fire Supply Line
ADA y
Approach/Sidewalk Daft� �/- -�--� Inspector _ ffxt
Other _
Final - --- - DO NOT REMOVE this Inspection record from the job site
PASS PART FAIT_
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: .i-4175 Business Line: 63. 171 , --
__ BLIP
—_Date Requested_ AM PM ___ BLD
Location Suite MEC�Dot,�. < jV`C
Contact Person Ph / `7_- y PLM
Contractor _ _ Pi, — SWR
BUILDING Tenant/OwnerELC -- ---
Retaining Wall EL R
Footing Access
Foundation FPS _
Fig Drain SGN
Crawl Drain Inspection Notes ---
Slab
-----_. .--- - SIT
Post&Bearn - —
Ext Sheath/Shear
Int Sheath/Shear —
Framing --------.. -- ----
Insulation
Drywall Nailing _._ -.. <-_F_. _-- .�. z C;,-
Firewall
;;Firewall
Fire Sprinkler
Fhe Alarm
Susp'd Ceiling
Roof -----
Misc: - - - - --- -
Final
PASS PART FAIL
PLUMBING
Post&Bearn - - - -- - - -- --
Under Slab
Top Out - -_-- --- ----_- -_ - --
Water Service _
Sanitary Sewer
Rain Drains
Final -----
PASS PART FAIL
MECHANICAL
Post R Beare
Rough In
Gas Line — -
Smoke Dampors
Final --- -- — _.
PASS PART FAIL
Service
Rough In
UG/Slab _
Low Voltage _
Fir n
PASS ART FAIL
Backfill/Grading -- - -- -- - --
Sanitary Sewer
Storm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basle
Fire Supply Line ]Please call for reinspection RE: ( j Unable to inspect-no access
ADA
Approach/Fidewalk Date t� f Inspector L: �7 t.� Ext
Other --11� Z- 1------
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.