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7910 SW FANNO CREEK DRIVE
nPLUMBING PERLv1iT
CITY OF TrGARD -- -
DEVELOPMENT SERVICES E PERMIT#: P28/02 00072
13125 SW Hall Blvd., Tigard, OR 97223 (503) 635-4171
DATE ISSUED: 2/28/02
PARCEL 2S112BA-90000
SITE ADDRESS: 07910 SW FANNO CREEK DR BLDG
SUBDIVISION: BONITA FIRS VILLAGE CONDO. II ZONING: R.12
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SFA WASHING MACH: BACKFLOW PREVN RS:
OCCUPANCY GRP: R3 FLOOR DRAINS; T ?APS:
STORIES: WATER HEATERS: CATCH B/.SINS:
FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 2 ft
DISH1f. .SHERS- RAIN DRAIN: ft
Remarks: Repair of 1-1/2" pvc waterline
—_ FEES
Owner:
Type By Date Amount Receipt
ASSOCIATION OF UNIT" OWNERS OF PRMT CTR 2/28/02 $72.50 21200200000
BONITA FIRS VILE AGE CONDOMlNIU 5PCT CTR 2/28/02 $5.80 27200200000
BY STERLING PROPERTY SERVICES —
TIGARD, OR 972124 Total $78.30
Phone 1:
Contractor:
DETEMPLE CO INC
1951 NW OVERTON ST
PORTLAND, OR 97209 REQUIRED INSPECTIONS
Water Line Insp
Phono 1: 503-227-2641 Final Inspection
Reg #: LIC 2510
PLM 26-25PB
This permit is issued subject to the reg; 'at.ions contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with appro\,ed plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended fc- T )re
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-000 1-0080.
You may obtain copies of these rules or direct questions to OUNC by cailina (503) 246-198 .
Issued By,: Permittee Signahire:'--,. /r
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next bu ness day
Plumbing Permit Application
Date r«:ived:7 Perini$aci-- i
(City of "Iygard Snwer permit two.: Building permit no.:
A�_..' Address: 13125 SW Hall Blvd,TigarJ.OR 97223
City njTigard Phone: (503) 639-4171 Projccuappl.no.: Bxpiredam:
Dale issued: - By: 1 ,Receipt no.:
Fax: (503) 598-196(1
Land use approval: Can filo ao.: Payrrunc type:
Q 1 &2 funnily dwelling or accessory Comnu:rcial/industrial ❑M ti-fantily ❑Teruua imi7rovemeni
U New construcuun Additica/alterauorJreplacament U Foo,:service :J Other:
MMM3MM
1%mcrlptino Qt . Fee ea. Total
Job address( `_t.-1�J '_ ( -+-.�i _ — ew 1iva2-fmily dweWap ody:
BhJg nu Suite no.: (t�dnioan.foreacb1duitycomedion)
Tax map/tax lot/account no.: - _ SFR(1)bath - - - - _—
Lot: Block; Subdivision: _ SPR(2)bath�
_Project name: i ;,,ti,, SIT,(3)bath
City/cowrty: ZIP: ad inonn�baiWU chen
Site atultim:
Description snd l ation p('wofk on promicea: Catch basin/arca drain
Xl L' -- D welhv7ca h ml dtrrnch drain_— ---
Est.date of cornpletiodinspection:
_Eo(A!nb drill n(oo.Iln.fl.)
Manufactured home utilities
ijusines■name: Q-b _ — Manhole e
AdJrcu: � y C) �y Rain drain connector
I>�{�(01 e:, 1' 7IP: 0c Sanitary sewer(no.lin.ft.)
City. Stat
_
— .� 'torso sewer(no,lir..ft.)
Phone:ZZ Fan:7 &mail:- .c (r(,1 G, -- - —
cn/ri atrr service(no.4in.ft.)
CCR no.: ?c' '" Plumb.
bus.reg.no:zb z,S rlxtw a or item:
City/rneuo lic no.: Absorption valve
Cuntracto�s reprtsentauve signature: 1 ' i i. BaCrt flow rtv(,ntcr -
Print name: 1Y I 14 e_ r ute: Backwater -
BaBins/layalwy -
Clothes washer
Name:' 4 l0-Mn r", VT�4 °'`- --- --- Dishwasher— - - _-
Address: iCIS t Iv V'3 Qy oil _ - Drinkitf.)untain(s)
City: t A lv.rl 1. Statr.cYl �ZP:� E .rtordrum�►- --- --- --
�—I1 IV
Phone:W.. t Z#q1 IFu;j 2 ,cv,r inn tank _ - �--_- ---
rxturetscwcrca
Moor drains/floor sinks/Iwb
Name(ptint): _ - Garba c tis ea I+�
Marling address: Hese Bibb
City: State: 27P: Ice maker _--
Pltone: T Email: Interccetor/grease trap
Owner installation/residential maintenance only: 'lU actual installation rimer($)
will be made by me or the maintenance and repair made by my regular Roof drain(commercial) Y
crnp;oyee on the property I own as per ORS Chapter r47. Sink(s),basin(s),lays(s)
Owner's signature: _ _ Date: ---
.4y Tubs/shower/slwwcr rn -
Urinal
N:Lnc: --- T —_ -- - alar r.oset ---
/.ddreas: _- Water heater
City r _ Strte i�I': ----- Other---- --
Total
---
— .-- Minimi-^:tee................
a dS •
Nt jwIKacdem weep cradr crdr.pWm m,irhakdw for sit Wcrnudoel Notice:This permit application Plan review(at -- %) $
U Visa 0 Mattern---! ex iris if a rmit is not nbtaincd �_�
� �_- p 11e State surcharge(896) ....$
Cradll cod nurutw: - — - -J within 190 days ahcr it has bcon
E.p1ie.
acrcpted v wmplere. TOTAL .......................s
--Naar d eard0olrkr u oa c csd
:
44041616 01D)COM)
12/05/00 TILE 17:7.2 ITI/RE NO 95791 14002
CITY OF TIGARD Inspection Line: (503)639-4175
BUILDING MST
INSPECTION DIVISION Business Line: (503) 639-4171
BUP
Received __—---Date Requested 7Z'�=_Q"- BUP --
Location 771/0__ I—I —1' -•I--- ' --Suite—__.-- _—____ MEC —_
�`-'r _ Z
Contact Person --__-- -----. Ph( i -- ----- PLM roc, 7
--
Contractor _ -- __.-- Ph(__--) _ _ SWR _---
BUILDING Tenant/Owner __ _ — — ELC --
Footing ELC __--
Foundation Access:
Ftg Drain ( ELR -_
Crawl Drain hc. /hr+{__ ` w�r
Slab Inspection Notes: SIT
Post& 6earn ---- - -- ---- ------- --- _ ___
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing --- -- --- - -- ---
Insulation
Drywall Nailing -
Firewall
Fire 5prinklEr --
Fire Alarm ....... -
Su.;p'd Ceiling --
Roof
Other: -- -- - - --
Final
PASS PART FAIL
_PLUMBING
Post& Beam _
Undor Slab _---- - - - --
Rough-In
Water Service - - — -- — -----
Sanitary Sewer
Rain Drains -- - - - - --
Catch Basin/Manhole
Storm Drain ---- - - _.
Shower Pan
Other: - --- ---- ------ _ - _._- ---
-1f 1Z
WASS
L-NICAL
PART FAIL
- —_-. - - - -- -
Post& Beam
Rough-In -- ---- -- -- - _ - -- -
Gas Line A&
Smoke Dampers --- - - - --- -- - ---- - -- -
Final 4ZG
PASS PART FAIL -- --- -- ,--- - �.
ELECTRICAL
Service ------- -------__ - --� _.
Rough-In
UG/Slab _--
Low Voltage - -- -- --- -- ----- - - ---- --
Fire Alarm
Final Reinspection fee of$__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART_ FAIL
SITE_ C� Pleas-call for reinspection RE:-___ __-___- ___ ❑ Unable to inspect-no access
sire Supply Line
ADA Date -k7 �� �' Z Inspector = /I � Jr7 - - Ext -
Approach/Sidewalk
Other:--_
Final - DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT #4. . . . . . . : BUP9B--0484
13125 SW Hall Blvd,, Tigard,OR 9'7223(503)639-4171 DATE ISSUED: I1 /131/9b
PARCEL: 2SI12BA--90000
SITE ADDRESS. . . : 07910 SW FANNO CREEK DR #Bl-.DG
SUBDIVISION. . . . : BONITA FIRS VILLAGE CONDO. 11 ZOP,INBcR-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. JURISDICTION:TIG
------------------------------------------------------------------------------------------------
REISSUE% FLOOR AREAS..---------- EXT-FRIOR WALL CONSTRUCTION-
CLASS OF WORK. :ALT FIRST. . . . : 0 sf N: S: E: W.
TYPE OF USE. . . :MF SECOND. . . : 0 sf PROTECT OPENINGS?-----------
TYPE OF CONST. :5N . . . . 0 sf N.- S: E: W:
OCCUPANCY GRP. :R1 TOTAL---------: 0 5f ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. - 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT?- ME77 ? : REDD SETBACKS-------- REQUIRED----------------------
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR c,7PKL: SMOK DET. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING:
VALUE. $ e 1200
Remarks : install vents onli on roof line.
Owner: ------------------------------------------------------- FEES
ASSOC OF UNI: OWNERS OF type amount by date rel
BONITA FIRS VII LADE CONDOMINIUM PPMT $ 25. 00 JSD 11/13/98 98-310767
� 1515 SW DURHAM P5 5P(-A* $ 1. 25 JSD 11/13/98 98-310787
TIGARD OR 97224
Phone #:
Contractor: ---------------.__-_--._---_
CC & L r9OFING CO
3319 BE 92ND AVE
PORTLAND OR 97266
--__------.___---------------------.._
Phone #: 503-774--0928 $ 26. 25 TOTAL
Reg #. . .- 46625
ACTIONS or INSPECTIONS-
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if werk is suspended for sore
than IN days. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in DAR 952-0111-8818 through OAR 952-88I91987.
You many obtain a copy of these rules or direct questions to am
by calling (503)246-1987.
Permittee Signati-ire - stie Bvefc -z_
+++++++++++•1•+++++++++++f+++++++++++++++++++++++++++++++ ...............
Call 639-4175 by 7:00 p. m. for an inspection r- ded the iie>(t business day
...................................4.......................................4...
CITY OF TIGARD Plan Check#,, 7
13125 SWHALL BLVD. Redd By: -
TIGARD OR 97223 RF-ROOFING PERMIT.APPLICATION 4) D °dd.M�'
V-50u-639-4171 X304 •►t>x.r, f •�.:t I ,•r a
Commercla�a'nc Resl entia '�
''�4 y q t'. + 'Datei to
F-503-598-1960 " .,
q Incomplete or illegible ap onawll not bflt ecce `
Name of DsvelopmentlBusiness r :;'r ' ar, ri
Street Address is e , P, to fill outappilgble sectlorrand attact coOf rooftt
Job Site cl'/b' ,�t s Iflcations.i
Bldg M 1 City/State zip Wow
Name ,i,,,•;, oV qtr 5peaflcation
UMcant Mailing Address ,K u B r ` ;' Manufacturer`rI�
(71
App :saR ?./ 3� ►' ,�'a w 'f' � . :W
CitylSsip A hon � '3r � L Clessiflcstlon:
T 7 2 7y' 67Z
Z � I�t1"', iFra l rift , ►.�
Roofing NameListed UL Building Mpterials Directory Page
Contractor C t✓� �' IE,' ,, .. a
— — Homey.
(Prior to issuance Mallin Address ,�,c/ '3b Warnock ,
applicant must 1 ? � 6t. �e-a '•� Al' 9d°.� 7 »!
provide a copy of City/SWAZip Listed Warnock Homey.Directory Page
G :�"
7 Zlli _ --! ` ' "C_O_P_Y OF ASSEMBLY REQUIRED
all contractor /"lire � A�ol�•'e►�t�il_
licenses if Phone* Fax M
expired in COT 7 7 y--c�9 D d 7 IC80 Research
database) Stats Canstr.Corttr.Board K tea Exp.
DATED. _
>pUlEQlf tC INFOMfiEA'Fipit> C. SPECIAL PURPOSE ROOFINGL.VMO SHAKES
Building-Type Of Use: (circle one) (review required by plans inert; "` tiY y
SF SFA COM MFS
Building- Type of Construction: .VALUATION OF PROJECT:. $
r� r>~a s�.ft. t of roof area'
.M C_— --
Existing Deck Typ,. to , Y t Permit fee based orkvaluatlo i
Combustible ( 1/� Non-Combustible (� p': a'..a;+�'+Y`?a " 'ssechnS�Mb>3
OEN1ft+t4t 6 .16 �hue at Woelt.AlmCMi�A City use on WAC
.Syi ......n•+..n..%.e.ry +...... �..r ....-Y. ..- Nwecr...r.:. .....i>Yalwm<6• V
REPAIR(MAJOR)(review required by plans examiner) BUILD
Permit required ONLY when spaced sheathing is cwverEd by �w y of
solid sheathing. Changes to roof line require Building Permit
Application. 1 ,. City use only ,ra W
SUBMIT TW0(2) SETS OF PIANS SPECIFYING. s� + .: ` xi
N
A. Roof area it<nearest street t, t ( 'f , ,,'Required for major repairs of Reside
B. Attic vents-Provide 1 sq.ft.for each 150 sq.ft.of attic or'C'above .,' `'65XTPlan Revi
space. Vents shall be located in the uppert/3 of the,
roof Chy-use only(}�" WAC
Provide 1 sq.R for each 300 sq.ft.when save 5 attic BUPP.:I�Ik �
venting is provided. `
' TQ
a
CO
EFCIAL �ONLYz tacknowledge that I have read this applicadd �
•��1y.rL... �... •i
r. , ti u , nfotion given is correct:mat team,L theonera authortzeo ,
rma . , w , 4tfe11
�.t..
Describe work to be done. (rneck appropriate box) ,"'x+' agent of the owner, and that the plans(if appll`cab eg ara
❑ RE-ROOF (circle A,B or C) a a' compliance with Oregon State law "'t'
A. Existing built-up roof covering to be REMOVED and deck '
repaired- Signature of OwnenAgent
B. Existing built-up roof covering tc REMAIN:note applicant
must submit an engineer's review of the roof structural
elements. Review shall bear the seal(or stamp)of the
architect or engineer licensed in Oregon. Contact Person Name ;Telephone
C. Asphalt or wood shingle/shake 0171 a
��
(PROCEED TO STEP 2)
I:ROOFI.DOC(Usts)REV 5!1!98 '
CITY OF TIGARD BUILDINGDIV SIO m� �
2 -Hour Inspection Line: 639-4175 Kms, iness Line: 639-4171 MST `— —
3C BUP
— Date Requested / - M PM BLD
Location —7" 1
J w
Suite '� _ MEC _—
Contact Person _ Ph �' PLM
Contractor_ L �j J SWR —
BUILDING Tenant/Owner _ l:LCQ
Retaining Wall --' ELR
Footing Access: ----
Foundation FPS
Ftg Drain _
Crawl Drain Inspection Notes: SGN
Slab —
Post 8 beam �Lj?k—d Ext Sheath/Shear rU Int Sheath/Shear ----------
Framing
Insulation - --- - --- - ---- -- -----
Drywall Nailing
- - —._—
firewall / ------- ---
Fire Sprinkler
Fire Alarm — --------
Susp'd Ceiling - ------------ --- -
Roof --------- -- ---- ---- - -
Misc: _--- --- ----------- —
-- -----
Fii,al
PASS PART FAIL
PLUMBING A— ---
Post& Beam - ------ - ----- _.—.—_.__—
Under Slab J~`
Top Out -- - - --- --- — - _ l _
Water Service
Sanitary Sewer ---- ---��. _-
Rain Drains
Final -- -- -
PASS PART FAIL_
MECHANICAL ---
Post& Beam - -- ------ - - -- ---.-.------------- ----.—�--
Rough In ---- -
Gas Line ...... ---------
Smoke Dampers _--------------
Final ---
P T FAIL ------------ ------- ------
ELECTRICAL > --- - -- ----- - -- ----- -- __
Service
Rough In --
UG/;flab
Low Voltage - --- --- -- - -- --- --------- ---
Fire Alarm - ----- --------- --- ---- ---
Fin � -------___�__.____------ --- -------
ASS ART FAIL _-
SITE
B&.;kfill/Grading - --- - --- - - -- ---
Sanitary Sewer — -
Storm Drain ( Reinspection fee of$ _— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspection RF
ACA
Unah!e to inspect no access
/ �
Approach/Sidewalk
Other Date _fi/ � '�— Inspector____ L _ Ext
Final TT — -
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
UTY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC98-0492
DEVELOPMENT SERVICES DATE ISSUED: 08/19/98
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171
PARCEL: 2S112BA-90041
SITE ADDRESS. . . :07910 SW FANNO CREEK DR #1
SUBDIVISION. . . . :130NITA FIRS Vfl..L.AGE CONDO. I ZONING'4-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :004 JURISDICTION: TIG
Project Description: Bonita Firs outside lights
_________________--------UNIT----- SRVC/FEEDERS-----
112100 SF OR LESS. . . . : 0 0 2,00 amp. . . . . . . : V, PUMP/IRRIGATION. . . . 0
EACH ADDIL 500SF. . . -. 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601.+amps-.1000 volts. : 0 MINOR LABEL 0
-----SERVICE/FEEDER--- CIRCUITS----- INSPECT IONS---
0 200 amp. . . . . . : I W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 4.00 amp. . . . . . : 0 1 st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADD' 1_ BRNCH CIRC: Q, IN PLANT'. . . . . . . . . . . : 0
601 1.000 amp. . . . . : 0 REVIEW SECT I
1.000+ amp/voj,t. . . . . : 0 ) =4 RES UNITS. . . . . . . . : \ 600 VOLT NOMINAL— :
Reconnect only. . . . . : 0 F)V(,/F*I)R ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owriev-: FEES -----------------
BONITA FIRS CONDOS type amount by date recpt
7910 '9W FANNO CR DR PRMT $ 60. 00 JSD 08/19/98 98--308395
TIGARD OR 97223 5PCT $ 3. 00 JSD 08/19/98 98-308395
Pho .e #-.
C.ontractcr: -----------------------------
JARMER ELECTRIC INC $ 63. 00 TOTAL
5105 SW 45TH AVE
------- REQUIRED INSPECTIONS
PORTLAND OR 97221 Rough-in Elect' l Final
Phone #a 246-5381 Elect' l gervi,.:!e
R P q #. . : 000069
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State ref Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit rill expire if work is not started within 180
days of issuance, or if work is suspended for more than 18ydays. ATTENTION: Oregon law requires you to fotbw the rules adopted by
the Oregon Utility Notification Center. Those rules arefor in DAR 951-001-001P through OAR 952-"_ 7. You may obtain copy
of these rules or direct questions to OX b ll�ilg 14)246 1967.
-----------
Flermittee Issi_(ed BY
------------------------------OWNER INSTAI-LATION ONLY-------------------------------
'The installation is being made an property I own which is not intended For,
sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
-1---------------------------CONTRAC'TOR INSTALLATION
SIGNATURE OF SUPR. ELECINt DATE:
I T rENSE NO: .......
1 +4•.................................................1-+++4.........................
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
..............................................................................
CITY OF TIGARD Electricals firfiff Application Plan Checks-417-�
13125 SW HALL BLVD. Recd
Date Recd V`7t
TIGARD OR 97223 -
Date to P.E.
Phone (503)639-4171, x304 Date to DST
Print or Tyke
Inspection (503) 639-4175Permit aT
Fax (503) 684-7297 Incomplete or 'I�e le will not be accepted called
1. Job Address: �.r�IJ�A , 4. Complete Fee Schedule Below:
Number of Inspections per permit allowed -
Name of Development �i�n,rl A p p
Name(or name of business) Service included: Items Cost Sum
Address__L�-LC l t'4t�n o��i°E�k y 4s. Residential-per unit
1000 sq.0.or less _ $110.00 4
City/State/Zip�I U�� (rl __---- Each additional 500 sq.ft.nr
portion thereof $25.00
Commercial E] Li
J ,Residential I� t
miter:Energy $25.00
Each Manul'd Nome or Modular
Dwelling Service or Feeder $68.00
2a. Contractor installatior only:
(Attach copy of all current licenses) �- ! 4b.Services or Feeders
Electrical Contractor VYi 0, 1 A+t., J Installation,alteration,or relocation /!) QQ�
'"00 amps or less � $60.00 LY +_- 2
Address 14 r yt 201 amps to 400 amps $80.00 2
City State C1 f4 _Zip rf 7r 1 401 amps to 600 amps $120.00 _ 2
601 amps to 1000 amps $180.00 2
Phone No. .?��. �-3 0 l -- -
lOt)N0. Over 1000 amps or volts $340.00 2
Elec.Cont. Ll _� k. /�J 11 L Exp.Date_ c Reconnect only $5('OU 2
OR State CCB Reg. N0. U(I 72 1.1 ,Exp.Date Zlq 4c.Temporary Services or Feeders
COT Business Tax or Metro NoF_xp.D Installation,alteration,or relocation
200 amps or less $50.00 _ 2
Signature of SU r. EIeC'n 201 amps to 400 amps $75.00
Si
9 p 401 amps to 6110 amps _ $100.00 _ 2
Over 600 amps to 1000 volts,
License No. S 4 1`f., J Exp/ate jc, r, see"b"above.
Phone No. L4 L, -r
4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a) rhn fee for bunch circuits with
purchase of service or
Print Owner's Name-- feeder fee.
Address Each branch circuit $5.110
b)The fee for branch circuits
City_. State - Zip without purchase of
Phone N0. _. service or feeder fee.
First branch circuit $1500 _ r 2
The installation is being made on property I own which is not Each addltioral branch circuit $5.00 2
intended for sale,lease or rent. 4e.Miscellaneous
(Service or leeder riot included)
Owner's SignatureEach pump or Irrigation circle $40.00
Each sign or outline lighting $40.00
3. Plan Review section if required):* Signal circuit(s)or a limited energy
panel,alteration or extension $40.00 2
Minor Labels(10) _ $100.00 _-
Please check appropriate itern and enter fee in section 5B.
4 or more residential units in ane structure 41.Each additional Inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00 __..
Classified area or structure containing special occupancy Per hour $55.00
as described In N.E.C.Chapter 5 In Plant $55.00
'Submit 2 sets of plans with application where any of the above apply. Jr. Fees:
Not required for temporary construction services. 5a.Enter total of above fees $ �-
5".Surcharge(.05 X total fees) $ - 3+n0
NOTICE Subtotal $ --
5b.Enter 2596 of line 5s for
PERMITS BECOME VOID IF WORK OR CONSTRUCTIr"N AUTHORIZED IS Plan Review if required(Sec.3) $ -
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. D T rust A•;cunt H__ ___J 3,or,
Tofnl balance Due
"DSTSTLCM APP Rev!1198
�►R D --- BUILDING PERMIT
CITY OF T I G
PERMIT#: BUP2003-00203
DEVELOPMENT SERVICES DATE ISSUED: 4/24/03
13125 SW Hall Blvd..Tiaard. OR 97223 (503) 639-4171 PARCEL: 2S112BA-90000
SITE ADDRESS: 07910 SW FANNO CREEK DR BLDG
SUBDIVISION: BONITA FIRS VILLAGE CONDO. II ZONING: R-12
_
---BLOCK--- LOT: , JURISDICTION: TIG
T REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 S. ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP, RATED:
STOR; HT: ft
GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS __ REQUIRED _
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 820.00
Remarks: Building 7910, Unit 3. Remove tile roofing, repair sheathing if necessary and reroof using original tiles.
Owner: Contractor:
ASSOCIATION OF UNIT OWNERS OF CC & L ROOFING CO
BONITA FIRS VILLAGE CONDOMINIU 3319 SE 92ND AVE
BY STERLING PROPERTY SERVICES PORTLAND, OR 97266
TIGARD, OR 97224
Phone:
Phone: 503-774-0928
Reg ;#: LIC 46625
FEES REQUIRED INSPECTIONS
Description
Description Date _ Amount Dryrot after tear-off
1111'ILD] Permit Fee 4/24/03 a $62.50 Final Inspection
1 AXI R°S,Statc Ta.x 4/24/03 $5.00
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plan:•. 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 the rules adopted hl/ the Oregon Utility Notification Center. Thoe.e ales are set forth in OAR
952-00 1-0010 through OAR 952-001-C You may obtain a copy of these rules or diract questions to OUNC by
calling (503)246-6699 or 1-800-332 2-
Issued By: t�ZC r��• _ _
Pe rm it tee
Signature:
Call 639-4175 by 7 p.n,. for an inspection the next business day
Re-Roof
IBufld'.ng Permit AnDlication Received Building
Date/By: �Z
---- — xx Permit No�u�'.too� ooh
y 0 �JFt� .
Planning Appro al Other
City of'Tigard Date/By: Permit No.:
13125 SW lull Blvd. Plan Review Other
Tigard,Oregon 97223 Date/By: Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review ;..and Use
Date/By: Case No.
Internet: www.ci.tigard.or.us All, Contact luris.: See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information
TYPE OF WORK REQt11RED DATA:
New construction I I I Demolition_ 1 &2 FAMILY DWELLING
Addition/alteration/replacement Other:
CATEGORY OF CONSTRUCTION Note Permit fees*are based on the total value of the work performed. Indicate
1 &2-Family dwelling-- Commercial/Industrial the value(rounded to the neorest dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this application.
Accessory Building Multi-Family
Master Builder Other:
Valuation.........................................................
300 SITE INFORMATION and LOCATION No.of bedrooms:_—_ No.of baths:
Job site address: / _f? /�/v %,P,� Total number of floors.....................................
New dwelling area(sq.ft.)..............................
U ttlC#; Bld .1 t.#: 7'710 Garage/carport area(sq.ft.)............................
PCO eCt Name: N/T/9 Covered porch area(sq.ft.)............................. _
Deck area(sq. ft.).......................................... --
Cross street/Directions to job site: Other structure area(sq.ft.)............. _......
REQUIRED DATA:
COMMERCIAL.-USE Clh?CKLIST
Subdivision:
Lot#: '— -- ------------ ------ -
—_
Tax map/parcel CNote: Permit fees'are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK —t.-- the value(rounded to the nearest dollar)of all equipment,materials,labor,
- overhead and profit for the work indicated on this application.
- x�,r►4 6�2s CoAJr�oS . g«E it
OFIrl Oil /ALES. Value.tion......................................................... S
Existing building area(sq.III).........................
- - — ----- --- -- New building area(sq.Ill.)..............................
- Number of stories.............krMM dW TENANT m., '> �S Type of construction.......................................
Name: di rl4 fl� �► � �js�f Occupancy group(s): Existing: _ -
Ne-w:
Address: 4" 46
City/State/Zip: 0 z 97AI
NOTICE: All contractors and subcontractors are required to be
Phone Fax: _ licensed with the Oregon Construction Contractors Board under
T
CONTACTPF _ provisions of ORS 701 and may be required to be lice. ,ed in the
Business Namc: I jurisdiction where work is being performed. If the applicant is exempt
Contact Name: -.om licensing,the following reason applies:
Address: --- – __
City/State/Zip: – -�—
Phone: Fax.'
E-mail:
CONT ' CI'OR . --- — -'_.- Y .• ,. - ---
Business Name: (_ (t, `+ ` __-- fees due upon application..............................
Address: 3 c9;?!!- d
Cit /State/Zl L� �� � Amount received............................................. 1
Phone:gI 779-0906 Fax: Date received_
CCB Lic. As /Aw _ t--- -- -- -
Authorize f n r� " _��_V3 Notice: This permit application expires if a permit Is not obtained%ithln
Signature: (r0 t s3 Date: 180 days after It Ila%lice"accepted as complete.
J
\ (�) Il �URt•C � V '--' -Fee metlm"dulow set by 771-(bunk Building Industry Service hoard.
- (Please print nam
i:\Dsts\PertnitFOMIS\BldgPCrMitApp.doc 01103
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 —
MST —
INSPECTION DIVISION Business Line: (503)639-4171
41,
Received _� /y y�ato Requested—_ __ _ AM - PM BUP
Location _-��_�--�- ��-� �� —Suite MEC
Contact Person YL' J���'� �� � --�5zz"'Z��'�M
SWR
Contra Ph( ) _ --
UILDIN Tenant/Owner ��n tZK " '� CL � L�� *LC
Doting ELC ---------
Foundation Access:
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam - ----- ------ -----
Shcar Anchors
Ext Sheath/Shear -- - ------
Int Sheath/hear
Framing --- - --
Insulation
Drywall Nailing
Firewall
Fire SprinklerFire Alarm
Alarm
Susp'd Ceiling - --- _----
Roof
4iflaF:_ --
F,
PART FAIL.
Post& Beam
Under Slab - --
Rough-In
Water Service - - -
Sanitary Sewer
Rain Drains -- ------ -
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: -------------- - - ---
Final
PASS PART FAIL -- _
MECHANICAL
Post& Beam
Rough-In ----- ---- --
Gas Line
Smoke Dampers - - -- - - -- - -- -- - -
Final
PASS PART FAIL - ---- _ - - -
ELECTRICOAL
Service
Rough-In _ --- -- ---- - -
UG/Slab
Low Voltage _ - -- ---- ---- -------
Fire Alarm
Final Reincpection fee of S -.__-__required before next inspection. Pay at City Hall, 13126 3W Hall Blvd.
PASS PART FAIL
SITE _ [] Please call for reinspection RE:_ ---_- _-__ _] Unable to inspect -no access
Fire Supply Line
Approach/Sidewalk Data ' L/ `� Inspector - ��� ----- Ext
ADA Other:-_
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL