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I. o O to >_ d d d d d d d �' d d d d d d d d d d d h h h h F- h h 1- F F- F F- h F h F- h h h to to N w N N w o § k m 7 $ $ � / DD CL t t ® C� m _ § _ =a ) > 0 � 0 CD 0 7 ® 7 � £ ; « r ® IL o m a � g �0 / � � k $ � k v Q - q 0 f ) § ƒ . c 9 f # E / � \ E \ \ / t \ \ \ « / ¥ E N d O Z a) O) cl m m m m a o >y -j LO ti M LO A � s vi ur N �n � o a a a M � r m C N > r- P 0 o� �C cv A � a (10 a LTL � o a 5 ; In .a O_ a u LL O (1� c o N n CNo 7 r� 4 a a Q N N (n W N 3 CITY OF TIGARD BUILDING INSPECTION DIVIS:ON —h 24-Hour inspection Line: 639-4175 Business Line: 639-4171 CMST) _�1 �� BUP _! Date Requested VD AM PM BLD _ Location _ I ( � 'l Suite _ MEC Contact Person Ph '�&a6 - ?PLM Contractor Ph _ SWR LDINO Tenant/Owner ELCI Retaining Wall ELR V/ Footing Access. Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post Beam Ext Sheath/Shear Int Sheath/Shear ��j , Framing 1�_ 1t� I_►'lam '�1715�.—. 'Il�l1� Insulation �0_ F Drywall Nailing -- �•rz C 0 1� _3 rr�u ► k'1�-42 Cc G 4 gee 4?4 01 Firewall V Fire Sprinkler ----___ —_ Fire Alarm - Susp'd Ceiling Roof in T FAIL - - — - earn Under Slab nn Top Out - Water Service Sanitary Sewer -- _- -- rains it 'W-Sf PART FAIL HA TIOSI 61 tWMI) - - - --- - -- Rough In Gas Line Dampers trial/ - T FAIT_ Rough In UG/ b w vo F rr .arm PART FAIL S Backfill/Grading ----_-" -" Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ please call for reinspection RE. [ )Unable to Inspect-no access Fire Supply Line ADA Approach/Sldewalk D8 / C.i V Inspector 7�.. Ext Other --�--- - Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. l Y CITYOF T I GA R D _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00585 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/1/03 PARCEL: 2S 104CA-06800 SITE ADDRESS: 13414 SW HILLSHIRE: DR SUBDIVISION: HILLSHIRE ZONING: R-7 BLOCK: LOT: 068 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: i YPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: LPG ^� 3 - 15 HP: COMML. INCIN. MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIFE DAMPERS?: 30 . 50 HP: OD GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 _ AIR HANDLING UNiTS C OTHER UNITS: FURN > OOK BTU: <= 10000 cfm: > GAS OUTLETS: 10000 Cf Remarks: In,iiilliiUrni il'ILimacc and A('. Owner: FEES O'L-OUGHLIN, MICHAEL P+ Description Date Amount MONIKA E �ME'Cill 1'rrnut Lc 10/1/03 $72.50 13414 SW HILLSHIRE DR TIGARD, OR 97223 [TAX] H%State l n\ 10/1/03 $5.80 Phone: Total _ $78.30 Contractor• LOCKE DEHART AC & HTG. 18920 S HENRICI RD. OREGON CITY, OR 970Y',5 REQUIRED INSPECTIONS Phone: 501-114-11"" Heating Unt Insp Cooling Unt Insp Reg #: 1.IC 87805 'inal Inspection This permit is issued subject to the regu!ations 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 started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires ycu to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By. Permittee Signature: lel" _ Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Applicati nI in 11111111 IM TOM — Received Mechanical - Date/B . / Permit No, Jz -e''o 5 City of Tigard r��`�^-�v�� Planning A pro al Building a Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/By:: Case No.: Internet: www.ci.tigard.or.us Contact Juris s c Paac 2 for — — 24-hour Inspection Request: 503-�I g-4175 Name/Method: 1 tiu elemental Information. r3 ILt)i;]. —_-- fYPE OF WORK COMMERCIAL FEE'SCHEDULE-USE CRECKLISC New construction Demolition_ Mechanical permit fees*are based on the total value of the work Lkl Addition/altetation/replacement Other: performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment, labor,overhead and profit. 1 &2-Family dwelling, Commercial/Industrial Value: S_ See Page 2 for Fee Schedule Accessory Buildin Multi-Family RESIDENTIAL EQUIPMENT'/SYSTEMS FEE*SCHEDULE Description Qty Fee(ea.)�Total Master Builder Other: _ -- HestinJE/Cooun _ JOB SITE INFORMATION and LOCATION Furnace-add-on air conditioning•• / 14.00 Job site address: Z j // r: Gas heat pump 14.00 Suite #: I Bld ./A to Duct work 14.00 Pro e,:t Name: /I IvIv H dronic hot waters stem 14.00 -- Cross street/Directions to job site: Resi,a^ntial boiler for radiator or h dronic system 14.00 Unit heaters(fuel,not electric) in wall,in-duct,suspended,etc.) 14.00 Flue/vent(for any of above) 10.00 Subdivision: _7 Lot #: R^ air units 12.15 --- Other Fuel A lianca _ Tax map/parcel #: — Water heater 10,00 DESCRIPTION OF WORK Gas fireplace 10.00 Flue vent(water heater/gas fireplace) 10.00 — --- - ---------- -------- Lo lighter(bas) 10.00 - Wood/Pellet stove 10.00 ------------------- Wood fireplace /insert IO.OU ____ Chimne�r,ei/flue/vent PROPERTY OWNER_ TENANT Other: 10.00 Name: - Envi,onmentai Exhaust&Ventilation - _ -- --- Range hood/other k,tchen equipment 10.00 Address: _ _ _ _ ddrState/Zip: - Clothes dryer exhaust 10.00City/ - - — ------- - - Single duct exhaust Phone: _ _ Fax: (bathrooms,toilet compartments, APPLICANT CONTACT PERSON -utility rooms) 6.80 Name: / n , .r' T Attic/crawls ace fans 10.00 Address: �� ,�' �'.1 Other: _ IOAO City/State/Zip: Fuel t � :�� , /� ••(SS.JO for first 4.$ 1.00I.00 each additional Plione: r'5 ' ly-.117 % Fax: /-tipyi' Furnace,etc, E-mail: Gas heat um •+ 1 U i r P ) /' /FY'Cx 7; AJ a' Wall/suspended/unit heater - •• CONTRACTOR Water heater ++ Business Name: 4 o:�_ /- e h, � 11, �7 Fireplace •• Range •+ Address: 1 t 91 1) `' ,N R.., Cfi d BB _ .. City/State/Zip: g fe 7 6 41A: dryer(gas) •• Phone:,5� ' . s� - f 1 q- Fax; •"D.3 '�/-�1a �� Other -� •• CCB Lic. #: t �"D� t - -- Total Authorized / Mechanical Permit Fm*r�r,'��,,,,��!!/ L�/Date://% _ Subtotal: Signature: J(L 0J -- Minimum Permit Fee 572.50 S 1�oe �'( _� _ Plan Review Fee(?5°0 of Permit Feel S (Please print name) _State Surcharge(8°b of Permtt Fee) S TOTAL PERMIT FEE I S Notice: This permit application expires If*permit Is not obtained within *Fee methodololL%set h%Tri-County Building Industry Service Board. IMO do%s after It has been accepted a.complete. **Site plan required for exterior A/C units. i Dsts Permit Fomxs NIer PetmitApp.drk 111 i 1 z Mechanical Permit Application - City of Tigard Pale 2 - Supplemental lnformatiot� ' r Commercial Fee Schedule: TOTAL VALUATION: PERMIT FEE: $1.00 to$2,000.00 _ Minimum fee$72.50 $2,001.00 to$5,000 00 $72.50 for the first$2,000.00 and$2.30 for each additional$100.00 or fraction thereof, to and _ including$5,000.00. $5,001.00 to$10,000.00 $141_50 for the first$5,000.00 and$1.80 for each additional $100.00 or fraction thereof,to and including$10,000.00. $10,001.00 to$50.000.1'0 $231.50 for the first$10,000.00 and$1.35 for each additional $100.00 or fraction thereof,to and including$50,000.00. _ $50,001.00 to$I w),000.00 $771.50 for the first$50,000.00 and$1.25 for each additional 5100.00 or fraction thereof,to and including$100,000.00. $100,001.00 and up $1,396.50 for the first 51 06,000.000 and $1.10 for each additional$100.00 or fraction thereo:'. All New Commercial Buildings require 2 sets of plans. f:lBuildingTennit Forms\MecPermitAppPg2 ng-01-03 doc r k I I `.T I A CIT" OF T I^ ARD' _ ELECTRICAL PERMIT PERMDEVELOPMENT SERVICES DATE IS UIED: 10/6/03 3 00612 13125 SW Hall Blvd..Tipard,OR 97223 (503) 639-4171 PARCEL: 2S104CA-06800 SITE ADDRESS: 13414 SW HILLSHIRF DR ZONING: R-7 SUBDIVISION: HILLSHIRE BLOCK: LOT: 068 JURISDICTION: TIG Project Description: Wire AC. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS_ 1000 SF OR LESS: _ 0 - 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA AUD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVCIFDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: DEVOIR,CHRIS AND ANN CHANDLER ELECTRIC(SEE DAVID) 13414 SV1'HILLSHIRE DR. PO BOX 80696 TIGARD,OR 97223 PORTLAND,OR 97280-1696 Phone: 503-590-3768 Phone: 503-245-7774, fax- Reg #: FIT.. 20-10810 -- Lic 94908 FEES still 6885 Description — Date Amount _ Required Inspections I I.PRMTj FIA'Pernut In t.n $46.85 I AX1 8 5t.ue'I'ax In h W $3.75 Rough-in Elect'I Final Total $50.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Coda,State of OR.Specialty Godas and all other 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 work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503)246-66699 or 1-800-332-2344. Issued By: T { ( .:< < ,� rte` a Gr �. Permit Signature::' G OWNER INSTALLATION ONLY The installation is being made on property I own whim is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ �_. DATE:_ �— CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: __� DATE:—_` _ LICENSE NO: � ��4 �— Call 632-4175 by 7:00pm for an inspection the next business day Ek tricai Permit A.plicatigg Remind ` �icctrical / Dak/B I i Permit No.:'/ City of Tigard war Appr° I V Pte,No. 13125 SW Hall Blvd. �C5t Form Plan Review Other 'Uignrd,Oregon 97223 DatelB . Permit No.. Phone: 503-6391171 Fax: 503-598-1960 Pnst-Review IJnd Use Internet: www.ci.tigard.or.us4� D"t�y� .-- Case No., C:ontict Ins.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: tcl Supplemental Information. _ TYPE OF WORK PLAN REVIEW Itthse cbeck all that a pPh');-- New construction ___ Demolition` Service over 225 amps- Health-care facility - - conrnercial hazardous location U Add ition/alterahon/r lacement Other: l�r�___-___._._-� ❑Service over 320 snips-rating of ❑Building over 10,000 square feet, CATEi:40RY OF CONSTRUCTION I &2 family dwellings four or time residential units in 1 & 2-Fami1y dwell: Commercial/lndustnal O System over 600 volts nominal me structure Acemo Buildin Multi-Famll ❑Building over three stories ❑Feeders,400 amps or more ry _�___ V- � ❑Occupant load over 99 pr ro ❑Mani facturrd structures or RV park _Master Builder_ Other: y ❑EgressAighting plan I q txhrr: __. _ JOB SITE INFORMATION and L C_ATION Submit__sets of plans with any of the above. The above are nota liable to lemporary construction service. Job site address -�1 � i �— -� - 1�1-� '.��"(-' / ' � ------ FEE"SCIIEDULE _ Suite tt: _Bldg./,apt.#_ -4 _ Numb -if las ections r rmit allowed `Project Name: Description _�-- Qty Fee(a.) Tout Now raldeadalilnsk or could-fardly per Cross street/Directions to Job site: dwtUing unit,Includes attached garage- Service Included: 1000 ag.h.of teal 145.15 4 Uch additional 500 sa.A.or portion thereof 33.40 1 Subdivision: ��- Lot #: A - Limitedenerg msldential 75.00 2 Limited energy,non residential __ -75.00 2 Tax ma / arcel#: _ _ Each nunufactured borne or modular dwelling -' ' ' ' DESCRIPTION OF WORK service ar*Vor feeder _ 90.90 2 Services or kedtn-Installation, — alteration or relocation: 200 amps or 90.30 2 ------- — 201 amps to 400 armis 106-115 2 !O1-Mlo 600 amyl t 60,60 2 PROPERTY O ER, _TMA_ 601 amps to 1000 arty--- _ _ 240.60 — 2 / Over 1003 amts or vola 45465 2 NaIne___/Lt L F �_�l/, ; Reconnect only _ 66.85 2 Address: 341/q � / Yir e- Temporary services or feeders-irutaUatan. �- alteration,or relocation: City/State/Zip: -' _ 200 AMM 01 leu� 66.85 1 Phone:( L, - j1_Fax: 201 amoa to 4N amps !_ 100.30 2 =APPLICANT CONTACT P RSOM 40110 600 amps _ 133.75 2 flranch circuits-new,alteration,or Namc: _ extension per panel: Address: _ A.Fee for brunch circuits with purchase of -- -_--_--� _----_— service or feeder fee,each brunch circuli _ 6.65 2 Ciy/State/ZIP: i A.Fee for breach circ,t is without purchase of Phone: F "�- service or feeder fee,first branch cimuu 46.85 2 `. _-._ax:___ Each additional branch circuit _ _6.65 2 E-mail. Mm.(Service or feeder not included) CONTRACTOREac_ h rrrnp w igiguion circle 5.140 2 - Each sign or outline li inj_ 53.40 2 Job NO: l. t _ Signal eirwk(s)or a limited enerV panel, Business ams � alteration or"tension* _ 7500 _ 2 •Dnc:riptiorr. Address: Ci /State/7.i �.y(,� _ c Each addillena(_ (a�tbn over the allowable In an of the above: — _. — Per inspecilon(per hour.min I hour) 61.50 Phone: 777 Fax 2-1Y Y-Y In tkion ire — CCB Lic. #: V"/-!7(') Lic.#: / L. Other: — Supervising electrics Icttl'ktal penult Feat _ _ si atur'e re uired: Subtotal s _ _ Ptgn Review(25%of Permit Fec $ Print Name.)[4 two LI'C.#: .�� State Sturherge(894 of Pemlit Feer S - Authorized ' _- —_ TOTAL PERMIT FEE S J � � Notice: This permit application expires If a permit Is not obtained within Signorure:� Date:z'L_Lfi 3!i, 180 days after it has been accepted as complere. YY//'' P "Fee methodo met b Tri�{'oaaty Building Indus Service(bard. .Z_ fa l '7 fAl Lui b(D Y t n (Please pint amine) CITY OF TIGAR D 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business-Line: (503)639-4171 MST BLIP Received —_ Date Requested �19/(' AM _ PM--� BUP Location — --- 1 / C / —2—Suite ----- MEC Contact Person __ _ Ph( ) ___ — PLM — Contractor _ —_ _--_ Ph(SZ� ) SSU- 7�w�'_— SWR -- / BUILDING Tenant/Owner - Footing Foundation ELC - Ftg Drain Access: ELR r- Crawl Drain f1�1 �' `�U ✓ 2- - Slab Inspection Notes: SIT Post& Beam Shear Anchors ----- - Ext Sheath/Shear Int Sheath/Shear Framing - -- Insulation Drywall Nailing - -- -------- --- Firewall Fire Sprinkler -- ----__ --_-_ _-- Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART_ FAIL PLUMBING Post&Beam..._- ---- - --- --- Under Slab -- --_--- Water Service ------- - -----------.- - - -Sanitary Sewer Sewer Rain Drains --- -----_.-- - --- --__ __--- ----- Catch Basin I Manhole Storm Drain Shower Pan Other: - ---- -- -- --- ---- -----.._. - Final PAS$ T FAIL — ECHANI Post eam Rough-In --_ _- --- - - - ----- Gas Line Sr Ise Dampers -- --.._---- --_-.�_- _ -------- - - - in 4SeT FAILCTRICA s Rough-In UG/Slab - --- --- -__--__- - - -- Low Voltage - ------------------- -- -- Fire Alarm ---�---- - ------ Reinspection fee of$ _ required before next inspection Pay at City Hall, 13125 SW Hall Blvd. i PART FAIL F] Please call for reinspection RE: __-- _- �� Unable to inspect--no access Fire Supply Line ADA ae__ - � _-� -- Ins _ Approach/Sidewalk DtExt � P ester -- - --- �---��---- ---------- Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITYI M TY OF T1C9AR0 ASTER PERMIT PERMITM MST1999-00310 DEVELOPMENT SERVICES DATE ISSUED: 10/6/99 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639 Qp SITE ADDRESS: 13414 SW HILLSHIRE DR z1 PARCEL: 2S104CA-06800 SUBDIVISION: HILLSHIREt�J/_ ZONING: R 7 BLOCK: LOT:068 /•/`J/� JURISDICTION: TIG REMARKS: Interior remodel �� - BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: 309.00 el LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: AO SECOND: of GARAGE 103 al FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT. sf RIGHT: OCCUPANCY GRP: R3 13DRM: 1 BATH: 1 TOTAL: at VALUE: $2385377. REAR: --- PLUMBING SINKS: WATER CLOSETS. WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES. t DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: MECHANICAL OTHER FIXTURES: FUEL TYPES FURN 1100K: BOIL/CMP�3HP: VENT FANS: 1 rl OTHES ORYEW FURN>-100K: UNIT HEATERS: HOODS: OTHER UNITS MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT _ SERVICE FEEDER TEMP SRVCFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADU'L INSPECTIONS 1000 SF OR LESS: 0 0 200 amp: 0 200 amp: W/SVC OR FDR: PUMPIIRRIGATION: PER INSPECTION EA ADD'L 500SF: 201 400 amp. 201 -400 amp: 1st WIO SVCIFDR SIGNIOUT LIN LT PER HOUR LIMITED ENERGY: 401 600 amp. 401 600 ampEA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601-ampa•1000v: MINOR LABEL: 1000.amp/voll Reconnect only PLAN REVIEW SECTION —4 RES UNITS: SVC/FDR-225 A.� >600 V NOMINAL: CLS ARFA/SPC OCC _ ELECTRICAL•RESTRICTED ENERGY A SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOMIPAGING OUTDOOR LNDSC LT, BURGLAR ALARM: OTH: BOILER: HVAC: t ANDSCAPE/IRRIG: PROTECTIVE SIGNL GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS+ TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 576.12 MICHAEL O'LOUGHLIN EAGLES VIEW HOMES INC This permit is subject to the regulations contained in the 13414 SW HILLSHIRE 27012 NE 34TH ST Tigard Municipal Code.State of OR Specialty Codes and TIGARD,OR 97223 CAMAS,WA 98607 all other applicable laws All work will bp done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone: Phone Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Triose rules are set Reg N: LIC 116861 forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these pules or direct questions to OUNC by calling(503)X46-1987 REQUIRED INSPECTIONS Fooling Insp PLM/Underfloor Framing Insp Plumb Final Post/Beam Structural Mechanical Ins;j Low Voltage Final inspection Post/Beam Mechanica Plumb Top Out Insulation Insp Underfloor Insulation Electrical Service Electrical Final Crawl fatntfilickwater Electrical Rough In Mechanical Final 1, Issl ByI Permittee Signature : 11 Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business d5y I CITY OF T GARD Reside::tial Building Permit Application PlanChecK4 113125 SW ALL BLVD. Alteration - Interior Only Recd By-KILF,I TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd i V 503-639-4171 Date to P.E. Date to DS T F 503-684-7297 ��"� Permit# Print or Type Called Gf-�Q4- ¢ Incomplete or illegible applications will not be ccepted c,?;o/ --- -P--,-r_ViN_1 _s . Name of Project -T// - �- Name r Job �7f sl�tY t Mailing Address Address Site Address Architect g - -"- '�`' r Il - L City/State Zip Phone L � �L'/.1�i�l�f�� •- Owner Mailing F ddress / Name Cgy/State ZipPhone Engineer Mailing Address General Nam6 City/State Zip Phone Contractor f_Li. I�5 G't�"u ��y*�S�J�k.'� 4 fQr4 Describe work New O Addition O Alteration/6 Repair O Mailing Address to be done: _ Prior to permit 2-2c1:2 1 Additional Description of Work: t' issuance,a copy City/State �11 Zip Phone 7_071,1711 of all licenses C r 14 /" q' are required if Oregon Const.Cont Board Exp Date 0 PROJECT expired in COLic.# e Z _gy t VALUATION s Z 3 0G, daUbase �_ Mechanical Name NEW CONSTRUCTI N ONLY: _ Sub- "j J(Jf Sq. Ft. House: Sq. Ft. Garage ---� ' Contractor Mailing Address Prior to permit Indicate the restricted energy installation by the electrical issuance,a copy City/State Zip Y Phone subcontractor in the following areas of all licenses Restricted Audio/Stereo — are required if Oregon Const.Cont Board Exp. Date Energy S stem Alarms expired in COT Lic# Installations "acuum Y Irrigation - _database _ System System 1 Plumbing Name (check all that Other: Sub- QTS (2e-uof06i^4- a I ) Contractor Mailing Address --"� ' Corner Lot YES NO Flag Lot YES NO (check one (check one Has the Subdivision Plat recorded? N/A YES NO Prior to permit /State Zip Phone Cit issuance,a copy (,tJ)4tm !?.7?q 7 � F Solar Compliance — of all licenses are re-gon Const Cont Board Exp Dale (Calculation Attached) _ required if Lic# _ expired in GOT _—L� _�_7 4f -q-OD 1 hearby acknowledge that 1 have read this application,that the database Plumbing Lic # Exp Date information given is correct,that I am the olnner or authorized agent of the owner, and that plans submitted are in compliance with Oregon State laws. Name ,Pignature 41 Owner/Agent r -__ Dat Electrical ecx L-/� .� ��"'�":g..: t1u:' Sub- Mailing Address _ ntact Person Name Phone# Contractor L,.1 ,t , c/ � l)C �i�> >r<;,�+��,' --- ..1c7-775-/ OR OFFICE_USE ONLY: _ City/State Zip Phone Plat# Map/TL#: Prior c permit `� _06s," , issuance a copy �'L<•1 c �(�A �i�t,(t. �_ 3!�)�2-Ic'c� _ _ _ of all licenses are Oregon Const.Cont Board Exp. Date Setbacks: Zone: Solar: required if Lic# -- Pxpired in COT ' �!� 'L %' Engineering Approval: Planning Approval TIF: database Electrical Lic.# Exp.Date — — -- '-"-- 1 t - — -- -- "1 u Electrical Supervisor Lic-v- -. Exp ate �( S 1� �s i:formslsfintalt doc(DST) 10/23/98 CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 RESTRICTED ENERGY PERMIT #: ELR98-0103 DATE ISSUED: 04/10/98 PARCEL: 2SI04CA-06800 SITE ADDRESS. . . : 13414 SW HILLSHIRE DR SUBDIVISION. . . . :HILLSHIRE ZONTNG:R.-7 PID BLOCK. . . . . . . . . . : 1-01.. . . . . . . . . . . . . :068 JURISDICTN: TIG Pro ect De ser i pt i on: Instal! burglary alarm system. A. RESIDENTIAL—--- B. COMMERCIAL--------------------------------------------- AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . : NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . : TOTAL # OF SYSTEMS: 0 Owner: FEES OILAUGHL- IN, MICHAEL/MONICA type aMOIATIt by date recpt 13414 SW HILLSHIRE PIRMT $ 40. 00 DEB 04/10/98 98-304833 TIGARD OR 97224 5PC,r* s 2. 00 DEB 04/10/98 98-304833 Phone #: Contractor: --- BRINKS HOME SECURITY $ 42. 00 TOTAL 8059 SW CIRRUS DR REDUIRED INSPECTIONS BEAVERTON OR 97008 Ceiling Cover Low Voltage Insp Phone #: 641-0514 Wall Cover Elect' ] Final Reg #. . - 000444 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 accor6an7e with approved plans. This permit will expire if work is not started within In days of issuance, or if work is suspended for more t'lan 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-01-9018 through OAR 952-88I-8888. You may obtain copies of these rules direct question t 01K at (503)246-1981. 1 C.,-,,-led by Perm ttee SignAtt.ire,.�IkL t�&� Z 4U_44��- -.------OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or rent. ()WNFRIS SIGNATURE. DATE: ---.--._____.___..---_--------_----CONTRACTOR INSTALLATION SIGNATURE OF SU�,R. ELEr.1N- DATE: I. ICENSE NO: Ili 4+4 4++++......i...............................4++++4......................4+4 4+-+++4 +++ Call 639-4,75 by 7:00 P. M. for an inspection needed the next business day ++++4+++i-f•++++++++..+++++++++ +++++++++++++++++++++++++++•+++++++++++++.++++++++ A Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 PERMIT # Phone(503) 639-4171 FAX(503) 684-7297 DATE ISSUED _ TDD No. (503) 684-2772 / — CITY OF TIGARD Inspection (503)639-4175 ISSUED BY �, �J✓ �`) �� PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE Of WORK / ldr RESIDENTIAL—Restricted Energy Fee. . . . . . . . . SAQM Q41d &v- (FOR ALL SYSTEMS) City "(,/�'--- f— State Zip Check Type of Work Involved: PERMITS ARE NUN-TRANSFERAFILf AND NON-REFUNDABU.AND EXPIRE If WORK ❑ Audio and Stereo Systems 15 NOT STARTED WITI IIN 180 DAYS Of ISSUANCE OR If WORK IS SUSPENDED FOR 180 DAYS. 4 Burglar Alarm El Garage D;ar Opener* 2. CONTRACTOR APPLICATION ElHeating,Ventilation and Air Conditioning System• �3RINKS HOME SECURI.�'1 ALARM Contracto _ ype_ „_ ❑ Vacuum Systems' Address 805_9 S.W. CIRRUS DRIVE, BEAVERTON 97008 ❑ Other Fate_ U ---- -- -- COMMERCIAL—Fee for each system . . . . . . . (SEF OAR'it 8-260-260) Property Owner fps a _ Check Type of Work Involved: Contractor's Board Reg. No. _._ ❑ Audio and Stereo Systems ❑ Boiler Controls Phone # (503) 641-0574 ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation ❑ HVAC Print Owner's Natne Phone Na ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irritation Control' City State Zip ❑ Medical This permit is Issned under OAR 9111-320-370.This applicant agrees to make only ❑ Nurse Calls restricted energy installatinm(I 0o volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting` following 1. Only use electrical licensed persons to do installations wen,•required.(Certain ❑ Protective Signaling residential and other transactions are exempt from licensing.These have ❑ Other asterisks(l) All others nerd licensing) `— ----� 2. Call for an inspection when all of the installations under this permit are ready for inspection at 503-639-4175. ❑ Number of Systems 3 Purchase separate permits for all installations that are not ready for inspection when the inspector is out to inspect under this permit •No licenses are required. Licenses are required for all other installations. 4 Assume responsibility for assuring that all corrections required by the inspector are done,and 5. Assume responsibility for calling for a final inspection when all of the .r5. FEES corrrr-!ioro are completed. The person signing for this permit must h, the applicant or a person a. Enter Fees aulhor;Ml to hind the appii(_3nt b. 5% Surcharge(05 x total above) $ Signator /�T TOTAL $_�•L ----- Authority i other than applican — ENERGAP.CHP CITY OF TIGARD MfAS'TER P'f::Rmlr DEVELOPMENT SERVICES DA'rE T #. • • • . • • : I�iST9Ei— 1�45 DATE r S51.1lR'C): v:-;�.•;i�� 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 t"'ARCEI_.: 4:S 104CA-06800 11L. fADDF?t 'i: . . . : 13414 `�W II1.L.I_: lilHt:: JR il_)lgi)TV'rgTnN. . . . :WEL_l_cifa1RF Zf")NIN(3: R--7 F-t) al._.L11:,►!. . . . . . . . . . I..-17T. . . . . . . . .. . . . . ..06N JURISTJIf:TION: TIG °emarks: Enclose existing crawl space within basement of single family dwelling. 234 SO FT STORAGE _--------------------------------------------------------------- BUILDING - --------------------------------------------------------_... REISSUE: STORIES.......: 0 FLOOR AREAS---------- 3ASEMENT...: 234 sf REQUIRED SETBACKS---- REQUIRED-------- CLASS OF WORK.:ALT HEIGHT......... 0 FIRST....: 0 sf GARAF.....: P sf LEFT..........: 0 ME DETECTRSs TYPE OF USE...:SF FLOOR LOAD...,: 40 SECOND...: 0 sf FRONT.......... 0 DARNING SPACES: 0 TYPE OF CONST..-5N DWELLING UNITS: 0 FINPSMENT: 2 sf RIGHT........., 0 OCCUPANCY GRP,:R3 BDRM: 0 BATH: 0 ICTAL------: 0 sf VALUE..(: 3300 REAR....,,,...: 0 ----------------------------------------------------------------- PLUMBING ------------------------------------------------------------- SINKS.........s 0 WATER CLOSETS.: 0 WASHING MACH..: 0 L4UNDRY TRAYS.: 0 RAIN DRAIN ft: Q TRAPS.........: 0 LAVATORIES....: 0 DI54WASuERS... : 0 �100R DRAINS—: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS—: 0 TUP/94OWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: P WATER LINE ft: 0 PCKFLW DREVNTR: 0 GREASE. TRAPS_: 0 OTHER FIXTURES: 0 -------------------------------------------------------------- MECHANICAL ------------------------------------------------------------ FUEL TYPES------------ FURN ( INK P BOIL/CMP ( 3HP: 0 VENT FANS..,..: 0 CLOTHES DRYERS: 0 TURN )rINK ..: 0 UNIT HEATERS_ : 0 HOODS.........: 0 OTHER UNITS...: 0 MAX INP.s 0 BTU FLOOR FURNACES: 0 VENTS,..,.,,..: 0 WOODSTOVES.... : 0 GAS OUTLETS—: 0 ------------ ---------------------------------------------- ELECTRICAL. _._..- - ---------------------------------------------- - --RESIDENTIAL UNIT-- ---SERVICE/FEEIiCR---- --TEM0 SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONR- 1000 SF OR LESS: 0 0 - 20e alp..: t 0 - 200 asp..: 0 W/SVC OR FDR..: 2 DUMP/IRRIGATION: 0 PER INSPECTION: 0 FA ADD'L 500SF.: 0 201 - 400 amp.. : 0 201 - 400 amp..: 0 ist W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR...... . ' IMITFD ENERCY.: 0 401 - 600 amp..: 0 kel - See ago..: 0 EO ADDL PR CIR: 0 SIGNAL/PANEL,.,: 0 IN PLANT....... ^.`!F HM/SVC/FDR: 0 601 - INP amp.: 0 601+81ps-1000 v: 0 MINOR LABEL 10: 0 1000+ alp/volt. : 0 --------- ------------------ PLAN REVIEW SECTION --------------------------------- Reconnect only.: 0 )-4 RES UNITS..: SVC/FDR1-225 A.: ) 600 V NOMINAL_: CLS AREA/SPC DCC: ---------------------------------w_---------------- ELF7RICAL. - RESTRICTED ENERGY -------------------------•------------------------- SFRESIDENTIAL--------------------------- B. COMMERCIAL--------------------------------------------------------------------------- i0 1 STEREO.: VACUUM SvSTEM..s AUDIO 1 STEREO,: FIRE ALARM...,.: INTERCOM/PAGING: OUTDOOR LNDSC LT: GLAR ALARM.,: OTH: :, BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: *E OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL......... OTHR: :: HVAC.....,..,..: DATA/TELE COMM., NURSE CALLS...., TOTAL M SYSTEMS: -----------Contractor: ----------------------------- TOTAL FEES:$ 36.16 gllW IN, MICHAEL/MONICA EMPIRE CONTRACTORS This permit is subject to the regulations contained in the 14 SW HILLSHIRE 7,191 SW 94GERT Tigard Municipal Code; State if Dre. Specialty Codes and all. iqRD OR 972224 SUITE 103 other applicable laws. All work will be done in accordance TUALRTIN OR 97062 with approved Plans. 'his permit will expire if work is -e N: Phone N: 691-5979 not started within 180 days of issuance, or if the work ,s Reg I1..: 010095 suspended for more than 180 days. ATTENTION: Oregon law -------------..___..______-_.-..--_-_-__..----------------------- reauires you to follow rules adopted by the Oregon Utility 'ification Center. Those rules are :et forth it OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or Pet questions to OLNrC by calling (503)246-1987, ------------------------------------------------------ REGUIRED INSPECTIONS --------------------------------------- - ------- ting Insp Low Voltage — ----- t/Beam Struct Insulatior Insp -- ctrical Servi Gvo Board Insr !c+viral Pouch Electrical Final __ -q----- ming Insp Pui Id;nq Final —- --- skied Py �_. Permittee 9ignatttt' , _.e�_Oe_4 4-; a 1.4. 4. + 4 f .41 { f +-�- LL 1 1 i 1 + t ; f ti i + i +-1411 #-J + f +4 4 if4 1 r 1 + : .{ i r• - '- -��- :h<7, fl {' T-. ! �" ' •'1!1 t'+.!^t,f"J P M f i C, � n�.t• h i t n A r, ... r4.n Plan Check# CITY+)5:TIGARD Residential Building Permit Application Recd By 1,1125 SW HALL BLVD. New Construction Additions or Alteratiu C I]ete Recd TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. V 503;639-4171 Date to DST ,> `L-`f S F 503-684-7297 Permit Print or Type Incomplete or illegible applications will not be accepted �;;7jy _ 0-1— -7 Name of Project Name Job Address �ite Addre s ,, ! �. Architect Mailing Address ame r^ City/State Zip Phone Owner Mailing Address Name Olily City/State Zip Phone Engineer Mailing Address General Name City/state Zip Phone Contractor � � r / Describe work New O Addition O Alteration Repau O Mailin§Address to be done: _ Prior to permit ' , �. C' �,j Addaional Description of Work: lo7 issuance,a copy C Zip , Ph ne of all UcensesL� ( PROJECT _ are required if Oregon Const.Cont. Board Exp. Date expired in COT Lic.# `C� $ VALUATION $ 3 � database ,,S Mechanical Name NEW CONSTRUCTION ONLY: _ Sub- Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Address Prior to permit Corner Lot YES NO Flag Lot YES NO issuance, a copy City/State Zip Phone (check one) (check one) of all licenses Restricted Auaio/Stereo Burglar are required if Oregon Const. ont. Board Exp. Date expired in COT Lic.# Energy System Alarm database Installation Garage Door HVAC Plumbing Name Opener _ ;ystems Sub- (check all that Other: Contractor Mailing Address apply) Will the electrical subcontractor wire for all YES NO Prier to permit City/State Zip, Phone restricted e.-lergy installations? issuance, a copy Has the Subdivision Plat recr,rded? N/A YES NG of all licenses are Oregon Const. Cont. Board Exp Date _ required if I.",c# Reissue of MST* Solar Compliance expired in COT _ (Calculation Attached) database Plumbing l_ic Exp.Date I hearby acknowledge that I have read this application,that the information given is corroct, that I am the owner or authorized Name — agent of the owner, and that plans submitted are in compliance with Oregon State laws Electrical Signal o er/Ag Date Sub- Mailing AddressT- Contractor Con act Person Name Phone City/State — zip Phone Pror to permit FOR OFFICE USE ONLY: ssuance, a copy Plat#: Map/TL#: of all licenses are Crayon Const. Cont Board Exp. Date $ �4 X required if Lic# expired in COT Setbacks: Zone. S018C database Electrical Lit # Exp. Dale `t N' Engineering Approval: Planning Approval: TIF: I SFREM DOC (DST) 4i97