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9332 SW HOME STREET W ca U) O rn cn 1 �I 9332 SW HOME ST CITY 4F TIGARD 24-Hour 9UILDiNG Inspection 1.j3)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-41/1 BLP - ---- - - Received - ,. —Dat equ sted AM— - PM BUP -- - --- Location 47�_:3 Suite_ MEC -_- - __- -- Contact Person �- ph( 146��<.Lsi- PLM ---- - Contractor — - — -- Ph(- SWR _ BUILDING Tenant/Owner —_ ELr - Footing ELC Foundation Access: Ftg Drain ELR --- - - - Crawl Crain - SIT Slab InspectiNotes: - - on -_ Post&Beam — - - Shea;Anchors I 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 -- -- - -- - - Rough-In Water Service — — Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan -- Other- Fir,.. - PASS PART FAIL_ MECHANICAL - Post&Beam — Rough-In - Gas Line Smoke Dampers Final P PART FAIL LECT AL env r..e — Rouy,rIn - UG/Slab,LnW -- larm i Reinspection fee of�_ required before next 1,ispection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE Please call for reinspe tion RE: _ E] Unable to inspect-no access Fire Supply Line , ' ADA Dir G Inspe�c4of Ext-- Approach/Sidewalk - — FinaOthel DO NOT REMOVE this Inspection record frdm the job site. PASS PART FAIL O A,LAAAAAAAAAAA AAAAAAAAAAAAAAA. _JAAAAAAAAAAAAA y i► � p � s al ► ► ► U V. o , ► 1p ► a� c ► t tulu xi ► c (n pop. F-0 pol. t p 0 �'' w ► r�r �7�00777'I77a'7777777r77777�'77777777�'7e1�777� CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received Date Requested`U AM- PM BUP -_ Location G �_ __ Suite_ MEC Contact Person - Ph(---) 1�� `�� PLM Contractor _ Ph(----) _� ______ SWR BUILDING Tenant/Owner -- _-__ _____-__- -_ ELC ----- - ------ Footing Foundation ELG Ftg Drain Access: �C-L �.y��L ELR Crawl Drain --�_ Slab Inspection Notes: SIT ---_ Post&Beam --- -- - --- -- ---- - Shear Anchors - - Ext Sheath/Shear Int Sheath/Shear Framing - ------ Insulation Drywall Nailing ------- . -- --ti-�--- - _ . -- Firewall /G7 !-/ Fire Sprinkier -� 1 Fire Alarm Susp'd Ceiling - - Roof Other:_- - ------- -- -- Final PASS PART FAIL PLUMBING-�_ - -_4T Post Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains — Catch Basin/Manhole Storm Drain - - Shower Pan Other. - a PA _S_ PART FAIL - - -- HANICAL _- Post&Beam Rough-In ----- -- -- Gas Line _A- - -• Smoke Dampers -- Final 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 F-1 Please call for reinspection RE:_.- - _- Unable to inspect-no access Fire Supply Line L ADA Approach/Sidewalk Data Inspector _ .- Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)6 -4175 MST IN;IPECTION DIVISION Business Line: (503) 9-4171 BUP Received Date Requested_lid _ A _PM BUP Location .3 Suite MEC — Contact PersonPh( j )/0 -`S?ql s- PLM Contractor Ph( _) SWR BUILDING Tenant/Owner _ ELC Footing ELC _— Foundation Access: Ftg Drain ELR — Crawl Drain Slab Inspection Notes: SIT Post&Beam _ Shear Anchors Ext Sheath,'Shear Int Sheath/Shear `. G C Framing Insulation Drywall Nailing -- L Firewall Fire Sprinkler — ----- Fire Alarm Susp'd Ceiling �- - -- -- Roof Other: PART FAIL — PLUMBING _ SE7 1�_ Post&Beam Under Slab - --- Rough-In ' Water Service - — -- IF - -- 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 --- -- - in ASS PART FAIL ----- — _ _ CTRICAL _ Service Rough-In _ — UG/Slab Low Voltage — Fire Alarm Final F-1 Reinspection fee of$ required before next inspection. Pay Rt City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: _ _ E] Unable to inspect-no access Fire Supply Line ADA /D. � Approach/Sidewalk Dete�_—_��-------- Inspector Ext Other:_ Final DO NOT REMOVE this Inspection rreootL from the Job site. PASS PART FAIL CITY Of TIOARD Residential Certificate of Occupancy Address: '�7 51�i•It.M E �� Permit No.: �`>i Z_od �('o�(�� -�_=---- Owner/Contractor: — Date of Final Inspection: g O Inspector: This structure has been found to he in substantial compliance with the provisions of.he State of Oregon One& Two Family Dwelling S cialry Code and is hereby approved for occupancy. �_ CITYOF TIGARD MASTER PERMIT i PERMIT#: MST2004-00164 DEVELOPMENT SERVICES DATE ISSUED: 7/6/2004 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 SITE ADDRESS: 09332 SW HOME ST PARCEL: 25111 DB-KE010 SUBDIVISION: KESSLER ESTATES ZONING: R-4,5 BLOCK: LOT: 010 JURISDICTION: TICY REMARKS: New SF detached BUILDING REISSUE: BVH3070 STORIES: 2 FLOOR AREASREQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT. 25 FIRST: 1,39b sf BASEMFNT: at LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: an SECOND: 1,672 at GARAGE: "r,e of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: SN DWELLING UNITS: 1 TMPD sf RIGHT: 5 db OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,070 of VALUE. 3p;,!, 80 REAR: 15 PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS. 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: MECHANICAL OTHER FIXTURES FUEL TYPES FURN c 100K: BOIUCMP<3HP: VENT FANS: 5 CLOTHES DRYER: I GAS FURN>•100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: I WOOOSTOVES: GAS OUTLETS: 5 ELECTRICAL RESIDENTIAL UNIT_ SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 2008mp 0 200amp: WISVC OR FOR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 101 •400 amp: 201 •400 amp: let WO SVCJFOR SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 •600 amp: 401 •$00 amp: EA ADOL BR CIR. SIGNAUPANEL: IN PLANT: MANU HWSVC/FDR: 001 - 1000 amp: 601+amp6•11000v: MINOR LABEL: 1000+amolvolt: PLAN REVIEW SECTION Reconnect only: --- >=4 RES UNITS. SVCIFDR>e225 A.: >600 V NOMINAL: CLS AREAISPC OL^•: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO d STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,683.23 BUENA VISTA CUSTOM HOMES BUENA VISTA HOMES This permit is subject to the regulations contained in the 6932 SW MACADAM AVE STE C 6932 SW MACADAM SUITE C Tigard Municipal Code,State of OR.Specialty Codes PORTLAND, OR 97210 PORTLAND, OR 97219 and all other applicable laws. All work will 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. Phone: 503-443-t 033 Phone: 503-443-6033 ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Rho N: LIC 152235 rules are set forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erm Cntrl 681-4444 Post/Beam Mechanica Plumb Top Out Exterior Sheathing Inst Gyp Board Insp Appr/SdA'k Insp Sewer Inspection Underfloor Insulation Electrical Service Low Voltage Rain drain Insp Electrical Final Footing Insp Crawl Draln/Backwater Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Water ervice Insp Building Final Issued By : C _ Perinittee Signature : fz' [O lt Call (503) 639-4175 by 7.00 p.m. for an inspection needed the nei bu ineSS try CITYOF T I GA R D _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2004-00162 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/6/2004 SITE ADDRESS; 09332 SW HOME ST PARCEL: 2S111DB-KF_010 SUBDIVISION: KF.SSLEIt FSTATES ZONING: R-4.5 BLOCK: LOT: 0 1 o JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached Owner: FEES BUENA VISTA CUSTOM HOMES Description Date Amount 6932 SW MACADAM AVE STE C PORTLAND, OR 97219 ISWINSPJ Sewer Inspeci 7/6/2004 $35.00 ISWINSI'J Sewer Inspeci 7/6/2004 $0.00 Phone: 503-443-6033 1 SWUSA I Swr Connecti( 7/6/2004 $2,500.00 (SWUSAJ Swr Connecti( 7/6/2004 $0.00 Contractor: -- -------- Total $2,535.00 Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. 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 requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00,10 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (5031 246-6699.' Issued by: _ X--) Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the nex bu iness day Bui9din Perinit A�Jplkgdon "Received � `''� Building �J l� Permit No.:nh=DO t'�Qci City of Tigard PlanningAp rov I other /� Date/BY; Permit No.: 110 13125 SW Hall Blvd, Plan Review "— Other Tigard,Oregon 97223 Date,B : t*1 AV c"l Permit No.: Phone: 503-639-4171 Fax: 503-593-1960 Post-Review Land Use Internet: www.ci.tigard.or.usLk Date/By: 4 : 7 Case No. __ Contact See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Meth Ju'It�I' Sueelemental Information TYPE OF WORK REQUIRED DATA: truction Demolition 1&2 FAMILY DWELLING qLJ:A��ddition/alteratior/replacement Other: CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the v)rk performed. Indicate 1 &f,Accessory Building Multi-Family 2-Familydwellingm Comercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Master Builder Other: _ Valuation.................. .. S JOB SITE INFORMATION a d LOCATION No.of bedrooms: No.orbaths: '2, Job site address: Total number of flcors......... +— New dwelling are4 a(sq. ft.)..„X? �........ Suite#: Bld ./Apt.#: Garage/carport area(sq.ft.)...... !.� _ --- Project Name: Covered porch area(sq, ft.)............................. Cross street/Directions to job site: Deck area(sq. ft.)........................ ................... Other structure area(sq. ft.)........... ................ REQUIRED DATA: CON.tNtERCIAL-USE CHECKLIST Subdivision: c. Lot#: Tax ma / 3CCel #: Note: Permit fees'are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of ail equipment,materials,labor, NEW CONSTRUCTION—SINGLE FAMILY RES. overhead and profit for the work hAcated on this application. DEATACHED RESIDENCE Valuation.......................... .............................. S Existing building area(sq.R.)......................... New building area(sq. ft.)............................... Number of stones............................................ PROPERTY OWNER TENANT Type of construction....................................... Name: Buena Vista Custom Homes Occupancygroup(s): Existing: —Address: 6932 SW Macadam Ave. Ste C New: _ City/State/Zip: Portland, ' 9729i Phone: 503-443-603 3 Fax:503-443-2443 NOTICE: All contractors and subcontractors are required to be APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Natne: SAME AS ABOVE jurisdiction where work is being perfomed. If the applicant is exempt Contact Naine: Eliabeth Moore from licensing,the following reason applies: Address: — City/State/Zip: — — Phone: —__--� rax: E-mail: — BUILDING PEIVAhT.FEES• ' CONTRACTOR Pleaie reit it to ted idie"dtita Business Name: Buena VIsta Custom Homes — - Fees due upon application.............................. S _ Address: 6932 SW Macadam Ave. Ste C City/State/Zip: Portlat:'ir OR 97219 Amount received..................... ....... ........ ...... S _ Phone: 503-443-6033 Yav503-443-2443 Date received: CCB Lic. #: 152235 -- Authorized - Signature: _ U - Date: — Notice: This permit application expires ifit permit Is not obtained within 180 days after It has been accepted as complete. *Fee methodology set hy'i'ri-County[Wilding industry Service Board. (Please print name) iAnsts`.Permit Fotms\0ldgPetmitApp doc 01/03 03/04/2004 16 ;.1 FAX 5036284633 THE MULLEN COMPANY BUENNA VISTA 1a002/003 Plumbing Permit Applicatiau Received ' �7- ��"w`�t'"t► i i.;»� Date B Perntit Nc,: City Of d i mrd Planning Approval sWWr DaWay• Permit No.; 13125 SW Hall Blvd. Plan Review Other - Tigard,Oregon 97223Datt"M ____ 91M Phone: 503-639-4171 hex: 503-599-19W PoIURrview Ljmd Ute DatLT Case No. Inurnet: www.e Asard,or.us cnntacr toric; p'v :;a rage 2 rar 24-hour Inspccrioo Requoirh 503.63 4175 Namc/M tt+o4: 9uppl, mond Igtarmatloo._ ..., ORK, _ r''�- _ $'g:E'SC1E1KD.TlL1(for. lain taw New constructionDemolition Desert alae Qry Meo(a. Total Uthtr �yi-Ur2.1"'w v I1,;el J.fu1l�YitwtWrlss Y.., , Adtiition/al0etation/r lacecnent CIt;TEGOIi'ICa01F`.4"44II�t:.L DOQ� - •1"fia'r Irl�b taGmy,coa6 � r SFR 1 bath ----- - - 49.20 LXJ 1 &2-F ly dwelling ontracrciaUIndu 'al SFR(2)bath _ 330.00 Accessory Buildin 1411 SFR 3 hath •� _ _ 393.00 Master Builder Other: Each additional tich'kitchen 44 A6 B SiTr,INF,, 1 aCA Eire syrinkivT•sq. Job site address: stte ut mf 6.60 Suitt 00: Bld ./ t,#: Cutch basin/arra.drain - i ctivleach linelrtench drain 16,60 Project Name: _ Footln drain(ne.linctu ft.) Pazt.2- Cross met/Dirtotions to Jub site: i Manufactured home utilities 11 . ivtarthelcs 16.60 Rain drain connoyt2i, 16.60 Sonitery Sewer no.linear ft.) P divigion: Lot 9; Storm sewer(no,t.ir ar ft j o water Service no, i ver e Tax ma / aroel#: Fkturt orItem DYSCRMLON OF WORK Abso tion valve' 0 N;,N.,CONSTRUCTION -SINGLE FAMILY Baddlow prrevcrittr rage 2 FAMILY DETACHED RESIDENCE Baokwatervalve _ 16.60 Clothes washer 16.60 _ —___. ----- Dishwasher -- 16.60 grj0kLnA fountain 16.60 REtpm-y o isim ' :r T81ttA1VT cctors/sum 16.60 Name: Buena Vista Cunt= Lomas can .6 Address: 6 9 3 2 SW Racaslam FlxtrrW10wer car 16.60 Ci /State/Zi : Portland. OR 97219 Garbage gloa sink/hubsink/hub — 6.60 arbe e a diels evel 16.40• Phone: 503•-443-6033 1 FIX: $03,,443-2443 Hose bib 6.60 APPLICANT r'QLV?A�I">e H Ice maker 6 Nwne: Rai Mullen torero tor/ taut Oat 16-do AdtirCss: Medial Y-value; S Page 2 Primer 16.60 Ci /State/Zip: -__ Roofdroin con+meretnl 16.60 Phone: I Fax: Sinlrlbosin/lavato 0 E-mail: Tub/ehoweNthower!'� 16.60 "~ cominACTOR — Ur',nel aWats closer Business Namc: ED MU P1u ___ Nater heater AddVeSs: 24470 SW Rainbow Lane Othlti Ci /ry $tate/Zi Ocher. Phone; -62 -1 ax: - D u low IS C4°B Lic. #: Pluju b. Lic.#: 3 Minimum Pennit Fcc S72.50 5 Authnnzed ` R.taidential Backflow Mini v 6.25 _ Signature 4 �� 4 sn Review of etmie Fa 5 Ray ul en State Surc_hirRe(RK of Permit Fee S -' (Pleas•Mint rwns) TOTAI.PERMIT i6 S Notice, 11111 Permit arrlrntion aa{+trrf Ir a Pt^+sit to not obtained within All now eocntnerclal bullilnp squire 2 Sets Of P art+vrith laemetrie or 110 dstYa aNrr it ha+bee:'niers,ted its totnplrte. vis'ree maAladolemy"trby-t ri-counry Buiteing industry ier.tet karll- ::N)ru`Ptttnit t'or*t'a�tlmfennitl'.pD.d4c 01'c3 03/04/2004 16:26 5032537693 91 al_OW IHC PAGE 02 Mechanical Perniit Application Received Mechanical taa" • Permit Ne.' City Of Tigard Ptanniq Approwl � Building Det ParnitNa.. 13125 SW Hall Blvd. Fio,t Review Other Tigard,Oregon 97223 Da ParrotNo.; .— Phone: 503.639-4171 Fax: 503-598.1960 Poet- :viaW rand Ilse Uftmet: www.ci-a ard.or.u; Cantu g Cor,nct earls.: �a P� ap,,e�Rr 24-hour Inspeetton Request. 503-639.4175 L NameNothod: nation._ Q ;+t "` 'r:. 1'' COMMTiG1t CW.1rL +E 9C'M7r.DF-'tJ6ERC/ si' a New conatruefion I Lj Demolition Mechanical permit fee&•arc breed on the tuW vAlue of the work Addition/alteration/re lacC1[ltltlt Other: performed. Indicate the value(rounded to the newest dollar)of all 1SPR>aCFI f _, mechanical rn teriala,equipment,labor,overhead and Profit. 1 &2-Famly dwellingCommercial/1-tdust!iAl Valut: 5 __ See Pav z rot Fee schedule Accessory Building Multi-Farrtiy aEs1t>�L� Mi3t>� r Dever tioo Fee(ea. 'Fatal Master BWlda I_. Oth-:r: HestiaCoolie STfLr W�'OR.BtnT[ON and 1';f(!tY ' furnace.adt�vn air condidemina"' fI'4,OQT Job site addrtas: _�- Gas heat Ourm1a,00 Suitt tM: d ./A #: Duct work 14,00 Pro'ect Name: Hydronic hot water syste tM 14,00 Residential boiler Cross street/Directitns to job site: for rad(uor or hydronle 1a.00 j Unit heaters(fuel,not electric) in wall,in-due su nded..ctc.) 14,00 Fluvvent for any of abovvy 0.00 Lot#:� -�artl i 2.15 Subdivision: %hEFud A a Taut = /p Rarcel t Waier hemee 10.0 �)r [t�v F RK qas firt-Aacc 10,00 N, –ST GLF, FAMILY Flue vgnt(Wataheamf a act) 10. DETACHED RESIDENCE Lo i ter 10,00 Wood/Pellex stove 10.00 _ Wood lace/Insert 10-00 Chime /lined uafv 10.00 I Other 10.00 jVaTl!e: i,�r�s�a u5tnf77 itnAroameuiaattsLatuta<Veaitiet;0a Address. Range o other kixhen equiprnami r`– to.00 6 9 2 5W Evi j__ S C Clothes dryer exhaust I 10,00 Ci .'State/Zi :Portlalt.a OR9�- _- SIn61e duct exhaust ax: W=2Ai 1 (bathrooms,toilet eomptlnrncnts, PLICXFit CPERSOX atilt rootm __L80 Name: David Golobay _ Anid wt ace fume 10.00 Address: other, to.oa 1 til /state/Zl : **MAO for first 4,51.00 U01 addition,.,` Fax: ursuee,etc. Phone: Qraherr 00 1 _ E-mail: Wei sun eaded/unithater •• To CON TIRtACf Ode _ Water heater Business Name: Su7�-G1Qw_�QC�- Firepime y, Rut c • Addmss:242a SE 105+x'. Ave, BB .. Ci l5tate/Zi :Portiatzd, OR 972 6 Clothes dryer Phone;503-253-7789 l,Fax:503-253-'76 � •• CCB Lic. 0: 4 81 31 TOS' Mertuei leerier Pea' Authorlted �� lir:;; g r gignatttre: .,~. •+' i� date. y�iy Minimum P"i 6-F-1 .!0 David Grolobi n Review Fee %ofPetmit Fee) 5 - — — (P ease print name) State SureAutte BY of Permit Fir TOTAL PERMff FEE Noun: Th'i rrcrmit eppticetlon expires if a permit is not obtained withir, •Fee nletlw 0100 set by Tri-County Building adnstry!ery Board, IAO data after it bes been rreeeptod al Wmplete. ••Site plan required for eaierior A/C cele!• istDftsfwmltFomuWecPerrriNpP-doc OU00 03104/2004 15:11 503�7425015 ROSS ELECTRIC II`1 PAGE 02 Electrical Permit Application Received 11�2 , QatG$Y: Pcrmt City of Tigard Date/B Plana�Dp '°�`I Pie�rmtt No.: 13125 SW Hall Blvd. Plan Review - Other — Tigard,Oregon 97223 Dstds • permit No.: Phone; 503-639-417; Fax: 503.598-1960 Post-Review [and Use Internet: wwDatc/B : Case No.:w,el,tigard.r[.us Contact luris.: s«Page 2 for 24-hour inspection Request; 503-639-4175 Norm/Method: SupplemantAl Inflsrmatlon. TYPE OF WO 41.P►hF RXV WR le%*cheek` ig7P�that iip New construction Q Demolition 0Service over 225 amps• 0 Health-care facility com,nerclal Ll Huvdout location Addition/alterition/reple ement Other: ❑Service over 310 amps-rating of []A dlding over 10.000 epare feet. CATS YOP COI+ISSRFJ 1 Ar 2 family dwellings four or more rcsldential unity In &2-FamilydwellingCommereial/Industrial ❑Sy+tem over 600 volts nominal one structure Building over three stories ❑Feeders,400 amps or more Acctssory Buildts&—_ Multi-Family Occupant load over 99 persons a Manufactured structures or RV park Master Builder Other: Etrest/lightina plan D Other J n BinzQYFO TION' d C CA11I0N submit_,aeN of plans with aov of the above. The above are not linable to sem r construction service. Job site address; � j,{, �', �r �''. � Suite : Bldg./Apt. Number of ins tions 1cr remit allowed Project Name: neteri don qtr ret r°:.) T°tat New re+ideattAl-eMQle or mold-family per Cross street/Directions to,Job Sete: dwelling salt includes attached goraga. Service loclsded: ID00jq.R.or leas145.15 4 Fath additional 500q. or portion thereof 31,40 Subdivision: bher nited c ,residential — 7S. _ 2 Lot#: Limited energy.non residential 75.00 _ 2 Tax map/parcel#: Each manufactured home or modular dwelling DESCRInMN OF WORK :ervict,atttVor feeder _ 90.90 2 Sewkrs or reeds"-Instartatioa. SJU S/l� C- �/711J� sheratlon or rrtocation: A l /7��-- 20G am lau _ _ 0 201 amps to 400 amps 10685 401 LM . to 00 amps 160.60 2 8OttTY CWNIER FEtiD ' T 601 iM21 to 1900 yM 240.60 I, f "- Over i000 or vola 454.65 7 Name: I tti a•- C,t,/� 1�'1 t�/�.— Pteomsect only 66.95 : Address: p(.�(/(� /', Temporary tcMm nr feeders-installation. Cl /State/Z1 C o C) - "7a� 2MIXsrorrebcation: _ t00 $0 snips or les+ 66.83 1 Phorl,05 y 3�t;�' Fax 3 201 am to 400 wnLn -- — 100-30 -0AFMCANT 401 to 600 wig3 2 Branch elreults-new,alt■ration.or Nalne: GJ V C. =USS ecteo+lnnper ptnel: Address: A.Fm for branch circuity with purchase or service or fe:der(ft,each branch clmuit 6.65 2 City/State/Zip; B Fee for branch circuity without pure wtc of service or feeder fee,first branch cirwit 4685 2 Phone: Fax; _ additional bntich circuit 6.65 2 E-mail: Mom(Service or feeder not included). CON.T�ACCOit t pttmp ar irNgdhon circle 5J.4f1 2 Esc'::Min or audim lithtint 33.40 2 Job No: Sipe cil �euit(i)o,a limited rnergy panel. R119iness Name: BOSS C�•C alrenU:r.:est:melon �_ _ Parc? __ t Ueseriprio�:: Addrus:Q 87o Cl /State/Zl : 7 1 �j 601r-6 ��( Each additional inspt�etion over the allowable In an of the shave: Per in t hour min. I 1 Phone:5k3 !o Z Z80 FRX:SV3 t�1$' invests tion fee: --- CCs Lie, ti: IS` ,3 Lie.#: `�G — Supervising electricia - ]vtfetfh�lPt3rioaltFges'.. (' Subtotal S i K si aWe re aired' ada 1�rQ PlanReview(2S%a(Pcrmit Fee) S Print Name: VP 0 Lic, a7: State SurcLA 8be of Permit Fee) —s _ TOTAL PERMrr FEE S Authorized Notice: This permit app)cation npires If a perm t it not obtained within Signature: Date 180 days oner It has been a< y tepttd ss complete. •Fite methodology set by Tri•Cnunty Baildloa industry Service Nnsrd. (Pleate print name) -- I,tDots)Plamit Fnnrts`•E1cPermitApp.doc Of 101 r 9332 HOME ST, TIGARD, OR LOT 10 OF KESSLER ESTATES SUBDIVISION, PHASE I _ PLANT LIST = PROP05ED STREET TREE : MITIGATION TREE OREGON WHITE OAK PAPERBARK MAPLE �•" 2"0 (MEA5URED AT BASE? i2 PER LOT? o E/15TING TREE i = MITIGATION TREE PROPOSED TO BE 5AVED �• HOME / 1 . I �� ti �,f.j V j U1 — � "e 6~.41 tJ Z 0 W_J D'hh `n u_ o I } mi - �� tv I�„ LOT 109 I 1 Ill IIII w r F. . O05 SIF --I ► lU W AF BVH307 I 19 4 Ak- � M f Ui i LOT 10 - SITE PLAN BUENA VISTA CUSTOM HO � MES BUENA VISTA CUSTOM HOMES' A932 SW MACADAM AVE, STE KESSLER ESTATES, PHASE I - CITY OF TIGARD - WASHINGTON COUNTY PORTLAND, OR 97219 16031 443-6033 I r,,� FAX: 1603) a,,1.-^1"+.l _ CITV OF TIGAgQ-SITE PLA REVIEW BUILDING, PERMIT NO.: WV� PLANNING DIVISION: Required • ,-,hacks: )6Approved ❑ Not Approved Side &L Street Side: 15 Fran, 92- Cn,;"e: .?_0° Rear: 15 Visowl ( 'ie:ir„nce: M Approved ❑ Not Approved Wximum Building Height-.3-0 feet ��'•' service Provider Letter Required: ❑ Yes 00 No Received t� Date: FN(JINLLR4N G DEPARTMENT: Actual Slope °% Approved [] Not .approved Site Plan Approved �,,,oved B ta�, _ Noics �)o -PaA CAJ 4CL Y.A...' OZ- _Pani, -1" Cit o a cj �