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10820 SW MEADOWBROOK DRIVE-2 Na NOOmu9MOLld3W SAS oc A a oc o h (� d1 � m r O m p W W cn 0 N co Q 10820 SAY MEADOW@ROOK DR _ ��•1• T� OF ,f 1C,�RD - _ _ELFCTRICALPERMII PERMIT#: ELC2003-00317 DEVELOPMENT SERVICES DATE ISSUED: 6003 13125 SW Hall Blvd.,Tiqard, OR 97223 (503`1639-4171 PARCEL: 25110(11).90611 SITE ADDRESS: 10820 SW MEAGOWBItOOK DR 61. _ SUBDIVISION: SUMMERFIELD BROOI:SIDFit;ONDO ZONING: R-7 BLOCK: — LOT: 061 JURISDICTION: TIG Project Description: Jr1b#23464 Panel change-cul. _ RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF 0 t LESS 0 - 200 amp: _ PUMPARRIGATION: EACH ADD'L 500SF. 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 000 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps-1000 volts: AN? .R LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1 a W/O SRVC OR FDR: PEr HOIIR: 4U1 - 600 amp: EA ADD9_8RNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+amFi/volt: >-4 RES UNITS: >600 VOLT NOMINAL: Reconnect onl)E_ _ SVC/FDR>_225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: DORIS SMITH ROSE CITY ELECTRIC CO INC 10821.SW MEADOWBROOK DRIVE#61 4012 NE CULLY BLVD TIGARb,OR 97224 PORTLAND,OR 9721? Phone: 503-443-1954 Phone: 287-6164 Reg 0: SUP 21275 ---- — LIC 3567 FEES ELE 26-11K Description Date Amount e Required Inspections [EI.PRMT]EL('Permit 6/2/0' $80.30 [TAX]8%State Tax 6/2/03 $6.42 Rough-in Eiect'I Service Total $86.72 Elect'I Final This Permit is issued subjoct to the regulations oontained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire f work is not started within 180 days of issuance,or if work,is susperxied for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules"re s5; 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)246-6699 rr 1-800-332-2344. 57 a Issued By: / - — Permit Signature: I` _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. m OWNER'S SIGNATURE: DATE:— _. W CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: 0-7 5 Call 6394175 by 7:00pm for an Inspection the next business day (1R•."0%2003 13:13 FAX 3033981960 CITY OF TIGAn X1001 Electrical Permit �ation ,�;,� fitcrtricel — -- — + . 6 v , s Datt✓ey: ` Cit of Tigard FlanfftApproval sign City I Uawpy: Permit No. 13125 S-W Hall Blvd. JUN U 2 11 Plan Review Other—��— Tigard,Oregon 97223 rmteflly: ___— ProutNo.:,�_ Phone. 503-639-3171 Fax: SO Y1 T; D&WVPost-Review L:d Use y' Cue No.: Internet: www.ci.tigard.or.us OUILDING D Contact J see Potts-2for 24-houi Inspection Request: 503-6394173 NanaoMfeaod: _ _ su luurd4f Informatle _- ') 0b llr�vlgtr___�PLda.�fwd New construction DCrnolitlotl ery Sice river 223 mrrqa- Healthcare facility ` ddition/altcradorUre lacernent ❑Other: comrnercial Hazardous)ocatlon lio...r._ Service over 320 amps-stint of (,]Wilding over 10,000 square feet. ala Ori_ I,. 1&2 fatuity dwellings four or mare residential vnits in I &2-Family dwellins CommmiaVlnduslrial ❑System over 600 volts norninsl one structure Nuildmg over three stories es ❑Feedera,400 asps or more Access BuildingMulti-Faini'l 8(keupuat load over 99 peTsont Manufactured strictures or RV park Master Builder OthCf: U Fares/lighting plan Other:_ I am 16 ir(� �I i Sabah_sets of plana with may of the■bore. JOEThe above are not lin le temporary tatiee- construction si II Job site addreRs: 110 do s0jna� '4' ' a. Suite 0: 1 Ella ✓A #: _ Number Ot la es ^er EI'INt allot.etl �IO ect Nitrile: Do gri _ Q7 Pon(to.: Tow �l ---- --- per Cross st met/Dlrections to Job site: dwelling ing n.Inc ede or multi-fondly per f /� �� dwrlKn�unk-fnctedeic attached Raraas. �9/� /f ri/h-a•7�lil I e / r rI�- Service hacladed: 1000 sq.fl,or h _ 14 .1$ 4 Each additional 500 -R or Domon 0)qrsof 33.40 1 Subdivision: _ _ Lot#:_ LkJW i!4 energ-Vai nk energy.non raddIcndal — 75.x1 2 Tax ma /paut;el#: — Each manuractivV4 home or mnduly dwelling Y) OLf W m- 7 service and/or feeder 90.90 2 Acrylm or Amlers-le"Intion, -yLretiee or rcMrcafioat ` 200 2110 AMR! yv --- npt or Iqs 10,30 Q 2 201 janpo to 400 amp _ 106.95 2 _ 4111 amps to 600 amp �w 160,60 z �FROP$_ ,IrY_IXW��Qi I'�,�') {Kx --- � 601 limps to 1000 amp -- - 240.60 On'T IOW am—a cr oohs _� 4 4. S Name^ u- y — �0 � �, r Reconnect 66.13 z Address: /0a t7 i- b t /G!/ Temportry am iers or feeders-Installation, Cl /StatC/�1 alteration,or relr_atlon: tY p: 7-L t 200 amps or less - — 66.85 1 Phone:!l 3-/c1 J Fax: 201 aceto m} 100Jo z C N ACT L�sON row__ 133.73 — �..: Branch circuits-new,alteration,or Name: eXteas)on per pearl: Address: A Fre for branch ehcuits with purchase of `vice or reedar li branch cvcuit� 6.65 2 Cir!�St.B,iC/Ztp: B.Fat far bnmch c ircu rr�w th.,ut purrhuc o service or feeder fee.rust branch circuit 46.95 2 Phone: Flit: h addnto,p�'atot,ch circuit - - 6.61 E,mail: Mise.(Service or redder not included); 4. = OVA Each or irri 'on cmle ---- 53.40 - — 2 Fath si arm outl{rr li titin IL: Job No:__� Signal eircuit(s)or a;irrited energy pmol Businest Nam—� �,T,v drentiort oroltlstltion — Pa 2 — 2 _ en Address: ,) /t/ ,,-/ _ Ll /State/t 1 Lech adds hinal 1 n over the ally cable to■ of the abovet .^ Pcr _�cr lam train 1 lima)----- .30 m Phone: ,3 r,7 ax: 6 3)dI d W CCB Lie.#: ,6 Lic. - - -..i Supervising electrician / Subtotal $ , I signature required: _ flan Review(23%of Permit Fee) s Prim Nam_e-:1Z. k , fan-- Lia.#: a 7 -J Strte SurcbFAe enc of Permit Fee s --_ TOTAL.PERMIT FE Authorized �A Notice:Tali permit application expire:If permit Is stat obtained within Signature: Date: 3� d' s; 180 dale after It has been accepted a,4 roe:eleee- •Fre methodology set by Trl-('aunty Building Industry service Board. —� (Plcssc print name) i:�DstslPcnMt rorms\ElePertTilApp.uoe. 01/03 CITY OF TIGARD 24-Hour BUILDING 40 Inspection Line: (503)638-4,175 Is INSPECTION DIVISION Business Line: (6603)638.4171 MST _ 9UP Received _Date Requested �� __ AMPM_ _ OUP Location Z4 d Sa t��_ �cS�ite l– MEC Contact Person _ _— Ph PLM Contractor__. -._ Ph(_ _) _ ��(le SWR BUILDING Tenant/0 ELC Q c�- Footing Foundation access: ELC _ Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam _ Shear Anchors --- Ext ShestWShear _ Int Sheath/Shear Framing — Insulation Drywall Nailing -- Firewall Fire Sprinkler — Fire Alarm Susp d Ceiling --- - --- Hoof Other: - Fir►a! -'��--- PASS PART FAIL PLUMBING Post&Beam Under Slag Bough-In Water Service --- -- — _ Sanitary Sewer Rain Drains — Catch Basin/Manhole Storm Drain - - - Shower Pan Other. Final PASS PAnT FAIL MECHANICAL _ Post&Beam_ Rough-In CL Gas Line Smoke Dampers — F. f=inal N PASS PART FAIL — -- ELECTRICAL _ J Service Lo Rough-In a UG/Slab — WLow Voltage ------- — — ---- Fi�ro,Alarm -�'�01 f Reins ction fee of$� required before next inspection. PART FAIL CJ � - � Pay at City Hall, 1312 SW Hall Hlvd. t.4 _ Please call fn,reinspection RE:________ r�. ��e ;nspect-- no acress Fire Supply Line ADA Approach/Sidewalk Q ____. Inspector ZVI Other: Final DO NOT REMOVE this Insploctlon record from the job alts. PASS PART FAIL ti CITY O F TI C�AI�D ELECTRICAL P1=RM1T PERMIT#: ELC2003-00326 DEVELOPMEOT SERVICES DATE ISSUED: 6/6'03 13125 SW Hall Blvd., Tluard. OR 97223 (503) 0-"19-4171 PARCEL: 2S11ODC-90601 SITE ADDRESS: 10820 SW MFADOWBROOK DR 60 ZONING: R-7 SUBDIVISION: SUMMERFIELD BROOKSIDE CONDO BLOCK: LOT: 060 JURISDICTION: TIG Project Description: Install New 200 amp Service RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: _ —� _ 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALJPANEL: MANF HMI SVC/FDR: 601+amps •1000 volts: MINOR LABEL (10): SERVICEWEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: PER INSPE'r_'IION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+amplvolt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: _ SVCIFDR>=225 AMPS: CLASS AREAtSPEC OCC: Owner: Contractor: f TEANE,KATHLEEN M+DAVID J ROSE CITY ELECTRIC CO INC; 10820 SW MEADOWBROOK DR#60 4012 NE CULLY BLVD TIGIARD,OR 97224 PORTLAND,OR 97213 Phone: Phone: 267-6164 Reg#: SUP 21275 LIC. 3567 _ FEES ELE 26-113C Description Date Amount Required Inspections [FlYRMT] EL('Permit 21/6!03 $80.30 [TAX]80'.State Tax 6/6/03 $6.43 Rough-in Elect'I Final Total $86.73 This Permit is issued subje(t to the regulationE oontained in the Tigard Municipal Code,State of OR.Specialty Codes and all other apiAlcable laws. Ali work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if wark is suspended for more than 180 days. ATTENTION- Oregon law requires you to follow rules adopted by,he Oregon Utility Notification Corder. Thase rules are set forth.n O �01>OQ10 through OAR 52-001-0100. You may obtain copies of these Iles or direct questions to OUNC at(503)246-6699 or 1-800 3 2344 i p� Issue By: 1 _ Permit Signature:` _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. J OWNER'S SIGNATURE: DATE: C7 - W CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:._ LICENSE NO: Call 639-4178 by 7:00pm for an Inspection the next business day MINAU Electrical Permit1' Received Electrical DAWB ; Ferritit No.: City of Tigard Nutting Approval sign 13125 SW Hall Blvd. JUN Q it ZOO Date/By:Plan Renewo�U2t— Tigard,<J-egon 97223 D Da P itNo.: Phone: 5W 639-41 it Fax: 5*0&1*1IG Poat-Review Land Use Internet: w:n+v.cidgard.or,us 1 �piNG DI D&WEly: _ CwNo.: I Contact Iuris. lea!ia 2 M 24-hour In!pection Request: 503 39. 175 Natte/Method: C►f'W ORIK t 1PiiAN: h tl aiRN 777777777 New construction Demolition 0 Service over 275 amps- Flt.lth-an facility corrnnercial Hazardous location AdditlDil/alteration/re lacement Other: 0$ervice over 320 trope-rating of []Building over 10,000 square feet. 1," t A ORY dR' IYSTRUC7ION 1 do 2 family dwellings four o more residential uni to in 1 &2-F=i ly dwellin Commercial/Industrial (�System over 600 volts nominal one structure l3utldin Multi-Eattrll ❑Building over three scoria Feeders,400 amps m more ---- ----- --r Occupant load over 99 peream Manufachaed mucitimi or RV path Master Builder ether: 8 Egrenflighting plan Otber: _ &Accesscrry '•I ismISIEG INF kT30Pt. _ ". Suhmit__._sch of plain with any of rho above. The about are not Ik mJ JgCAbla to telo anaroetton aenic� Job site address 3.0 w --- suiteJA t.#. 1Numbe_r of is - nps r perrett alio Proiect Name: DeecH on Qty pee(a.) Tow i� New residential-alogia or mmld-LeoBy per Cross s treet/Directio ns to job Site: dwelllna unM.Includes amehed ganga. since inelecdrdtu 1000L tt tx less 145.I5 4 Faeh additignsl 190 is.tt or thereat 3.40 1 Subdivision: -- �I.ot#: ------ ._imitealenMU.res' tial �s.00 _ 2 r invited everily,non rat 75.00 2- Tax map/Darccl#: _ Each manufactured home or modular dwelling U_BBCRIl+XM OF'• PORKservice and/or feeder 90.90 2 6crviea or feelers-InstaNsdep, atterstion or r0eestion. 200 amps or less80,30 90 2 —— 201 amps to 400 sm;e — 106.85 4 unDf -L 60 .20VERTY OWNER L �!� - 601 to 1000 11111" ��. 20.60 • Over-1000 pops or volts 1 454.,54 Name: Recotmott —6-675--- 2 AddreS--L_-1 Z .i tl d K Temporary services or temirre-installation. Ciy. tate/Zi : �- Ntrratinn.or rcleeamatlee: 200 ps or leas 66 85 1 Phone �("J?oaFax: �— 201 to 400=21 _--_ 100.30 2 IAPPLIQAJIJT CONTACTP Ori 401 to 600 amps_ 113.75 7 =• Branch circa!*w-new,alteration,or Nam `G t extension per pone;: Address: O(3. _ A.ret for branch circuit,with purchase of � r� ;�VV �s prvice or feeder fee,each branch circuit 6.65 2 Ci� Stat%; /- 7 0.Pee or branch cictuts without purchase of— ` service or feeder that branch cbcWt 46.85 2 Phone , _Fa7t: � _(��+D Foch additional brant circuit t `-6.65 2 IL E-mail: Mlic.(Set,ice or reeder not included): _ C4 jl'ItA 14 �'_ Pt+a�P of inij!ri circ). 53.40 2 aN J -orEach si 51ralchWAem _ 2 at�ry panel. Business Name: ROSE CITY ELECTRIC CO Il — Pirrenuotion .._. i Address: 4 n.NE CULLY BLVD .J CIt /State/Zl : , OR 97Z13 Bath additional inalmothm ave the►4ow4k In may of the above _ ro Peri Dectiort per hour(M 1 hour,)_4NUb Wo Phone: Fuc• W CCB Lic.#: ( Lic.#: J i{ Supervising elecftici -- - s—- Signa.lure required, Flan Ravlew 25°/.ofPw:nit Fee) I i e t'rimName: R L Potham Lic.#: 2127S State sucohlim(g%ofperlNrFft) f '� TOTAL FUMIT Fit-itS `t e3 Authorized Notice: Thrs permit apglladen""S if a rwm t Is nes oVeloed wNhln Signature: —�_ Date:_ 190 days otter h has ben secals"d n completc eyes mefhod0kW ad by Tr i-Coanty HallilSnR Industry Service Bend. ~ (Plefae print name) i:\r)BU%'tnnit Ft11 mOcPcrmitApp.dor. 01AM ELECT IT », CITY F TIGARD PERMIT*RIELAC20030 v0343 DEVELOPMENT SERVICES DATE ISSUED: 6111/03 13125 SW Hall Blvd.,Pittard,OR 97223 (503) 639-4171 PARCEL: 2S110DD-90632 SITE ADDRESS: 10820 SW MEADOWBROOK DR 03 ZONING: R-7 SUBDIVISION: Sl1MMERFIEI_D BROOKSIDE CONDO BLOCK: LOT: 063 JURISDICTION: TIG Project Description: Install 200amp service. RESIDENTIAL UNIT — TEMP SRVC/FEEDERS MISCELL kNEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG. LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps-100C volts: MINOR LABEL (10): _ SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: 1 WISER`ICE OR FEEDER: PER INSPECTION: 201 - 4U0 an,p• 1st WIO SRVC O'2 FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+amp/volt: -4 RES UNITS: >600 VOLT NOMINAL: L_ Reconnecton1 rL T _ SVC/FDR—225 AMPS: CLASS AREA/SPEC OCC: _— Owner: Contractor: LAYMAN,DOROTHY J ROSE CITY ELECTRIC CO INC 10820 SW MEADOWBROOK.DR#63 4012 NE CULLY BLVD TIGARD,OR 97224 PORTLAND,OR 97213 Phone: Phone: 287-6164 Reg#: SUP 21275 LIC 3567 _ _ FEES _ ELE 26-113C Description Date Amount _ Required Inspections [EL.PRMT1 PLC Permit 6/11/03 $80.30 [TAX]8%Siate'rax 6:111/03 $6.42 Rough-in Electect'I Service Total $86,72 Elect'!Final This Permit is issued subisct to the regulations contained in the Tgare Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,fir if work is suspended for more than 180 days. ATTENTION: Oregon 4^,w requites you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-01-0100. You may obtain copies of these rules ordirect questions to OUNC at(503) 246.669Q or 1-80032-2344. LIssued By: '� I 121J,&� Permit Slgnatt:ceyT ��.- i•- OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, oi-rent. _J_ 10 OWNER'S SIGNATURE: _ _ DATE.-,-- 79 ATE: —C9 � i _ CON'fRACTOP INSTALLATION ONLY SIGNATURE OF SUPR. ELEC:'i __ __ DATE: LICENSE NO: �� ( � -7 Call 639-4175 by 7:00pm for an Inspection the next business day 06/10/2003 10:43 5032821060 ROSE CITY ELECTRIC PAGE 01. •c PAW -- ! tteonl,rodaleoet�sa �,. Electx-� � .�' .�. JUN 10 2003a Acity of Tigard PI ---- r7 ,13125 SW Hall Blvd. GITY•OF TIGARD >� — �� ry�� nl uw ?igard.Urc$oIs 97223 Plni� 'S03�F1��d1•j r.+r - Pwine: 503-439.4171 ` Witt' — aes �. intetnet: www.ci.tw.ar.ua 24-1ou1 IMOU0011 RZe9uest: .103-639-4173 oty J tit ova 215 ampe ��r io0den cmntrwcial cr�►Aan/ Ut�lc a: [1 servlee over azo rinp.-,adng of 13�,deins&M10�►sgiwe Oct. Additlo�IlJalt I&2 Cmdly dtreldnp tart a nor■rroldulAd'du in 1 yp •' sy■w!l aver 6w rola rmffk l one swucurre 1 $c 2-Famil dave:ilili, Cammet+cil fthduettimi ni11ai.a&oer Qm aeorlee As,,.00■mp■or n,eec A.ccessot3✓nu�dinit �F�---- pcgtpeu:loaA hvrx s9 per!�vn: �T"�1/Qucurne a XV P� Ivlalratac Auildet 8olur It y eatr,.i 0190"MOW �, .+ ,,,,t• 'Ilia xt"!AS..IM D on.e.nng job site ad a: / SuiOe#: Bid -s-�- e Fa ■�- p tt t Num: i4 N ew rst34es tl■er■n Per Crosm Stf'et1DirectiMS t job site- or uwM.IAehdee pry g.rvkalalNedr 49.11 1 ■r � �— _ 1 radd -- Subdivi ,___— ---� l,ort+�er modoMir Ilmg Tax maubarccl#: 9090 utatwb.or telenflen' ! 2 31xIC� _� °�� T�� a'tYd■*■-t�alhdeu, fid( Css: o�'O aue. .a,w Avi■■el..r State/z, 2 ON 2 )Phone: e 7 ��/��_ Fax: - r ,raeaM erroalU-■erv,a ts•■tion, — — .0"A"e par Peed: Neave: _ �.._._�--- - ,,.>_..lbr l■riadi elreut�.,m 6.a, z Address. _ Cit-y_!-StatelZi _ --- - - - rhoue' Fax ._. 1N r. a ate... .AO F-utail: or — j3Ma $1 e■c lry Pmt y 2 To_ b No: �a �3 -- . or r --- Businesa Name: ROSE CTTI Address: NE CULLY BLVD i tnm► Ci /Siatej/z, 1:h 9'. 5A-7 7 Al Cs--B Lic.0: 3 56 7. Lia.0' -26-113L-- Supervising _ — Supervising clecuici - law sign—lure re M. . ' L tate a[ « �Tawcwc: L Got am it:.*: -27 — A•rola '— wool nb permit aPP qYa� N K 1� Y mrt N e4 d An%mi2ed D"Da'--, 1s1 Asa+aver It b"bow ltd 0 wmrlw. 111-41110 sn.wt- 9i6nafin c: "I►ee metl,sAsMKD rN M Tr1•Clraatf*"-1 tsalry o islORelPemsit For,14 E:lePernitw-dw..01M �I ■�A / (;ATY OF T'IGARD 24-Hour BUILDING Inspec4lon Lune: (503)09-4175 INSPECTION DIVISION • Busine►ss Line: (503)(39-4171 MST Blip Fleceived -_Dale Requested - a '- � _SW __ AM_._— __._- PM_._ Blip A !', ..ocation n ° )'.yDf � suite A A MEC Contact Pers — ��or& Ph(S�--k�=� �+�� PLM Contractor_ ` t` �' �--�L --___._ Ph t_�t.—) ._.._— —.� SWR ---- –_—..— BUILDING _ 3enanUJwner — _— ELC 61 U U��'' Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT ---_ _ Post a.Beam ----_-- Shear Anchors — -- - Ext Sheath/Shear Int Sheath/Shear , Framing Insuledion r Drywall Nailing Firewall /T — --- -`— ,. ''—� �• Fire Sprinkler — Fire Alarmv �� Susp'd Ceiling Roof Other. Final --- — PASS PART FAIL — PLUMBING Pose&Beam .— Under Slab Rough-In Wmer Service Sanitary Sewer Rain Drains — ----- Ca'1ch Basin/Manhole Storm Drain —.� -- —1 -a-- - -- - Shower Pan Other � — ------ - Final PASS PART FAIL _ ry MECHANICAL Post&Beam — Rough-In - a Gas Line a^ Smoke Dampers ----. ------ — — — _ __ F- Final PASS PART FAIL - - - ---- — - - ELECTRICAL _ .� Service - ----------- ------ — ---- fn Roug'On � UG/Slab JLow Voltage — Fire Alarm WS PART_FA_IL L_I Reinspection fee of$_._-.__-__.__.__required before next inspection Rq at City Hall, 13125 SW Nall Blvd. s I_.J Please call for reinspection RE:_ —_ j Unable to inspert--no access Fire Supply Line ADA Approach/Sidewalk ®tea " ...-_�_- lnsp W4or__/f GY-1. ____ Ext Other: Final DO NOT REMOVE this Inspecdon re roird from the job sit*. PASS PART FAIL 24-Hour Inspoction Line: (3503)63"175 ® ION Business Line: (503)639-4171 MST OUP Received _—__ Date Requested__–� �� —AM __PM _._ BUP Location _____L� �1,� " �L!!�¢`�i.�I�Z.c�I��uite"—�!.�_. MEC Contact Person _ Ph( ) �_/—_ PLM Contmdor _ __`— Ph( ) �� L SWR _ B_U1C0iNa_ Tenant/Owner ELC Footing-- Foundation ELC Ftg Drain Access: ELR Crawl Drain _ Slab Inspection Notes: SIT Post&Beam Shear,Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkier -- Fire Alarm Susp'd Coiling -- - -- — Roof � 0��0 1(� 0 ►y q�R_ Other: �— • 4---- - F'inzal PASS PART FAIL pLUMBiINA Post&Beam - --- Under.Slab _—_�—/"' _f�+ Rate Se Gv 1 � CC �1 .ro7^0�t _ Water Service �----•--- ---.-_---_-.-� —..� Sanitary Sewer ,. Rain Drains ------ ----- - - Catch Basin/Manhole Storm Drain Shower Pan � Other: - '7Z c-i k4. Final RISS PART FAIL ` OIL 4z:.;o ck MECHANICAL 4 -- Post&Beam Rough-In _�_ __^ ____ � i4g, _ Gas Line IL Smoke Dampers - - ----- - � Final -— — — N PASS PART FAIL -- -- -- -- - - ELECTRICAL m 4ough-in C7 Uiz/Blah - 1JU Low Voltage Fire Alarm Fin 0 0 Rainspe cilon fee of PART FAIL - __-___required before next inspection. Pay at City Hall, 13 125 SW Hail Blvd. Please call for reinspection RF.: _ _ —_ � Unable to Inspect-r.o access Fire Supply Line ADA Approach/SidewalkDeft Other: Final DO NOT REMOVE this Inspection record frons the fob oto. PASS PART FAIL mowW CITY i'ailF TIC ARD 24-Flour 'r rILDING Inspection Line: (503)639-4175 IN!RP,E(:i iGN DIVISION Business Line: (503)6394171 MST / sur Receive,' - -----.---Date Req jested 6— d ._ AM_ _PM__ _ _ SUN ��- I_oration — � .� 114�'�A�! '-9Uite_ VEC Contact Person ____ Ph __ PUM — Conti actor — Ph(_ ) �r =.(Q _ SWR s,BUILDING TenanV06wn r �_ -- ELC .J ,3 .. Footing S FoundatioELC n Access: Fig Drein ELR Crawl Drain _..� Slab inspection Notes: SIT — Post&Beam - — -- 0-�SP1 h1 Y S J'r►'�n ��L L Shear Anchors -T U {, Ext Sheath/Shear Int Sheath/Shear Framing Insulalion .---_ .��c Drywall Mailing U -� Firewall Fire Sprinkler ------ --- -- Fire Alarm Susp'd Ceiling —---- - - I Roof Other: — Final PASA PART FAIL -- PLUMEIINQ Post&seam --- Under Slab Rough-I[, Water Service — -- - Sanitary S'4wer 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 -- — ELECTRICAL Service — Rough-In _ U(31/Slab Low Voltage Fire Alarm PART FAIL ❑ Reinspection fee of$ ,_,required before next inspection. Pay at City Hall, 13125 SW Hall Euaa. snrE Please call for7inspect RE: — n unable to inspect-nn ar:r,9ss Fire Supply Line ADA Approach/Sidewalk Daft �� __ � Ft-- - Other: Final DO NOT REMOVE this Inspection record m the job site. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 ue Date Rcqvted: -7-3t- l D n r - 31 l _ A.M. PM _ I&T: l cxation: ._1111L�.�.L !�3 BUR Tenant:__ _ _ _ 3uite:� Bldg: WC: -/ Ccmtractor: { PLM:C1 /- 0a (►vhier:_ Phone: ,L.�_L T EL.C: ------ -._ �_� ELR: -- 31T: BIi11A1NG � !3L[JG(coni) MECHANICAL - —ELECTRICAL SITE -�- Site P00.4 ern Popt/lacam Post/Beam Cover/Service Sewer/Storm Footing Roof UndFi/Slab ' f Rough-In Ceiling Water Line ';lab Framing lop tr (/�ot v (L)AS Line Rough-In UG Sprinkler Foundation Insulation Sewer Iood/ihx;t ReaMraect Vault Flsmt Damp Drywall Storm Furnace Tamp Service MISC. Masonry Ceiling Rain[rain P�WA/C UG Slab Shear/Sheath Fire Spklt/Alm Crawl/round Or Ifeet Pump 1.0w Voll Approved v Approved Approwxl Approved - Appr/Sdwlk Not Approved Cy Mulaunyoved No' ^pprove(I Not Approved Not Approved FINAL NAL FINAL FINAL FINAL t+ U) UlJ 0 Ceil for reins C1 Reinspection fee of S. required before next invpertion 0 Unable to inspect Inspector: P of CITY OF TItGARD BUILDING INSPECTION DIVISION 24- ur Inspection Line: 639-4175 'Business Phone: 639-4171 Date Requested: __ A. _ MST: ._ Location: i1JP:_ "Tenant: p �� _-96v Suite: Bldg: NEC:� C Contractor: ;I- — A 7 Phonc: ` _� PLM: �I Lj� — Own � �Phone: �� "]" ELS:: -- / ELR: -- STT: —mac� •�_—�_— BUILDING BLDG(eon't) `iR1,.Il — mWG-- X11CMANICAL LLACTRICAL srrR Site Post/Beam Posiffleam PosUReam Cover/Service Sewer/Storm Footing R x)f UndFYSlab Rough-in Ceiling Water Line. Slab Framing Top Chit Gas Line Rmsgh-U I JG Sprinkler Foundation Insulation Sewer n f loxxVDuct Reconnect Vault Bsmt Dump Drywall Storm yIA Furnace 'Temp Service MLSC. Masonry Ceiling Rain Thain AIC UG Slab Shear/Shcath Fire Spklr/Alm Crawl/Found Dr I feat Prunp Low Volt Approved Approved Approved Approval Appr/Sdwlk Not Approved Not-Approved Not Approved Not Approval Not Approval FINAL FINAL FINAL. FINAL Fl,'NAL L U 0 Call fix rein tion O Rein i of S required before next inspection O Unable to inspect Inspector. _ Nte: — __ Pelle of_ _.... CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT PERMIT #. . . . . . . :: PL PLM97-0265 13125 SW Hall Blvd.,Tlgard,OR97223 (503)6394171 DATE ISSUED: 07/09/97 PARCEL: 2S110DD-90601 SITE ADDRESS. . . : 10820 5W MEADOWBROOK DR #60 SUBDIVISION. . . . : SUMMERFIEL.D BROOKSIDE CONDO ZONING: R-7 BLOCK,. . . . . . . . . . . LOT.. . . . . . . . . . . . . :60 JURISDICTION: TIG CLASS OF WORK. . :ALT -- _GARBAGE DISPOSALS. ,., 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . .. : 0 BACKFL.OW PREVNTRS. . : 0 OCCUPANCY GRP. . :R3 F1..00R DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . : 1 CATCH BASINS. . . . . . . : 0 FIXTURES------------- LAUNDRY TRAYS- - : 0 SF RAIN DRAINS. . . . . . 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE ''RAPS. . . . . . . : 0 LAVATORIES. . . . : 0 OTrER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0 Remarks : Replace elec water, heater- Owner: eaterOwner: --------------------------------------------------- FEES ------------ --- STERLING ----------- --STERLING PROPERTY SERVICES type amount by date recpt 9320 SW SARBUR BLVD. PRMT t 25. 00 JSD 07/09/97 97-296925 #165 5PCT 1. 25 JSD 07/09/97 97-296925 PORTLAND OR 97219 rihone #: COnt ractor------------------------------- SEORGE MORL_AN PLUMBING & APL I ANCES 12585 SW PACIFIC HWY CCB (EXP 6/2002) TIGARD OR 97223 _..._----.--___—__------------•-------..------ Phone #: 624-6895 f 26, 25 TOTAL Reg #. . : 000027 ----- -- REQUIRED INSPECTIONS ------- This persit is isrued 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 Mork will he done in accortlance ifith approved plans. This persit will expire if work is no': stalled within 189 days of issuance, or if work is suspended for sore than 189 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95e-9991•-9919 through OAR 962-9991-9989. You may obtain copies of these rules or direct questions to OUK' by calling (593)246-1987. _ _.. f� Issued By :_ Permittee Sign re: -,0— +4-++++-'-+4 � ++++++-ti+4•++++++++++++ +•�+•+++++++++++++++++++++++++�•++++++a-+++++. t+++++*+++++++ Call 639-4175 by 6:0 p. m. for an inspection needed the next I.3usiness day ++i•++++++++++++++++++++++++-. r+ ....+t+1 �+++-P4•+++++4...#++t+i...4•+4••11+#+i•+i•..... CITY OF TIGARD Plumbing Application Recd9y_ 3125 SW HALL BLVD. Commercial and Residential Da1a Roes — 'GARD, OK 97223 Dile 10 P E ,031639-4171 l 03a-7 Date to DST ��_ Pmmll L✓N pC(cs Print or Type Related SWR a Incomplete or illegible applications will not be accepted Name of DevwopmenuPro,act FIXTURES (Individual) GTY PRICE AMT Jo:i Sink 9.00 i Address ,r_1A a d r iii s s Swte Lavatory 900 i�BZaSvJ M �,a rub or rubrshower coma goo al Ig a cavislate up Shower Omy 9.J0 rine Water Closet 9.00 Drahwash@r goo Owner Madinq Address Suit Garbage Disposal 9 1082D 590"o-ra osamov- �G'0 Wasfin9 Machine 900 :.ryrState yip Phone floor Dram 2' - 900 00 � Ti t. A °1'►2y f !949 05(#,4 Name 3• Too—, 4 9.00 Occupant Ma:nnq Address Suite Water nester _ 1 9.00 Ci rSt�te LaurWry Room Troy 9.00 ry tip Phone Unriat 9.00 Name Other Fixtutes ISo@ciy) 900 �Ot�-faE Koo.�.rrJ VUa,r,,- .ontractor Marling Address Suite 9.00 9.00 nor to isauarce CityrState Zip Phone _ 9.00 aoclicant must -M-412-D -1-7 42s�_►?3F_s• � 9.00 provide ail Oregon Const':ont.Board Lic s Exp Date .nntrac,ors ?•13-f _ 9.00 license Plumtl.ng Lic.0 Exp.Date Sewer-Ist 100' nfomnatian 11(�c.o 30.00 ' Sewer-each additional 100' or COT 13.00 i COT o isiness Tax or Metro s Exp.Date aatabasei 11(o I Water Pam -tat 100• 30.00 '.ame PI^err each additinnai 200' 25 0o i Architect atom+e',.n brain• 1st too' 30 oQ Or (a uorg Address Suite Storrs S nam Oram-each additional 100' 25.00 MobrN Home To-s y Engineer ciryrState Z'p Phone 25.00 Commercial Bacx!"'ow Preventxxt Cavrea or dutti- ?5.00 � Po!lution Dewe ,s:-'.be•.verk New : Addition O alteration ti? Repair C Residential 9:tck!fow 3-eventron Cewce• tS O0 --t lone. Residential 4V Non-residential J Any Trap or Wri, Nct Connected;0 a�ixturR :cr onal descnption of work _ I -� 9 00 Catch 3asin —3 00 0. 1 �LAt-8 Et-A--C-. LIDN esti,of existing;-umoinq �I 40.00 psrihr j rnsprg use Soedalty Requested Inspeaians x0.00 _-dc ng or property _ oerihr Ram Dram.smgi4 family dwelling 30 J0 _j ''ocosed use of Grease Traps 9 C0 :wfairg or property 0 QUANTITY TOTAL Uj Aire lou capping moving or replacry any fixturesli Yes D' No Isorre"x nser a agram.1 recused f cuanry*ctal e -9 J pf yes see hack of forms 'SUBTOTAL hereby attknowledge tt'at I have read;his application,that the mfonnatiom ,*ven is correct that I am*tie owner or authorized agent of;he owner and 5%SURCHARGE oat plans submitted are - _cmpliance with Ciegon State Laws. Signet a of Owner/Agent oat@ PLAN REVIEW 23%OF SUOTOTAL I __�_� 4eourea onrr f%%. ns: m ay o1.Q I TOTAL Cintact Person Nam- Phone Ci ✓V1A't� Minimum permit fee is S25-5%surcharge.except Residential Sacknow Prevention Csvtee,wnlctt a SIS,S%sure P4sts•pim8pp.doc 9M 0—� " c (j zc7 -APPRQPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Qty Sink 'Ll_avatory ` i ub or Tub/Snower Cumbination Shower Only Water Closet Dishwasher �arbage Disposal Washing Machine Floor Drain 2" Water Heater Laundry Room Troy Urinal Other Fixtures (Specify) OMMENTS REGARDING ABOVE: IL cn r t J_ _m � i CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PE:RIM PERMIT #. . . . . . . s PLM97-0274 13125 SW Hall Blvd.,flgard,OR=3 (503)8394171 DATE ISSUED: 07/11/97 PARCELt 2Sll0DD--906J2 SITE ADDRESS. . . : 10820 SW MEADOWBROOK DR 46.3 SUBDIVISION. . . . : SUMMERFIELD BROOKSIDE CONDO ZONING: R-7 BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . :063 JURISDICTION: TIG CLASS OF WORN.. . :ALT GARBAGE D I SPCSALS. : 0 MOBILE HOME SPACE=S. t 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : A BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . • 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . s 1 CATCH BASINS. . . . . . . : 0 FIXTURES-------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . % 0 GREnSE TRAPS. . . . . . . : 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . 1 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0 Remarks : Installing an electric water heater : -----------------_------------------------.------- Owner ---- FE --------------- DOROTHY LAYMAN type amount by date recpt 108220 SW MEADOWBROOK DR #63 PRMT $ 25. 00 B 07/11/97 97-297037 TIGARD OR 972224 5PCT f 1. 25 B 07/11/97 97-297037 'hone #: Conti-actor--------------------------------- GEORGE ontractor--------•-----•-------------------- GEORGE MORLAN PLUMBING & APLIANCES 12585 SW PACIFIC HWY CCP (EXP 6/2002) TIGARD OR 97223 --------------------------------.---- Phone #: 6224-6895 : 26. 25 TOTAk- Reg #. . : 000027 ------- REQUIRED L ASPECT I ONS -------- This permit is issued subject to the regulations contained in the Misr_. Insps!ction Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable Isms. All work will be done in accordance with _ fl. apprnved plans. This permit will expire if work is not started tt! within 180 days of issuance, or if work is suspended for more _ N than 180 days. ATTENTION: Oregon I&, requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are J sct forth in OAA 958-0001-0010 through OAA 9522-#081080. You may m obtain copies of these rules or direct questions to QUA by calling (503)246-1987. _ W .J - -- Issued By : ` Ul �il��`� Permittee Signature: _, .....++++++.....++++++++++.+..... .........+++++++++++++t++.+++++i++t+++++++++ Call 635-4175 by 6:00 p. m. for an inspection needed the next h+isinegs day +++++++++++++++++++++++++++++++++++++.....++++++.....++++f+++++++++++++.....++ .TY OF TIGARD Plumbing Application RocaBy. iJ4W 3125 SW HALL BLVD. Commercial and Residential Dan Rec t -TD- IGARD, OR 97223 Cite to P =- �503; 639-4171 Cate to os. Permil a Print or Type Related SWR a Incomplete of illegible applications will not be accepted Called_ Name of Cevel pmenuPro1ect FIXTURES Ilndlvldtul) r', �G^r(Y11�',J��/ Sink Job OTY PRICE A11T 9.00 Address. Street.Address 5wts Lavatory 9.00 fuo or ruoi5hower Comb F 9.00 it Ig s City/Slate Zip Shower Only TI r.-4¢x, q-�z�..3 dams W�(M Closet 9.00 9.OQ Tb 2.y>� M Drstnvasner 900 Owner Mailing AddressM � Suite Garoaqe Disposal3 9 1 IPB,LD (0Washing Machine - 00 900 C-tv+State Lp Phone Floor Drain TI(�7�r+'x-t0 q 1 oo Z .3 2 �,y�, r( 2.. To-0 Narm!•� 3 9.00 �• //lti ♦' 9.00 Occupant Mailing Address Sw!e Water Heater 9,00 Laundry Room Tray Ciry+S!ate Zip Phone Urntal _ 9.00 9.00 Name Other Fixtures ISpeafyl 900 C'�tCRL�1G W10L2-�J4Io Rag( ;ontractor Marker�Address Sude 9.00 12 y8!�St -P/3c.• Wt o 9.00 '^or to issuance City/State Zip Phone g i:mlicani must _T7 q y�3 (�ya+.—?3�C( 9.00 orovice all Oregon Const.Cont Board Lias Exp Date 900 contractors -T IlCeille Plumbing Lie,09'00 information Zr.to o P�3 Exit.Date Sewer,,t st 30.00 'or COT COT Business Tax or MSewer-each additional 100' 45 daetros Exp.Date tabasel. I c) I I water Service-1st t00 30 00 Name 1"' 'mater Service-@&CA additional 200' 25.00 Architect Stom+&Rain Drain-tst too' 30.00 or Marling Address Suite Storm&Ram Dram-each�add—ilionsf 100' -4 25.00 1 Moeda Home Space Engineer city state zp Phone 2s.00 Commercial Back Flow Prevention Cavi�1125.00 Polkrdon Dev!ce .':be vCrkNew ? Acaition ilterakOn D Repair O Res'deneal Backflow?revention Cevice mite. nvSidentiai O �_ .500 _ d' Non•residenital Any 1"rap or Waste Nct Conneced to a Fixture 1,'0n81 desc riction of wont 900 CatG'+3asin ' �r3- LO W I I 900 nso.of existing:umoing 40.00 N Seater R penhr s�rq use 3f h Requested Irspenions 40.00 -q or property KC + Oerrhr Rain Crain.Angle•'amily dwelling 30.30 ,sed use of Gresae Traci m C:rg or arocerty_ 9.00 C�UANTITY TOTAL -i ,ou caboing moving or replaang any fixtures? Yes No (some"x niter e L ] agi>am !raCureC f Quanrty?pUt y > yes ser back of form) 'SUBTOTAL exny acknowledge that nave read!his aorhution•that the information en I correct :hat I am—e owner or authonzed agent of the owner and 5% SURCHARGE at plans submi teo are - :ambiiance with Oregon Slatf Laws. _ gnature or OwnarlAgent Date w PLAN REVIEW 25SL OF SUBTOTAL t t�P '�---�--vim- 7 1 lg yq-7 "@our"inn f Imo*are ^nN is>_9 - -- TOTAL matt Person Name phone u F fA 11L�N 'DO 'Minimum permit fee+s US-S-li surcharge. Re except s,dertbal Baddlow "138 Prevention Device,mmilCl is SIS-5%sur�targe i��,dsta'plmapp.doe&0-6 ASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Qty + i Sink Lavatory 'Tub or Tub/Shower Combination Shower Only _ Water Closet Dishwasher Garbage Disposal , Washin Machine Floor Drain 2" _ 4 Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: IL (K - -- — r- U) m w