7025 SW MAPLELEAF STREET x x x
1 � y�
75 37 S.F. N
I
i K
� I
J 13.31 :�C�U ��•�
1 !F
~ X
Q` K
—C I PJU CAL Pk'VATF' K I
wa ti
- CXPTTA�L P
3 • " STREE-r TRaEsj
bib
I
0
1
s� VSA s H I t j c4-rpt ! CQU KrT `,r
Ml-\r' I S I A/ 36 A A - kp
( Kl 61 R 4, - 60 Tr 7soa Wt-cL 100
SW MAflLF-LEAsSt- ��► 70� � �w ►�A���.L�� sT� TfGA� � DR
1157455 NA/ F'AC I F 1 C-- p
w T16* A R0 , D R 9T;?.a:5
> �s
F-9,0DU
). S I L-r -FwGF- A-�T' 1-0v&/ SI p E X X X
Z UR kV SWAY VALW.S T� 85 lFLA�' -�-
NOTICE: IF THE PRINT OR TYPE ON ANY T�-►� i � r rirl-1h ililili ilil ���. . � � � .I-t.� �. i� tl � � � L � t1�� � -t �r�r�-r .�.�11T ���.t�.��a.. � � tll � t Int I � t. .t � t � � t - I � t t t I ( t .� � � _i�.�. -��� i � r t � L. t_ t . i� r11.L1. t-.� I � ril ISI � � I t � 1 � 1 � I ISI ISI I � I � I � I
I
IMAGE IS NOT AS CLEAR 1 2 I 1
. RAS THIS NOTICE, _ 3 _ � cJ 6 $ lU 11 12
IT IS DUE TO THE QUALITY OF THE A __ No.36 ��TM�;� .
ORIGINAL DOCUMENT0 E 6Z 8Z LZ 8Z 4Z �Z EZ Z iZ OZ 6i 8T LI 9i 9i � T ET ZT It i Iu� l�� 6 89 2 i
�9
[1.111111 ����6L,
1
0
N
cCl)
C
CA
111
�D
�g
W
7025 SW Mapleleaf Street
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171 BLIP
Received Date Requested PM BLIP
Location Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
--
BUILDING Tenant/Owner ELC
Fooling ELC
Foundation Access:
Ftg Drain
ELR
Crawl Drain
SIT
Slab Inspection Notes:
Post& Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Root
Other
Final
—PASS PART FAIL
PLUMBING ------
Post& Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin Manhole
Storm Drain
ShowerPan
Other:
Final
PASS PART FAIL_
MECHANICAL
Post& Beam
Rough-In
Gas Line
Smoke Dampers
Final
P,4SS PART FAIL
Service
Rough-In
UG/Slab
Low Voltage
larm
PART FAIL L I Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
§(T—E Please call for reinspection RE: unable to inspect--no access
Fire Supply Line
ADA loste Inspector Ext
Approach/Sidewalk
Other
_IX4
Final DO NOT REMOVE this Inspe I record f m the joblade.
PASS PART FAILJ
MASTER PERMIT
CITYOF T I G A R D PERMIT#: MST2002.-00438
DATE ISSUED: 11121/02
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 63J-4171
SITE ADDRESS: 07025 SW MAPLELEAF ST PARCEL: 1 S 136AH-JP002
SUBDWISION: JAMES PART/MLP2002-00001 ZONING: R-4.5
BLOCK: LOT: 002 JURISDICTION: l It
REMARKS: Const new SF detached residence. Path 1
BUILDING —
REISSUE. STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORN: NEW HEIGHT: :4 FIRST: 1,123 of BASEMENTof LEFT. I'• SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD 40 SECOND: 1,282 of GARAGE: 4 R of FRONT:
PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: t FINBSMENT: of RIGHTVALUE:
71�, f44 4o <,
OCCUPANCY GRP: R3 BDRM: 4 BATH: 1 TOTAL: 2,405 of REAR.
PLUMBING_ —
SINKS I WATER CLOSETS. WASHING MACH: LAUNDRY TRAYS. RAIN DRAIN: ITRAPS.
LAVATORIES,
DISHWASHERS: I FLOOR DRAINS: SEWER LINES: ".' SF RAIN DRAINS,. I CATCH BASINS.
TUBISHOWERS: .I GARBAGE OISP: I WATER HEATERS.
I WATERLINES ". BCKFLW PREVNTR I GREASE TRAPS.
OTHER FIXTURES
MECHANICAL
FUEL TYPES__
FURN<TOOK. BOILICMP<3HP: VENT FANS. CLOTHES DRYER: I
,ns
FURN -TOOK: t UNIT HEATERS HOODS: I OTHER UNITS: 1
MAX INF. btu FLOOR FURNANCES.
VENTS-. ' WOODSTOVES: GAS OUTLETS, I
ELECTRICAL
MISCELLANEOUS ADD'L INSPECTIONS
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS DRANCH CIRCUITS
1000 Sr OR LESS: i 0 2110 amu
0 200 amp: WISVC OR FDR: t PUMPIIRRIGATION. PER INSPECTION
EA AUD'L SOOSF. 4 201 - 400 amp'.
201 400 amp- 1st WIO SVC/FDR: ("' SIGNIOUT LIN LT PER HOUR.
LIMIt ED ENERGY: 407 800 amp'
401 600 amp EA ADDL BR CIR SIGNALIPANEL. IN PLANT
MANU NMISVCIFORfi01 - 1000 amu:
601.amps-1000V MOTOR LABEL.
1000-amolvolt: PLAN REVIEW SECTION _
Reconnect only: >=4 RES UNITS $VC'FDR�=225 A. ,600 V NOMINAL. CLS AREA15PC OCC
' .
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL — 0.
COMMERCIAL-
VACUUM SYSTEM AUDIO S STEREO: FIRE ALARM: INTERCOMPAGING. OUTDOOR LNDSC LT
AUDIO d STEREO -
BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEIIRRIG PROTECTIVE SIGNL
GARAGE OPENER:
CLOCK: INSTRUMENTATION: MEDICAL OTHR.
HVAC:
DATAITELE COMM: NURSE CALLS. TOTAL 0 SYSTEMS:
TOTAL FEES: $ 7,792.50
Owner: Contractor: This permit is subject to the regulations contained in the
ESLINGER BUILDERS INC ESLINGER BUILDERS INC Tigard Municipal Code,State of OR Specialty Codes and
11575 SW f'ACIF IU HWY 11575 SW PACIFIC HWY all other applicable law^,. All work will be done in
PM0160 TIGARD,OR 97223 accordance with approved plans. This permit will expire if
PMB160,OR 97223 work
is not started within 180 days of issuance,or if the
work iS suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow-ules adopted by the
Phone: Oregon Utility Notification Center. Those rules are set
Phone: 50;-620-9515 503-849-4653 1Malcoln forth in OAR 952-001-0010 through 952-001-0080. You
849-(�1?h�51=I('had) may'obtain copies of these rules or direct questions to
Reg N. -(�20 (m) OUNC by calling(503)246-1987.
4
PECUIREU INSPECTIONS
Erosion Control Insp 8 Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection
Foundation Insp Footing/Foundation Dr Electrical Rough In Gas Line Insp Appr/Sdwlk Insp
PosUBearn Structural PLM/Underfloor
Framing Insp Gas Fireplace Electrical Final
n
Issued B 'a �' ! �c_L�t ��—_ Permittee Signature : -
Call (503) 639-4175 by 7:00 p.m. for an inspection needed tha next business day
CITY OF TIGARD SEWER CONNECTION PERMIT
PERMIT#: SWR2002 00292
DEVELOPMENT SERVICES
DATE ISSUED: 11I21IO2
I..L" k 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 1 S136AA-JP002
SITE ADDRESS; 07025 SW MAPLELEAF ST
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION:
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 residence.
Owner: _ __ FEES
ESLINGER BUILDERS INC Description Date Amount
11575 SW PACIFIC HWY. —
PMB160 SWI�S;NIsk�r11/21102 $2,300.00
TIGARD, OR 97223 ISN'INSI'l S"r (nslicct 1'1121102 $35.00
Phone: 503-020-9515 Total $2,335.00
Contractor:
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 it 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' Perm
Issued b ) CEL (t j°'�11�'% Permittee Signature:
y: �.
L
Call (503)639-4175 by 7:00 P.M. for an inspection needed the next business
1111ildi»b Pel-1 Applic:ition
City of Tigard ��`,I � -- Unlereceived: O -/�-02, I'crntilno.:
Adccllcss: 11125 SW IInll Illvd,'1'igiod,Olt 97223 1'rojerl/appl.fin.: Expire dole:
Phone: (501) (119.4171 Dale issued; Ily_ b Ilrveipl no.:
14)x: (5(1:1) 5911-11)6(1 -
r'nse file no,: Payment lype:
Lnlld IISC approvill: - -- 1&2 ramily:Simple C'unydrm.
U 1 rte 2 Iantily dwelling or ncccs�oty U('on11nctr i:t1/indu soial U M11111 Iiu)tlly ) Jew constrocliun U Demolition
U Acldilion/allcictiionhrplaccnu ul U'I'cn:uH intpnrvrnu'n1 U I irr,sprinkler/ninim U 011ier.
3011 141T.19 INFORMATION'
Itch rldthels: �C�L� L — (� A 131dg, no.: Suite no.:
ctl _L,.t �--- --k: ` Sub livision: - - - - -- - - Ll.nx ntnp/Inx Int/ncctnurt no 1,SI.34A{ - P
Projrc•.I n7nle:
I'escriplion and location of work on premises/spccinl conditions: �J-Siv�q�L Et�lAni �"Q__..____ -_-�-_-
Nano'
Mailing address: (� _��A'IL ,M�#((pp 1 R� 2 foully dnclllng:
City: q [SI file:p 1.111: '1 Z2 3 Vnluntion or work ........
I'honr: 11still,rnx: •w ti 'IS li-nu)il• - No,ofhedrooms/bulbs.................................
(Icenrr's rcprescntnlivr: _ o - )=s 'r,ml mntthcrof floors.................................
nx: S I.-mail: New dwelling nren(sq. fl.) ..........................
(Inrnge,/cmpoll nirn(sq. 11.)......................... q-e. ----
Nntnr.: Covered porch Wren(sq. f(.)
Hurling nddress: �Qyc,_rz ��s •�? Deck :ora(sq. fl.) ........................................
ly `-- r -- Ullici structure men(sq, ft.
_C'fly: _ Stifle: 11,11: (. I. )...... .................. -�-...
I'honr.: - Inx —. I? Co III III crclnllindaslr10/un111i-toIldIY:
1 Viihimion of work.......<Nrw:
................ -business nnnu•:` ( Qi �c1?xisling bldg. Wren(sq. ......... _-_- New bld;.Wren st, f(.)QV- l�J _ Nun)IM.r of sltrrics....... ................Type or construction... ... ......'.. --
Clccupmncy gmrmp(s): r.xisti11,.
Nrw:
C'11 ' neiro lie. no.: l -- -
Nolice:All conimciois and suhcontrnc(ors me mfuhcd to ► -
litsilliKu YJ livellned will)the olegoo C'onslntclion Ccndraclors Bond under
Name: �a ►^Q provisions cif ORS 701 mill cony he rcrluired to Ire licensed in life
D ` " ` urisdiclion whsle wrnk is ficin lcrfolmrd. If the n,tlicnnl is
Atldress: '��Z$�t� (��, S" ed'tOV - I I 1 I
--1 --� — exempt from licensing,the following renscm npplics:
City: '- t �t Stale:Oki—T-7,111: Q-T t L
-
I'honc: ZS- 112x: L -� I? ntaiL• ------ ------- --- --- -.. ..__--_.. ---------_
Nana: uS q w_.Ax- -.__-Coil W1 person: _ Ices due upon npplicn(ion ...........................
Dalc recelved:
------------------
ciIv _ Struc: _ Amount received ................................... .. b -- ---------
I'llunc _- I ax: 1? mail: I'lensc refer to ree schedule.
I lielelly ccttify 1 have rend nil exmnined Itis application and Ihr NrNall lutimdictirmracreracrrrlircanto,plemecall ImiklienrnImsoonitrcamminn
allachcd checklist. All pmvisio11s of Inws mid ordinances goveminft this U\11.n U KnIfICatr)
work will he complied v f t, a'rc(he pecilied helcil,of mrd, credit card nnmbet
0/f
Authnrircd si q udore: I)nit �(`
Name nr ear W r r me mhewn on emit ear
I,Iin( name:_ _ 1s1 _--- -- _ --- -- -s -
Curlh�r��t`nehrr! Amonni
Notkv 1 tris pet mit ripplicMiuu expires if If pconil is 1101 Ohl"incd -ithhi I Al)days nner it has Ilee11 nccep(ed ns complete. 440 4611)(6x API.1)
I
(11+1�cltstttiLstl i'�rutil /lili►licsiliuu
7)MOMqued:
celved: I'enuh no,(yt;
(±ily Of r�l(;Slit'(� l/nlgrl,nil.: I?xpircdnlc:
Addtcss: 1312;1 MY Ihill Illvd,'I'igaid,()It 9,122.1 --1'lu,nc: (303) G3)-1171 - Ily;
Irnx: (303) 5!18-1960 Cnnc file nn.; � - I'nyn,cnl type;
I.tllld IISC
1111111 oval: —__._. ---- IhtUdin,tprrn,il nn.;
U I &2 fsunily dwclling or accessory U Collunerclal/industrial U Mulli-fnnlily U'fcnanl iloplovelocnt
XNc(v constrvcliltlt i_]�ddillon/n11cla1iun/1ry,lntr.nrrnl U O1hc.1:
1011 ndd1"1 �O LS SW Ap (Q b Indicnic cquivi1.e 1 rforuitilics III hlixCx hrioly. Inlllcale the dtdlnl
hldf; no•: Sidle no.: - - - vniuc of an mcciin111cni inroiclinfl,c iiiiluncoi, labor,ovclllcad,
I'nx map/Inx lol/account no.; llrofil. Vnluc$
11 lock: Subdivision: 'Sec chccklfxt far Imrollnot nl,i,licallou m
hlrolntfoll nad
('Infer.,nm
nc: �qw y�j-�. -nom jurisdiclion's rcc n•hedtllr for Irsidrnllnl l,crinil rrr.
_C'ily/county- w A-
� _
bcscrif,lioll aandd Penlion of Wolk
(on ilrrtniscs: -- N 101111 MIN
ew
I?sl.dnlcl,fconq,lrliun/Insi,ecliuu` -l_C� - --- hrsrlll,llar, (21}. ll(s.nnl}' Ile+,md
I'cnnnl hnplovcnll:nt or chnni;,of use: -
Is cxfslinl;splice hcnlcd nt cnttdilinncd7 C(Ycs U No Ail handling[fill( ChM
Is cxlslhq;splice insnlnlyd7l_l 1'la U Nr, 1llrcoulliiinn Il ig(i;liC iinnrrgil ler)'—_" _ !`�-_
-file,eilo`tt ofexieliiig 11VAUiyRlrnt
n cT rnnpres%ors -- _- -
Ilushiess nnmc: II w, s{nlc huller pertall nn.:
�w�� �Q III' 1'vns I I'I I I/I I
_ndthrss: P � 10x�� J— �_ i liiJsrnokc`dnlellicilticinn`mTcetielc`ctrni� -
('fly: _ Slnlr�O(L lll': -r0( - Ife-Ai lion+ i Ire Inn ice iilictl - '"-
I'honc: -- From: I Itlnil: 3- t ljl�cfirnnccliiulncr) --
_ -_� ilii lnliTrc,
CCU no.: W'1� � -- Inr.luding duclwolkhriii liner U Yes U No
-1itslniilrc14T,cr7jcocntcicnlcrs-Ituspcn rt,
_C'lly/nlcUcy lie, no.; _U L will,ur(tour moulncd
yr _"_�Vcii�ifor�n(,j„lislncco�ihcrt tan urn'ncr, - -
cll frlgcrnl nl n;
Nnitlr; G �bsotptlrnlunhs__��___-- h'i'll/11
_ v PCf)
Mldress: C„u y,.e�- 1 collie= '-
- 3S,`
�,n.irnunrcn M elt uns �n� �enlIfniTnn:
-- ----- ---
Cily: Slnlc: l.11'; /1pp1{nnce vett
-------------
I' .--
Iroo-All pe 1111 fir, iiilcfien7(in%ntni "
�-^ bund rite anpptcsslr,n syslcol
N;nnc: Iz- �:r� tl UC Q S �t IlxhnnM fan with ainglc duel(hnlh fans) - -
-_( -Y_�
r-- UT----
�lailin+ ndtht ss: (- t- - --`T" 'iriiTiniisi F ricin niiit loin iicniiii or/L(
sln� Tac 4, l w�(.i(•1-4 (P v I.
C'ily: -C air�� II Mille: zir racy-p-p tiginTt •r ,ul m( up Io out cla)
_L -��_ Q 7Type. 1,110 NO Oil
I'honr: - I'nx:(7V-c' 1 TncTTfii;c�c7i aTill�tinnT fever onlTcts
lrrocea p�phtg(SC,I Clllilt C Irlpl let) _
Naine: Number of oullris
--ZiTcr llii-ct1�ppllnute ai(•ryiljwicnii-_-
Addtcss: _ _ Decor nitvefirci_,lnee
_('ilY: _ __ - SInIc: 711'_ � -lnicti iyj+c` —
1'Itvnc: ��11U.1x: tilSiovcTj,cliclRinvc -
A 1,lirnnl's si ,n;,lul,, -011 t:
01L I ler:
Noi all hulanctions rccrp,na111 caul,,pirate call 1m11` iellm,ern-roe Inbrma11m 11ClYtdt fee.....................
U vkn U MnslerCtnd Nntice:lliis prnnil npplicnliuii Minimum rec ............... --
Ordn run n„rn1Kr: expires ifft pern,il is nul obininc4 -
I'Inn►cvicsv(if 71,) _-----__.
a ilhin IRO days nllcr{l has been Slnlr surchnr a g71, �
�'Neiat of carr�iolllrf M,InWn On tKl t ca,T-`".- nrrcplcd ns compleic. --
$ ill i'Ai. .......................
--
------ �M1J611(Mx1R;t7M1
1'lundAn-g Permit:Application
___—_�_ Ualcrccelved: I clad(no.:!.
City of Tigard Sewer pcollkno.: lWildingl+crrnllan.:
Addles: 1:112.1 SIN I loll Illvd,'1'{1;ntd,(lit 97271 -
irpn/i''iknrJ Phone: (.5111) 639-4171 11141jrcl/nppl,Im: - Ilxphc(161c:
Irnx: (501) 599.1960 I)nlcissaed: --_-- fly: Itecell+Inn.: -
L'suld tlsC slitprov;ll: —_ - _ Ose Ide on.: rnyn,cnl Iype:
r
U 1 2 family dwcllinl;or AUC- fy U COI11111CMIRItinduslrinl U M1110-family U•Cellan!Improvement
,glrw colls(luclioll U Addition/nilrraliort/replacement U 14x11 service U 011ier-.
J0111 SITL t111forill"lioll ilia theell 151)
Job nddir.ss: -70 ZS �v,)_ (y�G Uc scr�tllvn t11)_ I cc ca. 'Cola)
IlId _ — _ New I-and l-fondly lilrelllu�A onlyl
11dg. nn,: Suiten°.: (bis'lu(I(y100n.rorcacl(lit llhycnnnr(ifool)
Poo'1'nx Ilia[/lax lot/nccounl no.: '1 S'A--341,' L-
_ w :��� _..---- -- Silt(1)bmltl
I.rrl: Ilbtek: — jStll>._livision: — Ij-t(Z) at t --- ----- - ---
I'(„jcc:111111!0: c ._°� 9r --
_City/courtly: -(�r•i�a (WA ZI1': -LZZ - A-C I M OR
Descliption and lot'alirnl of wotk o I plrnliscs: — _- She III lilt les.
— QeU) ji u�►1�(,` ,/v� C:nlch basillhurn drain
Isl.dale rfunnitlydon/fnsltcc(ion: L - (-U�,, __._._
Footing drain(no.lill. ft.)
�- _ n--o�of-a7clurcc IOIIt0111i ilIC6 _ —
IlUrilleti..little:Address: 1_.I'L cij,i' W tj V(�� ltn`iii Blain conncdor
Oily: rj1 r�Yklt;ri(\ Slalc:(„ .. llp:rl`IIAO inn Ind r sewer no.i n. 1. --- — --
I'honc: r r Irnx: .. I161. 1?-n1AII: Slo►nI sewer(noIm ft.)
r_b4 7.�?1z6, 7 AtW er service(tro,lin. t,) --CC"flu.:no.: � 1(e t Tomb.bus.erg,no: `Z/� -- --- -
C:hy/urctnt uc) c j Mature or{tern: .
Conlractor's rr irscntntive si amore; J A�lesol ttion valve
r g �.'-\� _
Itowow wevenlcr —
I'l int n ntr: C..�
llackwater valve
T1AAln-.% uvntorY _ -
(it1111C: clnI FtC9 wA5 I SCfT-
/1�t�ln ctS9t)I/o
'ily: estate: LI!': T�nkjng
lfonnlnin(sj ----
�' : �Iiledors/sunlit _- --
Phone: FAX: I�n11i1: 4L>iltnns�n Innlc
-nxlai sc� -�-
�� -door drnTiia/Ilcioi�n !;Ilniii— —_-
Nmol(prhll): r U ' G_Q S V-r . (tat tfiRc(iisposal v
Melling nd(hrss: 15 W �c ' U - -
L•._ _ .c�l w1f �� itox�{,Blit
City: j c Slnlc: p Z 7.11': Q� ZZ 3 Ice near
>� --
I'honc:(�•�^-�5Js�I'ax: 4Ln-- N� Is-moil: _ 'Inlcrcc lo�etrat �_ _--_
Owner insinllnlion/rr-aldenlinl nlnin(ettntice only: 'Ilse ficUlnl inslnllfilion 1' nlcr(s)
will he made by file or lllr.nmintcnnnre find repair made by my re.gmlar Roof lrain(connnctrinl)
employee no the pmpelty 1 own ns per ORS Chmpler 447. Sin (s), -
Utvnri's si mtlnle: Unlc: ;lump - -
r '11 t, s lower x It1WCr +alt'
-1 1 nnl--
_Nnm_r-.._ �> ---- - - ----- _ elrl closet
AddIC9SL �AIeI--IICIIICr — —
City: _ - - Stme: ZIP: (►dirt_ ---
1'honc: l fix: I?-moil: 'Iola!
Ned fill)mIpNcdunr!rampq er"111 carte,rler(te call 1mlullclinn Gr mere InRrnullnn. Mini mum fee................
Notice:'Ih{s peon{!nl+plicnlinn
UVisa UMmiclCmId1')111 review (al .--- 'y') _---
cxp{les If n perm{l ie not obtained
Igo days nnel if has born Stnlr slit,hnr gr(M) .....1
6r(�1i rel
-----{trent n cur rn, r Iltilr---_ aCCrhlCd aS Cn111l1ICIC •1'tl'1�AI. .......................1'
awn on erriFil erre!- — ---
_ s _
--(;rrnilr r7eii16nilm'e —�� �-�/mean!
440 4416(WVIOCnM)
Il;ledrical Permit Applicalic►ii
CiI ratcox•rivrll I'ronfl nn:l i 1 I t
Y o f Ti ga rd1'r"Jerl/arpl Im Vit ►fictlnlc:
C'ip tr/'i'y;rorf /\tldtrss: 11171 S\V Ibill Illvfl.Tiftnid, M 771.21 IhNcfssur4 -I'llulle! (501) 639-4111 i:1)--=
t —c—lrlu. —
I'n (1):1) 591-1960 f'n%r filenn.:
1'nynu:nllypc;
•;Intl a," npprt)vll l: .
I
lJ 1 fi 7.Guoily dwcllifig or nccessoly U Conullcrcilll/inthlsoinI U Molli-fnnlily U'I'cmm�l impnlvcnlnri
Ncw consUnctiotl U Mldilion/tihr.tmlion/ lacrtucnl U flllml:
lilt) Iuldtl.ts: __T0 L5 Sl..7-�1/�C1�y(Q (Q4 v_ Illdg.nu.: Sltilc no.: '1'nx mill,/Inx lUl/ncc,trunl to.:�S� ,
lot. �Illock:_--- �tiobdivislon: — � 0
- . _
I'tr,Ir r I n unr gyt�s.�yt ` �t�_ 11)csrlilldoll mill l(walion of wink nn hlemkors: nfp �'r�, .�^� - 'IVA-
_ - _ — �� --
.r,unlnlrrl dntc of conrph Ifon/inslu t fine _- -_-�
r 1
.lob uo:
-
Fur NII
11USi11C9111mI11C: �) . n .� _JLC U Q C _ 11t�t�rlrllno Qty. (rn.) lnlnl nn.lt+sf,
(�--. 1���"'�`C_ Nrnrr�IrknNal-alnKlrmhmhl fnndh Iwr - -- -
/\thlt'C33: I'O Box 7 J�. _ dtlrllinguull.Int•IntltyaUatltedgnrAge.
--
Illy 111 L5�]UPU ISImIC-H I;li'���-- titttirrinflndrd
I'honc: 648-5144 tlnx_ !�9r 9All 5 nlmil; Ifx►n til.fl,to less 4
inch lot c illonal 500 sq.ft.fit putdoo Ihelcof
no.: ;�G d 5 IsICC.11G,t1U: 3 n_ 3-[1 r� -
' - LIn4lcdencr Idcntlal
f illi/IIIClltl lic. (lo•: 1 063 - Llmiledenrrgy,non-rrsitlenlfn) ---- `7-"-
C'_ �. t,.�...+� _ -inch fuanofactured hnrnr lir nrntlulat tlwrlling `—
signnlone of supervi h,�e_eelrleinn(err otter' 1) I)ntr- -'- Set Art notlrnr feeder 2
'lop rlrtt nnmrlp,infl ( , fit , I.Irentrnti .i r,_- -r4--We-q-0-r, t-Intlnl'lellmt, - ----
I I aheralloti of relncalhnl:
200 amps or less
Nrome(W toil): ES ' 1 � S �_ J01 ns In 4fNl nnlr,1-� j --
t_l__ _��-.--_.---\ 14 c ngl401 411111,1 In 601 amps —2
—_
-1101 anyis In ItNNI nlogs j
Over(MKI amps tit voll,1 '2
I'ho11r:(t p~y5i� �I 11x. (� Zi2 - 1S I: ntnil: Itecnnnrdrnlp
Owfirl ifISlmllilt loll:Tlly inslnllnlion is hrinit nlnrle.on prrlpelly I own '1'rnglnraryget Ifeel orfecdels-
whi,11 is mol iulrnded for snlc, Icrose.rcnl,of excllnnftc ticcoldifig to hnfallallo0,*tire silon,orrelnca0oo:
IMS 447,455,479,670,701. 21N1n11111snf less -_— 2
7,01 nngfl to AINI nr11p,1 2
01tnn's a�,nnittlf=: Ilalr _--- 401 to 600$111111 _ -- 2
f I11poth elivillh-nett,Pllerallnn, _-
Na:111c: fir r41r11s111n per pnnrl:
.-A--^ -- -- -- --_.------- A. I'ee fur beam to drenita with piucltn�, ,r
dress. —_-`__ acrvlr-e of reedri fee,elicit Manch clivill
n. 1'cc fir branch elrcuha wllhoul poiclmae
mail: service of feeder fee,(list branch citeu{l: 2
('hone I a� IIs --
knelt additional branch riff-tilt: --
Mise.(Ser r lee lir terrier tint Inchtded)•
U Sfrvlrcriver 2)5 imps rmnnirrrgnl I-1 Ilrallh eatrfacllity f:nchpomp of It'lgnllancifcle 2
USelvicrovet.l)Onngxfnthq;oflh.2 LIIInaritdottslrxnl{0f1 liachsigntit 0ollinel1glu{nL--� 2
Inmily tht•ellfnps U Ihdlrlhlg nvrf 10.11f111 c,plmr fret 1,1111 of Signal f licuil(%)fir a limped enogy pntifl, - -
I J S,f mem ovrf 61x1 vtill%omniunl near trMlleulinl 111111%Ill tine sunru11e alletalion,of ealros{on• 2
1 11n61flinp nvt 1 rhn•r mmir% U 1'rrdrvs,41x1 Pfttli,1 tit nm,,, --
I „pnnf Inml nvrf nq prlsnus U Mnunfathnnl,1Iroclofrc,1 m Ilv pnrk _-
I AtIf addillnloal I mperflon neer the allnnable In Ploy of file ahnve:
i I I t•n vs/ly:hunpl,l4r1 IJ 1111111 _-_ __
---_ - -- - I'ef in%perlino_
Sltl►n111 sell of 1111111 441111 ploy lilt nhnlr. ---- ---C:J—�_
— I l hwest{gnlinn fee
-- 1 lie tibove lire lint Nlyrlicable to Irlilpettiry rc01111 lot Boil settle(.,. — UUfrr — --- — —'—"— -
----------
tint all 1,114"IHI-4 arcrld rmlft rami,plrftce call lotltdiclinn(lot tome Inftanfnllna Notice:1111111C1111if"lirlicnlioll I'rl IIID (cc.....................Ti
1_1 Vkfo U hlnslrrCa'tl cxphcx if h perotfl is loaf obininl d I'Inn tcvfcty(ml ` %) -_--
t within 190 bays tiller i1 tons bent
Sl_
su►cl►n►ge(891+) ....
--
-tt--r iaplre4 ticr-epted as ctrmplclr. OTAI. .......................
eat-,Nlntr11
iVafne t7 irl�i�rwn`nn-eiriiiI 11411---- --
l'ai In r i tignatnte � s-�--zntmnit - 440-461 S(fiA>!YCt)NI)
SEE 35MM
ROLL # 20
FOR
OVERSIZED
DOCUMENT
CITY OF TIGARD 24-Hour N6
Inspection Line,- (51.113)639-4175
BUILDING MST
INSPECTION DIVISION Business Line: (503)639-4171 BUP
Rereived Date Requested AM—PM BUP
Location MEC -------
Suite
Contact Person Ph(
PLM
_-----
Contractor ___.- SWR
Tenant/Owner ELC
Footing ELC
24"",
C�7_
Foundation Access: LL
Ftq Drain 5 7- ELR
Crawl Drain SIT
Slab Inspection Notes:
Post&Beam
Shear Anchors
Fxt Sheath/Shear rXz
Int Sheatti'Shear
Framing
Insulation
Drywall Nailing
-------
Firewall
Fire`sprinkler
Fire Alarm
Susp'd Ceiling
Root
Other:
�tsAS PART FAIL
PL BING
Post&Beam
U-ider Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
-
Shower Pan
Other:
Final
pA.%S PART FAIL
Post& Beam
Rough-In
Gas Line
Smoke Dampers
SAS PART FAIL
ELECTRICAL
Service
hough-In
UG/Slab
Low Voltage
Fire A!irm
Final Reinspection fep of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL Please call for reinspection RE:--- ------ Unable to inspect--no access
—
-,
SITE
Fire Supply Lim,
ADA Date 5' Inspector Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this Inspection record from the job site.
L PASS PART FAIL
kkAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA ►
t � ``.' tit � ►
�I ►
�
� 0 ►
' ►
4
� �
. ►
4 �`' o �' POO.
4 CL NO Ill.I a ,. r ►
4 Q, ►
d d
v �, �7" o ►
4 0 � � P.
M M c O ►+' o ►
Ij cm ►
IN.' `� On Poo.,'' i !
►
4 a !
4 o ►
4 � � ►
4 110.
44
A ►
►
A ►
Al►♦vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvI
�o O Ln
� ft
PT
r, r,
ro O i
con
0
Q J
O n
I
Q
3
x
a'.