8710 SW MAPLE COURT ;ano3 eldeW M& 06L8
t
0
ca
m
a
�o
W
0
ti
o
8710 SW MAPLE CT
CITY O F T I G A R® MASTER PERMIT
PERMIT#: MST2000-00476
DEVELOPMENT SERVICES DATE ISSUED: 12/13/00
13125 SW Hall Blvd,,Tigard,OR 97223 (503)639-4171
SITE ADDRESS: 08710 SW MAPLE CT PARCEL: 1S135AA-MRE15
SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12
BLOCK: LOT: 015 JURISDICTION: TIG
REMARKS: S/F A PATH 1
BUILDING
REISSUE: STORIES: I FLOOR AREAS_ REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 13 FIRST: 956 at BASEMENT: at LEFT: 10 SMOKE DETECTORS: Y
TYFE OF USE: SFA FLOOR LOAD: 40 SECOND: at GARAGE: 226 of FRONT: to PARKING i'ACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMF.NT: of RIGHT: 0
VALUE: S P7,679 00
OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 956.00 of REAR: 15
PLUMBING _ _-
SINKS: I WATER CLOSFTS' 2 WASHING MACH: 1 I.AUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
Tun/SHOWERS: 1 GARBAGE LISP: I WATER HEATERS: 1 WATER LINES: IO0 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100k: 1 BOIUCMP c AHP: VENT FANS: ? CLOTHES DRYER: 1
GAS F'.,it >-100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: I .
MAX INP: btu FLOOR FUNNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS 111SCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp. WISVC OR FnR: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 509SF: 1 201 - 400 amp: 201 400 amp: tat WIO SVCIFDR: 00 SIGNIOUY LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 600 Dino: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANY HM/SVC/FDR: 601 1000 amp: 601+0mps.-100pv: MINOR LABEL:
1000.amplv011
PLAN REVIEW SECTION
Reconnect only: —
>-4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO A STEREO: VACUUM SV STEM: AUDIO d STEREO: FIRE ALARM: INTERCOM(PAGING: OU'DOOR LNDSC LT: —_
BURGLAR ALARM: OTH: BOILER: HVAC: LAN!)SCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAfTELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
TOTAL FEES: $ 5,370.49
Owner: Contractor: This permit is subject to the regulations contained in the
WINDWOOD HOMES,INC WINDWOOD HOMES INC Tigard Municipal Code,State of OR. Specialty Codes and
12655 SW NORTH DAKOTA 12655 SW NORTH DAKOTA all other applicable laws. All work will he done in
TIGARD,OR 97223 TIGARD,OR 97223 accordance with approved plans. This permit will expire if
a work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days. ATTENTION:
Phorw Phone: 780.4375(M) Oregon law requires you to follow rules adopted by the
N Oregon Utility Notification Center. Those rules are set
Rag N: LIC 5019e forth in OAR 952-001-0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
..I OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
0
W Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Framing Insp Insulation Insp Appr/Sdwlk Insp
Sewer Inspection Underfloor Insulation Mechanical Insp Shear Wall Insp Gyp Board Insp Backflow Proventor
Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Ins( Firewall Insp Electrical Final
Foundation Insp Footing/Foundation Dr, Electrical Service Low Voltage Rain drain Insp Mechanical Final
Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Line Insp Water Line Insp Plumb Final
Issued By rL relrmittee Slgnature.0
Call (503) 639-4175 by 7:00 p.m.for an Inspection needed the next business day
SEWER CONNECTION PERMIT
CITY OF TIGARCI
DEVELOPMENT SERVICES P ISS IT#: S /13/00 -00328
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 D%+TE ISSUED: 12/13/00
PARCEL: 1 S135AA-MRE15
SITE ADDRESS; 08710 SW MAPLE CT
SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12
BLOCK: LOT: 015 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SFA.
Owner: FEES _
WINDWOOD HOMES, INC. Type By Date Amount Receipt
12655 SW NORTH DAKOTA
'TIGARD, OR 97223 PRMT CTR 12/13/00 $2,300.00 27200000000
INSP CTR 12/13/00 $35.00 27200000000
Phone: 503-625-6526 Total $2,335.00
Contractor:
Phone:
Reg#:
Required Inspections
Sewer Inspection
a
a
U)
_J
m
W
This ',oplicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
J 180 days from the date issued. The total amount paid will be forfeited if the permit e,.pires. The Agency does not
guarantee the accuracy of the side :,ewer ;aiei als. 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 952-001-0010 through OAR 952-001-0080.
You may obtiri-(�opies of these rules or direct questions to OUNC by calling(503) 246-1987.
n Permittee Signature:
Issued b .�, / 0 —
Call (503)6394175 by 7:00 P.M.for an Inspection needed th next business day
CITY OF TIGARD
13126 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
JIM'S PLUMBING
PO BOX 7160
ALOHA, OR 97007
Plumbing Signature Form
Permit #: MST2000-00476
Date Issued: 12/13/00
Parcel: 1 S135AA-MRE15
Site Address: 08710 SW MAPLE CT
Subdivision: MAPLE RIDGE ESTATES
Block: Lot: 015
Jurisdiction: TIG
Zoning: R-12
Remarks: SIF A PATH 1
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed form Is received
OWNER: PLUMBING CONTRACTOR:
WINDWOOD HOMES, INC. JIM'S PLUMBING
12655 SW NORTH DAKOTA PO BOX 7160
TIGARD, OR 97223 ALOHA, OR 97007
CL Phone #: 503-625-6526 Phone #: 649-4034
Reg #: I IC 71860
PI M 34-186ab
00 AN INK SIGNATURE IS REQUIRED ON THIS FORM
c�
W
Signature of Mthoriz0f Plumber
If you have any questions, please call (503) 639-4171, ext. # 310
FROM : OWEI dWEST ELECTRIC FAX NO. 5032976375 Dec. 15 2000 09:49M P2
CITY OF TIGARD
13126 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
OWEN WEST ELECTRIC
8310 NW REED DR
PORTLAND, OR 97229
Electrical Signature, Form
Permit#: MST2000.00476
Date.I$sued: 12/1.3/00
Parcel: 11S135AA-MREi S -
Site Address: 08710 SW MAPLE CT
Subdivision: MAPLE RIDGE ESTATES
Block: 't: 015
Jurisdiction: TIG
Zoning: R-12
Remarks: S/F A PATH 1
Your company has been Indicated as the electrical contractor for the permit indicated above. In order fo; the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
apprupriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above,ATTN: Building Dept.
No electrical inspections will be authorized until this completed form Is received
OWNER: ELECTRICAL CONTRACTOR:
WINDWOOD HOMES, INC. OWEN WEST ELECTRIC
12666 SW NORTH DAKOTA 8310 NW REED DR
TIGARD, OR 97223 PORTLAND, OR 97229
Phone #: 503-625-6526 Phone #: 297-6373
Req #: r.rc 0002907
SUP 28055
L ELE 28-3980
C
AN INK SIGNATURE IS REOUIRED ON THIS FORM
X
Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested AM PM BLD _
Location y Sc.1 m4Ile Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation Access:
FPS
Fig Drain -
Crawl Drain Inspection Notes: SGN
Slab
Post&Beam SIT
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Dry.,dll Nailing _
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
'ina i— --
AS5 PART FAIL
PLUMBING
Post& Beam
Under Slab
Top Out
WaterService
Sanitary Sewer
Rain Drains _
_F DaL__
PAS PART FAIL
Post&Beam - --
Rough In
Gas Line
Soke Dampers
*PART FAIL
—
Rough In
UG/Slab
Low Voltage — —
FU Alarm
J
_m ASS PART FAIT_
0 SITE
J Backfill/Grading - ---
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: A ]Unable to Inspect-no access
ADA /
Approach/Sidewalk
Other _ Date - Inspector % Ext _
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST o•,& �7G
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ,
BUP
Date Requested –Z AM PM_ BLD
Location -J My Suite MEC _
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab — SIT
Post B beam
Ext Sheath/Shear
Int Sheath/Shear
Framing —_
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mlsc:
Final
PASS PART FAIL
PLUMBING
Post& Beam
Under Slab
Top Out
Water Service
Sanitaiy Sewer
Rain Drains _
Final
PASS PART FAIL
MECHANICAL
Post& Beam —
Rough In
Gas Line
Smoke Dampers
Final —
PASS PART FAIL
e e - _
Rough In
UG/Slab
Low Voltage
Fi
PA
SS ART FAIL _
Backfill/Grading ---
Sanitary Sewer
Storm Drain [ )Reinspection fee of$ required before next inspection. Pay at City Hall, 1.1125 SW Hall Blvd
Catch Basin
Fire Supply Line I 1 Please call for reinspection RE: [ I Unable to inspect-no access
ADA
Approach./Sidewalk
Other Date Inspector �'�' Ext
—
Final
PASS PART FAIL DO NOT REMOVE this Inspection recons from the Job site.
CITY OF HARD BUILDING INSPECTION DIVISION MST �bEr-O tf 7&
24-Hour I'nspaction Line: 639-4176 Business Line: 639-4171
BUP
_Date Requested 2-, 2-,7 AM_ PM BLD _
Location �� 3�' �'f'bl c� _ Suite _ MFC
Contact Person _ _ Ph _ PLM
Contractor Ph _ SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain inspection Notes:
Slab -- SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler —_
Fire Alarm
Susp'd Ceiling
Roof
Misc: _ ---
Final
PASS PART FAIL -- — —
Post&Beam
Under Slab
Top Out —
Water Service _
Sanitary Sewer
Rain Drains
3 PART FAIL
I!MANICAL
Post&Beam - —
Rough In
Gas Line — -
Smoke Dampers
Final -
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm —
Final
PASS PART FAIL
SITE
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 _ [ 1 Unable to inspect-no access
Fire Supply Line
ADA Q
Approach/Sidewalk _l
Other
Date -7 Ext
��Inspector "�
Final
PASS PART FAIL DO NOT ,REMOVE this inspection record from the job site.
jr, 09;00 MON 09:3.1 VAX 503 519 11960 CITY OF TIC.IRD ` �' Q003
Boarding Permit Application
Date reoeived: Permit not "'�;' r
City of Ingard
Address: 13125 SW Nall Blvd,Tigard,OR 97223 u '�'" ExPh'e�
CirynJTignn! Plione: (50.4)6394171 DAMissued: ao.:
_ By: Remipt
Fax:(503)598-1960 ��<! '/, :1a"cr0-QO:a Caseftlsno.: Paymavtype:
Land use approval: , tAc2 t�mily:Simple Complex_
.V dr 2 famih dwelling or accessory O Corr--sefdat/indust W U Mohi-fmily /urn's CMWWOM ❑Demolition
Cl Addition/alWrWodrgslacement U Tenant improvement U Fire sprhklerfalarm U CKber:
lob . '-21L) 1 c / Bft ao.: Suttle no.:
PM Block Subdiv.cion' gjgPrG(�?1�c�__ 7'ru Indacootrttua.: � dfb? - k_ S
Pts acme: /11,iV%9:&,(7D;B _gr�, _ ! -a'na-ado
Des<dptlau and locadm of wcA on pts msses/special coodhionr: .TA dccx.ce& csZ Arc,
Nano:
hWing address: 6s ss- ov Lv( rAI I&2 book dooming
City: MSOXIJ ZIP V91r Valuation of wort.........................
Pbore: Fax: IIA&mW: No.of Iredraodualbaths... �j /I/1
0ownees vr. r-L TOW number of floon.............L.' : New dwz+IHng Brea(q.ti`) ..... _........
Oaagt kwpwt area(q.2j 4'........
Covemd porch area(sq.it.)T)eck area A./address: _ (q. ).............._.. "'..::'...,....
City: /¢YAC ;tato: ZIP: Other structure area(aq.R).
Phone: Fax: B-nudl:
Valantlon of wont........................................ S
Business saw: G Existing bldg.area(sq.IQ..................._.....
Address: rcARiG Nes bldg.area(sq.R.) ...............................
City: 1.. _ tate: ZIP: -— Number of Miles........................................
Type of construction....................................
Phone:_ Fax: B
CCB no.: rnAil: P�cy 1� (s): ExUtiog
�Qla_.__._.__.�. �,.
city/metro llc no.: Modest All c onbaaara and subcontractors are regmlred to be
licensed with the On"C=wuclioa Caatraclars$owd radar
"t=—
n if C.. provisions of ORS 701 and may be required to be licensed i.the
rs: w d jurisdiction where work is being perforated.If due appltcaet is
cxarspt from Iiceesiag,the!drawing nesana applies:
Contact _ --
Pham': Fax: 13
Name:G6� Contact me: Fees due upon sppk*km............ .. .........S
Address�' Hate teoeived: _
rnft;v—�
unM dAmot received............_..........................S�, b-3 Pau: _Phase refer en The whedale.
I hereby certify I have read and examine I this application and the Nr ra PA"o r mpe este cwk pbe edt j ar sur+bier.tla
athwJrA checklist.All provisions of UW` and or 1muwn govetming tits U Wsa O Atnuacud
wvrtr will be canpiied with.whether ape cified herein or not_ a.e,n+aw.bR — -
Ai hori2rd asgrmlttte: _ ������''i-� N..ee[ r.bowaa■ "—. -
Print name:_ __._._.-_._-..__�i�_�a __ s Anne
Notice:This permit application expires ifs p ffnit is not obtained within ISO days after it haw heart accepted w om"teft, 4"13*11NO7na1
!• f-/i. r ,.t?� '/: '!! � its_.
10:'09 '00 MON 08:55 FAX 503 598 1900 C111' OF TIGARD Q005
Mechanical Permit Application PNNENPN���
Date received: /,Aj it Permit no.: 00 Ig 7
City of Tigard Project/appl.rA.: Ex iredatc:
ry �gard Address: 13125 SW Ilall Blvd,Tigard.,OR 9722.3 p
['i n y
Phone: (503)639-4171 Date issued: Y__ _ y: Receipt no.:
Fax: (503)598-1960 V ? Case file no.: Nyment type:
Land use approval: _ — !_ Building permit no..
U t&2 family dwelling or accessory U Cornmercial/industriai U multi-family O Tenant improvement
New c:onatruotion U AdditiorJaltctationImplacement ❑Other:
Job address: / Indicate equipment quantities in boxes below.Indicate the donar
Bldg.no.: Suitt:W.: value of all mechanical materials,txluipmerit,labor,overhead,
Tax ma tax lot/account no.: /,j 3, -/� �G / �PrUfit.Value$ _
Lot Block: Subdivision: 1AF4-ALC1,;1O Ga' 'See checklist for imp)rtant application informoion and
Project name: _"544rl S41 �, S '1ft 5 JWMWon's fee schedule for residential permit fee.
City/county: f'T,: ,� ��{) ZIP: -
Description and location of work on prrmiaes:
F.sl.date of cp letionrinspecllon: Felsiiea) Todd
�� ��
Tenant improvement a change of use
Is existing space heated or conditioned?Q Yes G No Air handling unit �,
Is existing space inuulated7 O Yes ,U No AM oruo (ane an ut
A system --
o caripressors �-
Busineaa name: �. 4' ;e't-r i G State holler permit no.:
Adtfir,ts: HP Tons Bl ItH
FiraluDake uct smote tors
City:
Phone: - r n _
4- Fax � .�h: ester ace u�mac urner
CCB no.;~ r ' Includingductworldvent liner U Yes U No
-- n e/rolocateTieatcn._su'sFen
City/metes tic.no_� wall,or floor mounted
Name(please print): 1 s !_far na tTisn furnace
Absorptionnnits____ ____HTU/H
Name: Izg- /l.tC� 1lL .t7-`� Chillers — Hp
Address: /L/YL G.� Co ass HP
City: ,y,c;L,y,L _ State: ZIP:
ltartce lent
Phone: �: ,�t ,ti,;.-- Pax: is-mail: aunt
-90
YPe�. Ie azmat '—
bond fire suppression system
Name �, -,� /fit C_ Exhaust fan with single duct(bath fans)
Mailing address: aunts stem N
art ing Or AC --
City:
State.— IZIP. up to out )
Phone LPG - NG (Mi
4. Fax:.✓ E" Puel poing each addit7a;i-Alover 4 outlets
KIM
sc h 7=7c reqs )
NName: Number of outlets
Adders' r � �or
Cil _ Decoratiyefirepiace
y' ..___ State: zuZIP vi
t.''pe.
Phone: I'ax: E-mail: -' av Ir' etstnve
Applicant's signature: Dere: T
Name(print):
Na all ivrl Aicuum atxxp crao rink pleas call jafidr"for nae idhwnwlun. hermit fee.....................$ --
fj Vi" ❑Master and Notice:This permit application Minimum fee................ -
C aAt rnd mtad,rr:._. expires if*permit is not Oftned
— / _J_ Plan review(at i %) $ _
- n,pims within 180 days after it has leen State surety ry
Name rd c a Awn on cravat carni accepted as Complete. haW(9%)••..$ .-
_. s TOTAL.......................yo
Ail UM — Amami- T'--
�+�ar
10 '09 00 MI►\ (WSJ F 11 50a 598 1960 ('111 OF TIGARD 0004
Plumbing Permit Application
City of Tigard �1e reeeiVrd: �,,,> terrain no.: /' 7
Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223
Cay gjTigar�t Phone: (503) 639 4171 Projectlappl.no.: IL:i2Dimedate:
Fax: (503) 598-1960 Dateiaxned: By: Receipt no.:
Land use approval: _ _ Caw file no.: Payment type.
v f&2 family dwelling or accessory O Commercial/induntrial O Multi-family U Tenant improvement
O New construction ❑Addiuon/alleration/mplacetnent 0 Food service U Other:
Job address: 7/.: 5 c- /Ii /C t""( Qty. Fee a TOW
_Bldg.no.: _ Suite no.: New T sindTaintly ditowy:
- (iscWe'a lose.kr ea6 si ity cr�Mloa)
Tax rnap'tsx lot/account no.: ! 1 / SL 10 - fi SFR(1)bath _
LA ic) JBIOCIf Subdivision: r) `e .J SFR(2)bath Project name: / f/�t�`R. �'�;616, SFR(3)bath y
City/county: r , ,q-t/) I ZIP: Each additional badAitchen
Description and location of wotk on premises: 9kesidwas:
Catch basin/area drain
Est.date of completio�nspection: el each ine/trcne.h drain�—
n(no.Un_
Business name Manufaedued home utilities
Address: ;� ,/ ;,,' sin dtarn connector
City: L 7.*6 Stator C. 'LIP: 'r' i-C•t: Sartitary sewer(no.lin.ft.)
Phone: ,;�yZ-W j L c Fax: 1 E-mail: Storm sewer(no.lin.ft
CCB no.: -,r Plumb.bus.reg,no: ; /,A";/" Water service(no.Un. t.
City/metro tic.no.: ;�rJ�r-, / 9 f- . F6rtwe or km::;, Ab don valve
Contractor's representative signature:/ ,+.�.
Print name: J // j;gy.fp� Dale: ack Row pteve,ter
Backwater valve _
Basins/lavatory — — --
Name: .�r � 7',;, ,^�- � u7 ��Z14J74 j of names waa�ier _!
Dishwasher
Address: f' v` Drinkingfountain(s)
city: rrL State:,'7t ZIP C G E:'ectors/sump
Phone: E-mail: mansion tank
Fixture/sewer ca
Name(print): / .yh rw, +).-,Jy 6r j L, Fl.,dna in,/ oor sinks/hub
Uarba die al
Mailing address: / S M Hose bibb
City: {� State.'^r(- ZT- Q lee maker
Phone: + .;1� Fax:' •''/�,c E-mail: Intercepwrtgrease trap
(honer in9tallulion%residential maintenance only: The actual installation mer(s)
will he made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on die property I own as par ORS Chapter 447. Sink(s),basin(s),lava(s)
Owner's si - - Date: Sump —
Tubs/shower/shower pan
Urinal _
Name: _ Water closet
Address: - Water heater
City: — — Starr:_ 7IP_ Other.
Phone: Fax;-- E-mail: _ Total
Minimum fee................$ ---
Nd all Ialadkda+s acor.�p credit Ards,ptene era Jtertadktlaf!a rmre lefvrrmtlan. Notice.This permit application Plan review(al 9F, a
U Visa U MasterCard exliires if a permit snot obtained -- )
Crnnt card wm!ver. — -- I r within 190 days after it has been State surcharge(8%)....$
Nr®e ofeammnlder a dr 0o erV&o;T--- sctxpted as complete. TOTAL .......................$
_ S
Cadroldsz stpwwc __ --�— 44!11616(6R COM)
10 00 '00 40% 08:56 FAX 501 598 1960 CITY OF TIGARD ZOOti
Electrical Permit Application
Dawreeeived. Permit no-' � g ar,�;
City of Tigard ProjMdappl.no.: 1?xp;:edate:
City o/Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: ByV Receiptno.:
Phone: (503)639-4171
Fax: (503)598-1960 case file no.: Paymenttype:
Land use approval: _
111&2 family dwelling or accessory O CommerciaVinduAnal U Muld-family O Tenant improvement
,U l ew construction U Addition/alteration/replacement U Other: U partial
Job addles^. )(cr <<._� /�l cr�F �� 91dg.no.: Suite oo.` Tax tnap/taa Iodaax>tmt no.:/5/ f}
UA) _LB i Subtlivixion: 1 jl 1L.11)/19-
Project name: 1 f c 'L 1'-L%c t' _l)escription and location of work on premix.,:_
Estimated data of completion/inspection:
Job too: Eie Mos
Business name: s�S t '4' as Tata) M
Address: n, t,� il.'<tit _ ,(,Y� New'aWasW-iRl°°r�llka"MIMr
—�__ tltwara`alf.frebsieaalteebd�ntp.
City: -ZState:�A ZiP /T.�•.Z Ravieebclaieek
Phone:`!_ ) Fax:"----- - E-mail: --___� 1000 sq.B or ten 4
Each additional 500 a .It cr portion dwinof
CCB no.: -f / Elec.bus.lic.no: -c=- IiruHd rrair4rrtial 2
Cityhnetru lic.no.: Lirdted ,ttoo-reaieMnt W 2
_ FArbnwa%*mWhorseormodulardwelling
Signatwe of supervisi electrician(Mired) Date Service soft feeder 2
SolSup,alomname(Print):i 1 "" ✓>H Lianseno�� �i -`� aYaaaUaaMnineawma—M-
200 sopa a tea 2
Name(print): / r. 2,01 to 400 2
(P� ) 1 ..�*c'r' � G' 401 to 600
Mailing address: i ZT-, • -3 iLd,L ' amps 2
i6 i- :'� 601 amps to 600 2
city: Over 1000 Wnr or volts 2
Phone: E-mail: ---- Reconnectont t
Owner installation:The installation is being made on property I own Tempom"servlcesork!e!e$s-
which is not intended for sale,Imme,rrnt,or exchnnge arconling In haslaAarloaytttlevsllaa,ernlaeatlaa
ORS 447,455,479,670,701. 20namps orless 2
20l w 400 2
Owner's A lure: hate: 401 to 600 amp 2
3 Mcbeh -Mw'akeratlea,
or eata he per pwsek
Name' _ - _ A.Fee for branch eirwid with purchase or
A ftm -—- service or feeder fa,each branch ct=it 2
City: `-- State' ZIP:-. B. Fee fbr branch eirtvW without purrhese
Phone Fax: E-mail:ll: of$mice or feadtr fee.first braocb circult: 2
Each Additional braacbcimic
Mise.( err net taeeltNe�}.
O Service over 225ampsmrrmrrrtal O Health-caefacility Each pump or bripgon circle 2
O Service over 320 amps-raring of l&2 ❑Hmmdous Ination E&rh siln or of•line lWifinj 2
family dwellings ❑Building over 10,000 square feet fnaror Signal circuit(s)or a limited erxegy panel,
4 System over 600 voles nominal tome emidemal emit in are swm:tme —alteration,at exienaiono 2
UBuilding over dreeswries UFeeders,400wgamormom avesedon,
U Occupant food over Sri persons O Manufactured soucwm or RV park Fyeaddilliand $orae eYewebte
O Fgte+n/lighdngplsa O(Ala—_ .-- _- --— - _ of on 011111M
Perinapewoa F I
8ubnit.__-_K4s of plass wkh my wf tie abam tnvesdgedon he
Use Ax"we Itat applicable to teapanry cooabw*m"evicts. other
-- —�- — Permit fee.....................$
Not as 0twkdow weeps eaedu cw&.peau amt barba coon fa ear kdlwsatlon Notice:Thisi appfiealion plan review at 96
0 Visa 13 MasterCard ex ices if a u is not obtained ( ) S
Credit card somber � � within ISO days after it has been Siam nHduOc(Rob)._..S _
resell!
accepted ori complete. TOTAL.......................S
.—. arty Cf l:ar�et(tU tl Ibefln A 1 '
cm,Cr--N� Amo..t 4404615(6410CW
I&vc),Q_ /-104+rx ars Q
-- a-1 /',-f/G. r
fw
N
6 m46.414Q _Zdlre,
lb a v _ � a*7 w�
a
1 5w $7
ri
i
�C iEa
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
JiM'S PLUMBING
PO BOX 7160
ALOHA, OR 97007
Plumbing Signature Form
Permit#: MST2000-00474
Date Issued: 12/13/00
Parcel: 1 S135AA-MRE17
Site Address: 08730 SW MAPLE CT
Subdivision: MAPLE RIDGE ESTATES
Block: Lot: 017
Jurisdiction: TIG
Zoning: R-12
Remarks: SFA - PATH 1
Your company has been indicated as the plumbing contractnr for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
WINDWOOD HOMES, INC. JIM'S PLUMBING
12655 SW NORTH DAKOTA PO BOX 7960
TIGARD, OR 97223 ALOHA, OR 97007
Phone #: 503-625-6526 Phone #: 649-4034
Reg #: I_IC 71860
PI M 34-186ob
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Signature of Au rized tuber
If you have any questions, please call (503) 639-4171, ext. # 310
FRr)p OWENWEST ELECTRIC FAX NO. : 5032976375 Dec. 15 2000 39:47PM P2
CITY OF TIGARD
13126 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
OWEN WEST ELECTRIC
8310 NW REED DR
PORTLAND, OR 97229
Electrical Signature Form
Permit#: MST20n0.T,0%474
Date Lsailed: 12/13/00
Parcel: 1513$AA-M12E17
Site Address: 08730 SW MAPLE CT
Subdivision: MAPLE RIDGE ESTATES
Block. Lot: 017
Jurisdiction: TIG
Zoning: R-12
Remarks: SFA - PATH 1
Your company has been Indicated as the electrical contractor for the permit Indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above,ATTN: Building Dept.
No electrical inspections will be authorized until t , completed form Is received
OWNER: ELECTRICAL CONTRACTOR:
WINDWOOD HOMES, INC. OWEN WEST ELECTRIC
12666 SW NORTH DAKOTA 8310 NW REED DR
TIGARD,>OR 97223 PORTLAND, OR 97229
Phone#: $03-625-6526 Phone#: 297.6375
Rep #: Ls; 00029a:
Wip now
rIX W"Sc
AN INK SIGNATURE IS REQUIRED ON THIS FORM
-0X
Sign re of Supery sing Electrician
If you have any questions, please call (503)639-4171, ext. 9 310