8753 SW MAPLE COURT 1
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8753 SW Maple Court
CITY OF TIGARD Bl!" DING INSPECTION DIVISION <�
MST _G LIZ%/
24-Hour Inspection Ling:: 635. .175 Business Line: 639-4
BUP
_ Gate Requested 1 ,� ` AM PM _-- SLD _
Location _, 3 '�',rk1-_ C� �'`t`" Suite MEC _
Contact Person Ph l �� G� �75� PLM
Contractor �— — Ph _ _ SWR
BUILDING) Tenant/Owner El-C —_
Retaining Wall — FI-R
Footing Access: -------_-._._.
Foundation /- FPS
Fig Dain ) SGN
Crawl Drain i 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
Mise
Final
PASS PART FAIL. - _ --- -- ---. - .�—- - _. ----
PLUMBING
Post& Beanr
Under Stn-,
Top Out
Water Service ^�_ ^-- ----- -
Sanitary Sewer
Rain Drains
Final -- ----- --------- --- -- -
PASS PART FAIL
MECHANICAL
Post& beam
Rough In
Gas Line -- - -- --
Smoke Dampers
Final - --- -- - —
PASS PART FAIL
ELEC-rRICAL -- -�'
Serwre
Rough In _..-------
UG/Slab
Low Voltage
Fire Alarm
S PARK FAIL —._ ----
Backfill/Grading —__._--
Sanitary Sewer
Storm Drain I I Reinspection fee of g— _—required before next inspection. Pay at City Halt, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( 1 Please call for reinspection RE: �_�--_-- _ — [ )Unable 4o inspect no access
ADA _
Approach/Sidewalk f �.
Date / / Inspectors _ Ext
Other _ ----- - ---
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
(74�r) �'�, / ? �a- 'x' 2 4`{�-�i•.
CITYOP TIGARD _SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: S23/01 00051
DATE ISSUED: 3/23/01
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
PARCEL: 1 S135AA-05600
SITE ADDRESS; 08753 SW MAPLE CT
SUBDIVISION: MAPLE RIDGE. ESTATES ZONING: R-12
BLOCK: LOT: 011 _ --_ — JURISDICTION_TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF detached dwelling.
Owner: — FEES -!
WINDWOOD HOMES INC. Type ` By Date Amount Receipt
12655 SW NORTH DAKOTA - - --
TIGARD, OR 97223 PRMT CTR 3/23/01 $2,300.00 27200100000'
INSP C rR 3/23/01 $35.00 27200100000
Phone: 503-625-6526 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections- _--_�
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. 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 in,"taller
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 95L-001-0080.
You may obtain copies of these rulw4w. irect questions to OUNC by calling (503) 246-1987.
Issue
dw Permittee Signature: _
all (503) 639-0175 by 7:00 P.M, for an inspection needed t! next business day
CITY OF TIGARD _ MASTER PERMIT
PERMIT#: MST2.001-00084
DEVELOPMENT SERVICES DATE ISSUED: 3/23/01
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 08753 SW MAPLE CT PARCEL: 1 S 135AA-05600
SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12
BLOCK: LOT: 011 JURISDICTION: TIG
REMARKS New SF detached dwelling.
BUILDING
REISSUE STORIES. 2 FLOOR AP.FAS _ REQUIRED SETBACKS !_ REQUIRED
CLASS OF WORK: NCW HEIGHT: 10 FIRST: 688 of BASEMENT. of LEFT: o SMOKE DETEC IORS
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 646 er GARAGE. 260 N FRONT: 2v PARKING SPACES
TYPE OF CONST, SN UWELLING UNITS I FINSSMENT: of RIGHT: _
VALUE. 5 121.199 00
OCCUPANCY GRP: R3 BORM: 1 BATH: t TOTAL: 1,336.00 of REAR. 14
PLUMBINU
SINKS: 1 WATER L LOSFTS I WASHING MAu H: I LAUNDRY TRAYS: 1 RAIN DRAIN. IOC, TRAPS:
LAVATORIES: I DISHWASHERS: I FLOOR')RAINS SEWER LINES: ir0 SF RAIN DRAINS 1 CATCH BASINS:
TUBISHOWERS . GARBAGE DISP. I WATER HEATERS: I WATER LINES: IJP BCKFLW PREVNI-R: I GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100W I BOILICMP<3HP: VENT FANS: 4 CLOTHES DRYER: I
GAS FURN>=t00K: UNIT HEATERS: HOODS, I OTHER UNITS: I
MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLET;
ELECTRICAL
RESIDENTIAL UNIT _ SERVICE FEEDER _ TEMP ERVC/FEEDERS BRANCH CIRCUITS _MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: W/SVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L SOOSF: 2 201 400 amp: 201 40p amp: Oft W/O SVGIFDR: 00 SIGNIOUT LIN LT PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 - 600 amp: EA ADDL SR CIR: SIGNALIPANEL. IN PLANT:
MANU HMISVCIFDR: 601 • 1000 amp: 6U1-anma•1000v: MINOR LABEL.
1000+amplvolt
PLAN REVIEW SECTION
Reconnect only:
>e1 RES UNITS: SVCIFDR>•225 A.: 600 V NOMINAL: CLS AREA/SPC OCG:
ELECTRICAL•RESTRICTED ENERGY _
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPFIRRIG: PROTECTIVE SIONL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATATTELE COMM NURSE CALLS TOTAL a SYSTEMS
Owner: Contractor: TOTAL FEES: $ 6,023.58
WINDWOOD HOMES INC. VJINDWOOD HOMES INC This pernul Is subject to the regulations contained in the
12655 SW NORTH DAKOTA 12055 SW NORTH DAKOTA Tigard Municipal Code,State Specialty Codes and
TIGARD,OR 97223 IIGARD,OR 97223 all other applicable taws. All work
will be done in
accordance with approved plans This permit will expired
work is riot started within 18U days of Issuance,or if the
work is suspended for more than 180 days ATTENTION
Phone: Phone. 760-4375(M) Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Rep a: LIC 60196 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
Erosion Control Insp 8& PosUBeam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Ktr I F
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Firewall Insp 746ing
F' al
Foundatlon Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Rain drain Insp spection
Post/Bealn StMetural PLM/Underfloor Framing Insp Gas Fireplace Water Line I sp; Final
c�
LIss ed By : Permittee Signature 4
Call(303)-x3?-4175 by 7:00 p-rn. for an inspection needed the net
xbusiness day
10 T11'00 MO\ 08:53 F°%X 503 1598 1960 CITY OF TIC= 003
Building Perinit Application
i)att:received: Pcnnit no.: t,
City of Tigard
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Prolect/appl.no,: _ Expirc date:
Ciry of 7';wrrl issued: B Date iss
Throne: (503)639-4171 _ Y .K I Receipt no
I-ax: (503)598-1960 Cate file no.: Payment type:
Land use approval: _ l&2 family:Simple Complex:,01 f
&2 family dwelling or accessory C3Corn.mercial/industrial U Multi-family LAew construction C]Demolition
❑Addition/alteration/rrpla,-rent U Tenant improvement U Fire sprinkledtm alaU Other.
Job addrus_s: b. 3v /n. /j Bldg.no.:-,-- Suite no.:
Lor Block: Subdivi/siorn: i '1f G rL Cl.'G fax ampkim lottaccount no,: /s
Project name: !t J-�' l-L_,�J� l .f1[ts' .'� %%a�i~•+ '� '^ - `-
�'( Description and location of work on ptnmisedsptxial cnoditlone:
Name:
tailing address: ; ,Z, _ i 1,� - 1 k 2 fi"y dweUhq-.
City: )-«,_, ,'} fl, ,I,:, I state: A711'711' y-'' Valuation of work ....................... $
Phone:;,.I - , Fax:. Gn1ti1: No,of hedroums/bal..s....A..............
.:.�
ownces re resentative: �• 'Total number of floors.....,.....ems... ........ —
Phune: x: _•.,, r F-ntari: New dwelling area(sq.ft.) ........JZ_ ..........
Garage/carport area(sq.ft.)..... r...,....,...
Covered porch area(sq.ft.),..�:.:...............
Name: —.
Mailing addresses: .__- k area(sq.ft.).............._....:........ .......
..
City: r-1 i]^,i r State: ZIP: - Other structure area(sq.ft.)....................... _
Phone: �hL'- h'ax: - E mail: CoomercWMdustrial/muitl•family:
Valuationof work........................................ $ -. - ----
Businesg name: r', - Existing bldg.area(sq.ft.) .......................... _ ___
Address: S V n `[.r New bldg.arra(.sq.ft.) .............................. --- -
r Shue: _ ZIP• Number of stories...................................... ---- - --
City: ,<;ru�rt
Phone: Fax: !;-mail: fYPe of conatnrctton.................................... �---.--—
CCB no.: -'r'• -- Occupancy group(s): Exis!ing: - --_—
• ,i---- -- New:
City/menu tic.no.: Notice:All contractors and xubcoraractors are required to tw
licensed with the Oregon Construction Contractors Board under
Name: provisions of OR,S 701 and may be required to be licensed in the
Address: Jurisdiction where work is being performed.If the applicant is
Ci f_.. Ji r Srnte '/- LII': ,, e!tempt from licensing,the following reason applies:
Contact mon
no.: ^ - - ---
Fax; E-mail: -
Name:
Address:
City: ,! ,; • Contact person: Pees due upon application ...........................$
Date received: ---_-
Amount received .........................................
Phone: . /,,,j Fax: ei t E-mail: Please refer to fee schedule.
I Itcmby certify I have read and examined this application and the No.n pMm
Jdicumo veep edtt CaRb,t�call toutil i ce rat mW idanunim
attached checklist.All provisions of laws and ordinances governing this O Vigo O.Mm-lCan1
work will lie complied with,whether s cificd herein or rat. 0I end n mbm--- u
Authorized signature: _ Date. . -�-Name at aatu Jn r�
rhOwa
Print name: "� � s - -' S
ail Aouaat
Noone::hits permit application expires if a permit rs not obtained wrdtin 180 ds�s after it has hern accepted as complete 440461 (bar,:(xo
101,09'00 M0N 08:54 FAX 50:1 598 1980 CIII OF TIGARD `ito(14
Plumbing Permit Application
- Daterece:ived: Permit no
City of "Tigard Sewer permit no.: Nuildingpermit Go.:
Addfcs,' 13125 SW Flan Blvd,Tigard,OR 97121
Ciryof'lrgord Phone: (503)639-4171 Itojecdappl.no.: Expire date:
Fax:(503) 598-1960 Date issued: ily__-_- Rcc-iptnoi:
Land use approval: _ Case file no.: Payment type: -
;ko�baddrrss:2 family dwelling or nccescory U Commercial/industrial U Multi-family U Tenant improvement
construction U Addition/,dieration/replacement U Fo A scnvlc- J Other.
- _ Desertion Q(Y.. FLe(ea Total
Suite no.: - - New 1-and 2-family dwellings only:
Bldg.no.: -- (lochlillm100 ft (ore-M:httllitycsrttncxllon)
Tax map/tax lot/account no.: _!S/ s"/.}�� J 4 S':>'^ ot:'C Sh12(1)hath -
lax - Bloctc 1 Subdivision: SFIt(2)bath _
Project name: i' , u�c" :-�ci_��'S.i`fYt".'::; 5M(3)hath y
City/county: �-�';.4-�/I /� ZIP: �?7 7-t l- Each atididonal bath/kitchea _
Description and location of work on premises: ;74.. Siteutilkles:
Catch basin/mra dein
- - Drywclls/lcach inc/trench drain
Nt.date of completion/inslxction: Fwlirt tlrnio(ao.lilt.R.) —
Mattufactured home utilities
Business name: lam es, -gin-holes
Address: } 7 <' ain drain connector
City_ /, .�r� I S---I tl_ 7IP: �", �-t;b Sani sewer(no.lin.ft)
phone: r'i' - j� Fax: A, �E-mail: Storm sewer(no.lin.ft.
Plumb.btu+.re no: ater service(no.lin. t.
CCB no.: _1 g' fUtme or Item:
City/metro lic.no.: ,I')!' 7 b 4.3J rAbsorption valvContractor's representative signature: c,� ,.i- _� oe reventer
Print name: / ,4 /( e: //' 7i7ater valve
lavatory
` f� Z/M4 s washer
Name: �^r' �7>: � ashcr
Address: �7 �_ ----T--- Drinkin fountain(s)
City: ?IL 1 S0te:.'"T ZIP: 1'" _ ' Hjectors/sump --
Phone: LAj 3 ax: — h-mail: Expansion tank -- -
-Fixture/sewer cap—
.ti M6i r—dtwnsIflocir sinkAub
_Nwne(print): r^ c,7 Clerba c disposal
Mailing address: •47 ' .S A,v, `�: �`�' t ose bibb
City' ~ G Q State tl 2[P: 'j 7 Ice maker — -
Phone.. „'-2 f Fax:' `'/,tS� E-mail: Interceptor/grease trap
Owner installation/residentiaimena tce only: The actual installation Prime
td mrs)
will he made.by me or the maintenance and repair made by my tegulxr Roof drain(commercial)
employee on the ptoperty I own as per ORS Chapter 447. Stn (s).basin(s),lays(s)
Owner's si tures _ _-- _ Sum --
Tubs/shower/shower pan
Urinal
Name.-___. _-- _..._ _ Witter closet
Address: � _ nter heater
City: - State:_ 9.IP_ - lit er:
Phone: Fax: E.grail: -- �'otrtl _ _ ._
—_ - Minin•am fee................$ —
Nat all wwktlan WEep aetit red,.tkmv call itawWd fa mote tnrrnmmmnI[ Notice.This permit application Plan review(at — %) $
LI Vim U MAMICard expires if a permit is not obtautcd ^tate surcharge(8%)....S
CmAI rare ntrtntkr —_ — -- -- — within 1130 day,ager it has been —
fOTAI. .......................5
mFn1m cd accepted acomplete.
oZ _—
S
CAI dais yon --- Amouot WA516(VIOMM1
10%09/00 Ndti 08:55 FAA 503 598 1960 CITY OF TIGARD 11005
Mechanical Permit Application
Datereceived: Prrmit cto.: /��
City of Tigard
b Projecdappl.no.: 6xpircdatc:
flryof7igard Address: 13125 SW Hall Blvd Tigard,OR 97223 Dateissucd: _ Hy. Itueiptno.•
Phone: (503)639-4171 ___ _ _. ---
Fax: (503)598-1960 Case file no.: Paymcnt type:
Land use approval: ___-- Building permit no.: --
Or?&2 family dwelling or accessory U Commercial/industrial U Mtdli-family Q'I enant unprovcnte.nt
IVew utnstrvction U Addition/alteration/replacement U Other:
D]IS311 1111 11131thm all[010
Job address: — Indicate equipment quantities in boxes below.Indican thc:dollar
Bldg.nu.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax ma tax lot/account no.:
/,j ;';r/.j +r r k, , Profit Value$
Lot: Hluck; Subdivision: r�:!_,'L:-r-1;t. *See checklist for important application information and
Project uarme: iIL y - Lt , cs ""5 Tyr Jurisdiction's Mfee jcltedule litr residential permit tee.
City/county: �r / I, ) �' ?.IIr: ;r�.;�.:'.� Wil IN III LIM" Imam
Desctiptirm and location of work on premises:-- Th..do.
Est.date of completion/inspection: r)racripitrxt ply. only Res.oal
Tannin!imptuventcul tit change of use: unit CFM
Is extstiug space heated or conditioned?Q Yes p 140 Air conditioning(sue en requit
Is existinv space insulated'!J Yes ,U No A r conn�t= t of e�icisu to H AC nystem
of er/crxnl presuiry —. �--
`� Stale boiler permit no.:
Businca name: n' ,._.r,a:; HP —Tans__-,BTUtH
Address: i-k.G 5 -1�. `/ 1 •'I f'Ji4Fire/amoke a duct stroke detectors
Ci r A-r1/' State: • zip: eat pump isitteplan required) -
Phone:G ` Faz:.',..3- _� E-mail: — .Taal rep acefumacniburner
Including ductwork/vent liner U Yes❑No
CCB no.: � -
Instnl reptacdrolacnteheaten-twspen ,
City/metro lic.no.. wall,or floor mounted
Name( leave tlflt): ),` ,d;a "'Vent forappliance a ter than mace
Absorption units_ _- BTU14
Chiller.,_— HP
Address: �'/2•iy1 (;? ---�� Comprrssuts—__ HP
°.aii[rvia ex mart andd vrnt latioa:
City: State:^ ZIP: A_ppliancevent
Phone: ` : ins Fax:
IF rnnil: �r�'e�ez6aw►
nT res tic tcautnat— ^_
hood fire suppression system
Name: ,i :v 6v.. - r�! ,n;,i _ C11, C . Exhaust fan with single duct loath funs)
Mailing address ' _. r r ,.� Exhaust system a art from heating or AAt.
S '' :J 'l1Y �� Ver am ar uit a(up to out zts)
. tetc
City: ; L L 1 v. _ __LI'(; NG Cali
Phone: ;1�" "" 'Fax: " i. E-trail: Fuel r rn cactiAdi'tiona over 4 outlets - -
roan (schematic require )
Namei Number of outlets
---_ Merltoe -APPH a or cgst ImeaC
Address: _ Hoed
faeplace
City: _ State: M. -�---- Tnwn-type -
Phone: LJ a E-mail: -- - -- datov pe et stove _
Applicant's sipaturc: D,re:
Name(print): -----__--� _—__-- —�
Na dl)urtrdicumn scept credh code,plear all iudwdlictum for marc fafnrtmWm. Permit fee.....................$ —
Q Visa ❑MaterCard Nonce: this permit notiobti in Minimann fee................S
Cm it end mrudn _! , / expires if a permit isnot obtained Plan review(at— %) S
nepuee within 180 days oiler it has been State surcharge(8%).,..$
ame of c as nn cmdu cad -' - accepted as complete. 'rQTAL
_ xrlRlaro _ Arrwual � gp.rgll(riAtlt'OM)
1^. ':19'00 NO\ 08:36 FAX 503 598 1960 CITY OF TIGARD Z006
Electrical Permit Application
— r Tigard
T - hatcrcccivcd. Permit no.:,'��
City Ol igard 14oject/appl.no F.xpiredaw:
c,rti„/77,rard Address:13125 SW Hall B1vd.'figard,OR 97223 Data issued: By: Nccciptno.�
Phone: (503)639.4171 ----- -- — -----
Fax: (503)59,°'1960 Case file no,: Payment type:
Land rise approval:
'U I k).fatuily dwelling or accessory U Commetcial/industrial L]Multi-family ❑Tenant imptrrvement
U?9ew construction U Additiun/alteriuian/replacement U Other:_ U Partial
Job address:_ _ Bldg._no.: Suite no.: Tax trap/tax lot/account no.: /,$/JIS' C}
lax: �- Blake N Subdivision
Project same: r ;.r✓_ ; f l'r ..yI I)eseri don and location of work on pretniv.
F_stimated date of comr+t.;tionh .etion., T�
Job no: Fee M11tt
Business name:
_ _ Ikscri kro Qty- es.) 7aul ao.lusp
^ �
Address: n :), t -^ ( : New realdrraul-single fir prlMarit
ry per
_ - - -� dwrlWrqumilncbrrMaatraclreslytrage.
City:- $late: "/! %IP: i J, _ 5ervkriocMdM:
Phone: _ 5 1. Far' E-mail: Y ._ Itltxl .ft w less - 4
CCB no.: Glee:.hum.lie,no: CGu b additional 100 sy.ft.or pnrbnn thereof
5 / I.rnv energy,residential 2
City/metro be.no.: / ',' j:. l.imitedemrgy,non-residential 2
tach manufactured lurme or modular dwelling
Signome ofsopervising eleculcirl required) �- pate •* :•r u Service:andiur feeder - 2
Sup.deet.name(priaQ:i %.i:'- r`v-r LAvense no: Menses or ferrlen-intallatlom - -
sito-Mon or relit"flon:
200 amps or ler _ 2
Name(print): 201 unprco400amps 2
i , , , , L. ,4 401 amp"to Goo empa
Mailing address: 2
J � .,, i' 60l amps art 1000"mQa 2
City r '; it Stale:-iI ZIP: - ._ < - — ,-
_ / ) Over I LNxI unps or vola
PhOOC: ,.;,,...• r ,j..<.:. FIUt: .r?r""- ",(,r 1;-mail. ReumuectOnly
_ I
Owlmer installation:The installation is being made on property I own d. tetttporaryservices orferrkn
which is not intended for sale,least:,rent,or exchange according to tmtxlkdoo,Warn",or relocation:
URS 447,455,479,670,701. 21lll arrs or less 2
2111 amps Sit 400 amts 2
Ownet's si ature: Date: 401 to ti(l)am 2
Bnnrlicircelts new,sdtrratlon,
or extemiou per r Awk
_Name: - A. Fee for brave,circuits with purchw M
Alf t-w. - — - service or if edet fee,each brunch circuit 2
City: State: 21p: 11 Fee for bnn.•li circuits without parclwe --- -
of service o.trier fir m
first btcb circuit: 2
Phone: Fax: H ttlall: Fach additional bnan ih circuit:
141w.(t'ia•ttce or feeder trot tee ).
OService over 225amix•oummcrdW ❑Healdi-twvfacility tazh P mp or irrigation circle 2
❑Service over 320 anyrs-rating of 1&2 ❑IiauurLrus Inauinn 1••ach Sign or eenine lighting 2
frnily dwellings ❑Auihling over 10.000 squair feet hiur o, fiignal circuit(")Sit a Irmitni energy p-riel,
OSvttemover 600voltcruiminal more residential Units inone awcture aitenticimorextenoune 2
UBuilding over throrstones 0Feeders,400amps ornxrre •Maur or
Occupant load over W prnxms U Manufactured ate icturn nr RV pa; Fitch addltilimW ingrrtiao ever the a lewaMe V say of the abvei
d FgresMigtwngplat U tither _- Petinaptxtlon
Submit _nits of pines with any or the"beers. Invnugstion tee _
7be above are not applicable In Irspersry connection vetvk•e. Other
Not on ju tefirdum xulit asci'cafe please nu lorlura,.,n it*nice lenensun o Notice-This permit application Permit fee.....................$
O Visa G MaxterCrd expires if a permit is not obtained Plan review(tar _- %) S _
endircard comber .-___—_ _L._L.. "ithin Igo day.,after it has been State,surf harge(896)
--- ExOA`s accepted as complete. TOTAL......................$
"`�liroe of teidleJdrr r e an ccad
r I ppuuue _�_._.� Amomn 4tr}4615 tN11a�COM)
lN7v�(�Qo !0 f�Dm t S ,L G
X53 b>>7 7,6ttE
_ahi elo Cif e7WL3 _
0 644
N
L•�1 /bo
Igo �Z iG3
--tcA 05r
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/to l,nt 163
�3 � $I e" 10Or .� �ne
/Yl,gt�tt-�fLbE r���lC
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 #: MST2001-00084
Date Issued: 3123101
Parcel: 1 S135AA-05600
Site Address: 08753 SW MAPLE CT
Subdivision: MAPLE RIDGE ESTATES
Block: Lot: 011
Jurisdiction: TIG
"Zoning: R-12
Remarks: New SF detached dwelling.
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
Phc. ;e #: 503-625-6526 Phone #: 649-4034
Reg #: I IC 71860
PI M 34-186ob
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Adtfiorized umber
It you have any questions, please call (503) 639-4171, ext. # 310
FROM : OWENWEST ELEf_TR1r FRX NO. : 5032976375 Mar. 26 2001 06: 18PM P1
t�; CY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
OWEN WEST ELECTRIC
8310 NW REED DR
PORTLAND, OR 97 229
Electrical Signature Form
Permit #: MST2001-00084
„_.taate Issued: 3/23/01
Parcel: 1 S135AA-05600
Site Address: 08753 SW MAPLE CT
Subdivision: MAPLE RIDGE ESTATES
Block: Lot: 011
Jurisdiction: TIC
7_oning: R-12
Remarks: New SF detached dwelling.
Your company has been indicated as the electriml 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 :cork to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER. ELECTRICAL CONTRAC f OR:
WINDW000 HOMES INC. OWEN WEST ELECTRIC
12655 SW NORTH DAKOTA 8310 NW REED DR
TIGARD, OR 97223 PORTLAND, OR 97229
Phone # 503-625-6526 Phone #: 297-6375
Req #: LIC 29492
suv 78855
FI F. 28.398;
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext # 310
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CITY OF TIGARD 24-Hour
BUILDING Inspection Li e: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171
BUP _
Received __ Date Requested -T __-_ AM_ __PM. BLIP
Location —_ 7 )'Ze � � __ Suite MEC
Contact Person _ Ph(.__ _) �l 2—_651�' PLM `- ----_.__----
Contractor -_- ___ Ph(— ) __- - SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: r/ ,� ELC
Ftg DrainELR
Z'_f
Crawl Drain /
Slab Inspection Notes: _ Sir
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - -- -
Insulation
Drywall Nailing — - -
Firewall
Fire Sprinkler - -- - -- - -
Fire Alarm
Susp'd Ceiling ---- ----- -
Roof
SS PART FAIL
PCU G r-- - - - ------
Post&Beam
Under Slab ---_!—_-----�`___—
Rough-In
Water Service ---_
Sanitary Sewer
Rain Drains - —
Catch Basin/Manhole
Storm Drain
Shower Pan
Other. ----
Flnel
PASS PART FAIL - -
HANICAL -------.._-_.__.-_ _---------
Post&Beam
Rough In
Gas Line
Smoke Dampers - - - - ---- - --
Lpm
PART FAIL -
Service ---- -- --
Rough-In
Ura/Slab
Low Voltage -
Fire Alarm
Final Reinspection Ie! (it$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE [ ) Please call foi reinspection t�E:_.._.._.. _ Unable to Inspect no access
Fire Supply Line
ADA
Aporoach/Sidewalk Date ��1 _ Inspecter_ -__ ^'�,-- -_- IM
Other: ____
Final W DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL