8777 SW MAPLE COURT pnoJ eldeW MS LLLA
0
v
m
IL a
of 1°
W
8777 SW MAPLE CT
1
00
,C
W
r Li
O
O
v
v
O
v
CL
I
o
N vi o ,
N
V OO W
W y O
CITY OF TIGARD BflNG INSPECTION DIVISIO24-Hour Inspection Line: 635 Business Line: 639-4 M3T
_ Date Requested 7—,;L BUP
AM PM BLD
Location_�� -7-7 �'�� ,, U�� Suit
�"r�.- MEC
Contact Person (�(�Q 1 Ph 21-7 (a`] PLM
Contractor _ Ph Swr
BUILDING l Tenant/Owner ELC
Retaining Wall '--
Footing ELR _
Foundation Access:
Ftg Drain FPS _
Crawl Drain Inspectioli Notes: SGN
Slab
Post&Beam — SIT
Ext Sheath/Shear —
Int Sheath/Shear --
Framing
Insulation -
Drywall Nailing
Firewall
Fire Sprinkler _
Fire Alarm -
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING - --
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains —
Final --
PASS PART FAIL
MECHANICAL -
Post&Beam ----
Rough In -
Gas Line —
Smoke Dampers
Final
T FAIL
LECTRI --
ice
Q oug
P
IUG/Slab
N Low Voltage
Fire arm
100 PASS RT FAIL _
C9 SITE
W Backfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspection fee of E required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RF_:_ LZI
Unable to inspect-no access
ADA re
Approach/Sidewalk
Other Date Inspector
Final Ext
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION pP
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST Z
BUP
Date Requested T -7_AM PM i BLD
Location 7 .7 M Olt' � Suite � MEC
Contact Person LU � J Ph � PLM
Co or _ Ph SWR _
DING Tenant/Owner _ ELC
Retan ng Wall ELR
Footing —
Foundation Access: /
FPS
Ftg Drain v ��X ��• —
Crawl Drain Inspec+ion Notes: d� SGN
Slab
Post&Beam , SIT
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing _
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _
Roof
Misc:
i
ASS PART FAIL
BI
Post& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Riai rains
IVRW F
T FAIL
Beam
Rough In
Gas Line —
Smoke Dampers
3 PART FAIL
TRICAL --
n. Service
p� Rough In --
t— UG/Slab
Low Voltage
Fire Alarm
Final
W PASS PART FAIL
W SITE
.� 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 far reinspection RE [ ]Unable to inspect-no access
ADA
Approach/Sidewalk Date V Inspector
Other _ _ P ! /'��'►'1 Ext
Final
PASS PART—FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
OWEN WEST ELECTRIC
8310 NW REED DR
PORTLAND, OR 97229
Electrical Signature Form
Permit #: MST2001-00085
Date Issued: 3/23/01
Parcel: ISI 35AA-05700
Site Address: 08777 SW MAPLE CT
Subdivision: MAPLE RIDGE ESTATES
Block: Lot: 012
Jurisdiction: TIG
Zoning: R-12
Remarks: New SF detached dwe:. Ig.
Your company has been Indicated as the electrical contractor for the permit indicated above. Irl 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,A1-TN: Building Dept.
No electrical Inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
WINDWOOD HOMES INC OWEN WEST ELECTRIC
12655 SW NORTH DAKOTA 8310 MW REED DR
TIGARD, OR 97223 PORTLAND, OR 97229
Phone * Phone M 797-6375
Req #: LIC 2%92
8UP 20S
ELF 2"98C
IL
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
W
J
If you have any questions, please call (503) 639-4171, ext. # 310
Td WET:et taez ez •aew 5�-s-6ZZeS : 'ON xdd 318133-9 1S3143Me : wobd
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 #: MST2001-00085
Date Issued: 3/23/01
Parcel: 1 S135AA-05700
Site Address: 08777 SW MAPLE CT
Subdivision: MAPLE RIDGE ESTATES
Block: Lot: 012
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 ha%m 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
Phone #: Phone #: 649-4034
Rug #: I_IC 71860
a. PI M 34-186ob
OC
H
y AN INK SIGNATURE IS REQUIRED ON THIS Fr)RM
is _ --- iZ'
W X _
Signature of A rized tuber
If you have any questions, please call (503) 639-4171, ext. # 310
CITYOF TIGARD MASTER PERMIT
PERMIT 0: MST2001-00085
DEVELOPMENT SERVICES DATE ISSUED: 3/23/01
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171
SITE ADDRESS: 08777 SW MAPLE %T PARCEL: 1S135AA-05700
SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12
BLOCK: LOT:012 JURISDICTION: TIG
REMARKS: New SF detached dwelling.
_ BUILDING
REISSUE: STORIES: 2 FLOOR AREAS _REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 20 FIRST: 666 of BASEMENT: of LEFT: 3 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 649 of GARAGE: 260 of FRONT: 20 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 0
OCCUPANCY CRP: R] DORM: 2 BATH: 3 TOTAL: 1,3:18.00 of VALUE: S 121,199.00 REAR: 10
PLUMBING
SINKS: 1 WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 3 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREA3E TRAPS:
MECHANICAL OTHER FIXTURES:
FUEL TYPES FURN<110OK: 1 BOILICMP c 3HP: VENT FANS: 4 CLOTHES DRYER: 7
GAS FURN»100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: I
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCI4 CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amu: O - 200 amp: WISVC OR FOR: I PUMPARRIGA71ON: PER INSPECTION-
EA ADD'L 600SF: 2 201 400 amp: 201 - 490 amp: tat W/O SVC/FDR: 00 SIGNIOUT LIN LT: PER HOUR.
LIMITED ENERGY: 401 - 600 amp: 491 600 amp: EA ADDL aR CIR: SIGNAUPANEL: IN PLANT:
MANU HMISVC/FDR: 601 • 1000 amp: 601•amoe•100ov: MINOR I-ABEL:
1000.amp/volt:
PLAN REVIEW SECTION
Reconnect only:
>•4 RES UNITS. SVC/FDR>-225 A.: >600 V NOMINAL: CLS AREAASPC OCC:
ELECTRICAL.-RESTRICTED ENERGY _
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO S STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMMAGING: OUTDOOR t NDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIO: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,023.58
WINDThis permit Is subject to the regulations contained in the
12655 S N HOMES INC W655 SW D HOMES INC Tigard Munici{-0 Code,State of OR. Specialty Codes and
12655 SW NORTH DAKOTA 12655 SW NORTH DAKOTA
TIGARD,OR 97223 TIGARD,OR 97223 all other applicable laws Ali work will be done in
acco-dance with approved plans. This permit will expire if
Werk is not started within 180 days of issuance,or if the
Ill. work Is suspended for more than 180 days. ATTENTION:
Phone: Phone: 7804375(M) Oregon law requires you to follow rules adopted ry the
Oregon Utility Notification Center, Those rules are set
N R@90: LIC 50196 forth in OAR 952-001-0010 through 952-001-0080, You
may obtain copies of these rules or direct quesWns to
OUNC by calling(503)246-1987.
m REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Beam Mecnanica Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final
J Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Ins( Gyp Board Insp Mechanical Final
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Firewall Insp �Fl
inai
Foundation Insp Footing/Foundation Dr Electrical Rough In Gas Line Insp Wafer Line Insp ction
Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Appr/Sdwlk In �uiid Final
Issued Permittee Signature
Call (503)6394175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2001-00052
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 3123101
SITE ADDRESS; 08777 SW MAPLE CT PARCEL: 1S135AA-05700
SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12
BLOCK: LOT: 012 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 CTR 3/23/01 $35.00 27200100000
Phone: Total $2,335.00
Contractor:
Phone:
Rea#:
Required Inspections
IL
QC
E-
N
m This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
0 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not
J 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 pur e a"Ta d
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you It II ules pled
by the Orego Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throng A 52- -0080.
You y obtain pies of these rules or direct questions to OUNC by calling(503) 2 -1 87.
Issue y: C,\ Permittee Signature:
Call(503) 6394175 by 7:00 P.M. for an Inspection needed the next business day
10,'09'00 MON 08:53 FAX 503 598 1960 CITY OF TIGARD a•-0 Q003
2.
°�'3,
Building Permit Application _s
City of Tigard Datereoeived: >> Permitnu..//
Address: 131'25 SW Hall Blvd.Tigard,OR 97223 Pmjcct/appl•no: Expire dam:
City nJTigard g
Rhone: (503)639-4171 Dateissued: By;' += Receiptno.:
Fax:(503)598-1960
Case file no.: Payment type:
Land use approval: 1&2 family:Simple conVIAX:
&2 fi&2 family dwelling or accessory 0 Comnxrci&VuWustrial 0 Multi-family ew coostnutiaa ❑ikrno(ition
O Addition/alteration/mplactment 0 Tenant lmprovenrnt ❑Fire sprinkler/alarm 0 Other;
Job address: Aj gjoL,'_ G Bldg.no.: Suite no.:
Lot Block: Subdivision: /YJ P% 2rCr..G _ Tax maphax lot/ac«xmt no.: !S/
name .1Z 72-.;-42
Descrll✓:m and location of workonpterrtises/special conditions: /
.CCff i G
Name:
Misiting address: ��—
City: r7r,4-IL OC State:. P-��. Valuation of work...............
Phone:! Fax: '
'��.. E-mall: No.of bedroomt/baths...A_........ �
Owner's tative: ,1L ,(�f, Total number of flom...........�:.....
Phone: Sa r" "A C E-wll: New dwelling area(sq.ft.)..../. .G.
(3ar W arpon area(sq.R)......2--4.Q.......
Name: m � _ Covered porch area(sq,ft.).....rte............ ~
Mailing address: �— Deck arra(sq.fl.)........I....._../''.............
City- I=}-^L-- Stan: ?dP: Other structure area( .ft).....r•'........... _
Phone: /A4r Fax: Email: �tilalllo O MMUMU H-fanny:
a
Valuation of work........................................ S
Business name: Existing b1Ah;.arca(aq.ft) ............. .... ..... _
Address: G New bldg.atra(sq.ft.)............... _
City: Number of stories..................... ......
E mail: Type of constrwion...
Pfiorte;• Fax: ........ ..................
CCB no.: OccP�y gmp(s): Foisting
City/metro lic.no.: New:
Notkr.All contractors hued subcontractors ate requited to be
IiYY licensed with the Oregon Cansnuctlon Contractors Board unler
Name: �r provisions of ORS 701 and may be required to be licensed in the
Address: c' f• r jurisdiction whore work is being pt:rformed.If the applicant is
city: Y_— S rf. 17«r -, +9 exempt from licensing,the following reason applies:
Contact person: / Plan no.:
.L
Phone' Far
Name .� Contact pe": A3 Fees due neon application ........$
..................
Address: 2.A _ Date received: --
Cih' I L) 12M Amount received.........................................s_--
Phone: y—e.2 Fax: E-mail: Please refer to The adwdule.
I hereby certify I have read and examined this application and the Nd YI jw d c&'m Wwr creat CW&,0law an).idea rev VWe ifaneaaon
attached checklist.All provisiaat of laws and ordinances governing this 0 visa Q MuuYCard
work will be complied with,whether ifred herein or not. Cr"t card nanber -
PrintAuthorized signature: Datr.:���i l i` Nave d r Momma—m Md
Print name: - i
cariftkohlieugaiaaiva Anomer
Notice:71is permit application expires if a permit is not obtained within 180 days after it has been accepted as c(mmplete, 404613 MMCOM)
16'09'00 11111' 08:54 FAX 503 598 1980 CITY OF TIGARD (MG04
Plumbing Permit Application
Permit no.� -
City of Tigard nate received: -5
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewerpumtt no,: Buikling emelt no.:
CiryoJ'Tisard Phone: (503) 639AI71 Projectlappl.no.; "
Expire dare:
Fax:(503) 598-1960 Date issued: By: Rxeipt no.:
Land use approval: _.._ Case rile no.: payment type:
gf&2 family dwelling or accessory U Commercia�odumdal Cl Multi-family O Tenant improvement
Kew construction O Additiontaltetation/replarement O road service U Other.
lob address: QIL. Fee ea. Tao!
Bldg,rio.: Suite no.: NeW 1-Md welillop-dT—
Tax mapAax lot/aecotmt no.: 5-PI„ i (��mILlbreatinlBitycaWect W)
SFR(1)bath
Lot BlockI Subdivision: ,e t! SFR(2)
bath
Project name: /jl/lOL"d",L� & b T$r15�' (3)beth
City/may: 7-,0 fes"• V7-J-.m•.3 E@Cb afttional schen �
Description mid bcadcn of work on premises: c 41%%8
_ 1lMtletr
_ Goch ba"area drain
Est.date of tx>zapletian/inapectioo: — ne1 rnc�i�rarn
n(ao )
Busimss nam: __!2AM 5 Utilities _ -
Addttas: N Rain&Wn conrtector
City, /) State;ti ZIP: `���n: Sam sewer lin.ft)
Phone: G yy- Fvt: 4;-A I E-mad: L ft
CCB no.: '7! : i��Pfumb.bras.reg.no: 3 �L'a P" Water service ao.
C9tyhmetro lic.no.: 3 u 0 O /6 $.T_ Pktwe of hear
cootractoes representative signature: idzyvalve
Print name: /!. De1e !� Cn ter
.Der valve
v
Name 7-a- r- S7 f /�'�► i>l t r
Address: . � r2/ DisAwnFier
-
City: /4-/O AL� State:,, ZtP V 4 G fountains) .
Phone: / 3 ax: '"�- &riiail:
von tank
Fixtuvisewer ca
Name(print): Floor oar duk3ftb�
Mailing address: S• i1a^ bibb,
City- ti Ste.'"i(, Zfl _ tx wAbf -
Mwnc: i .24: Fax:' —/,Sz E-mail:
ase
Owner mstalla iodresidentiat maintenance only: The actual installation e)will be mads by me cx the maintenance and repair rade by my regular Poof drain(commercial
ernployee on the property I own as per ORS Chapter 447. Si a), (s), va(s)
Owner's si - Date: eg
Sump
Tubdshower/shower pan
N =` rival -
Addrou: ------ _ seer c user
___ stet eater
State. ._
Phone: - Fax: E-mail: aNl
Minimum fee................$
Nast hW1V*_*ft Acte p aaNI aa.,PkM C+F dm ra more nemrmdm. Notice:This permit application
U Wu U Ma wCud Plan review(at__ 96) E
expire if a pennit is oat obtained
cieee"d swatr-- — - -- — within 110 days ager it has been State surcharge(896)....$
Nvmc of cwdhWft r,town on aeft rxj accepted at complete. TOTAL.......................S
"'°'°i sa�atF l6eotiosn
10109,'00 MON 08:55 FAX 503 598 1960 CITY OF TIGARD Q005
Mechanical Permit Application
atern;eivea: Pamitno.• �7�01) - Q
City of Tigard Ptoject/apvpi.w.: Expiredate:✓
CityojTigard Address: 13125 SW Hall Blvd.Tigard,OR 97223
Phone:(503)639-0171 atertsmW: By. ReceiptnG.:
Fax: (503)398-1960 Cue rile no.. Payment type;
Land use approval: Building perni t no.:
471&2 family dwelling or accessory U CommerciaVmthurtrial U Multi-famdly O Tenant improvement
ew construction U Additiodaltertdon/replacement 13 Outer.—
.lob address:
Indicate egrtipmeut guantiHd is bom below.Indicate the dollar
Bldg.no.: suite on.: value of all mechanical ma►erials,equipment,Lbm,overhead,
Tax ma lot/accormt no.: /,51 3 /g r 3 �, / t.Value S _
Lot Block: Subdiviaioo: PLLrti' dtJGb 'Set c1m cklist for important application information and
Project frame: o 44, •f-d 'v ,}- ez judadicdon's Fee wbedule for residential permit fee.
City/county: �/ ZIP Z
Description and location of work on premises:
Est. •ate of co I tion: FM(NL) TOW
ROL �.
Tenant improvement or change of use: _
Is existing space heated or conditiooed'l p Yes p No Air unit ' CFM
Is existing space insulated?O Yes .0 No as — —
sypem
Mimi 1111111"I'Ll
Btiaineastume: D ', C'Ur'� q�7-,5 �7v�, • Mate boiler permit no.:
HP Tons BTU/H
Address: iA�. S ic2 r�/N-S!' new
Phone: Pax-L-Ir -mail:
CCB no.: - dedwbrtheot How O Yes O No
INNS"
Ci /metro lic.no.:_ wad.et t100t oeuneed
Nature(please print): L0eat m
ae
Name: , -G� � !�-r _ ��b HP/H
Address: S6LIn L, - HP
City: 'n Z— state: ZIP: Nanoevent
I`�one: /ih/ndr Fax• E-mailVaer
-
ypo t
hood Ate suppression system
Name: G�!F t/U GG h` n 3 �-- _ Exhuntt ftim wMh duct(bath fame)
Mailing addteas r �1 ,� e or AC
City: Statz VW. � NG(up to OB
d. HIM ((.3: r Fax:' E-mail: ovQ
NameNuamberdautlea
Address: — 011W Fda D veK
City: State: ZIP
Insert-
J Plione Fax: _ E-mail etsrrve
m Applicant's signature: Dane:
WName(fit): - — —,
tva�►our aver ante puns art jQdW"W for Permit fee.............. $
Notice:This .......
O Yea O MasterCard permit snot obti in Miaimum fee................S
c�Ma�:— _ / _ — expires if a permit h not obtained Plan review(at %) $ --
q„pim within I SO days after it has been State (8%)....$
owe of CW60idu r Amm ae CM&and smVted a!complete.
-- Amov' 40•4617(fin
10/09.'00 MON 08:.`.6 FAX 503 598 1960 CITY OF TIGARD 14006
Electrical Permit Application
Datereceived: Ptrmitno.:� Tc ppb ��/�
City of Tigard Pmjwdypl.no.: Hxpiredate:
City of 771cad Address: 13125 SW Hall Blvd,Tigard,OR 97223 -- —
Date issued: By: R=ipt
Phone: (503)639.4171
Fax: (503)598-1960 Pose file no.: Payment type:
Land use approval: _
01&2 family dwelling or accessory D Commercial/industrial 0 Multi-family l]Tenant improvement
ew cocumxtion ❑Addition/alteratioo/mplacemcnt O Other: ❑Partial
lob address: aw Bldg.ne>: Stiltr oo.: Tax mleadaexortat no.:/V, -
tct BlexJt:
PmjW trune: /I1,/3 f� 11,f`Ut ejli��ption and location of work on premises:
Estinsased date of compledowinspectim -'
HEM
Job vice >!k. fNts
Business asune aw Teeial as
Address: l� A.,I— / NewntYsatid-�ar��r1'Nr
6-i twe■a�atetitelYaiaaaMaeidboya
OCT. State, .2-
1000orlkoclass 4
CCB ao.: Elec bus.lic.no: -, ) estladsad 500 %or skesent
raidrrual 2
Citv'mttm lic.no.: �r1 Jr7iL'7 3 G t tcaued ,aoo raideuW
_ Br6 hoe.arreodalardwdBng
84pature of supervisin eteetrician Date Gq SesvioseraNw War 2
Sup.den name k u a sa n:+'1 g sarvlaea
cellon iaaernMeadea:
21WIsseporksol 2
Natoe(pdnt): /r rrj ul GRe`r 11� j6�&1 4EI rAoC— 201 so 4ao 2
Mailing address: e.7-,l, 4 401 mp so tion 11121"s 2
City: l r-191L D S �.: r 601 m 1000 2
Over 1000 «volts 2
Phone:G-;, L .2,G Fax' _ - &mail: - - Itsmanoctsisly I
Owner installation:The installstim is being made on property I own Toatpesasyeamubmw ie*4kn-
which is not intended for sale,lease,rent,or exchange according to alborsdon'Kr`dwellaao
ORS 447,455,479,670,701. er leas 2
201 b 100 2
Owner's tre: Dave.:_ 401 b
2
edrladb-new,akeratleai,
Name: er erreieasMa pr pork
-- A.Fee for brace I ahadta with pw%fin of
A aervlee or floods eke,each breach circuit 2
CRT- State-: rLIA: B. Fes lbr broack ahcoin wkboet porch—
Pbnne: I Fax: E-man.. — of aentoe or fssds tea Mt baoch circuit: 2
� Each addhlnaal such dzculc
li0ee. es lNsrsrtrel.iedk
O Service over 225relsaoronerdal a Haalthflref culty Each pump or kriptlan drda 2
O Seviceover 320 smp%-r,rbj of I A2 0 Haradomr lonriae finch ap of oodme lighting 2
family dwelliep 0 Buildingover 110.000 rqure float Gwr a SigW circuit(s)or a limited enwV panel
N 0 8yteem over 600 vaits onminal mora teddsrtlal arobi in dhe�erhrcAes dterstion or axsaoion' 2
U) q Rodding me few slmdn 0 Foods%.400 unpa or nme a __
0 Omopaot load wv"persons 0 Maindacneed atrwkm or RV path
IeapMMo cera r once eMwaNe is aa7 at Itta
J Dftre:t/ligirhyplaa OOel+rr:
C0 9ea6dt_ods of dance whir ay orels awl Invesdaadoe Ike
1W d4m sere ant appecable b to mpsrary eeaaiesellm Nervi 4 000 -`
Not sa)sissceom sit near esftR pear call lea+ebr sena 1 ftlow4 a Notice:ibis permit application Permit fee.....................$
0 Visa 0 MasterCard e:Vb"if a permit is not obtained Plan review(at __%) S _
Ciedit cora esmba —_ _ within 180 days after It has been Stahe surdul ge(9%)....
sae d r imm on cnAk cod
-- accepted as o: mplete. TOTAL.......................S
Crrtaroil tiaea0ita Amort
_.. 4ed615 trsrooR'Ml
4'-oil _ 4'-011
NO OPENINGS ALLOWED NO OPENINGS ALLOWED
FIRE RETARDENT PLYWOOD
OR ROOF SHEATHING OVER EDGE UNPROTECTED
11/
81
, TYPE "X" GYP. BOARD NAILING ROOF SHEATHING
(2) LAYERS 1
rl/8" TYPE "X' FURRED 2x
GYP. BIRD. I STUDS 6
GYPSUM
24" oc: MA
BRD. MIN.
OPTION ® OPTION
PREFAB ROOF NON-BEARING GABLE
I BUSSES END SSS
g 24" oz.
FIREBLOCK (2) LAYERS OF Tie"
CEILING AND TYPE "X" GYP. BRD'4
FLOOR LEVEL CONTINUOUS
SUBFLOOR
TRIPLE RIM
��, JOIST
(PERMITTED TO
RUN CONTINUOUS FLOOR FRAMING
OVER fE) PARALLEL
_ TO PROPERTY
LINE FIREWALL
(2) LAYERS OF 5i "
TYPE "X" GYP. BBD. *ALTERNATIVELY:
1" AIR SPACE CLEAR (1) LAYER OF 1/2" TYPE "X"
BETWEEN WALLS. FIRE GYP. BRD. MAY BE USED WHEN
BLOCK 6 10'-0" or-. Rr)r?F IS "STICK-FRAMED"
NORIZ. AND VERT. WITH CEILING JOISTS SPACED
10 16" oz-. MAX.
PROPERTY LINE FIREWALL
0 2 -DOUR APPROACRI
MODIFIED")3/47=19-0"
State, of Oregon - Building Codes Division r&TE: lune I. 2000
ALTERNATE METHOD RULING No. 00-10 DRx: yrs cm Es
W-txl.r)two,o #JIM
Z�.� X33
N
L1.16� l 60 / o �2 IL3
A
Leis FF� li r
� a r
10
O
�A
J'jjc,Ik
a
oc -
k,n i,63i�0
fv w► !63
(� 3 b� J!�
W