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8830 SW MAPLE COURT :pnoo eldoW MS 0£88 I G U a a oc � c 0 ch m co o t� W 8830 SW MAPLE CT CITY-OF TIGARD BUILDING INSPECTION DIVISION .MSTd 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ Date Requested ( AMPM BLD Location g'3U �j(,t, _ (!Ujj6&uite MEC Contact Person Ph PLM Contractor 444- Ph SWR Tenant/Owner ELC n,:ng WallELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab _ SIT Post&Beam Ext Sheath/Shear I _ Int Sheath/Shear Framing / i c v.y �l� i> .�L l �� Yf►2 2.r1, t '✓ G.G Insulation Drywall Nailing N L �O Iy Firewall Fire Sprinkler - V6E�47 dx5'Z,_Z.4L- T'''l��,c b0'' 'r, Ems' / Fire Alarm C Susp'd Ceiling `/ SS �An� Roof MPASS -- PART — — PLUMBING _ Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains _ Final PASS PART FAIL (Off CHI-MAP Post&Beam Rough In Gas Line -- --`— Smoke Dampers _in y. — S PART FAIL ELECTRICAL �- 6 Service C Rough In t) UG/Slab _— Low Voltage FirQ Alarm Fina! ' PASS PART FAIL U 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 for reinspection RE: [ ]Unable to inspect -no access ADA Approach/Sidewalk Date l Inspector OExt Other Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION - MST '711 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _—Date Requested_ AM _PM BLD Location CdG-k _ Suite MEC Contact Person _ Ph / PLM Contractor Phi SWR _ BUILDINU Tenant/Owner ELC Retaininq Wall ELR Footing Access: Foundation - ^�., FPS Ftg Drain `-'lam- 2-490 Crawl Drain Inspection Notes: SGN Slab SIT Post&Beam Ext Sheath/Shaer Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling _ --- Roof Misc: — ------ -- Final PASS PART FAIL - - — --- P st&Beam Under Slab Top Out Water Service Sanitary Sewer Rai rains ART FAIL ANICAL Post& Beam -- - Rough In Gas Line - — --- Smoke Dampers Final - PASS PART FAIL ELECTRICAL —�- a. Service Rough In VV N UG/Slab - r Low Voltage — t Fire Alarm W Final W PASS PART' FAIL _r --- ------ W SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ -requi•ed before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( t Please call for reinspection RE: _ [ ]Unable to Inspect-no access Fire Supply Line ADA i- /,.� Approach/Sidewalk Date (� 0 / Inspector ,/ae t�/ ! .-e FGAV 'Q' Ext Other Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. - CITY OF TIGARD BUILDING INSPECTION DIVISION MST 4, 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested <;– y _AM PM BLD Location k8"3L' 0,>74 b/r C _ Suite MEC Contact Person Ph ee PLM — Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation ��d FPS Fig Drain SGN Crawl Drain Inspection Notes: Slab �. SIT Post&Beam Ext Sheath/Shear L _ Int Sheath/Shear Framing Insulation Drywall Nailing — Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling — Roof - *Si_)SPART FAIL — -- BING Post&Beam Under Slab _ Top Out Water Service _ Sanitary Sewer Rain Drains Final PASS PART FAIL Post&Beam — Rough In Gas Line Damper \ A PART FAIL ELECTRICAL - �— a Service OC Rough In F" UG/Slab N Low Voltage Fire Alarm -� Final iID rASS PART FAIL W SITE -J Backfill/Grading — - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvrf Catch Basin [ ]Please call for reinspection RE:, [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk DatlTEXt Other Cl Inspector V inal PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. ,C ti C > 1� O ,T1 0 U � o Qa > C � CIO v �) LID 3 tv Y 5 b a . u a G v tA � � o Jo G � � � H s O O C z LL. Cj CITY OF TIGARD BUILDING INSPECTION DIVISION MST 7,&Qt, 6eyo( 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP 0-9-W Date Requested AM PM BLD Location ��' �( Suite MEG 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 K SIT Post&Beam Ext Sheath/Shear Z(�� Int Sheath/Shear Framing Insulation Drywall Nailing _ Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling F _ 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 - PASS P FAIL Service L Rough In UG/Slab _ Low Voltage ` Fire Alarm 'p M S ART FAIL 9 Backfill/Grading - - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at ";ity Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE:___ _ [ ]Unable to Inspect-no access ADA -- Approach/Sidewalk --/ v Other Date _ Inspecto - -Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site. .FROM : OWENWEST ELECTRIC FAX NO. : 5032976375 Feb. 23 2001 10:23AM P2 kil I I vI i 1ura1w 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#: MST2001-00001 _.... _ - ... _. ..--w' .. .a : '•.Jt. s. •;!j'ts^."a��-s r.x:na..• Parcel: 1 S13S-AA-06$bd Site Address: 08830 SW MAPLE CT Subdivision: MAPLE RIDGE ESTATES Block: Lot: 023 Jurisdiction: TIG Zoning: R-12 Remarks: Construction new single family detached residence, 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 this completed form Is received OWNER: ELECTRICAL CONTRACTOR: WINDWOOD HOMES INC OWEN WEST ELECTRIC 12655 SW NORTH DAKOTA 8310 NW REED DR TIGARD, OR 97223 PORTLAND, OR 97279 Phone #: 503-625-6526 Phor,e#: 297-6375 Reg #: Uc 00029492 SUP 20NS !LF 2e-398C AN INK SIGNATURE IS REQUIRED ON THIS FORM i X Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 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 #: MST2001-00301 Date Issued: 2120101 Parcel: 1 S135AA-06800 Site Address: 08830 SW MAPLE CT Subdivision: MAPLE RIDGE ESTATES Block: Lot: 023 Jurisdiction: TIG Zoning: R-12 Remarks: Construction new single family detached residence, 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 Phone #: 503-625-6526 Phone #: 649-4034 IL Reg #: 1_IC 71860 p� PI M 34-186nb H AN INK SIGNATURE IS REQUIRED ON THIS FORM m X Signature of Authorized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD MASTER PERMIT PERMIT#: MST2001-00001 DEVELOPMENT SERVICES DATE ISSUED: 2/20/01 MAIM 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 08830 SW MAPLE CT PARCEL: 1 S135AA-06800 SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12 BLOCK: LOT:023 JURISDICTION: TIG RE/MARKS: /C�gnstruction new single family/Aad'�etached residence, Path 1. Littyl t/4L�•' �IA CLtl BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 13 FIRST: 956 of BASEMENT: of LEFT: 3 SMOKE DETECTORS: Y TYPE OF USE. SFA FLOOR LOAD: 40 SECONDof GARAGE: 228 of FRONT: 10 PARKING SPACES: 2 TYPE OF CONST. 5N DWELLING UNITS: 1 FINBSMENT: 01 RIGHT: 0 VALUE: S 67,819.00 OCCUPANCY GRP: R3 PnRM: 2 BATH: 2 TOTAL: 95600 of REAR: 15 _ PLUMBING SINKS: I WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS- RAIN DRAIN: 100 TRAPS: LAVATORIES: 2 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 1 GARBAGE UISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES_ FURN<100K: 1 BOIL/CMP<AHP: VENT FANS: 2 CLOTHES DRYER: 1 GAS FURN>-100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 0 I.IAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL T RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS _ MISCELLANEOUS ADD'-INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: I PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 1 201 400 amp: 201 400 nmp: tot W/O SVCIFDR: 00 SIGNIOUT LIN LT. PER HOUR: LIMITED ENERGY: 401 600 snip: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL! IN PLANT: MANU HM/SVC/FDR: 601 - 1000 amp: 601•ampa-1000v: MINOR LABEL: 1000+amplvnit PLAN REVIEW SECTION Reconnect only: -- >•4 RES UNITS: SVCIFDR»225 A.: >600 V NOMINAL: CLS ARFA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAn ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,595.49 WINDWOOD HOMES ft, WINDWOOD HOMES INC This perms►is subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and 12655 SW NORTH DAWITA 12655 SW NORTH DAKOTA all other applicable laws All work will be done in TIGARD,OR 97223 TIGARD,OR 97223 accordance with approved plans. This permit will expire H work is not started within 180 days of issuance,or if the d work is suspended for more than 180 days. ATTENTION Phone: Phone 780-4375(M) Oregon law requires you to follow riles adopted by the f' Oregon Utility Notification Center. Those rules are set N Reg 0: LIC 50196 forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to J OUNC by calling(503)246-1987. m REQUIRED INSPECTIONS LU Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Framing Insp Insulation Insp Electrical Final J Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Gyp Board Insp Mechanical Final Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Ins{ Firewall Insp Plumb Final Foundation Insp Footing/Foundation Dr; Electrical Service Low Voltage Rain drain Insp Final Inspection Post/Beam Structural PLM'Underfloor Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Building Final Issued By : �� Permittee Signattuur, Call(503)639-4175 by 7:00 p.m.for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00002 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 2120101 SITE ADDRESS; 08830 SW MAPLE CT PARCEL: 1S135AA-06800 SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12 BLOCK: LOT: 023 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 permit. Owner: - FEES WINDWOOD HOMES INC Type By Date Amount Receipt 12655 SW NORTH DAKOTA TIGARD, OR 97223 PRMT CTR 2/20/01 $2,300.00 27200100000 INSP CTR 2/20/01 $35.00 27200100000 Phone: 503-625-6526 Total $2,335.00 Contractor: Phone: Reg#: Required Inspections 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 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 Notif'cation Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987. _.----� - Issued by-/If Permittee Signatu Call(503)639-4175 by 7:00 P.M.for an Inspection neede the next business day • o1 - vy - ul GSD h/M �4040'w/-evoo.12, Building Permit Application City of Tigard Y rntereaxdred: /" Perudtao.: Address- 13125 SW Hill Blvd.Tigard,OR 97223 ' ---- PA�dow. Ci y ofT'igard Date issued: H Y� Receipt Platte: (503)639-4171 — M no.: Fax:(503)599-1960 Case nk so.: pay,nieu t yPm Land use approval: _— --- --`_ l&2 tamlly:Staple _ complex: Yom_ =AdMdftkxdahu2fion/rcpIsrzmer%t dwelling or accessory ❑Commercial/irAu ital U Multi-family ,ta F*w coortrw:tiou O Denu tidm C3 Tenant improvement U Pine apriakkdalarm O Outer — Job address: k F3() ,71 , , C• _ 6 no.: Suite nn.: l.ot: Bloch: Subdivision: /yLr�!r..�rZI� G Tu map/tax IrMacoom no.: 46/ .3 C_14 -06 C u 3-�a!tech Dearription and location of wait on promisedspecial coaditlona: 4 I IV - Name: 6V„-v /w Mailing address: r' .,-r# 1 2 6at14 tawilttH: [� 7 City: :- ,4-2 ; State. ' Valuation of wod:....................... .. .............. " - No.of bedntomslbatM....�!,.........'`............. _-- Otsadf 1- / •L n ToW r m*w of fkxn........... ................. Phone: x: r New dwelling area(aq.fl-) . . ................... (larageJcmPortarea(p.IL',......... L ........ Coveted path area(aq.R) ...R:�.'............. Naooe: �$',�yj5[" Deck area(sq.IL) Mrdbn address: /Y.-. _.. ................... - - City: �,9LLT Slate: Z1P: Other structure area(sq.ft' ....,,.............. _ -- Phone: /l1CSr Fax: E-mail: ssaitl-hnaN�t Valuation of work........................................ S-- Business Warne: Existing bldg.area(sq.k) .... .......... ....... 5 �1 [�- New bldg.area(sq.R.) - _ Addtess: s j C,M i, Number of stories - City Stets _ ZIP: ... ......... '`'� Type of conetmction........... ... Phtme:J Fax: Email: CCB no.: $`!' 1 .-- Occupancy l p(s): Fxtsd NNew — Cky/metro lic.rho.: Nedw.AH contractors and n6ormtractors we required to he licensed with the Oregon C mattwdon Conttwtors Board under Name -/I provision of ORS 701 and may be tequired to be ticeaned in the 3 U, S h J �w C jurisdiction where work is Icing performed.If the applicant is Address: / /3* Stat ZIP exempt from licensing,the Following reason applies- qj: ,� _ v CoWA;t pexsco -_ r twi f Plan no.. J rj Phone• Pax: E-mail: Name: lj Contact person: a due aptxt application ..........................S Address: ti !J� rr received: City: � W State:�? ZIP: 11 !An ountreceived..................................�S Phone: �EC t'y 7 'uc:� /' &Dail: Please r!fer to fee sdrotide. I hereby certify I have read and ez..,nined this application and the Nd rl j.ridktias wow cmat c mb,Oa no jAN coos w,wrtw attached checklist.All provisions n!taws and ordinanoea goventing dtis U vb-j 0 MueaCard work will be complied with,whether ifiod heroin or not VK&1 rand r*mhft _-— J_ - Authorirod MgrgtUHw at c ma ee ad Print name: a� --==W Notice-This permit application expires if a permit i+not obtained wltlda 180 days after ii hu hen accepted as a mpletr. 4"13(GPWXOtsr) W, 10 09 00 %0% 08:54 FAA 50:3 598 1960 CIT) OI• T I GARD la 004 .Plumbing Permit Application City of Tigard Date received: Permit no.: Ciry(if%5'gard Address: 13125 SW Hall Blvd,TigarI,OR 97223 Sewer pcmdt no.: Buildingpumir no.: Phone: (503)639-4171 Project/appl.no.: _ Expire date: Fax:(503) 598-1960 Date issued: By: Rxelptno.: Land use approval: Case file no.. Payment type. - LT r&2 family dwelling or accessary 0 Conmrercial/induatrial 0 Multi-family a Tenw improvement Cl Ke_w construction 0 Addition/alteration/replacement 0 Food service U Other Job address: _QC . Fee ea. Total Bldg.no.: Suite no.: tew l-avd - T Tax map/tax loUaccounl no.: / 3 (3�chaies tN(t.foresee attllky oonmeey{oa) ��O S if^ r 'D SFR(1)bath I ut Block: Subdivision: ref SFR(2)bath Project name: ,J.fid�Ct- �T - H (3)bat City/county: .,, 1 ZIP._ Each additional6M"t wn Description and location of work o n premises:' _ skeaMlo": _ Catch baainlarea drain Est.date of completion/inspection: we Is/Ieac31in trove �— m drain(ao.lis it.) Manufactwtid home utilities Mill — Business name: ���IYI�j /�_ _ anhoks Address: air,drain connector - City: �IT.IP: §__K�Mtwy sewer(no.lin.K) phone: .;. Email: Storm newer no.lin.ft) CCB no.: _/ Plumb.bus.reg.no: 3 5t-le' P seer service no.lin. t. — City/metro lie.no.: o,-� /;o 1,5--- Fbrtwe or lim: Contractor's representative signature: v Absorption valve Print name: J ac k flow venter Date:!�� Da Backwater valve Besine/l ivatyto Name: r /� T,;, ^r' , �.'7 C /�eIfaR r) w r Addreu: �'; /3� r� i ,., Dishwashers — City / A Stater ZIP UCG Dnokin ftwotain(s) Phone: ; E'cctors/sum — 3 ax: —_� E-mail: ---- Ex ansian tank ixturr/scwer cx Name(print): / �H ry c�,�r) Q �. ,>y,b j � Floor oM sinks/hub Mailing address: Garbagedie ,til 't0 Hose bibh City: Starr tfMP Q Cee:maker— Phone: r,�6"_�s1y Fax:; "=�^,�z E-mail: lnterce tnr/gmase tr — Owner instal Wion'residential mainter mcc only: The actual installation mer(s) _ will he made by me or thee maintenancr and repair made by my regular Roof drain(comercial employee on tete Imgperty I own as per ORS Chapter 447. mSmk(ss)j-be.�in(e),lavas) Owner's Si it: Dart: Sump Tubs/sbower/shower put Namm -..__ Urinal - --� ater CIO." _ Address: ate—__-_h----_�- City _ State:_ n ---- Other: Phone: Fax: E-mail: Xotal NO an WWiC60M aaoep ael,cads'pkne un iwadkdon rnr mere relormwan. Notice:This permit application Minimum fee................$ U Vias U MastaCanl expires if a permit is not obtained Plan review(at — %) $ — rmmt cad 01n"bw.- -- — s — within 190 dsys slier it hss been Stnte surcharge(8%)....$ _ Npme m cadhetda w Am,m wean cad accepted as complete. TOTAL.......................$ Cavb(dder Aanrat 4404616(6AM`oM) 10 09 00 40\ 08:55 F 1X 501 598 1960 CITY 01- T I G;1RD ram lt✓Iechanical Permit Application — Date received: permit no.: City of Tigard Project/appl.no._ Expiredatt: Ciryofligard Address: 13125 SW liall Blvd,Tigard,OR 97223 Phone: (503)639-4171 Date issued: By: Receipt no.: Fax: (501)598-1960 Case file no.: Paymenutype: land use approval: Building permit no.: ©"T&2 family dwelling or accessory U Corrunr dal/industrill U Multi--family U TenaW improvement iVew construction U Addition/alteratioNneplacernew O Other: Job address: Indicate equipment quantities in bones below.Indicate the dollar Bldg.no.: i Stdte nu.: value of all mechanical materials,equipment,labor,overhead, Tax ma lax lot/sccount no.: /,)I fit.Value$ _ L_ut: Block: Subdivision: , JL p U Gg •See checklist for important application information and Project name: 14 tJ4, - �,� ,-,b; jurisdlcdon'a fee atWule for reeidentird permit fee. City/county: ,n r ISL L} !' ' 7IP: �--� Description and location of work on premises: ` —_ 11 Fat_date of completion/iIM7DMa►) TOM R.L Tenant improvement ur change of use: _ Is existing space heated or conditioned?Q Yes PIC Air handling unit CFM Is existing space insulated?O condiuunre (suean Yes ONo -�teration ex FIVACsystem o compressors -`— Buaineea State Wier permit no.: HP Tons__,HTII/H Address: /,I,&. 'r S-.r !.'iL "/ /,� Til -vin as uaamo a detectors City: n w Phone: ,* G. Fax: ',1 -mail: InstaUhrplace furnac urner B,1111� — CCD no.: including ductwcRWvent liner U Yes U No Inst acdroocate eaters-suspen City/metro tic.no.: wall,or floor mounted Name(please print): ' iy ,Ij ent for appliance other than fumace Absorption units _ RTUtH Name: &' /���,'.,:,L (}.` Chillers HP Address: /-J-/4• CP Co sora __ HP "WevanesiMeMmUM 1d_67t;: S 47` Stan: ZIP: Arollincevent Phone: /,j-mis- Fax: E-mail: er — Type V lUres.kitcheRfiltzmat hood fire suppression system Name Iixbaust fan with Bingle duct(bath fano) Mailing address: ,r AL. a tem art from nesting or AC up to a City: G State•LX ZIP: I.PG NG _ Olt Phone: ;;: r' • Fax: E-mail: RU - Fuel m over _ ILnoren - - (whernsfic required) H Number of outlets Name: We eqnViame N Address: �_- J Decorative fireplace City: State: ZIP mnsctr-rye -� Phone: Fax: li-maii. ,^1O°"rOVe7l � m Applicant's signature: Date: Name(print): _ - A�__... Otkr. Uj J Na all Iurlsaamnr wcgm Lwim cadk pude can imis&-han rm more hdmnnim. Permit fee.....................$ O Visa 0 MasterCard Notice:This permit anN obtained Minimum fee...............$ Gear cad m�a�ler: expires ifs permit is aro;olxainert / [ Plan review(at_ %) $ p,pjR iccept ISO days after it hes been State surcharge(996)....$ Named ra. on�i�d--"- accepted as complete. TOTAL .....$Arnovol _ +ter t6Mc.'ost► 10 09 '00 NON 08:56 FAX 501 598 1960 CITY OF TIGARD Q006 Electrical Permit Application Date received: P?enrit no.: City of Tigard 14ojecyappl.no.: Expiredatc: City nfTigan! Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dateissued: By: Iteceipf[to.: Phone: (503) 639-4171 --- _ Fax. (503) 598-1960 Caaefileno.: paymnitype: Land arse approval: aI&2 family dweiling or accessory 13 Commcrrialfindustrial 0 Multi-family Cl Tenant improvement _LI New construction U Addition/alterationlreplacerrlenl U Other:_ O Partial Job address: Eidg.no.: Stritc oo.: ITax.miaphaix lotfaccofmt no.: Lov Blticlt: Subdivision. Project name: .;1 / ,4 ,;? DZwri tion and.ocation of work on premises: Fstimated date of letion/ins tion: Job no: Fee Business name: '+� <�, - • ^ 0 TOW N lop Address: A 1-j (./Z Nuatn d*NW-do&orowNliandtpar City: P Ituo I State:tin ZIP 9 ,,.2, Ash rk�rebdei �aaela+teef� Phone: / Fax: E-t=ail: — __ I OW s9-R or leu 4 CCB no.; r EhlC bus.lie.no: a r _ - eadr�doodS onthereof City/metro dc.m.: yjrJ:t~ 3 Lindsed ,non-residential 2 Fact menaQlepred home m rtrndular dwelling SIVature of s=,Wq electrician(►rxprired) Dale ! Serrioetiadforfeeder 2 S elect fume t):` ' rJentesse► -Lma.de., uP ((� 1�..1! A►•r � Licancao:12" �-� �tatlaaareloeatlnn: 200 arapa or lea 2 Name(print; l �G_ 161 amp m 400 amps 2 Mailing addres- ,-3 N0 o � ..4 401 to 600 amps 2 •,. .s'r 601 amp to 1000"P 2 City: Over 1000 amps or volts 2 Phone: u:;" .5 ,r, i G-t=ail: --- --- nacunu roN I Owner imwillation:The instal. 's being made on property I own 7'smporaryaetslemortt odm- which is not intended for sale,le_. -nt,or exchange according v) bobd altoa,alknllsa,ertwMeaalaat OR S 447,455,419,670,701. 2W 1IMPI or teas _ 2 201 arw,to 400 amps 2 Owners si attrre• Date 401 to 600 wM 2 Snweh eiecdb-Np,akeradon, or ext emoloa par pa.ak Name: A. Fes for branch eircadsa with porches of A tL'ss — servi a or feeder tee.each branch rlrcalt 2 City: ISIalic ZIP -_. R. Fee lbr branch drcuits wlthnot purrhese Phone: y— Fax: E-mall: ohavfce or lm' tea Fm brarrir cinc=h: 2 Each addldooal Itnooh tt=It 1t4�ae. N oral r 0 Servitr over 225 ant"mmerdd 0 Health-ore facility Each pump cc Irrigation fdtele 2 O Servitrmer320ampc-raringnf Ik2 0 Hararrbuslrrcation Fachripnoroatlineli�lW_ ns 2 familydwelhugs E3 Budding over 10,0Wsqubiefeatfour ot Signalcircuil(s)oralimitedenergy panel, 0 System over 600 votes nominN roore residential.nits in one structure alwation orextension• 2 U Building over three Pories O Feedns,400amps ormore ap t ar O Occupant Inad over 99 Mwns 0 Simufoctured sonrcturea or RV parr( pjwh aYlthond hoperilm am las aaewaale is nay dile ❑Egresstliohtlngplen O Other:_.- - _ - --- Perinepection 9wbmh_seb of pbw wttl my of tk.:above- In stiptlon fee ie ��- Tave east applicable to trupwwy coaelnlasn e m ke. Other _ `-- No d jutrdedma seye;;i;c;;;%,plem call lariattetion far marc kdY,reudea N*fiee:This permit application "-rmit fee... ..................$ 0 Visa 0 MasterCard expires if a permit is not obtained I review(tar +%) $ _ Credit card em=ber -_L_/_ _- within 180 days after it has bow aIle nurc talge(gam)....S - -- [ re, actxpted as complete. TOTAL $ came d ear6nlrler r�mee an — - —_CndhNder sipumre -- - Amoun 4af1-4615(6A0001� �3 8USE UVA /0 0 6 A E .— t aro -00 00 L�f s12 t .21 --7c2 t 54, /71aDct GT 161 2 \ � /4 z tri /9S1 s 6�6 �s 1� r' 14- Aga r h .a L .23 r 3 �i 7 Ll J