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9430 SW MCDONALD STREET jS a.T*Daow mg OD6 �— ?'b IL c ;ac v o � M d' (7 �r w 9430 SW MCDONALD ST CITY O F T I G A R DELECTRICAL PERMIT^_ PERMIT#: ELC2000-00222 1 DEVELOPMENT SERVICES DATE ISSUED: 05/04/2000 13125 SW Hall Blvd.,Tigard, OR 97223 (50�1. 639-4171 PARCEL: 2S111AB-03300 1ITE ADDRESS: 09430 SW MCDONALD ST SUBDIVISION: ZONING: R-4.5 BLOCK: LOT : JURISDICTION: TIG Proiect Description: Install 1 service/feeder 200 amps or less in single family dvi0ing. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ _MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 0 PUMP1IRRIGATION: EACH ADD1 500SF: 201 - 400 amp: SIGN/OUT LINE. LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALi?ANEL: IVANF HMI S CI FDR: 601+amus -1000 volts: MINOR LABEL Or11. — _SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSP_ECTIONS__ _ 0 - 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 arnp: 1 st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ ampivolt: >=4 RES UNITS: >600 VOLT NOMINAL. Reconnect only: SVC/FDR>=225 AMPS: CLASS AREAISPEC OCC: Owner: Contractor: FRENI, THOMAS E AND LYNNE-FRENI, TRACIE 9430 SW MCDONALD ST TIGARD, OR 97224 Phone: Phone: ORIGINAL Rog#: FEES Y —_ Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DST 05/04/200( $64.25 0001911 Elect'I Final 5PCT DST 05/04/20CC $5.14 0001911 Total $69.39 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. IL All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is 04 suspended for more than 180 days. 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 though OAR 952-001-0080. You may obtain copies of these rules direct questions to OUNC at(503) 246-1987. ..r! PERfJIlTTEE'5 SIGNATURE; F ISSUED BY: M — J� _ 7 k 6 _ OWNER INSTALLATION ONLY Wa The installation is Leing made awn-whof intended for sale, lease, or rent. OWNER'S SIGNATURE: _ DATE: 5 CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: . LICENSE NO: Ca:I 639-4175 by 7:00pm for an Inspection the next business day ,CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Rer'd By TIGARD OR 97223 Dale Rec'd Phone (503)639-4171, x304 Dete to P.E.Date to DST Inspection (503)639-4175 Print of Type Permit# CLC dW- Wa_�.Z., Fax (503) 598-1960 Incomplete or Illegible will not be accepted Called 1. .fob Address: 4. Complete Fee Schedule Below - Name of Development 4 Number of Inspections", rmit allowed Name(or name of business) omNS T Tr,ci[C FreK1* Service included: Itetms Cost Sum Address yJ la ICD d Yla-k['� ]2[; 4a. Residential-per unit �LL UM sq.ft or less $ 117.75 4 City/State/Zip_ � 1 7Each additional 500 sq ft or portion thereof S 26.25 1 Commercial ❑ Residental Limited Energy -- $ 60.00 Each Manufd Home or Modular 2a. Contractor Installation only: Dwelling Service or Feeder S 72.75 2 (Prior to permit issuance,applicants muvt provide contractor license 4b.Services or Feeders Information for COT data base). Inslallction,alteration,or relocation Electrical Contractor _ 200 amps or less $ (4.25 �j y, 2 S 2 Address 201 amps to 400 amps _ $ 85.50 2 City` State Zip 401 amps to 600 amps _ S 128.50 _ 2 -"-- - 601 amps to 1000 amps _ $ 192.50 _ _ 2 Phone No _ Over 1000 amps or vults _ S 383.75 2 Job No. Reconnect only $ 53.50 2 Elec. Cont. Lice. No. Ex Date P 4c.Temporary Services or Feeders OR State CCB Reg. No. _ Exp.Date T , Installation,alteration,or relocation COT 9usiness Tax or Metro No. -Exp Date 200 amps or less $ 5350 - 2 201 amps to 400 amps S 80.25 Signature of S,Ipr. Elec'n 401 amps to 600 amps s $ 107.00 -e_ ` 2 -- - - Over 600 amps to 1000 volts, License No Exp Date see°'b"above. Phone No. 4d.Branch Circuits -- ---- - New,alteration or extension per Panel a)The fee for branch ircuits 2b. For owner installations: with purchase of service or --y- feeder fee. Print Owner's Name_--L_.�40 OLS EctyllEach branch circuit $ 5.35 2 Address-q'/30 Sl>,1 Mc-Doncy[, V- _ b)The fee for branch circuits without purchase of sen4ce City Tj ger __-State Sj R Zip � u��^- or feeder fee. Phone No. V �(_/I�{(� T First branch circuit S 37.50 _ Each additional branch circuit $ 5.35 The installation is being made on property I own which is not 4e.Miscellaneous intended for sale,lease or r t (Service or feeder not Included) Each pump or irrigation circle $ 42.75 Owner's Signature �j� 2�. Each sign or outline lighting y 42,75 Signal circuit(s)or a limited energy a 3. Plan Review sectionof required):* panel,alteration or extension $ 60.00 �. Minor labels(10) _ $ fgq�p NPlease check appropriate kern and enter fee in section 5B. 4f.Each additional inspection over -`4 or more residential units in one structure the allowable In any of the above` y - Service and feeder 225 amps or more Per inspection $ 50.00 _ System over 600 volts hour $ 50.00s nominal In Plant $ 59.1H) Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: 2$, 6o. nter total of above fere J * Submit 2 sets of plans with application where any of the above apply. 0 l.Surcharge 44&X total fees) $ Not required for temporary construction services. Subtotal •09 $- 8b.Enter 25%of line 8a hr `--- NOTICE Plan Review if requiretI(Sec 3) S PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED SubMfa/ $ IS NOT COMMENCED WITHIN 180 DAYS,OR)F CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account 0 AT ANY TIME AFTER WORK IS COMMENCED Total balance Due. $ i.\dsls\Norms\eleclric.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639.4176 Business Line: 639-4171 E,UP Date Requested ✓1 _DkM PM BLD Location �' 1� -r✓c:-,�Mn ..�_ Suite MEC Contact Person — �/' I Ph _ _ PLwt Contractor Ph • SWR --. BUILDING Tenant/Owner ELC 2bD(2-- Z Z-2 Retaining Wall ELR _ Footing Access: Foundation FFS -- Ftg Drain ----- SGN Crawl Drain, Inspection Notes: — Slab _-- �?�L,----- — SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing _-_-_- Insulation • Drywall Nailing —___� '�""� - Ao ' —._—.— Firewall Fire Sprinkler — Fire Alarm S_isp'd Ceiling -._--- — - - - -- Roof Misc: -- Final PASS PART FAIL -- PLUMBING _---- —�--- Post&Beam Under Slab -- Top Out WaterService __--� _------- ---------- _ - --------- _ ---_--- --------- Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam -__-_- ----_.__...____--------.._--------------__ -- -.�-_--------_______ Rough In GasLine ------------------------- -__-_----------._-__._ Smoke Dampers Final --- �_. -- -- ------- --- ------- PAS PART FAIL ELE IC LL Serve -------------- —_--- --- - -- -_ _-�-.----- In. ---- --- ---- Low Voltage Fire Alarm -- ------- ----- --- �'� F' m PASS ART FAIL - -----------�-�- -- -- -. _ 7 ,F ' •' Rackfill/Grac'ing --- ----_ - -- --- ISanitary Sewer ( form Drain [ ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 1,1125 SW Hall Blvd IF'ire Catch Basin [ ] Please ca71" -einspection RE: -__ [ ]Unable to inspect-no access Supply Line "DA/>pp,oach/Sidewalk Date 9V Inspector_— Ext Other _ -_-_-- Final PASS PART FAIL DO NQT PEMOVE this Inspection record from the joie site. • ORIGINAL. CITYO F T I GA R D _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1099-00186 99 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 1 PARCEL: 2S 251 111 AB-03300 SITE ADDRESS: 09430 SW MC DONALD ST SUBDIVISION: ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF LISE: SF UNIT HEATERS: VENT FANS: OCCIIPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BO_ILERSICOMPRESSORS HOODS: FUEL TYPES _ 0 - 3 HP: 1 DOMES. INCIN: ELE �^ 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?, 30-50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: > GAS OUTLETS: 10000 cfm: Remarks: Installation of exterior A/C unit. Unit cannot be placed within, the equired setbacks. Owner: FEES _ FRENI, THOMAS & TRACY Type By Date Amount Receipt 9430 SW MCDONALD PF,,MT DLH 5/4/99 $25.00 99-315088 TIGARD, OR 97224 5PC i DLH 514/99 $1.25 99-3'15088 Phone:684-1186 Total $26.25 Contractor: FIRST CALL MCCALL HEATING + C%`OL ING 1650 NE LOMBARD REQUIRED INSPECTIONS PORTLA14D OR 97211-4798 Cooling Unt Insp Phone:231-3311 Final Inspection Reg#:LIC 102030 L C n J Q This permit is issued subject to the regulations contained in the Tigard Municipal Cade, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9.52-001-0080. You may obtain of these rules or direct questions to OUNC by calling (503)246-9180. Issue By: � _ Permittee Signature: Q;1/f�1'`°Li�'�1 0 Call (503) 639-4175 by 7:00 P.M.for Inspections needed the next business day IJ/U4/U5 WKU UV:31 FAX 503 598 1960 CITY OF TIGARD IA 002 c RECEIVED in Check# CITY OF TIGARD M�;hanical Permit Application Redd By 13125 SW HALL BLVD- i Commercial and Residential Date Redd six/meq 3722 , Elate to P.� TIGARD, OR 31,OMMUNI)Y UiVCIUI'MIN) ,i Date to DST„ (503) 639-4171, x304 }r/Print or Type Penni# __ / Galled Incomplete or illegible applications will no'.be accepted Nam of OevebprMrMlFMW Description Table 1A Mechanical Code O �irrd -- A Permit Fee _ _ 10.00 Job sbeec Address �( 1) Fumaeo to 1011,000 BTU Addres9 q i�_` w I � ' �c4 includinq uds 4 vents 6.00 eta cWSWn zlP 2) Fumat'e 100.060 BTU+ l,•tduding dudr,8 vents 7.50 Nanta(or none ce buffs) 3) Floor Furnacti 6.00 i 1 t Includingworst _ — Owner (l \ 4) Suspended heater.wall treater r�utrrpor floor mounted heater _ 6.00 <:j�\ ( �� U'r� ",ncx•�� 5) Vent not lnduded in appliance permit _ 3.00 Chrslme y" CH_ ALL 'boiler Heat Nr CK K C ( It I, A fc, THAT Apr,LY: or Pump C;own d Qty Price Amt N nares of busirms) Co_ 5 Vre n . g)4HP;ibsorh unit to ✓ 6.00 OCCUPant MAO"Mdren 100K BTU rn C 1J`7r�cL\dl, 7)315)iP;absoib unit 11.00 Csyrsute � P,ho,��. 100k tc_500k BTI! — teal CA—'Z Z`l — �\�G 8) t -1 HP;absorb — 15.00 unit..`rt mil BTU Conti actor rl'rr ,^_� 9)3050 HP;absorb 22 50 rc �vL0, \``c �u`1 twit 1-1.75 mil BTU _ _ 10)>50HP;absorb rmtt 37.50 Prior to penntt M C__1) , rti �,1 >1.75 mil BTU _ issuance,a cnpy C" -- ot all Aoenses LO ?�A° 11)Air handling unit to 10.000 CFM 4.50 are required if V rA-LLl'\A CA—L2_\\ \`1� -- �Const.Cont.Bo�rl DaOs �12)Air handling unit 10,000 CFM+ � 7 50 expired In COT Architect Nems 13)Non�ortable evapjrale cooler 4.50 14)Vent fan connected to a single dud 3.00 or bwmng Address 15)Ventilation system not included in 4.50 Cityrswte ZIP triton a Bance permit _--- Engineer 16)Hood served by mechanical exhaust 4.50 Descxibe work to be done: 17)Domestic intaneralors 750 New 0 Req- O Replace with rice kind: Yes O No 016)Commerda or ul indlnd sural type incinerator Residentia'pC L'omnercia)O — 30.00 -----` 19)Repair units 450 Additional infortnettort or desaiptton of Work: - 20)Wood stove 4.50 0, 21)Clothes dryer,etc. 4.50 22)Other units 4.50 N Type o1 fuel: oil n natural gas O LPG O elerlrir. I hereby acknowledge that I have read this GpplfcaGon,that the hfnrmation 2.3)Gas piping one to lout outlt>Rs 200 J given is correct.that I am the owner or authorized agent of — 24 More than 4-per outlet(Hach) m the owner,that plans submitted are in c:omplianrx with Oregon State laws- ) _ .50 J Sigrsature of Ow-WigDate Mlnfmum Permit Fes 526.00 �_ SUBTOTAL _C \ \ (�� _ 5%SURCHARGE I Z J 1� Phi PLAN REVIEW 2596 OF SUBTOTAL Cordact PS0,1 Name Required for ALL coMlvlen:tal�emtits ortN Tr-,AL �Z 'State Contractor Boiler Certlfr�jtion re aired "Residential AIC requires site plan showing placement of unit I:ynechperm.doc rev 07120!96 * � . 1 � I\l 3 I ---- - -- ----____ [.� a/� r �� U Scv i'L1� hcw�Lu'� _�. �_._ - �_ w �`-- __--- J_ m W .J CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 8vainess Line: 639-4171 c� BUP _ — Date Requested S� � ( —AM�PM BLD M Location q'Ll —2; (y7S Suite MEC 19��-sad Contact Person _ �-- Phn3- lq YG-/ x PLM Contractor Ph yl`p fesSWR BUILDING TenanNOwnerELC Retaining Wall � ELR Footing Access: Foundation FPS ^ Fig Drain SGN Crawl Drain Inspection Notes: --- - Slab SIT Post&Beam Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation R- ? Drywall Nailing Firewall 7111 Fire Sprinkler Fire Alarm y Susp'd Ceiling Roof � Misc: 5�fL,L..n� Final PASS PART FAIL —�--1 -- — PLUMBING Post&Beam - - - — ---' — --^ Under Slab Top Out - — Water Service Sanitary Sewer - — - — Rain Drains Final _ PASS PAP.T FAIL Post&Beam --- —— ------- -- - --. Rough In Gas Linz ------- Smoke Dampers ;� PART FAIL rff CTRICAL -- a Servire � Rough In _ -N — —.--- 0 UG/Slab Low Voltage Fire Alarm _— m Final PASS PART FAIL �— W -`t Backfill/Grading riding ;aniiary Sewer ,,,orm Drain [ ]Reinspection fee of$�.- —required before next inspection. Pay at City Hall, 1.3125 SW Hall Blvd Cat.7h Basin [ )Please call for reinspection RE: _ - -- [ j Unable to inspect -no access Fire Supoly Line ADA Approach/Sidewalk Date Other IQ 9 Inspector— �_ --� Ext Final PASS PART FAIL DO HOT REMOVE this Inspection record from the job site. n CITY OF T I G A R D ELECTRICAL PERMIT PERMITS: E -00308 DEVELOPMENT SERVICES DATE ISSUED: 5/25/9925/99 13125 SW Hall Blvd.,Tigard, OR 97223 (50 D4fPARCEL: 2S111AB-03300 SITE ADDRESS: 09430 SW MC DONALD ST 61k4t SUBDIVISION: ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG Pro,ect Description: Installation of electrical service of 200 amps or less. RESIDENTIAL UNIT` TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 0 PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR. 601+amps -1000 volts: MINOR LABEL (10): SERVICE&EEDER BRANCH CIRCUITS -.- ADD'L INSPECTIONS 0 - 200 ama: 1 W/SERVICE OR FEEDER: PER INSPECTION: ~ 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: L Reconnect on!1t SVC/FDR>=225 AMPS: _ CLASS AREAISPEC OCC: Owner: Contractor: THOMAS FRENI OWNER 9430 SW MC DONALD ST TIGARD, OR 97224 Phone: 664-1186 Phone: Reg#: FEES Required Inspections Type By Date Amount Receipt Elec!'I Service 5PCT DRA 5/25/99 $3.00 99-315635 Elect'I Final PRMT DRA 5/25/99 $60.00 99-315635 Total $ 3.00 This Permit issu,,d subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All•.vork wil,be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is Q suspended for r, ore than 188 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those Ix ru' 3 are set forth in OAR 952-001-0010 through OAR 952-001-00A0. You may obtain co ' of.these rules or direct questions to OUNC at(503) � 246-1987. Permit Signature: Z^ Issue By: m W OWNER INSTALLATION ONLY The installation is being made on ich is not intended for sale, lease, or rent. 7 OWNER'S SIGNATURE: �-' DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ _ DATE: LICENSE NO: Call 639-4175 by 7:00pm for an Inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Ch 13125 SW HALL BLVD. Recd . TIGARD OR 97223 Dote Recd ,�i f7� Phone(503)639-4171, x304 Date to P.E. Print or Type ��hrq Date to DST Inspection (503)639-4175 YP Incomplete or illegible will not be accepted Permit#£GC1199-� � Fax (503) 598-1960 Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development -7-k(,,--r)(,S T r e-i I Number of Inspections per permit allowed Name(or name of business) d+ Service Included: items Cost Sum Address_ l) s��7[1�I ( 'S 4a. Resid9ntlal-per unit 1000 sq ft or less $110.09 _ 4 City/State/Zip 71 0 V- 9 732 4 Each additional 500 sq.If or portion Commercial❑ Residential® of $25.00 1 _ - Limited Energy ;25.00 - Each Manufd Home or Modular Dwelling Service or Feeder $88.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor Installation,alteration,or relocation ,. o p Address 200 amps or less $80.00 2 201 amps to 400 amps $80.00 2 City_--- State_ -Zip _ ry 401 amps to 600 amps 6120.00 2 Phone No. v 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 _ _ 2 ------- Elec. Cont. Lice. No. Exp.Date Reconnect only $5000 2 OR State CCB Reg. No Exp.Date 4c.Temporary Services or Feeders COT Business Tax or Metro No. _--Exp.Date____ Installation,alteration,or relocation 200 amps or less ___ $50.00 2 201 amps to 400 amps $75.00 2 Signature of Supr. Elec'n� 401 amps to 600 amps $100.00 2 Over 600 amps to too0 volts, License No. Exp.Date see"b"above. Phone No.---- - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name -Th c M 3 F7(-P y r feeder V e Eich branch circuit $5.00 Address CyO SW tri /1 _ f h)The fee for branch circuits -� 2 City -V c ��r _ Stated Zip ` 7 a ate_ wfthouf Purchase o/ Phone No. 6&'Y -//8 b service or feeder fee. First branch circuit - $35.00 2 The installation is being made on property I own which is not Each additional branch circuit $500 2 intended for sale, lease or r _ 4e.Miscellaneous 4L�, '�qJ (Service or feeder not included) Owner's Signature �'pr r�c� LrL Each pump or Irrigation circle $40.00 _ L 2 Each sign or outline lighting $40.00 2 - r 3. Plan Review section (if required):* Please check appropriate item and enter fee In section 513. 4f.Each additional inspectlo.,over ___4 or more residential units in one structure the allowable in any of the abova 3 Service and feeder 225 amps or more Per inspection $35.00 0 -_ -System over 600 volts nominal Per hour $5b 00 Classified area or structure containing special occupancy In Plant $55.00 as described in N E C.Chapter 5 5. Fees: *Submit 2 sets of plans with application where any of the above apply. 5a.Enter total of above fees /w� Not required for temporary constnrctlon services. 5%Surcharge(05 X total fees) $ l- ' Subtotal $ NOTICE 5b.Enter 25%of line So for ^!a Review if required(Sec.3) $ FFFRMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Subtotal 5 NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Account# eo i IME AFTER WORK IS COMMENCED. S r Total balance Due 7r\DBT\ELF.C98.D0C REV 4/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 6394175 Business Line: 639.4171 — p BUP Date //'iequested / —AM PM BLD Location L�l� �V I Suite — MEC Contact Person — _ Ph �dLj I 1 b t!o 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/Sheara t,r► _ _ Int Sheath/Shear — — Framing a_ _ _ _.• _- Insulation — �� Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm �' Susp'd Ceiling jV Roof Misc: ------ Fin,1l — PASS PART FAIL -- --- - ------ - PLUMBING Post& Beam — — Under Slab 1 op Out �- — ----- - Water Service Sanitary Sewer - — -- Rain Drains Final -� PASS PART FAIL - MECHANICAL Post&Beam --- — — Rough In Gas Line -- — Smoke Dampers Final - ---- PASS PART FAIL Service Rough In - -_ — �-•--- -- -- UG/S!ab - Low Voltage Fire Alarm __-- _-- —_---- _-- --___--- PASW PART FAIL Backfill/Grading - Sanitary Sewer Storm Drain [ ]Reinspection fee of$- -_ rrngrrtred before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for einspectior, RE:__- _- _ ]Unable to inspect-no access Fire Supply Line ��j ADA Approach/Sidewalk other Date - '� 9 _Inspector - --:]Ext `— Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES MASTER PERMIT PERMIT N. . . . . . . : MST97-0104 13125 SW Nall Blvd.,Tlgard,OR 97223 (503)6394171 DATE ISSUED: 04/21/97 PARCEL: 2S M AB-03300 SITE ADDRESS— :09430 SW MC DONALD ST SUBDIVISION. . . . : ZONING: R-4. 5 BLOCK. . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Remarks: Addition to SFD PATH I ------ BUILDING --------------------- —,------_____--- ----------- ----- REISSUE: STORIES.......: 2 FLOOR AREAS--------- BASEMENT...: 0 sf REQUIRED SETBACKS--- RFOU:RED---------- C1.ASS OF WORK.-ADD HEIGHT........a 21 FIRST....: 897 sf GARAGE.....: C sf LEFT..........: 75 SMOKF DETECTRS: Y TYPE OF USE...-SF FLOOR LOAD....: 48 SECOND...: 524 sf FRONT.........: 8 PARKING SPACES: 0 TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 8 sf RIGHT.........: 99 OCCUPANCY GRP.:R3 BDRM: 2 BATT;: 2 TOTAL------: 1421 sf VALUE..t: 95865 REAR........... 99 --------------- —..------------------— PLUMBING —----------—-------------- SINKS......... -----SINKS.........: 8 WATER CLOSETS.: 2 WASHING MACH..: 6 LAUNDRY TRAYS.: 8 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 3 DISHWASHERS...: 8 FLOOR DRAINS..: 0 SEWER LINE ft: 8 SF RAIN DRAINS: P CATCH BASINSS..: 0 TUB/SHOVERS...: 1 GARBAGE DISP..: 0 WATER HEATERS.: 8 WATER LINE ft: 0 PRLVNTR: 0 GREASE TRAPS..: 0 OTHER F I X TLS: 0 --------------------------------- --------- -------------- --- MECHANIr,AL ------- -------•----------------------____----_.________ FUEL TYPES----- - -- FURN ( 188K ..: 0 BOIL/CMP ( 3FP: 0 VENT FANS.....: 2 CLOTHES DRYERS: 0 GAS FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0 MAX INP.: 8 BTU FLOOR FURNACES: 0 VENTS.........: 6 WOODSTOVES....: 8 GAS OUTLETS...: 0 --------------------------------------------------------- ELECTRICAL ------------------------------------------------------- —RESIDENTIAL UNIT-- ----SERVICE/FEEDER--- -1EMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ---MISCELLANEOUS--- --ADD'! INSPECTIONS-- 1080 SF OR LESS: 1 0 - 208 alp..: 8 0 - 200 amp..: 0 W/SVC OR FDR..: 8 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 5085F.: 1 281 - 480 alp..: 0 201 40p asp..: 0 1st W/O 9YC/FDR: 8 SIGN/OUT LIN LT: 0 PER HOUR....... 0 LIMITED ENERGY.: 0 481 - 608 asp..: 8 401 - 680 asp..: d EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT....... 0 Wff HM/SVC/FDR: 0 601 - 1888 asp.: 0 601+amps-1080 v: 0 MINOR LABEL -10: 0 1008+ asp/volt.: 0 ------------ ----------------- PLAN REVIEW SECTION -----—---------------..------------ Reconnect onlv.: 0 )=4 RES UNITS..: SVC/FDR)=22j A.: > 60 V NOMINAL: CLS AREA/SPC OCC: ----------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ------ -------- --------_---- ------ A. SF RESIAENTIAL-------------------------- B. COMMERCIAL---------------------- ------ AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO t STEREO.: FIRE ALARM.....: INTERCOM/PABING: OUT[ ,1R LNDSC LT: BURGLAR Al ARM..: 0)'H: :: X BOILER.........: HVAC...........: LAND9CA.PE/IRRIG: PROTECTIVE SIGNL: C,p OPENER-: CLOCK..........: 1NSTRUMFNTATION: MFTICAL......... OTHR: :: HVAC...........: DATA/TELE COMM.: NURSE rXLS...... TOTAL M1 SYSTEMS: 0 Owner: ----------------------------------Contractor: ----------------------------- TOTR_ FFES:f 1186.35 FRENI THOMAS OWNER 9430 SW MC DONALD STREFT TIGARD OR Phone #. Phone Reg M)..: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other av,licable lJws. All work will be donf in accordance with approved plans. This permit will expire if work is not started within 180 da/s of issuance, or if work is suspended for more than 188 days. ----------------------------------------------------- REQUIRED INSPECTIONS ------ - - ----- -__ __--------___----------_- Erosion Cantol Post/Beam Meehan Electrical Servi Insulation Insp Plumb Final Grading Insnecti Crawl Drain Electrical Rough Gyp Board Insp Building Final Footing Inst PLM/Underfloor Framing Insp Rain drain Insp — Foundation Insp Mechanical Insp Shear Wall Insp Electrical Final Post/Beam Struct Plumb Top Out Lo Voltage Mechanical Final Per-mi.tt ea 8i gnatl_ire : -_._..._....._ Is �_tod E4y: (/'-� . v -__. ._... Call for inspection - 639-4175 CITY OF TSEWER CONNECTION DEVELOPMENT SERVICES Pl=RM 1 T 13125 SW Nall Blvd.,Tigard,OR 97223 (503)839.4171 PF RM T T #. . . . . . . : SWR9 r-01.07 DATE ISSUED: 04/r 1./97 PARCEL. : PS111AB--0371710 STTE ADDRESS. . . :094?0 SW MC DONALD ST f;l_IBD I V I S I Ohl. . . . : 7.0N I NG: R-4. 5 RI_OCK. . . . . . . . . . LOT. . . . . . . . . . . . . : JURISDICTION: TIG ------------------------------------------------------------------------------------------ TENANT NAME. . . . . :THOMAS FRENI USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CLASS nF WORK. . . :ADD DWEI_L.ING UNITS. . : 1. TYPE OF USE. . . . . :SF NO. OF BUIL-DINGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf RAmarks : Addition tn SFD —• ,ewer connection will not commence until a street opening permit has been obtained. nwnPr. ______..__.___..----_.------_—.----.------_.------------------ FEES FRENT THOMAS type amoi.tnt by date rer_pt 9430 SW MC DONAL.Cr STREET PRMT f 2200. 00 B 04/21/97 97-293527 T'IGARD OR INSP $ 35. 00 B 04/21/97 97--233527 Phone #: 684--1. 185 Contractor: OWNER ------------------------------- Ph o i e #: f 2235. 00 TOTAL. Reg #. . . REQUIRED INSPECTIONS ----This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expire, 199 days from the date issued. The total amount paid will be forfeited if the permit eypires. The Agency dues 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 Bide Sewer" Permit and the Agency will install a lateral. IL PArmi 1;1-A Si nuture� Fa— T Call for inspection - 639-4 175 m W J d � Plan Chem M CITY OF TIPARD Residential Building Permit Application Re%:Cl By 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd � rIGARD. OR 97223 Single Family Detached or Attached (Duplex) Date to P E a' _ V 503-639-.1171 nate to DST F 503-684-7297 Permu» Print or 'Type Called-'--v- -^•"_. Incomplete or illegible applications will not be accepted Name of Prolect Namre Job T— R tz.N I 1 T 10 tJ Architect Moiling Acdrbss Address Site Address 9y3k) S � t) (-`i)U VA Y C CitytState Zia Phone Tet D qN(,I� TrAc, C r= vt 1 Name`, Owner Mailing Address - — 4r)(Al d T, U 'W 01(_ yN A l ')t' Engineer Meiling Address A C�rylStste nZip Phon `k/ (� .i mfllpvikf AVB _ U jU,` 7'Z� 6 ��/V V Phone_IfolvVi,A4)(1- 97A_ (- 7 5 General h ")I U If C V11 1 Descnbd worts New O Add AkeraWn O Repair O Mallin Address to be done _ Contractor Mailing Additional Description of Work: C.tylstate Zip Phone >CjWC-R- Oregon Const. Cont. Board Lie 0 Ev Date Attach Copy of Current CLOT Business Tax or Metro• Exp.Date I PROJECT Licenses VALUATION (tom Name NEIN CONSTRUCTION ONLY: Mechanical ovhC_ Sq. Ft, t:w�e: Sq. Ft. Garage Sub- Mailing Address 2 Contractor Comer Lot YES NO Flag Lot YES NU C.tyrStam zip Phone (check one) (check one) _ Oregon Con:it.Cont.Boaro Lie Exp.ogre Restr.Cted Audio/StereoT Burglar. i Attach Copy of Energy S stern l Alarm Current COT Business Tax or Metro M Exp.Date Installation _ Garage Dmr �� HVAC Licenses Open $ stems j Name-7 ^ (check all that Other. L Plumbing / ,I 0►11 A S r l v� apply Sub- Marung AOOress Will the electrical subcontractor wi a or all YES NO restricted enemy installations? ':ontractor C N state z.�� Phone I Has the 3uodivlsion Plat recorded? NIA YES NO --�^ J gon C.,nst Cont. Board Lie x Exo Dare Reissue of MS"#: Solar Compliance s Ore _ Cr. %rtach Copy of _ _ 1 (Calculation Attachad) N Current Plumbing L:C.4 Exp.Date I hearby acknowledge that I havr,+c:sd this application. that the Licenses information given is correct. that I an,'he owner or authorized J I COT Business Tax or Metro 0I cxp Cate agent of the owner. and that plana submitted are in compliance Narre mwith Jre on State laws__ II to W Electrical _T k pVVA � � / •' `� 1 �111wf Sub- Mailing Adoress Contact Person Name P ne# 701 ue Z01 Of -11�'6 ,ontractor FOR 0 TZE t ONLY: C„q we Zio Phony __..__.- --------, Plat a Map/TLX Oregon Const. Cont. Board Lc 0Exo Date 3 3!� Setbacksi Zone: � SolPr. +trach Copy of : � /�� — Current E'.ectncal Lie, 0 Exp. Date _ 1 t.`.censes Engineenng p r v, 'I ring Approval: TIF COT Business Tax or Metro 0 Exp Date l/�� , v ,'-l� �I re ,__ 'i:1s pp.doc(dst 1/97 �os rt,� tat- P-arrrA# Account Des,Qnotion great Amt" P1 WaLDA cryMb]'. Permit (BUILD) / _ � 2 Ix Plumb. Permit (PLUMB) �c , Mech. Permit (MECH) ELC/ELR Permit (ELPRMT) to 1140 54te Tax (TAX) - 3 , Bldg: 0 Plumbs 1.: EL :/ELR: J Flan il"heck v MST: �` (B/PI-N) L 3i G� Plumb: LMPLN) Mech: (ikCPLN) $', ° ""� ✓ CDG Review -- C 4N_ 7D r Sewer Connection (SWI Sewer Inspection Parks Dev Charge: (PKSDC) Residential TIF (TIF-R) Mass Transit TIFF (TIF-MT) _ CL Water Quality �l (WQUAL) °C Water Qua,,xity (WQUANT) a Erosion.&ontrol Permit (ERPRMT) Q, ' _ /j o.ro Erosion Planck/USA (ERPLAN) �� lipUj 6-1-Erosion Planck/COT (ER.OSN) 13, 13, - v Fire Life Safety (FLS) TOTALS: 3,0 31 Pat IF `stapp.doc (asc) 1197 MC Permit#: Address: l"t 2M 5W ` Issued b •�>' 1 'yULQ Date: 7 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 71)1.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the fallowing statement before a bicilding perrr.it can be issued. This statement is required jor residential building, electrical, mechanical, and phimbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be fried with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: 1. I own, reside in, or will reside in the completed structure. 2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. ❑ 3A. My general contractor is (Name) Contractor regis. # 1 will instruct my geii :al contractor that all subcontractors who work or► the structure must be registered with the Construction Contractors Board. OR le3B. I will he my own general contractor. CL If I hire subcontractors, I will hire only ubcontractors re istered with the Construction Contractors oC y .,Sg . U) Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. m I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Proper ;()wnerr Res onsibilities on the reverse side of this form. (Signature of pen-nit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) lnfor,,:, i Notice to Property Owners Yt° ,ovl i cns -.ection Responsibilities Note: l his hilo oration Notwe to Prop,,-i r ,;. vs abuser r onstruction Responsibilities was dvveloped by the Construction Contra., .n hoard in accordance with DRS 701.055(5). If you arc acting as your own contractor to construct a tiew home or make a substantial improvement to an existing structure, you can prevent many problem,by being aware of the following responsibilities and rocas of cppcern. • EMPLOYER RESPONSIBILITIES: i1'you hire pet tic.. of)t n_,.gi ocred with the Construction Contractors Board to do labor in constnrcting or assisting in the constnrction or irnl.: • 'n residential structure,you will, in most instances,he ruled to be an employer and the people You hire will be ermplo, �, ';ti the employer,,,ou must comply with the following: Ortgon's a ithholding N% 1 tcv: As an employer,you roust withhold income taxes from employee whges at the time employees Y(m v,ill he liable for the tax r,+ymentc even if you don't tactually withhold the tax from your employees. For more i; . , . " the Orehor Dept. c ' R. venue at 11,45-8091. 1r,vbrlro i,.-ng lrwurarct. 1e": As an einpwvvr, ycu are required to pay a tax for unemployment insurance purposes on the ,ill r: y„ 1�,:e,. I w „ ors.;nforma'iotr,call the Oregon Employment Division at the Department of Human Resources Workers'compensation insurance: Asan c-rnployer,you are subject to the Oregon Workers'Compensation Law,and must obtain worker' umpensaticm insuranre Sou your employees. If you fail to obtain workers'compensation insurance,you-may he sub jec(to penalties and a ill he liable ror all claim casts if one of your employees is injured on the job. For moreinforniatinn, call the Workers'Compensation I)ik inion at the Department of Consumer and Business Ser:ices at 945-7898. U.S.Internal Revenue Service: As an employer,you must withhold federal income tax from employees'wages. You will he liable for the tax payment even if you didn't actarally withhold the tax. For more information,call the internal Revenue Service ,it 1-8(N)-829-1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holder for this project,you are responsrbl:for-resolving any failure to meet code requirements that may he brought to your attention through inspections, o„ Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray,water damage from pipe punctures, fire,or work that must be rn re-done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. m LU Expertise: Make sure you have the expertise to act as your own general contractor,to coordinate the work of rough-in and finish _J trades, and to notify building officials at the appropriate tirries so they can perform the required inspections. If you have additional questions,write or call the Construction Contractors Board(PO Box 14140,Salem,OR 97309-5052, 503/378-4621). The Board is located at 700 Summer St. NE Suite 300,in Salem. prep-own.pm4 1/94 I 14 V e- v ` O + qu v M � O I a - I VU 1 Q I CLQ00 IN ti %., CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested 7� , 9� (S)_X_PM _ BLD _ Location V-3[a S,s..,) et Suitep,/ p MEC Contact Person �Y"AC Ph �d 7 ' /�D G PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: Slab O a/1 Sn' Post&Beam /O 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 1 Final PASS PART FAIL MECHANICAL Post& Beam -- Rough In Gas Line - Smoke Dampers Final P T FAIL ErECTRICAL C Rough In ►1 UG/Slab _ Low Voltage Fir arm _ P S PART FAIL U SITE— Backfill/Grading Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE' Unable to ins Fire Supply Line [ j p -- — __�_—___ [ j pec+-no access ADA Approach/Sidewalk Date Inspector Other ��YL'�L1L_ EXt y&— Final PASS PART FAIL j DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST q7 -a i Dy 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 OUP _Date Requested _ PM BLD Location— <« ? ,tL Suite MEC _ Contact Person ftt'ul i Ph (0$(4-119&1 PLM C)ntr w Ph SWR 7enanUOwner ELC WabtKg Wall ELR _ Footing Access: ~- Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: � Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler �E�o.1 /2 ted er_� /�y �4/I�/�jQ,_ Fire Alarm Susp'd Ceiling Roof FAIL — I,IMBI Under Slab / g Top Out -! Water Service Sanitary Sewer ains 01 ART FAIL RANI os earn Rough In Gas Line ke Dampers AS PART FAIL EEOTRICAL 4. Service Rough In ~ UG/Slab M Low Voltage - Fire Alarm J Final ca PASS PART FAIL W SITE -� Backfill/Grading — — Sanitary Sewer Storm Drain ( )Reinspection fee of$ required before next inspection. Pay at City Hall, 1125 SW Hall Blvd Catch Basin ( )Please call for reinspection RE: _ _ I ) Inabte to inspect-no access Fire Supply' 'rie ADA Approach/Fide,alk Other Date Inspector ^-, Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.