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10042 SW LADY MARION DRIVE f i i I $H �P IV ti I� ` H I !I } 10042 SW LADY MP 1 r)N DR �.. CITY OF TIGARD BUILDING INSPEf TION DIVISION MST 24-Hour Inspection Line: 539-4175 Business Line: 639-4171 BUP Date Requested �AiJlr PM BLD - Licat;on t._ Li;'�,L� "ry�a r''1 Oyu-_` Suite — MEC Contact Person Ph f , PLM Contractor gQ�Q�-1'l loll _ Ph �C' �'-�a[��`7 SWR UILD—IN CY Tenant/Owner ELC RefainingJ'Wah ELR Footing - /�Cc'-Ss: Foundation ( ,�^ ��^ 'i 1 S FPS _ Ftg Drain _ - a L J►' ` / ��-�� SGN Crawi Drain (Inspection Notes. -- -- Slab Post Beam 1� SIT Ext Sheath/Shear eath/Shear Int Sheath/Shear --- —� ---- Frarning Insulation --- Drywall Nailing _--_ `.�l >u L.�►'.iJ e y!"lc Firewall - --- ---- _-- Fire Sprink'.,r ------ — --- ------ ---— - -- - --- Fire Alann Susp'd Ceiling Roof - -------------------- Mif iik_! = ASS PARTFAIL --------- - --__-._-- --- _._ __ PLUMBING _ Post 8 Beam - Jnder Slab Top Out - - -- -- --- ----- ------ --- Water Service Sanitary Sewer -- - ---------- -- Rain Drains Final PASS PART FAIL MECHANICAL .- Poa,t&Beam Rough In Gas Line --- - _--- _-___ Smoke Dampers Final --- — ---- PASS PART FAIL ELECTRICAL ----' -- Service Rough In UG/Slab Low Voltage Fire Alarm _ Final PASS PART FAIL SITE _ Backfill/Grading Sanitary Sewer Storm Drain ( ;Reinspection fee of$-_-, required before next inspection. Pay at City Hall, 13125 SW Hall Elvd Catch Basin Fire Supply Line i )Please call for reinspection RE ( Unable to inspect-no access IF.DA Approach/Sidewalk Other Date Inspector _ _ _Ext Final PASS PART FAIL DO '10T RENIOVE this inspection record from tine job site. CITY OF T i GA R D CERTIFICATE OF OCCUPANCY PERMIT#: MST97-00296 DEVELOPMENT SERVICES DATE ISSUED: 7/30/97 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 2S111CB-05200 ZONING: R-3.5 ,JURISDICTION: TIG SITE ADDRESS: 10042 SIN LADY MARION DR SUBDIVISION: ULWELLING MLP96-0015 BLOCK: LOT:002 CLASS OF WORK. NEW TYPE OF USE: SF TYPF. OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: New SFD PATH I Owner. RANDALL MYERS INC 6655 SW HAMPTON POR1 I.ANP. vR 97223 Phone: 598-7565 Contractor: RANDALL C MYERS INC 6655 SW HAMPTON ST #100 PORTLAND, OP 7223-8358 Phone: 639-9054 Reg#: This 'Certificate issued 110/19/98 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and us' under which the referenced permit wa�. e . BUILMNG I ECT0i T BUILDING jrFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISIONMST %? 7 24.Flour Inspection Line: 639-4175 Business Line: 639-4171 — G BUP zDate Requested �.�-� CY Y _AM PM BLD _ :Aen'1 Location_ tooJjZ�:7uyff' xl) l-{ Suite MEC — Gontac, Person Ph )C _ PLht Contractor Ph SWR ------- -- BUILDING Tenant/Owner _` F.LC — Retaining Wall EI_R Footing Access: Foundation Ftg Drain ^. -_ • �� +LJ�./x C,f �q I�aL r FPS �� SGN Crawl Drain Inspect.on Notes: Slab - _— - -— SIT Post R Beam - Ext Sheath/Shear I - Int Sheath/Shear Framing —_ - --- --- - - ---- Insulation Drywall Nailing --- Firewall lC ' Fire Sprinkler 6 ------ Fire Alarm ,. Susp'd Ceiling I - -- - ------- `_ --- Roof T/ — — Misc: - -- - - Final PASS PART FAIL — =_ _--_ ----- ------------•-- -- - LUMBING Post& Beam — Uneer Slab Top Out Water Service Sanitary Sewer RILLprains ---- --- ` _ 1193 �w7l:2 G -!2-7 r_ASS_,*ART_ FAIL ANICAL Post& Beam -- - - -- --- - - - -- ---- ��- _ Rough In - Gas Line Smoke Dampers ASS PART FAIL RICAL _ — Service Rough Ii Low Voltage Fire Alarm - Final PASS PART FAIL_ -- n SITE Backfill/Grading - ----v._-.------------- --- ----------- Sanitary Sewer Storm Drain ( I Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin , Uinspect-no access Fire Supply Line ( ] Please call for reinspection RF -_ -_ ( ] nable to ADA �C!Insf^ector Q _-- Approach/Sidewalk Date _ ! Ext Other — 5 ._ Ext Other — __ lFuer PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD 13125 S.W. PALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE TIMBER VALLEY PLUMBING PO BOX 34 CANBY OR 97013 Plumbing tore Form Permit # . MST97-0296 Date Issued. : 07/30/97 Parcel . . . . . . : 2S111CB- ULW02 Site Address : 10042 SW LADY MARION DR Subdivision. . ULWELLING MLP96-0015 Block. . . . . . . . IOC : 002 Zoning. . . . . . . R-3 . 5 Remarks : New :FD PATH I 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 work. No plumbing inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM )WNF R : PLUMBIN:1 CONTRACTOR: RANDAL•., MYERS INC TIMBER VALLEY PLUMBTNG 6655 SW RAMPTON PO BOX 34 PORTLAND OR 97223 CANBY OR 97013 Phone # : 598-7565 Phone # : Reg # . - : 000420 '7 nature of Authorized Plumber Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. #310 CITY OF TIGAnD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE ' AYER & SONS 5536 SE WOODSTOCK BLVD PORTLAND OR 97206 Electrical Signature Form Permit # • • . . : MST97-0296 Date Issued. : 07/30/97 Parcel . . . . . . : 2S111CB-ULW02 S4te Address : 10042 SW LADY MARION DR Subdivision. : ULWELLING MLP96-0015 3lock . . . . . . . Tit : 002 Jurisdiction : TTG Zoning. . . . . . . R-3 .5 Remarks : New SFD PATH I Your company has been !idicated as the electrical contractor for the perm;t irdicatPd above. In order for the el,.ctrical permit to be valid, the signature of the supervising Electrician is required. Piease have the appropriate individual from your company sign below and ret am this Electrical Signature Form prior to the start of work. No electrical inspections will be authorized until fts completed form is re,-.aived. AN INK SIGNATURE IS REQUIRED ON THIS FORM )WHER: ELECTRICAL CONTRACTOR: RA.NDALL MYERS INC DRYER & SONS ',')655 SW HAMPTON 5536 SE WOODSTOCK BLVD PORTLAND OR 97223 PORTLAND OR 97206 Phone 4 : Reg # . . : 000011 Sig—Mature oT Supervisinq Electrician Please return this completed form to the address above. ATTN: Building Dept. RECEIVED If you have any questions, please call 639-4171 , ext. #310 DA-rE _ �_. CITY OF T mnSTE I TF'k RM I T. . . : M9T97- 4:'7F, DEVELOPMENT SERVICES DOTE IGSUED: 07/30/07 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 F'taRCEI._: �'r111CI'.-,L1L..W0 ' �T. 1. i ir)l)RC aS,, . . : J. SV4, i_.H':f:i`t ldir 16.10111 Dli I_llln I V I S I 07 4. 1-1L.140-1-I NO ML.F'`]G 0015 MI I NG: R -3. 5 nl_.00K. . . . . . . . . . . . . L_OT. . . . . . . . . . . . . :rZ!4?� ' JLJRIr:7;ICi T0N: TP! Remarks: New SFD PAT11 I ----._---._..------------------------------------------------------ BUILDING -_---—-------------------------------------------------------- REISSUE. STORIES.......: c FLOOR AREAS----------- BArEMENT...: 0 sf REQUIRED "'BACKS---- REQUIRED------------- CLASS OF WORK.:1EW HEISHT........: 26 FIRST....; 1639 sf GARAG,E...... 864 sf LEFT..........: 5 SMOKE DETECTRS: Y TYPE OF USF....:SF rLOOR LOAD....: 40 SECOND_: 1325 sf FRONT.........: 20 PARKING SPACES: '.YPE OF CONST.:SN DWELLING UNITS: 1 rINBSMENr: 0 sf RIGHT.........: 7 OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------: 29F1 ;f VALUE..$, 213568 REAR..........: 59 -------------------------------_..---------------------- ------- PLUMBING ---------------------------------------------------------------- SIh#(S.........; P WATER CLOSETS.: 3 WASHING MACH..: I LAUNDRY TRAYS.: 1 RAIN DRAIN Fc: 100 TRAPS.........; 0 i_AVATORIES.... ; 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 108 SF RAIN ''imAINS: 1 CATCH BASINS..: 0 TiIB!SHOWERS...: GARBAGE DiSP..; 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREAE TRAPS..: 0 OTHER FIXTURES: MECHANICAL -- FUEL TYPES------------ ,URN ( 100K .. : 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1 GAS rURK !=100N. .. : 1 UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS...: MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: I ._..... - ELF_CTRICAL -------•--------------------------------- _ --RESIDENTiRL UNIT--- ----SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- M15CELLANEO'JS---- --ADDIL INSPECTION' 1000 SF !R ;ESS: 1 0 - 200 asp..: 0 0 - CP@ asp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: P, rA ADD'L 5Q+05F.: 6 201 - 400 asp..: 0 201 - 4:10 asp..: 0 Ist W/0 SVC/FDA: 0 SIGN/OUT LIN LT: 0 PER YOUR......; 0 LIMITED ENEPSY.: P 401 - 600 asp..: 0 401 - 6011 asp,.: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL ..: 0 IN PLANT......: P *NF 4M/SVC/FDR: 0 601 - 1000 asp.; 0 601+asps-1000 v: 0 MINOR LABEL t0: 0 1000+ asp/volt.: 0 _. _----.--___.__-_--.--_--__.._.._- PLAN REVIEW SECTION -----__._._----------_-----__..__ Reconnect only.: 0 !-' 1ES UNITS..: ,SVC/FDR)-225 A., ) 600 V NOMINAL: CLS AREA/SPC OCC: ------------------.___. ._------- FLECTRICAL - IrESTRICTED ENERGY ---------------------------------------------------- 1. ---- -- ---- 1. SF RESIDENTIAL--------------.------------- B. COMMERCIAL------------------------- --------------------------------------------------- AUDIO t STEREO.: VACUUM SYSTEM..: RUDIO t STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: OTH: :: X BOILER.........; HVAC...........: LANDSCAPEIIRRIG: PROTECTIVE SIX: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC...........; DATq/TELE COMM.: NURSE CALLS....; '.OTAL # SYSTEMS: Owner: _--.__.. _--.----_.__.._Contractor: - - -.__.._..-.. ...----_.__.._-.. TOTAL r%r5:f 4710.35 RANDALL YERS INC RANDALL C MYERS INC This permit is subject to the regulations contained in the S67 SW HAMPTON 6655 SW HAMPTON ST 'igard Municipal Cade, State of Ore. Specialty Codes and all "ORTLAND OR 971223 #100 other applicable laws. All work will be done it accordance PORTLAND CR 97223-8356 with approved plans. This permit will expire if work is Phone #: 599-7565 Phoie #: 639-9054 not started within 180 days of issuance, or if the work is Reg #,. : 000489 suspended for more than lr; -is. ATTENTION: Oregon lal+ -__._______________-.---_-____-_-___-_---_.--_--__-.._-_..._-___-_-__ requires you to follow ,'opted by the Oregon Utility :ficatian Center. Those rules are set forth it OAR 952-001-0010 through OAR 952-001-4x'lo. You 'n copies of these rules or ect questions to a� by --ailing (503`246-1987, -------------------------..---- REDUIRED INSPECTIONS -----•-------------- Sion Cantol Crawl Drain Electrical Rough Gas Line insp Water p Final `ing Insp PLM/Underfloor Framing Insp Gas Fireplace Water ' .1 , ..g Final dation ?rtp Mechanical Insp Shear Will Insp Insulation Insp Appr/S-. '/Beam alusb Top Out Low Voltage Gyp Board Insp Elect, al /Beam ` c 1 erV: ,/replace Insp Rain drain Insp Mechanical r'c�r'm i t t e e ;,i.g n ea t 1.tt-e, i1i..+.I 1 , 1rf11111 , - 1r.IA-++ 1.1.4"f..+ 1 .,.I'" ("�,' 1 E ;:� X117' by 6:00pr. M. !'crr• �4r1 iTs,1)eI:-ticlr7 n��drel the rrF CIT'y OF TIGARD Dr.V�LQ►PMENT SERVICES SEwERr,CONIuECTION E'RMI'T 13125 SIM Hall Blvd., Tigard OR 97223 (503)639.4171 PERMIT #. . . . . . . ; SWR97--0286 DnTC ISSUED: 07!30/97 F''ARCFEL..: �S1 i. SC1�- lJLWO^ SITE ADDRESS. . . : 1004;=' JW LADY MARION OR -)iL.IFD I V I S11 ON. . . . :L'L1,,ELL I NC-.G MLP96- 0015 ZONING: R--3. 5 IaLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :002 JURISDICTION; TIC fE'NtG•;T NAME. . . . . :RONDA1_L MYERS INC LJSA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CLASS or WORIi. . . :NEW DWELL_ INO UNITS. . : 1. TYPE: OF USE. . . . . :SF NO. OF BUILDINGS: 1 I1141)TAI..-1- TYPE. . . . ..!ILISWR I MPERV 51.1RFACC: 0 Remarks : Ne%q SFD Ownet• ; -._.....__.__..._____ _...__..-___..____........__. .__..._.__-_.______..______._ FEES _._......_._._...__...____...._ RANDAL.I_ MYF"RS INC type am0Ulnt by dote rer--Pt 6655 SW HAMPTON QUL $ .::10. 00 B 07/30/97 97-•-297777 PORTI..AND OR X7223 OUN $ 290. 00 n 17+7/ 1/97 97---;"'977 r-,RMT $ l'-L'E'00. 00 P 07/30/97 97---2977 r r'hane it. INSF, f :,r:. 00 D 07130197 97 _2'07' EROS $ 88. Q1O H 07/30/97 97--297, ',nntr ��r_tot ; ____ .._._. . ... __... ._._._- :7RPIJ $ LA. G0 C1 07/30/07 '37 . '.='977; RANDALL C MYERS INC ERr'C $ it's. Flo P 07/30/97 97-29777F: 6G5S SW HAMPTON ST tl 100 r'ORTI- AND OR O7223--8358 r'11 oil e #: 63'.) 9054 $ 2B80. 17'171 TOTAL. REQUIRED I NSF'ECT I ONS Tris Applicant agrees to comply with all the rulEs and regulations C3eWPt" InSF)PUtian '.he lnified Sewage Agency. The permit expires 160 days fr-op date issued. The total amount paid will be forfeited if the *it expires. The Agency does not guarantee the accuracy of the P sewer laterals. If the sewer is not located at the measurement en, the installer shall prospect 3 feet in all directions from distance giver, If not so located, the installer shall purchase 'ap and Side Sewer" permit and the Agency will install a lateral. —ENTION: Oregon law requires you to follow rules adopted by tie gon Utility Notification Center. Those rules are set forth in OAA -001-0010 through DAR 952-0001-0080. You may obtain copies of se rules ar dire questions to OIJNC by calling (503)246-1987. .. __.�_. C'Ea r'm i t t ' 13 4+++-1- F + .1 +}+++++++++++-f++++++++++•-F-+++++++++++++++• +-F++++++++++++ •F•++ F.+++++++-� C�a1. 1 (:.39 4175 by 6:O0 p. m. for an ii+sper_.tion needed the next hi.ISi ress day c•+4-+-1-44.4A-1--+-++4-++-+++4-4++++++++-f-1-++++++-f+•++•++++•++-F+4-++• 444+++++4-+ ++++++•++++++4 Plan Check A rY OF TIGARD Residential Building Permit Application Recd By 1125 SW HALL 6wo. New Com -action Additions or Alterations Date Recd /=> ,GARD, OR 97223 Single Fam..f Detached or Attached (Duplex) oats to P E. 503-639-4171 Date to DST = A 7 503-684-7297 Permit XL"' DV 91 w Print or Type Carted _ Incomplete or illegible applications will not be accepted I Name of Project Name Job Architect Mailing Address Address sit Addre s f 1 At?I �' �� C tyrsiate Zip Phone N6M ,n 1 Y 1 F( I �f Name Owner dress �NYrStat Zip y Phone Engineer Marling Address _ x•1' j r r� C tylstate Zip Phone Name General LC Q Descnbe work New O Addition O Alteration O Repair O -- to be done: Contractor Mailing AddifesS Additional Description of Work- C.tyrStJts Zip Phone Oregon Const. Cont. Board Lac k E.P. bate — — Attach Copy o/ Current COT Business Tax or Metro Exp. Date PROJECT Licenses VALUATION $ 7 - Nam � NEW CONSTRUCTION ONLY: Mtechanical �— % ( ti)�� S Ft. Garaet7 Sq Ft. House: ,s - c q. _ Sub- Mliailing Addro I ContractorI, l � ) + 1L��On Corner Lot YES NO Flag Lot YES NO to Zip P one 4 � �L�; (check one) (check one) Oregon Const.Cont.Board L c.M Exp.Dace Restricted Audio/Stereo Burglar attach Copy of �: :1. t( Energy System Alarm C.irrent COT Bu.iness Tax or Metro 0 Exa Date Installation Gafage Door HVAC _icrnses Opener System_ s Name (check all'hat I Llther: Plumbing IM 'LL V C_ /qtr` appl ) -� _ Sub- Mailing Addresr Will the electrical subcontractor wire for all YES NO Contractor Lfirestricted energy installations? C, ,S to Zip Phone Has the Subdivision Plat recorded NIA YES NO I� U Nu 4.7 l)l I� rei -- -- Cregon Const. C nt. Board L.c.a ( Exp. Oats Reissue of MSTA: Solar Compliance Attach Copy of ( t �' , I(Calculation Attached) Current P!urp inq Uc, Fap. Date 1 hearty acknowledge that I have read this application, that the Licenses J ( (<-tr' :') information given is correct, !hat I am the owner or authonzed COT 3usiness Tax or Metro e I Exo Date agent of the owner, and that plans submitted are in compliance with Cregon Stgte laws. ___ ! Nam Signature of riiinet/Agent, Date Electrical I _ Sub- _"lading Acceess Contact Person NCk Phope 0 'ontractor } C,typ Vo Z.p I Phone FOR OFFICE USE ONLY: _ Plat s: Map .Lt: Cregon const. C�t. Boara L c;i Exo pate ( 7—�rj �, 1 t 1 f C� ,' / ( /l• i i. c 11-ach Copy of / � / `JI r ' Setbacks. Zone: So Current E'ec ryy Lc cxo a ur. Licenses / ;� I ngineenng Approval: P! nning pwoval: I TIF, CCat OT Bus,vess 'ax or Metro Etc - e—{ ��N1�{? 0Q(`, REMl3L.00C iCSTI ji97 Permit a Acct. Oescritpion COT WACO Amount Amt. Pd. Bal. Due MST Permit (BUILD) (UBUILD� 71 Plumb. Permit (PLUMB) (UPLUMB) ZZS, L/ f Mech. Permit (MECH) (UMECH) ELC/ELR Permit (ELPRMT) (UELPMT) 3�a, + X300State . i Tax y u (TAX) (UTAX) SLOG v 5, PLUMB: MECH ELCIELR: S ✓ v'/ Plan Che-k MST: (BUPPLN) (UBUPLN) Plumb: (PLUMB) (UPLUMB) Mech: (MECPLN) (UMEPLN) CDC Review (BUILD) (CDCBLD) (UCDC) ;)--U 67 rr CDC Review(PLN) (CDCPLN) NIA j` 'If ,C) 4,ewerConnon (SWUSA) (USWUSA) �;�ap U � yw� �� U Reimhur. District ( ) ( ) Sewer Inspection (SWINSP) (USWINS) Parks Dev Charge (PKSDC) N/A d,rG Residential TIF (TIF-R) (UTIF-R) _ Xk, �� U Mass Transit TIF (TIF-MT) (UTIF-M) � � Q Water Quality (WQUAL) (lJWQUAL.) CJ V a U Water Quantity (WQLJANT) (UWQANT) _ �(1 v?c� Erosion Control Prmt (ERPRMT) (LI ERPM'T) _ L Ge Emo:,,ian Pla ick/USA (ERPLN) (UERPLN) 4 `rosicn Planck/COT (EROSN) (UEROSN) Fire 1_ife Safety (FLS) (UFI_.S) TOTALS I.SFaEMU CCC .OST) 5 97 E-7 Jul 16 17:23:43 RALTILT1702A SATURN IM.R.Ft 2268 BY R.C. MYERS, INC. 15fT E rL�O FH: 598 7565 S 89'45'00" (,!TY OF TIGARD TAX LOT 1702 - A 10042 SW LADY MARION DRIVE I I 19.997 SQ. FT,) I I NOTE.• L OT EXEMPT FROM SOL AR CODE DUE TO THE STREET' m I I ,m j •�+''�o I I •' I i I I 1 I ''�•• I 1 o i j 1, 1 � m � a colo So 117' 0" j cr o rn T I .0t I I II I I v I MAIN FLOOR m EL :295 0' N o GARAGE } I / EL :294 5' Jr� 0 A' rpNC ( 1 a DRIVEWAY ° 13501 P 5 I 1 WATFN I II --• / SILT METER N 89'45'00" W FENCE 7 2 o7 — '�� I [, 5' SIDEWALK 07/15/97 MRR IS 0TMASCORDIABLEF OR DESIGNTHE A SOCIA TES,IN THF MARION DRIVE /^ TOPOGRAPHY INF ORMATIUN Il ISSOLE3 IT N' OF THE BURGER TpO VERIFY ALL SITZ CONUITIONS INCLUOING ANY FILL PLACID ON THE SITE AND INFORM OWNERS OF ANY Pf TFNTIAL FIFID MODIfNATIONS AL ", 11 11AIC0RD DE ; 16 f1 A f 0 ( I A I C f In 1,105 N W 18TH AVENUE, PORTLAND, OREGON 97209 1503) 225-9161 S C A L E t " 2 0 0 " A CITY OF TI C A R D ELECTRICAL PERMIT PERMIT#: ELC2003-00504 DEVELOPMENT SERVICES DATE ISSUED: 08/14/2003 13125 SW Hall Blvd..Ticlard, OR 97223 (503)639-4171 Pi.RCEL: 2S111CB-05200 SITE NDDREfiS: 10042 SW LADY MARION DR ZONING: R-3.5 SUBDIVISION: Ul_WELLING MLP96-0015 9LOCK: LOT: 002 JURISDICTION: TIG Project Description: WIRE HOT TUB RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIA41TED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amp5 - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUIT; ADD'L INSPF IONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 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: Reconnect only: SVC/FDP.>=225 AMPS: — CLASS AREA/SPEC OCC:_ J Owner: Contractor: DEAN MEYERS CONDUIT ELECTRIC 10042 SW LADY MARION DR DBA DUIT LEVEL TOOL CO TIGARD,OR 97224 2074 NW ALOCLEK STE 405 HILLSBORO,OR 97124 Phone. Phone: 466-9754 Reg #: tit P 45111 S �- - ------ - I.1C 109009 FEES _ ELF 26-905c* Description Date Amount Required Inspections �i I PIZRiI � I I.i' I'crnut n.; 14 'nn. $46.85 '- �1 \1 8 tiratc Iirt uS 14 _'n(1 $3.75 Elect'I Final Total $50.60 This Permit is issued sub)ect to the regulations contained in the 1 igard Municipal Code,State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans Tl;is pr:rmit will cxpire if wo'k s not started within 180 days of issuance,or I work is 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 952-001-001,0 through OAR 952-001-0100 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-6699 or 1-800-332-2344 - --�- Issued By: Permit Signature: � _ CLIa. OWNER INSTALLATION ONLY The installation is being made on properly I own whic` is not intended fog sale, lease, or rent. OWNER'S SIGNATURE: _-__ __ _.— DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE. OF SUPR. ELEC'N: --____ ..... DATE:-- LICENSE NO: _��--- -- ----- - ---------- - -- Call 639-1175 by 7:00pm for an inspection the next business day 11 "'Aug , 13 - 2003 ' 2:35PM'y011CONDU IT ELECTRIC, ur IIwu v No 1633 P • I Electrical Permit Appiic;ation �cefwd 1 ! ��R1 - �-- RECEIVEDaty- 1 . =itN�� _ �: 03 [ >t ity of r�9gard PlanninF Approval sign, Datr/Fir. Permit Nn.' 1312.5 SW Nall 131%'d. Plan Review Other Tigarc9 Orogon 97223 n�nq Day!/Ry PermitNo,; Phone: 503-639-4171 Fax: 50.3-598-1960, Post.Review LAnd Ute DawB : _ Case No.: Interner, wv.^,v.ci.tigard.orms Contact Juris-_ I K Sec Page 2 for 24-hour Insp�;ctcn Requcst: 503419-41 Nat vlRiethod: Supplemental information. ' h," Itr. .'.4'l+ti+li� i.,• dL4Y•••trd . R .•�1�11 j'L!'kJ�:-s4-. 4:'�-.. Iru7t`RWn:`�w,; �t +'� h,_ lal( Nat� PP��! i� -, ,r.!tJ�h( l Nt:W obLts1:f11.Ctlotl —�_ DeTT'Iolitlon MCC aver 72s amps- J Health-caro taeilay '- conrmereial LJ Vt Uraoos location Addidon/alt(=tionh lacement ❑Otho: ❑5emac over 320 amps-rating of f]Buiiding over 10,000 sgm?c fact, �' OF-C,ON bj�tUl�y1 f0N':µ,;';r1; s; m M m m m a a a aot LA CD Q � S an cG () n"Ti R? v T eD H3 eD w w o rL CD a = Cl. t`L so d d fD r A N 00 70 00 00 00 i d ii n O O O O O V1 0 0 0 0 o to rp 0 0 0 0 o Z N E g °o o off. w a ren m a 00 00 oe 00 0o C t - y A z Y � -