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12250 SW LANSDOWNE LANE N O z N O O z m r z i i i y 1 12250 SW LANSDOWNE LN Jul . 1 . 2003 8:39AM CONDUIT ELECTRIC No -6265 P. 1 1UL �. �p03 Data: March 29, 2002 OF�1 VISIQN` City ofTigard B(ding Permits RE: Wallace Resideace/Perrrxit Job Address: 12250 SW Lansdowne To Whom It May Concern:, Conduit Electric has been hired by TAC Northwest Inc, to do the electrical installation for the Wallace job. It is my tuiderstanding that a pert •;been pulled for this job under another electrical contractors name. Scott Aldrici ."1'AC has asked that we send you a letter requesting this perrait be.transferred to our company. CCB 109669 Contractor#: 26-9050 Supervisor lic. 4501S Supervisor: Charles Parker. If you need and additicrnai infortnatior. please contact us at(503)-692-1428. lr. Best Personal Regards! % b �01 A � J C:iuck Parker C Senior Estimator /Prr�je.•t Manager J � t 19461 Sw• 89'h Ave. Tualatin,OR. 97062 (503)692-1428 V'A(503) 692-3652 CCR# 109669 CITY OF 71GAR D 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISIOV Business LI,e: (503)639-4171 BUP Received _ — Cate Requested -2 - 14 AM Pm__ BUP Location ___ _ 0 _&_suite —_ MEC — Contact Persot ______-- _—C ' _ Ph( ) �� G _ �� a PLM — Contractor —______—__ — _ Ph( —) _ SWR _ BUILDING Tenant/gmer ELC Footing ELC r=_undation Access: Drain Cr � ELR Crawl Drain Slab Inspection Notes: SIT Fost&Beam -- Shear Anchors �� Ext Sheeth/Shear Im Shea h/Shear Framing - Insulatia i Drywall Nailing ---- -- - --- --- -- -- -- - _..^.._ — -- Firpwall dire Sprinkler ----- Fire Fire Alarm, Susp'd Ceiling - - - - - - -- -- ---- - - Roof Other: Final PASS PART FAIL PLUMBING -- ----- -- -----_ - - ------------ ---- - Post& Beam _ Under Slab - ----- ------ -- - ------ -- ... .- Rough-In Wa} ,r Service --- - -- —-- - ----- -._.__..- -- ------ Sanitary Sewer Rain Drains -- ---- - _— ----- �_...,- --- --_ - --- Catch Basin i K:Whole Storm Dr,in - ------- —_ -.,--- ------ -- ----�_. _ Shower Pan Other. _---------- --____ _---- ------------------------- Final ------_- PASS_PART FAIL - ------ - -------_. ----- - -- MECH_A_NICAL --- Post& Beam- Rough-In _ ---- ---- -------- - —_---- ---- Gas Line Smoke Dampers --- ------- ----..._..-..._--- ---- ------- Final PASS PART FAIL -- - -.. _--------- - ------ --- _-- — ELECTRICAL Service Rough-In UG/Slab Low Voltage - - - -__.._. _---- -------- --------...- - Fire Alarm � SART FAIL. I Reinspection lee of ', required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. - � Please call for rf inspection RE: Unable to inspect-no access Fire Supply Line - --- _� J �- ADA c Approach/Sidewalk Date --� � Inspector Ext _ Other Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-00735 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/10/2004 PARCEL: 2S103EC-07130 SITE ADDRESS: 12250 SW LANSDOWNE LN SUBDIVISION: FYRESTONE ZONING: R-4.5 BLOCK: LOT: 010 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS HOODS: _ FUEL TYPES 0 - 3 HP DOMES. INCIN: LPG 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 BTJ: AIR HANDLING UNITS_ FURN � 10UK BT'1: <= 10000 cfm: OTHER UNITS: SAS OUT!.FTS: 1 > 10000 cfm: Remarks: t.n•. ling: ,tttl Iirrhlnr� in. rt - _— -- Owner_ WALLACE, JOSH Description Date ` Amount 12250 SW'LANSDOWNE LN [MECH] 1'erntit Fce 11/10/20( $72.50 TIGARD, OR 97223 [TAX] 80/o St ite Snrrhart 11/10120( Phone: 503-626-4652 Total $78.30 Contractor: T & K MECHANICAL. 1 157.5 SW CANYON RD BEAVERTON, OR 97005 REQUIRED INSPEC-IONS Phone: 503-626-4652 Gas Line Insp Mechanical Insp Reg #: LIC 121165 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal (:ode, State of Ore. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended `or more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions l,)OUNC by calling (503)246-6699. Issued By: , � `.cam.- Pertnittee Signature: Call (503) 639-4173 by 7:00 P.M. for inspections needed the next business day FROM : HOTSPOT FIREPLACE PHONE 110. 15036269138 Nov. 08 2004 04:46PM P1 Mechdnical Permit Application FOR OFFICE USIE ONUV City of Tigard Received g PlaRev. tp Permit No:� t 13 125 SW Hall Blvd.,715erd,OR 97213 n ristaBy'iew �I 66 - Phone 503 639.4171 Fax: 503,599,1960 DatiRev OuurVerndt: inspection Line: 503.039.4175 Dur Ready Ay uri+ ® got Page i for lnttrrlGr www,cl.tigard.or.ys Notttied/Mcthod! / Supplemental reformation (.� �i1./fwi,d..�w11M1'.f�i ",r1S•'la i.• '$.� PR� •t d� i' �l t•:6w..N' ��'.f�1YJ1f7LrfCW.un;lu'•�J FT�'}y5�stfi�A•lI«iEL — USECREX--Fa �]New construction I Addition/alteration/replaccrtcnt' Mechanical pcnnit fees*are based or the value of the work performed.Indicive the value(rounded to the nearest dollar)of il, Demolition []')ther: mechanical materials,equipment,labor,overhead,and ptvfit .� 1•r1 c,i t,l.:. •. " tl • t yyr ver IIG $ 1�� ai!»6 Yri� .. r ...•� ., II .iIN•n:x, .n•rro••i:c•'..r 1,r 1 :Y�r+�A��117't lx"C ', •'"�T.y� _ 1 and 2-fan uly +ening ❑Commercial/industrial []Accessory bn.lding N,,:'.f Q N 'rM1NT I'619 t1 M5 KE£e Parspecial infornation use checklist. ❑Multi•:anuly ❑Ma':frr builder ❑Other: Description Vty, �' Ea�Total �� .. ,t?'�ls'T„ N _ { ', .•P'1..:t ... r I i 19:N t.i .?•11 l'atinyicoollna .. Job site address; ,aaeJ�, (� n QwtAA _ Air conditicming nr heat pump (regpito$site plan shaw'ins Placement) 14,00 Cary/9tatelZl3',-�—I-�� Furnace 100,000 BTU duowvenht 14.00 FurSuitw/hldg✓apt.no.: U -4 Project name! Gm heaheaacel T l tstvents) 17.90 _ pumy M,•_....., ._..._.r_ _ 14,00.. Crest street/direetions to job site: rn,ct work 14.00 ^ - �- Hydmnic hot water pyptem 14.00 Residenr.al boiler(radiator or hvdron, 1 14.00 -- -- Unit heaters(fuel-type,not electric), in-wall,induct,suspended,etc, 10.00 Subdivision; Got no. Flue/vent forte of above 10.00 - -----� Other. 10.00 Tax map/parcel no. Other fuel appliances Pro _Water heater 10.00 Gas fireplace 1QW00 (a,S Flue vent for water heater or gas (Ire lace 10.00 - - _ — -- Lo 1l titer s 10.00 wood ellet stove I r.00 wood flMpiK.c/irtscrt 10.00 � Chimney/inertflue/vent low 4.tt-3it�a� �_ I: Sl' Other QS i v QtP j 10.00 /IU'gij _ Name: '�$ Q f $nviro -ental exhaust and ventliadon .•� Range hood/other kitchen Address: iOre .StS � ��__—_-_-- Ui mens 10.00 Cl /State p: Clothes dryer exhaust 10.00 ry r J"� �� --- Single-duct exhaust(bathrooms, Phonr ) 9-a _ /0 K9, toilet com rtr,nts,utility room! G 80 Attic/crawls ace fens 1000 1 is t� �t'✓Qp1Qs_Q- - --'' Ocher: — 1000 Bllsntess name_ Fael piping _ _ Conl#..ct name: $5.40 for first four;51.00 fur ea h ad itional i t�— "- -- Furnace,etc. Address: �A 0 nh Gas heat Purnp _ City/St2t&71P: a ,Q 6_Y\ 0✓_ _��"�� Wall/sus anded/unIt better Pbone;(�1�_ c_, Fa+• ( 3&XIO Water better Fit lace 610 F.-snail. Ran e _ Barbecue —�- Clothes dryer Business narnr. 1 4' l� y(t -- --_..._-- �.... Other Address Subt City/State/ Gl YL�ern o n V► t'p4s ii-,m (S72 50) Phone:(4453,3)( Fax:,,r�� ) Minimum permit fee(572.50) .$ po��o�� -9138 Plan review(15%of permit fee) c'eata surcharge(844 ofpermit fee) , CCA lie.: / lp� TOTAL PERMIT FEE This permit application esplres If a permit Is not obtained within leo AinboriZedd signature, days pftrr it has been occer ted as complete. Print Pee m,thodulogy tet by Tri-County P x.ting!ndutn•y Service Board ._ ,.. ,_ .T,.. .... ..,,..,•.. ,•�.,•,-.,,,,,tee, 1 CITY OF TIGARD 24-Hour BUILDIN,. Inspection Lin175 INSPECTION DIVISION Business Line: 3)639-4171 MST BUP Received "IL" ____- Date Requested_ � AM �� _ PM__ BLIP _-- Location _—�_ — �� `3 -� -u.y Suitb _ MEC Contact Person _ _ Ph( ?, PLM _ ContractorPh( _) —__ E`.'!R BUILDING _ Tenant/Owner _—___ _u--- _ - ELC Footing ELC Foundation Access: Ftg Driin ELR Crawl Drain _ — Slab Inspection Notes: SIT Post&team - _ _---. ---_._-.-- ------------ ---_---___._._ Shear Anchors - -- - ---- Ext Sheath/Shear _ Int Sheath/Shear y S/ 4 Framing1 -- - Insulation Drywall Nailing — Firewall Fire Sprinkler --- -------- ----------- ---- -- --- -- Fire Alarm Susp'd Ceiling -- ---- -- - - -- - -- ----- ------ - Roof Other: _ ----- ---. ------- - _- -- - -- - Final - PASS_PART FAIL PLUMBING Post&Beam Under Slab -.--__- -- ___.._..... Rough-In Water Service ---- - — ---- - -- Sanitary Sewer Pain Drains - — — Catch Basin/Manhole Storm Drain -- - - Shower Par, Other: Final ------ PASS PART FAIL - -- --- E 'AL L _- Pos�tB mok - e Dampers ping. PASS _PART FAIL ----- -- - -- ----- ----- - --- ;01 TRICAL Service Rough-In ----- ------ ---- UO/Slab Low Voltage -- - -_� - - -------- - - — -- ---- Fire Alarm Final I Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS PART FAIL SITE _ j Please call for reinspection RE:_ --__—_—___-_ U linable to inspect--no acces3 Fire Supply Lina ADA ates , 1 1�_L—V Inspector Approach/Sidewalk DIt �"'-. ----_-- Ext Other: _ F'nal UO NOT REMOVE this Inapection record fiom the Job site. PASS PART FAIL CITY OF TIGARD BUILDING PERMIT PERMIT#: 8UP2003-00350 DEVELOPMENT SERVICES DATE ISSUED: 6/13/03 13125 SW Hall Blvd..Tinara, OR 97223 (503) 639-4171 PARCEL: 2S103BC-07100 SITE ADDRESS: 12250 SW LANSDOWNE LN SUBDIVISION: FYRESTONE A..ONING: R 4.5 BLOCK: _ LOT: 010 JURISDICTION: TIG REISSUE: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD FIRST: '14 sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N s' N: S: E: W: OCCUPANCY GRP: R3 TOTAL AREA: 14^ sf RO71F CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: 2- ft GARAGE sf OCCU SEP. RATED: BSM1?: MEZZ?: _REQD SETBACKS _ REQUIRED FLOOR LOAD: 40 psf LEFT _ ft RGHT: 5 ft FIR SPKL: SMOK DET:Y DWELLING UNITS: FRNT: '10 tt REAR: 15 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SUPFACE: PRO CORR: PARKING: VALUE: $ 15,000.00 Remarks: Addition of 144 sq ft bonus room above existing garage. Owner: Contractor: JOSH WAI_LAC- TAC NORTHWEST INC 12250 SW LANSDOWNE LN PO BOX 115 TIGARD, OR 97223 HILLSBORO, OR 97123 Phone: Phone: 503-640-0712 Reg #: LIC 15056 FEES — REQUIRED INSPECTICNS L ascription Date Amount Footing Insp jBUILU] Pc,mit Fee 6/13/03 $121.75 Framing Insp Insulation Insp It'AX]89/,State Tax 6/13/03 $1 A.98 Final Inspection O Iit!ILD]Permit Fee 6/1?/03 $187.30 Total $324.03 . I This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will he 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 the rules adopted by tf,e Oregon Utility Notification Center. Those rules are:;et forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling)5")246-6619 ur 1-800-332-'-.344. Isstlt?d By: Pennitt6c-- Signature: w Call 639-4175 by 7 p.m. for an inspection the next business day FOR OFFICE IISE ONL) Butldin�* Permit A lication _ � p� �-_ Received �/ � Building o p Date/By: Planning Approval Other City of Tigard Date/By: Permit No.: Ze C O,,>?— •-CJt_J 13125 SW Hall '31vd. Plan Review Other Tigard,Oregon 97223 Datc/By: _ Permit No:Post- Phone: 503-6j94171 - ax: 503-598-1960 Date/ y: Land N0. Date/By: � Case No. Internet: w%,,w.ci.tigard.or.us Contact See Page 2 for 24-hour!nspection Request: 503-6394175 Name/Method: r Ate, SuT�cntal Information _ TYPE OF WORK REQUIRED DATA: [ New construction I LJ Demolition t &2 FAMILY DWELLING ElAddition./alteration/replacement Other: CATEGORY OF CONSTRUCTION Note: Permit Pecs'are based on the total value of the work performed. Indicote ❑ 1 &2-Familv dwelling Commercial/industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Accessory Building Multi-Family I /S ckio Master Builder El Other: valuation.... .......................••..........................• JOB SITE INFORMATION and LOCATION Na ofbedrooms: No.of baths: ' Sw ti;i-�Gtti ,vE Total number offloors..................................... Job site address: Ae257� G�¢ New dwelling area(sq.ft.).............................. Suite#: ( Bldg./Apt.#: Garage/carport area(sq. ft.)............................ Project Name: 64-4-",4c67 I S(DFtiiC t Covered porch area(sq. ft)............................ --_-- Deckarea(sq.ft.)............................................ "ross street/Directions to job site: fl.) — -- Other structure arca(aa.ft.)....••••••••••.•••••.••••.• REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: Lot.''. Tax map/parceln: #: _ Note: Permit fees'are based on the total value of the worn k performed. Indicate DESCRIPTION OF WORK the vrlue(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. - - $_ —--- Existing building area(sq.ft.)......................... New building area(sq.ft.)...............•............... Number of stories.. ...........I..............•........ _ ,-- PROPERTY OWNER 1 ENAN1' Type of construction....................................... -- ---_- -- Occupancy group(s): Existing: Name: -TCS4 Y i/SN G.v �9GL _ New: _ -- Address: /2rsn Sw — City/State/Zi _Ti i2 t :'t'' NOTICE: All contractors and subcontractors are required to be Phone: tax: licensed with the Oregon Construction Contractors Board under APPLICANT CONTACT PERSON _ provisions of ORS 701 and may be required to be licensed in the Business Name: _ jurisdiction where work is being performed, If the applicant is exempt Contact Name: — from licensing,the following reason applies: Address: City/State/Zip: _ Phone: i FIiX:. --BUILDING PERMIT FEES* E-mail: _ Please refer to fee sche.lale. CONTRACTOR or Business Name: Fees due upon application....................•.•....... Address: ?PC-- e Cit /State/Zi : Nl64SheWe G/c? --- 7123 Amount receive ..............•.....•......•......... .. _ Phone: (,lc - 0714 Fax.:5v 1 is` c. F,793 Date received: CCB Lie. # - Authorized — 6 3 u Notice: 'rhls permit application expires If a permit Is not obtained$011iu Signature: / ! Date: 3 IRO Jayell s er II has been vccepted as complete. 'Fee methodologlet bY't'rl-Counh Building Induchy Service Board. - r (Please print name) is\Dsts\Permit Forms\Bldgl1enm1App.doe 01103 One-and Two-Family Dwelling Building Permit Application Checklist 'tetr)cncc Associated permits: Cit of Tigard City � U Electrical U Plumbing ❑Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Other: Phone: (503) 639-4171 Fax: (503) 598-1960 THE FOLLOWIN6 ITEMS ARE REQUIRED FOR PLAN REVIEW I Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plat/lot. 4 Eire district_ apprnval required. _ 5 Septic system permit or authorization for remodel.Existing system capacity 6 Sewer permit. _— 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required.Include drainage-way protection,sih feu,ce design and location of catch-basin protection,(Ac. 10 �3 Complete sets of legible plans.Muct he drawn to scale,showing conformnnr-to applicable local and state building codes. Lateral design details and connections must he incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. I 1 Sitelplot plan drawn to scale.The plan must show lot and building setback dimensions:property corner elevations(if' there is more than a Oft.elevation differential,plan must show contour lines at 24 intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations,direction indicator;lot area;building coverage area;percentage ofcoverage;impervious arca;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions.,rom identification,window size,location of smoke detectors,watt, heater, fumace,ventilation Dans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 (Toss section(s)and details.Show all frarning-member sizes and spacing such as floor beams,headers,joists,sub-flour. wall construction,roof construction. More than one cross section may he required to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views.Provide elevations for new construction;minimum of two e;evations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for ion-prescriptive path analysis provide specifications and calculations to engineering standards. 17 I loor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. _ 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar.For engineered systems,see item 22,"Engineer's calculations." _ 19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code co,milliance.Identify the prescriptive path or provide calculations. A gas-piping schematic is required for four or nore appliances. 22 Engineer's calculations.W hen required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown In hr applicable to the project under ievijpv. 23 Five(5)site plans are required for Item I I above. Site plans must he 8-1/2"x I"'nr I I" x 17". 24 Two(2)sets each are required for Items 16, 19,20&22 above. _ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will he not accepted. 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. T 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List. Checklist must be completed before plan revie,v start date. Minor changes or notes on submitted plans may be in blue or black ink. Red 'nk is reserved for department use only. 44o 4614 tnn>nicoM) CITY OF TIG wH^KD ELECTRICAL PERMIT :law T PERMIT#: CLC2( ^3-00403 DEVELOPMENT SERVICES DATC ISSUED: 7/3/03 "k 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PA,-CEL: 2S103BC-07100 SITE ADT RESS: 12250 SW LANSDOWNF LN SUBDIVISION: FYRESTONE ZONING R-4.5 BLOCK: LOT: 010 JURISDICTION: TIG Project Description: Add (1)br,_nch circuit. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ _ MISCELLANEOUS 1000 SF OR LESS: — 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 4'10 amp: 31GN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICEIFEEDER BRA14CH CIRCUITS ADD L INSPECTIONS 0 200 amp: WISERVICE 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 SECTI7N 1000+ amp/volt: _ >=4 RES Uf"ITS. >__600 VOLT 140MINAL: Reconnect only SVC/FDR>=225 AI4'PS: _ CLASS AREAIS"EC OCC: _ Owner: Contractor: JOSH WALLACE CONDUIT ELECTRIC 12250 SW LANSDOWNE LN DBA DUIT LEVEL TOOL CO TIGARD,OR 97223 2074 NW ALOCLEK STE 405 HILLSBORO,OR 97124 Phone: Phone: 466-9754 Reg #: SUP 4colS --- - i "' I d9669 FEES ELF 26-905( Description Date Amount Required Inspections [ELI'RN1T1 FL(' Permit �+ �� $46.85 �• - —� _ [TAX] 8°,,Stute'rax ilk $3.75 Rough-In Elect'I Final Total $50.60 This Permit is issued subject to the regulations contained In the Tigard Munapal Code,State of OR.Specialty Codes and all other applicable laws. All work will t a 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 by the Oregon Utility Notification-gnter. Those rules are set forth in OAA 952.001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OU,.0 at(503)246699 or 1.800-332-2344. Issued By: tal J Pprinit Signature: _('_ I c2_011,t( (i-O �.Zil.i OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATUF _ DATE:_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: __-.--______ -____--._____ DATE:__._e.T_. LICENSE NO: --------------i-- ` -�---- - -- ---- ---_-. -...._.��-- Call 639-4175 by 7:00pm for an inspectio-, the next business day ""' 4 - 1 1\vtRt/ Jul . 2 2003 8:35AM CGNDUIT ELECTRIC !10 . 6?14 P . 1 jElectmal Permit ADpHleation rce-1 L«,t .1 ,.I `3 r-� 1s !. City of Tigard r Y14tllt{i1g Approval Sib" IJara/8 . Penni N4,: 13125 SW Malt Blvd, Plun Review Other---- Tigard,Oregon 97223 1 DaWEly: Pamir No.: - Phone; 503-639-4171 Fax: 503-598-196L Posi-Review Land Use lntemot: www.ci.tigard_or,tis � ____-____ Cmc No.. Contact - v !A�to ent 1 fnr 24-hour Inspection Request: 503-639-4175 Name/Med,od: �'� Suppiemontrrl information. 7lfiiCl.Q]F."/T•d 'i�I:GAn _� I'i Jlti .' '' .�' d W Pao r-tax-r ew construction _ _ -emolltloll Service oxer 225 amps• ticare facility a�rdeua location Addltion/ald.m ion/re lacement I ❑ Other: _ M Setvlro over 320 amps-fanny of ❑Building over 10,(100 square ftet, OTIC , ,- _�h Rr" � a�I4� 6 YiC11ON _. i Sc 2 family dwellings four or more sr idmtial units m 1 2-�a 1Y dwelling Cotnmerotal/indtiistrxftl ❑"tem over 600 volts nominal one structure Buildins over rhrer stones ❑Feeders,400 amps or mem j Accessory_�i_uild>t_n - Multi-Farru] C]Qrnupant Irraci over rJ9 prr9onR ❑h4am ilicurted Atntcturm yr RV park Ll Master$tllitier (7 ht:r- ❑EgicssripJ,ting plan ❑Odrer:`__ .._ Suhmtf _ 9mh of pane with any of the above. ` h'` 'E A hli(D a41 �A'I(31�1:'', ' TIC Above Are not applicable to(aWorsry ro tructton service Job site address: Suite#: 131d ./A #: , Number of fus rLectioui er et trait allow Pfo'eot Name: Deecr;ptlon _ ,. Qty gag peal Tald �- ---- - New resldaatiat+c rjc or multi-famill per Cmas street/DiM ions to job Site: dwelling salt.Includes attx6o-d gmi.,jr- Sr rviet Included: 1 A.ft or long � IAs.154 Each additional SW!q.rL M yottion lheteof_ 31.40 1 _. 75.00 2 Subdivision:__ i�Tl1k _den residential --- _ 7 .00 - 2 Tax Ala / steel : Esch roanufitrind home or modular dwelling "-:e Arwor fee4er 90.90 - 2 -- ~ servieee or ferrim-Installatloc aftoradom or relorxCoo: 200 amps w lees --- ------ 60.30 __ 2 201 w c to 400.amps __ IML 2 ''•"-' .;;a-,. 601 a-j to 1000- IMPI 454: Over 10001rt�veitt 2-_ - Neime: ( ( —_-. __.... Reconnect only 2 ---- -- - --- - Address. r�� 5!� _� x'� - Temporary eAlder t -inStlliiti911. StJ w alter alien,orr relocatoc,t;on: C Itts'stt7/�i1P� - 200 unpa or less titi.n� r Phone- F 4oi he000f -- -- — — 87C: 2 0 nm��. 133.75 !� Branch circelli•r.ew,a:,eration,or Name: etttenrion per panel: - --- - __ - - A.Fee for bmuh nruturs with pu hMt of Address: __-. mrvim or feeder fee,euh bran&nimuit f,b5 2 Ct '/>tt'itf'�J.1 A Fr c for branch c4cuits withuut pard"of =� - --�_-_�--- -•^�---- --- xrviee or teedsr fee.rum branch cinxdt - 4615 ' - -7l'2X: -- -- -- - 6,65 2 Phone: Each additional hee+elt circuit ___ ---- -- - fSery teerkrnot� c dr F mail: - , . pMk- 5 ,Q m,�uon ctretr.1 53.40 2 ----- u rr<t Ily" a .di ' ` Foch sign m ouL,ne liehat� 59.40 ?_ Job No: signal t irruit(s)or a ilmltrd energy panel. — - // alterationUJXU ion � Ruslness Name: f Lrot,eri ! — -_ Address: I qqLFI SW Mil "------- ' -7 -- - Each A ditiootI inApectlon over the l lovrtble in Are of the_bove_ Ci /S12tP�Tri lLt Q ✓'`- Pa on�er ho�v�miet 1' �_ PlIon Fax' - -Ae-5— Invdd on fes-._�_ -- -- --- "her _- _ave,ry ming electrician -- slnatUTC ie uirOd: ! - - -,_Phil Resit w %of Permittx` --- PrintNam�� to.#: State surchal �/o of P,�i Feed S r --'� - - -- TOTAL PERMIT�1L f . t1---�. Au.horized Nodee: This r-mii appUtation expires if it peretit Is 011 Abcatned within I6n dAya after It has been at '^pted as complete. •Tr2 thabodology set by Tri-County rfnUdinp Industry Service Reard• - (Please print nsme) -- i:tUsalPermitFonnsOePerrnitupp.d- 01/03 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)619-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _- Date Requests _ AM ___ PM--�.- BUP -- Location ______ ` 6 �1.rk��-�-cJ�n;vl.Suite —_ MEC Contact Person _.__ _ Ph( ) _Sy _ r _ PLM Contractor - --- ------__-_ ( ) _-_.. — — SWR _-_— I BUILDING — Tenant/Owner _ _ cLC -- ----- F&6 T ELC Foundation Access: Ftg Drain ELR Craws Drain —_ Slab Inspection Notes: SIT _ Post•Q, Beam Shear Anchors Ext Sheath/Shear i..._ Int,5heath/Shear 1'Famrn — -- sq a1 Drywall Nailing - - - -- -- -- - Firewall Fire Sprinkler - -- - ---- ,' Fire Alarm Susp'd C^ilinr --- Roof Other: --- - - - - -- -— �oAS ' PART FAIL T .__ BING --- ------ Post& Beam Unc'er Slab Rough-In Water Service - - --- - __ -- -- ---- -- Sanitary Sewer Rain Dr";ns Catch Basin/Manhole Storm Drain - -- - ---- - -- ------ -----_—_ Shower Pan Other: - - -- - Final PASS PART FAIL MECHANICAL Post& Beam Rough-In Gas LinA Smoke Dampers Final PASS PART FAIL. - - - - - - - ELECiRICAL -- ----- —-- ---- - Service Rough-In UG/Slab -- - - -- Low Voltage Fire Alarm F,nal Reinspection fee of$— __- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL_ SITE �� - [ Please call for reinspection RE:. _--_ -___ ___ ___. Unable to inspect -no R GesS Fire Supply Line .1 Approach/Sidewalk DADA ista "1/ �� Inspectar _ � Ext Other Final DP N07 REMOVE this Inspection record from the Job site. PASS PART FAIL r CITY OF TIGARD BUILDING INSPECTION NOTICE Insoertion Line: 639-4175 Business Phone: 639.4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. PnSt/beLM Mach. Shear/Sheath Framing -Mech. Plbg.Und/Flr/Slab Plbg. Top Out Insulation Post/Beam Slruct. Mech Rough-in Gyp. Bd. -Bldg. San, Sewer Gas Line f� Appr/Sdwlk Reins. Other: — Date: A.M. _�P.M. Entry: Address: - Tenant: —__-- — ---..--- Ste: MST: - -- (4 BUP: MEC: Con/6P — .- — �n/,�'�a-�l- jo 9 , PLM: THE FOLLO JG CORRECTIONS ARE REQUIRED ELR: i Inspector:��[r � —_ Date:�� APPROVED ___.DISAPPROVED/CALL FOR REINSP. CF CO — CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line 639-4175 Businoss Phone: 639-4171 Footing Rain Drain Cover/Service FINAL Foundation Watar Line Ceiling Plumb. Post/Beam Mech. Shear/Sheath Framing , PIbg.IJndlFlr/Slab P"g. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: B __L Add Tenant. _.--- Ste: MST: - -- -- _ BLIP Con won �G-✓t�'�Q s ---- MEC �_._ PLM 5-c/ 0 — ELC THE FOLLOWING CORRECTIONo ARE REQUIRED: ELR: __ -_ ----- Inspectpr - — -- - —...� _ Date: _ PROVF_D DISAPPROVED/CALL FOR REINSP. CF CO I CITY OF T IDARD COMMUNIn DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 9722396199 (603)639-4771 MECHANICAL PERMIT PERMIT ##. . . . . . . ; K,L!-� I DATE PARCEL , 23'103BC-07100 E"-*) Z W LAN 7-DOWNr L.N nolvil:1310N. . r,YREq.TCNE ZONING: R-4. OT.. . . . . . . . . . . . . J'473s Or WORK. . LAEV Fl...00n FURN. . X,E 01"' urm. . . . isr UNIT HEATERS— VENT FANS, : :'—:1XPP1,4CY GRP.. r--3 VENT', W/0 nr'PL: VENT SYSTEMS; 1 OR1175. . BOJLCRS/COMr1R[:5E3)OR9 140ODS. . . . . . . .. 1� . . . JCL 7YPE3.. . ... 0-- ,L lip. C-DMU]). /Oricz/ 3 -13 HP. . . . COMML. INCIN. i Y I i'PUT UTU 15- 30 lip. . . . : REP()IR Utql*T!-' I RE 1)n M P r,S 3121- 50 HP. . . . WOODOTOVES. . : Tic PRL03URE. 50-1. Hp, . . . C1.0 ORYERS. . AIR HANDLING UNITS 0rf-iE1i IJNIT€;. 1'4 :00N, nTU 3 A. "1000 0*1n . Gl7i,'3 OUTLETS. 12 JRN ) =100K STUi 3 10000 vrns - IN.3TALL. RESIDENTIAL AIR, CONDIT!U,41110 UNIT. 4net— FEES type Amos-tilt 1)y date 1 e CW LONSDOWNE LANE P RMT 25. 00 Sw (215/121,_ '?,PCT 11 3 . 25 aw iGARD or" 172.212 ;-sone #z LIM'W"E CONITROL 117Ci 3 A 31 W S N t.- " , 26TH AV" owri-AND OR 97j'10 I—r,v #-. C--'L3- 43'3i3 t 26-75 TOTAL i:J # 6 1:,.'1.96 REQUIRED TW',TPECTI0,'- .- ptroit is issued subject to the )regulativs co-itaintil In the Gas Line Ins Mlunizipal Code, State qf Ore. Specialty Codes and all ,%her MeUhanit-al Itisp lams. All isiork will be done in accordance wW, Final 111SPPUtiO11 L;-nved plan-;, This pervit will expire if ssiork is not sta.-ted A,v, IN days of i isuvct, or if wv� is suspended for we IN days. 2222 2.222 Is 1 7z) City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 sw Han Blvd. C E i V , APPLICATION Permit # ftC-(- - -�1� PO Box 23397 MAY i" ; 19�+` �u �- Tigard, OR 97223 VAj (503) 639-4171 11 v OF TiGAkI ascription Table 3A Mechanical Code CITY PRICE AMT �M Ob 1) Permit Fee -0. -0• 10.00 Address caws�. LIP TICVAV(J � _ 21 Suppleme ital Permit 3.00 —01 — Furnace to 100,000 Vy-uk 1) incl. duct, &vents 6.00 ryw _urr.;.,;6100,000 + Owner 12 r \ ' 2) incl ducts& vents 7.50 IM"' I n K7�urnance yCbf q-I��-� 3) incl. vent - 6.00 .aspend eater,wa eater 4) or floor mounted heater 6.00 Vont not incl. in Occupant 5) appliance permit 3.00 erair of heating,re ng. 6) cooling,absorption unit 6.00 N'"' mer or comp, eat pump,air con . 7) to 3 HP absorp unit to 100K BTU 6.00 r�I y�' oiler or comp, eat pump,air con . Contractor r vV 2—U- rl til 3-15 HP absorp unit to 500K BTU 11.00 P �t orTer-or comp. Teat pump,air cond. z..-1z..-1C 9) 15.30 HP absorp unit.5.1 mil BTU 15.00 of e-r or comp,heat pump, air conn ;L LP 10; 30.50 HP ubsurp unit 1.1.75 mil BTU 22.50 hereby acknowl go that I have,oad this application. that the i ar or comp,heat pump,air cond. information given is correct, that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50 (it the owner,that plans submitted are in compliance with State AirTiandling unit to I-iws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 that the number given is correct. (if exempt from State registration, it an ing unit please give reason below.) 13) 10,000 CTM + 7.50 Non portable 14) evaporate coo'er 4.50 Vent fan connected 15) to a single duct 3.00 T GVentilation system not 16) included in appliance pz;.mit 4.50 Hood served by 17) mechanical exhaust 4.50 Describework now2k,, additionalteration repay Commercial or in ustria to be done resicloRtial Rnon_r idential O 18) type incinerator 30.00 Existing use o tier i.e.,woo stove,water building or property — —_ 19) heater, sol;r, clothes dryers,etc 450 r Proposed use of 201 Gas piping or,o to !our outlets 2.00 building or property 21) More than 4-pe outlet .Sd Type of fuel -oil Q natural gas IP, LPG O electric OTIC �- ( , Minimum Foe Foe $25 00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRICTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE ZC IF CONSTRUCTION OR WORK IS SUSPENDED OR -- ABAODONED FOR A PERIOD OF 180 DAYS AT AN'f TIME FLAN REVIEW 25%OF SUBTOTAL AFTER WOgK IS COMMENCED. --- TOTAL Special Conditions _ Date Issued---- --- by--- A.M FCA1PM T rmlcgn,br CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*Bi99 (503)639-4171 CERTIFICATE Or* OCCUPANCY KXX)( -IERMIT #. . MS'T92--0W- L , 639--41-71 GATE E 19131JED S I PARV:El--' 120-,50 SW LAN'-.jD0WNfi LN 7 ON I NG i R--4. �)LAAW V: Si I LIN. . . . c FYRF.8'rONE Lq OCK. . . . . . . . .. . 3 LOT. . . . . . . . . . . . . 110 t..W4,iS3 OF W09R. NI-W ' 'irs 01:7 USE:. . . 09 ,.)CCUPANCY URP. sR3 LOAD:228 4 F^NANJ NAME. - 1AJES1 I C HOMES SE 92ND DRIVE Af.k-JUNF- Of? ,lione #s (155-6003 tm t i art ora 1-10MES INC, rt;SNI) DP 9011E 102 l HD ;TONE OR 503-655 -60.63 5)2A G ( panr,y o f tt�_ -kt)ovp r-efervnced building is hereby given, and cor'tifies :Lq- I -- 111 SPeci&lty f:0('es for 13'.11 with tI,lp Sti;.%lbe Of Or-Q90 Ijanc, aii(i urf., und f., the t,eferenE.-ed permit wa% i%S Ltod. U V-'FC1 OR r I RE pEpflPI'MENT DING I NIP AIM B 1. L I)INO I:-.,(y3j T3 PLACL hi C ON9r-3 CIJOU'5 CITY OFTIFARD COMMUNITY DEVELOPMENT DEPARTMENT MOM,71 MASTER PERMIT -165 13125 SW Fell Stvd. P.O.Box 23397,TOW,Oregon 97223(503)&394175 PERM 1 *1 #. . . . . . . 639-4171 LATE ISSUED: 01/27/93 1.iI .'E ADDRESE . . . ; 12250 SW LANSDOWNE LN PARCEL: 2S103BC-07100 SUBDIVISION. . . . : FYRESTONE ZONING., R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 1V' BUILDING REISSUES DWELLING UNITStl BASEMENT. . . . . . . . :0 Sf CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . ..600 s TYPE OF USE. . . :SI.- FLOOR REQUIRED TYPE OF CONST. :5N FIRST. . . . : 1333 s LEFT. . .- 10 ft RIGHT. e :12, It. OCCUPANCY GRP. IR3 SECO14D. . . : 1049 Sf FRONT. ;20 ft REAR. . :35 i (. STORIES. . . . . . . ..2 TH I RD. . . . :0 S f REQUIRED _____....____.....__..._._._.._..___._. HEIGHT. . . . . . . . :28 ft; TOTAL------:2382 Sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . $1 120372 PARK ING SPACES. . : I Remarksc PATH I PLUMBING ------------------------------- SINKS. . . . . . . . . . : 1. FLOOR DRAINS. . . . :0 BACKFLOW pRr.1J!'ITRS. . :0 LAVATORIES. . . . . t4 WATER HEATERS. . . - I TRAPS. . . . . . . . . . . . :0 TUB/SHOWERS. . . . :3 LAUNDRY TRAYJS. . . 11 CATCH BASI�,� . . . . . . . :10 WATER CLO,�ETS. . -.3 SEWER LINE (ft ) . :0 GREASE TRAF-S. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTUtIES. . . . . ..0 GARBAGE DISP. . . z I RAIN DRAIN (ft ) . 10 WASHING MACH. . . : 1 SF RAIN DRAINS. . : l ------------------ MELHANICAL FEES FUEL UNIT' HTr%S. . cO ype amol-Int by date recpt /GAS/ VENTS . . . . . s0 BPRT $ 485. 50 JH 01/27/93 0 MAX INPUJ :0 BTU VENT FANS. . 14 BPLC $ 315. 58 JLH 11/10/92 92-233580 TURN ( 100K . . sO HOODS. . . . . . sl p5p,c $ 24. 28 JH 01/27/93 0 FURN ) =iOOK . . : I WOODS('OVES. i N7.1 SSDC $ 2130. 00 JH 01/27/93 o FLOOR FURN. . . . sO CLO DRYERS. : I PARK $ 500. 00 JH 01/27/93 0 BOIL/CMP ( XlPsO OTHER UNITS: 1 MPRT $ +'. 00 00 JI: 01/27/93 0 GAS OUTLETS: 1 MPLC $ 11. 25 JH 01/27/93 0 Owner.: $ 2. 25 JH 01/2*7/93 0 MAJESTIC HOMES PPR1 $ 155. 00 JH 01/27/93 0 25 BE 82ND DRIVE P15PC $ 7. 75 iH 01/27/93 111 TIFF $ 1460. 00 JH 1%11/27/9,3 0 GLADSTONE OR Phone #; 655-6263 Lontractorc MAJESTIC HOMES INC .."5 82ND DR SUITE 102 GLHDSTONE OR Phone #: 503-655-6263 Reg #. . : 59286 $ 328b. b1 TOTAL This permit is issued subject to the regulations ccntai7q in the REOUl RED INSPECT IONS iigard Municipal Code, :tate of Ore. Spe,ialtyv Cod d +- ther Foot/fo+.tnd Insp Fireplace Insp applicable laws. All varIkMill bevne n c a w app Post/Berm StrUCt Gas Line Insp _ W thi 80 %ktion Insp pli,is. This permit will expire if t s at 11r)st/Beam Ilechan Inst.il, dAYS Ff issuance, 0- if work is su PT 18 d Plin/Lindslab Insp Uyp Board Insp PLM/Underf I oor RaiTl drain ITISP F,arioittee EignatLire : Olechanicai Insp Water Line Insp PlUmb Top OUt Appr/5dwii( Insp it:si.ted --31v : Framing Insp IyIeCtlani,—-Z,l Final Call for, inspection 639-4175 CITY CSF T I GA RD WY-0-FT-M-11 RD7� SEWER CONNECTION COMMUNITY DEVELOPMENT DEPARTMENT F,ERMIT 13 126 BW Heil Blvd. P.O.BW 23M,TIONd,Orsgc�97223(W3) 194176 =,---PERMI*T #. . . . . . . : SWR9.2-0,-3,49 't ; DOLE ISSUED: 01/27/93 bIJ'E ADDRESS. . . : 12250 SW LANSDOWI-41- 111 PARCEL: 2SI03BC-0'7100 SUBDIVISION. . . . : FYRLS*TONE ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT*. . . . . . . . . . . . . 110 T-ENANT NAME. . . . . : F I X'T'URE UNITS. . . USANO. . . . . . . . . . : CLASS OF WORK. . . :NEW DWELLING UNITS. . ; 1 TYPE OF USE. . . . . ..SF NO. OF' BUILDINGS21 INSTALL 'TYPE. . . . :BUSWR I IAPER,.' SURFACE. I S f Remarks : PATH I Owners FEES -------------- MPJESTIC HOMES type amount by data reupt L5 SE 82ND DRIVE: PRM1 t 2100. 00 - lA 01/,27/93 0 INSP 35. 00 . 11 01/27/93 0 BLADSTONE OR Phone #: 655-6263 Contractor: NOT' ON FILE --------------- Phone #: $ 2135. 00 TOTFIL Req #. . : -------- REUUIRED INSPECTIONS This Applicant agrees to comply v with all the rules and reoulations Sewer Inspection of the Unified Sewage kqency. The permit expires 180 days from the date issued, The total amount paik, will be forfeited if OF vermit expires. The Agenci does not r,.arantre the accuracy of the sire sewer laterals. If the ;ewer s not located at the q ' fit feet n direct ea ule�— given, the installer shall prospect It ons r the distance given. If not so locate , the i to I ha a "Tap and Side Sewer" Permit and th VPqe cy wX is a a/ s t.i e d 8 Call For in-*1l..)ec,tion 639-4175 42 -1— 4D r CITY Q TI GARD 13125sw t�,u BIW. PI_NCK/REGI # PO Box 23397 COMMUNITY DEVELOPMENT DEPARTMENT T'rAOne"9TW PERMIT NJ?. - O ��5 (S03)619411 DATE ISSUED JOB ADDRESS: / _ o -' % _ < , TAX MAP/LOT -2, v .3 U 71 00 SUB: LOT: _�� LAND USE: VALUATION: 140 1 7.l OWNER SPECIAL NOTES NAME: REISSUE OF: ADDRESS: 2� -y' �p _ LAST REISSUE: FLOOD PLAIN/ PHONE: am SENSITIVE LAND: CONTRALTOR APPROVALS REQUIRED NAME: _� _ _ _ PLANNING: ADDRESS: ENGINEERING: FIRE DEPT: _ PHONE: _ _ OTHER: 'IIF (INk40L�� CONTR. BOARD #: 12 EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: k7VI_ Pi �� . �,, ,JL, LIST/SUBCONTRACTORS: MECH: w3� » � :�, c 4{-1 _ BUS TAX: ARCH ENGINEER CALCULATIONS: NAME: H1.P-J wvl"- (_-c,)ti o TRUSS DETAILS: ADDRESS: i � , -, -I-,w ��=� .�� OTHER- -- PHONE: PROPOSED BLDG, USE: COMMENTS: APP ICANT SIGNATUR n Received By: t<<Y4 Date Received: �rIle /� Z PEPMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees �';—a % �C s-U 10-431 00 Plumbing Permit Fe,c�s />;, � 5 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building _ ,2 Plumbing _ A i')J Mechanical 10-433 00 Plans Check Fee �� .?57� % b'3 Building Plumbing Mechanical _ 10-230 06 Fire •slip 2-O3y 30-202 00 Sewer Connection a uU 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees �F�-- —� Wu 52-449 00 Parks System Dev Charge (PDC) Sou 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) b-y 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL nm/3587P.WPF J . C#TY OF TIGARD FERMt'I#: EL(,9M104 i8 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/08/96 13126 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639.4171 PO RCEL: LS 11'Z13BC-071 VIt,.i I1`E ADDRESb. . . : 12250 SW LANSDOWNE LN ,UBDIVISION. . . . : FYFISTONE ZONING:R-4. 5 FLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . 0. 10 FIro.ject Description: Installing one branch circuit. ---RESIDENTIAL_ UNIT---- ---TEMPI SRVC/FEEDERS----- -----MISCELLANEOUS----" -- 1000 SF OR LESS. . . . : 0 0 •- 20t1 amp. . . . . . . : 0, PUMP/I RRIGFIT ION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. „ . . . . . : 0 SIGN/OUT LINE LTG. . : 0 I_IMI'TED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . it 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ bVL/FDR. . s 0 601+amps-1000 volts. : 0 MINOR LABEL (10) . . . : 0 - - --SERV SCE/FEEDER--- ----BRANCH CIRCUITS----- ----ADD' L INSPECTIONS—— 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . 1 0 2101. - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. s 1 PER HOUR. . . . . . . . . . . s 0 401 - 600 amp. . . . . . : 0 EFA ADD" L BP.NCH CIRCs 0 IN PLANT. . . . . . . . . . . a 0 ('01 -- 1000 amp. . . . . . VI -- _______.__.____.__pLAlu REVIEW SECTION- 100164 ECTION-----____.___._____100164 amp/Volt. . . . . .. 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . o Rer_onnect only. . . . . : 0 SVC/FDR > = 225 AMP'S. . : CLASS AREA/SPEC OCC. : Owner: - __ __ _ »__.__ ____..._--___._. __.____.___- __ .__.__ __.----- FEES JhMES PHILLIP type amount by date recpt 1aL050 SW LANSDOWNE F,RMT $ 35. 00 CJS 07/08/96 96-281380 `jr_lc f $ 1. 75 CJS 07/08/96 96-281:380 T I LARD OR 9722.3 hone #: ont ract or, WES'TSIDE ELECTRIC: $ 36. 75 TOTAL 7518 SW MACADAM AVE REQUIRED INSPECT I ONS ,ORTLAND OR 97 :19 Wall Cover Elect' 1 Final 11h0ne #: 503-245-3385 Elect' 1 Service 1.3306 his Cermit is issued subject to the regulations contained In the ;yard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signature applicable laws. All work will be dona in accordance with approved plans. This permit will expire if mot!: is not started r Hithin 188 days of issuance, or if work is suspended for more •:han 188 days. I s S Ued By INSTALLATION ONLY.---_-__.____________-_..._�________. + he installation is being made on property I own which is not intended for ,ale, lease, or rent. 1WNER' S c,113NA1'URE a DAT"E a ---CONTRNCTOR INSTALLATION OIVLY "---------__-__- -_-__.--_-_..-_.- SI GNAT URE: OFF SUPIR. ELEC I N: _nlcx L(ad - _..__-. DAT L a _A UL_NaE: NO: Cali fn!, inspection - 639-4175 07-08-96 10: 14AM FROM WEST SIDE ELECTRIC 111Ae- 4.11W /rr rte' Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # c C,7 E-o y? Date Issued Phone (503) 6394171 // CIN PJ/TIDARC FAX (503) 684-7297 %O t�ftAr�S -� TDD No, (503) 884.2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of DevelopmLnl __ Number of Inspection* per permit allowed Address_1�,� c/ _!'i Ot..-a 4 Service Included: Items Coat(ea) Sum CltylStete/lip ` 4a, naaldentlal •per unit 1000 sq. R.or less $110,00 Name (or narro of business) Each•ddllbnal Soo s0.It or portion thereof $26,00 ' Commercial ❑ Residential {V'1 tlnuteoEnergy $75.00 1 lea Manurd Home or Modulo( DweAing 6frvMt M Feeder !189.00 2 2a. Contractor Installation only: 4b, Services or Feeders Electrical Con.ract r ' j///-C,1z' 1ee-14 C,_ 'neraN ampolom, of los cn or reloul on - - 200 amps or lea $*0.00 2 Address C 201 amps to 400 amps 1e0.00 2 City 14 C State Zip-�1 J 1 401 amps to 600"*pe $120.00 2 Phone No. j�' 601 amps to t000 amps 1160,00 —��-`-'- 0vsr 1000 amps ow volts $340.00 2 Job N0. �� mReconnActonly $5000 2 contractor's license NO. 1' 4c. Temporary Services or Feeders Contractor's Board Reg. No. nauuauon,.ltareuon .relocalron Signature of Supr. Elee'n 200 amps or less 2 License No,1 i C.�--� hone No • 201 amps to 400 amps ---- $eo.on 2 401 amps to goo amps _ 815 00 — 2 Over 600 amps to 1000 volts __ $100.00 2b. For owner Installations: leo"b"above 4d, Branch Circuits Print :wnt'r's Name Now,atteratlon or axlansion per pan$ I{ Addr9tS9a)The fee for branch elrouts win ChY _ _ _ purchase or lot or Feeder , ' State Zip asryM Each bra Ich ctreub r't10n9 No. b)THA fee for broth elmults wlfheut The Installation is being made en property f own which Is purchase of o"Ice or Feeder too , r' not Intended for sale, lease or rent. First branch ttlrcult $26.00 1 2 Each addtldnei brpnch circuli $$.00 O.vnar's Signature 4e. Miscellaneous (Service or feeder not Included) 2 3. Plan Review section (if required): Each pump or wiffation cpele $40.00 Each slim or sutura lighting $40,00 COMM cecult(s)or a limited anergy 2 Please check appropriate Item and enter tee In section da. penal,attrition or art ofilon $40.00 4 or more residential units in one structure ,dlnor Libels(10) 1111100.00 Service and feeder 225 amps or more ~� Systam over 600 volts nominal 4? Each additional Inspection over Classified ares or structure containing special occupancy the allowable in any of the above as described in N.F C Chapter 5 t1of In'par:,Inn --__ 836.00 Per hour $68.00 In Plant $66,00 Submlt 2 seta of plana with application where any of the above apply. Not required for temporary construction services, 5. Fees: Sa. Enter total above fees NT _��E- 596 Surcharge (OS x total leo*) S �✓ PERMITS BECOME VOID IF WORK OR CONSTRUCT ION SuS AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 6b. EntPlan Revvieer r 216 of line A for ewIf required (8ec.3) CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR � A PERIOD Or 160 DAYS AT ANY TIMF AFTFR WORK IS 8ubfot S COMMFNCED ..,e.....r.w True! Account N $ Balance Due ELECTICAL s,C07/ CITY OF TIGARD PERMTI RDATE ISSUED12/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*5199 (503)6.49-4171 PARCEL.- 2S 103B -0710LA I Lj W L i 4 L i:I i 4'� J IV L LI i Y ESTOKE ZONING: R-4. 5 5ULAUIVIE;ION. F R i3l..OLK. . . . . . . . . . .. LIT. . . . . . . . . . . . . : 10 Projerc Description : Installing three branch circuits. UNIT------- ------TEMP 5RVG/FEEDERS---- ------MISCELLANEOUS--------- ,, 000 SF OR LESS. . . . : is 0 2,00 amp. . . . . . . : 0 PUMP/1 R R I GAT I(IN. . . . 1;1 t..,f-ICH ADDIL 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/GUT L 114E L TCS. . : 0 I.A.MITE.I.) ENERGY. . . . . . 0 41111. &00 amp. . . . . . . : 0 S I GNAL/PANL I.. . . . . . . e iZA MANF. FIM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LASE1. ( 10) . . . s 0 .-..-.---SERV ICE/FEF,DE_R____-_ CIRCUITS---- ----ADDIL INSPEf.f10NS---- Vj - 200 amp. . . . . . : 0 W/SERI•CE OR FEEDERS IZA PER INSPECTION- - : 0 1. - 400 amp. . . . . . . 0 1 st W/,,+) !3RVC OP FOR. 1 1. PC-'_R HOUR. . . . . . . . . . . : 0 - 600 amp. . . . . . : 0 EA ADD' L BRNICH CIRC: 2 IN PLANT. . . . . . . . . . . : 0 1.000 amp. . : 0 REVIEW SECT ICA,2.1+ amp/Volt. . . . . . 0 ) =4 RES UNITE;. . . . . . ) 600 VOLT NOMINAL. . : connect only. . . . . : 'A SVC/FDR ) = 2;?5 (4MV-15. . CLOSS AREA,'GIDEC OUC. : 9ner: -'-*-----*----------------------------------------- CEES )MES PHILLIP type amol-Int Icy dat e recpt ,25k) SW LANSDOWNE PRMT $ 35. 00 CJS 07/08/96 5PC,T $ 1. 7 (:J5 07/0B/96 9(.,--2 3.13 8 0 BARD OR 9722.�� PRMr s 10. 00 CY, 07/12/96 96-281591 lone #: LA. 50 CJS 0'7/12/96 9 6_28 I T51)I )ritrartor: rITSIDE: ELIECTRIC 47. 25 TOTAL JIB SW MACADAM AVE REQUIRED INSPELTIONS JR11-AND OR Wall Coyer Elect' l Final ione 0: blZ!3-24533'81b Elect, 1 Service �q 4. . - 13306 This permit is issued suo)ect to the regulations contained in the ------ Tigard Municipal Code, State of Ore. Specialty Lodes and all other Ppr.mit tee ;ignat:i-ire f,liraulj? laws. All work will be dove in accoraance with voted plans. This permit will expire if work is not started 1hir 10 days of issuance, or if work is suspended for more in 30 days, Issi.ted LAY INSTALLATION to installation is being made on property I own wt-iich is not intended for Tease, Or teflt, ,)NERIS SIGNATURE : DATr... ANSTALLArION (.p4ATURE F OF' SUPR. LECIN: DATE: � '!.- NJ _'N .............. CAII fat- inspection - 639-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard. OR 97223 Permit # _. �= 9 U c, Date Issued - l Phone (503) 639-4171 CITY OF TIOARD FAX (503) 684-7297 TDD No. (503) 684-27721-7 Inspection 503 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ _ Number of Inspections per permit allowed Address J "t/ • A� Caw C Service included Items Cost(ea) Sum City/State/Zip r 4a. Residential •per unit 1000 sy. ft. Or less _ a110 ,0 4 Name (or rime of business)_ J t/l��'4 ,�'_ / Each additional ssalft or portion thereof 525 QQ Commercial Residential Limited Energy $2500 1 Each Manurd Home or Modular Dwelling Service or Feeder $6800 2 2a. Contractor installation only: r 41). Services or Feeder's �i Installation,alteration or relocation Electrical Contract r �'� r! 1 200 amps or less $60 00 _ 2 r' Address L /Y 201 amps to 400 amps $8000 2 -7 401 amps t��600 amps $12000 2 City �� State__C/ Zip 001 amps to 10011 amps -�- W 180 00 2 Phone No. S� /S—y Y ov 1000 amps or volts �_ 5340 00 2 Job NO. ` ) 2 0 _ peconnec.t only 95000 2 contractor's license NO. — 4c. Temporary Services or Feeders Contractor's Board Reg. No.TL-,;y2 )tr _ Installation,alteration or relocation 2 Signature of Su r. Elec'n _ 200 amps or less .— .q �-- 201 amps to 400 amps $50 DO 2 License No. —1'fione No. i Yj 401 amps 10 e00 amps $7500 2 Over 600 amps to 1000 volts $10000 2b. For owner installations: see"b"above 4d. Branch Circults, Print Owner's Name ____ New,alteration or extent Ion per pone Address a)The fee for branch circults with 2 Cit State Zip purchase of service or feeder e. City feEach branrh circuit $5 00 Phone No. _ b)The fee for branch circues without The installation is being made on property I own which is purchase of service or feeder ha. 2 First branch circuit $3500 2 not intended for sale, lease or rent. Each additional branch circuli $500 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan f:evfew section (ift required): Each pump or irrigation circle $4000 2 Each sign or ouillne lighting $4000 Signal circulus)or a limited energy 2 Please check appropriate Item and enter fee in section 5B. panel,alteration or extension $4000 — _ 4 or more residential units in one structure Minor Labels 110) $10000 Service and feeder 225 amps or more _ 4f. Each additional Inspection over System over 600 volts nominal _ the allowable In any of the above Classified area or structure containing special occupancy as described in N.E C. Chapter 5 Per inspection $35 Per hour S55 00 00 _ In Plant $5500 _ Submit 2 sets of plans with application where any of the above , ply. Not regwrsd for temporary construction services. S. Fees: 6a. Enter total of above fees $ /L NOTICE 5%Surcharge I 05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 6b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtot - $ COMMENCED. t Account# rm•rr r,; Balance Due $ Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall B'vd. Tigard, OR 9722.3 Permit . Date Issued Phone (503) 639-4171 CITY OF TIOARD FAX (503) 684-7297 TDD No. (503) 584-2772 Inspection (503) 639-4175 I— - -- — 1 i. Job Address: 4. Complete Fee Schedule Below: Name of Development— Number of Inspections r — pe permit allowed Address 1"Z2S-0 'it/ L 1/ 6" L1 C G Service included Items Cost(ea) Sum City/StatelZlp_ //6L,-zX-CV 4a. Residential -per unit 1000 sq fl or less $11000 _ 4 Name (or name of business) //1Jk Each addillonal 500 aq ft or - -- portion thereof $2500 I;ommeicial Residential �" limited Energy 52500 1 --- Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or fender $6800 2 4b. Services or Feeders / Installation alteration,or relocation f-lectrical Contractor i � � 200 amps or lees $60 00 2 Address / c ` _� 1 (' 201 amps to 400 amps $en on 2 City 4 1 x(L L C State L Zips 7�[ 401 amps to 600 amps — $120 00 —_v 2 Phone No. — 601 amps to 1000 amps $18000 2 /� Over 1000 amps or volts $340.00 2 ,fob NO. ISL t�� [��)� Reconnect only _� $5000 COntf3CtOf'S license NO I. -_ 4c. Temporary Services or Feeders Contractor's Board Reg No.-,41;5', _ Installation,alteration,or relocation Signature of Supr. Elec'n -� 200 amps or less 2 201 amps to 40J amps $50 00 2 License No � :�— Phone No yj ,j �(Y 401 amps to 600 amps V- $7500 ----- 2 Over 600 amps to 1(00 Voll$ 3100 00 2b. For owner installations: See"b°above 4d. Branch Circuits Print CWnefS Name _ New,alteration or extension per pane Address _ a)The fee for branch circuits with City State- Zlp_—_ purcheto of service or feeder fee. 2 Each branch clrcuft $500 Phone No. _ _ h)The fee for branch circufts without The installation is being made on property I own which is purchase of service or feeder M. ' 2 First branch circuit $3500 2 not Intended for sale, lease Of rent, Fach additional branch circuit $500 Owner's Signature , _ 4e. Miscellaneous (Service or feeder not included) 2 Each pump or Irrigation circle $4000 2 3. Plan Review section �/t required): Each sign or outline lighting $401)o Signal circulus)or a limited energy Please check appropriate item and enter fee in section 58 panel,allereticn or extension _ $4000 4 or more residential units in one structure Minor Lebels orf: $10060 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional Inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N.E C Chapter 5 Per inspection _ $3500 Per hour $55 no In Plant $5500 Suhmit 2 se,s of plans with application whir-re any of the above apply. Not req-rired for temporary consbucticn services. S. Fees: NOTICE 5a. Ente, total of abov. fees $ 5% Surcharge 1 05 X total fees) �- PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 100 DAYS, OR IF 5h. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review If required (Sec 3) $ A PERIOD OF 160 DAYS AT ANY TIME AFTER WORK 15 Subtof $ -- COMMENCED wa nromdeNskc L__ Trust Account # Balance Due 8 j -�� Ig�PccTla� KorlcE City of Tigard Building Department 1.3125 SR hall Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phones 639-4175 Business Phones 639-4171 Inspection:—V___ Tooting Plbg. Underslab Koch. Rough-in Appr/adwlk Found. Plby. Top Out Gas Lina Post/Beam Btruct. eau. Bower Framing Post/Beam Mach. Rain Drain Insulation -Plumb. ! Plbg. Underfloor Nater Line gyp. Bd. -Koch. Date Requesteds /d .4- _Times .Lr a++ _____PK Adarn..s 1�,1�� , 14(1 L1a. rPermitJ #,I Buildert ,f`t \( I ��Y' 4) THR FOUMUM0 CORRSCTION4 AAE REQUIRED: Inspectors_— Dates 't "PROVED - D13APPROVRD -_ - APPROVED BUBJE(:T TO AROVE Call For Reinsp.