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6955 SW LOCUST STREET i rn ce Cyl Vl N r a 0 c r+ I (o m 6955 SW Locust Street CITY OF TIGARD BUILDING INSPECTION DIVISION Msr 24-Hour Inspection Line: 639-4175 e•rsiness Line: 639-4171 — — `` EUP Date Requested 7' Z-3 —AM� PM BLD Locatior 1; Sw Gvcc.S.11- s r( Suite MEC -- Contact Person Ph F5— PLM Contractor _ Ph SWR BUILDING j Tenant/Owner — _ _ ELC Retainiog Wall ---I ELR Footing Access - f Foundation - �_, , FPS Ftg Drain - ----- — - -- Crawl Drain Inspection Notes: SGN Slab Post&Beam -------- -m..--_ Ext Sheath/Shear IntSheath/Shear Framing Insulation --- - - Drywall Nailing Firewall `- Fire Sprinkler Fire Alarm - Susp'd Ceiling Rc.jf -- - - - Misc: ,�--- Final PASS PART FAIL Post&Beam ------ - - ------ - --- - Under Slab Top Out — - - - - Water Service Sanitary Sewer -- Rain Drains it SS PART FAIL HANICAL --- Post&Beam Rough In Gas Line Smoke Dampers Final PASS PARI 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$ i required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE:—__ _ -- ( ]Unable to Inspect-no access ADA Approach/Sidewalk pate � NA Other -- _ - 'InspPctar _ Ext °- Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARG BUILDING INSPECTION DIVISION PAST ;:eJuo-e�-n 4/N� 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---`-f- C , -7 "?j B U P - — ---—_� Date Requested_! AM PM — — ___--• — _ _— BLD _ Location S,�— Sc.� L��+�r — Suite —_� MEC Contact Person _v 5G` Ph �� cf'�S J' _ PLM Contractor _, _ Ph _ SWR _ __— BUILDING Tenant/Owner _ _ ELC — Retaining Wall ELR Footing Access: -- —� Foundation FPS Ftg Drain --- SGN —"—'—- Crawl Drain Inspection Notes. --------- Slab Post&Beam __. - -- --- ------------ SIT _.— Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation �� --.------ _---------------------- Drywall Nailing 1' �'y�, / - Firewall Fire Sprinkler �_ �t Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL. - -- --- _ PLUMBING Post&Beam -"— -- -' Under Slab Top Out -- Water Service Sanitary Sewer — Rain Drains Final PASS PART FAIL MECHANICAL PosRoo h Beim — A Gas Line - -S-�—� Vit — Smoke Dampers p Final Km 94 Y_ �� J, P9 PART FAIL y e_ Service _ Rough In — UGISIab L.ow Voltage —_----� ----- - — — Fire Alarm ASS PART FAIL -- – - ---- -------- ----- --- -- —__.— ___ SITE Backfill/Grading - --------- -- -- — ------- - Sanitary Sewer Storm Drain [ I Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I ll fiR Please call reinspection F Fire Supply Line [ ]Unable to inspect no access ADA. Approach/Sidewalk Date Other —� _Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: G39-4175 Business Line: 639-4171 MST � _ �' BUP -_-__--__ ,Date Requested Zj _- AM PM -- Locat�on - f w Ze"C-(. Suite MEC _ Contact Person Ph ZZ� - jr j PLM _ Contractor _ Ph SWR UI Tenant/OwnerELC — Retaining Wall _ - ----- ELR Footing Access: - -------�--- Foundation FPS Fit;Drain ---------- Crawl Drain Inspection Notes: SGN Slab Post 8 Beam - — - - SIT _ Ext Sheath/Shear - Int Sheath/Shear --- --- --_ Framing C1�% ,vim ,,,,,ar C�oc� ,c, �on,rn�� /1�•� Insulation ---. ---_ Drywall Nailing 4 .4,r•- .c'��c,,,,�� Firewall - Fire Sprinkler Fire Alarm — - Susp'd Ceiling i,v.Cc t o - ,, _(,L��,- S ✓ tr„d,� x S .�5+`d Roof r is n A88 PART _ PLUMBING Post 8 Beam Under Slab Top Out Water Service Sanitary Sewer - Rain Drains Final --- PASS PART FAIL Post 8 Beam Rough In Gas Line Smoke Dampers _--- S � PART FAIL LECTRICAL -- -- - - - _ Service - ------------- Rough In -_- ----- - UG/Slab Low Voltage -`------------------------ --.-- Fire Alarm Final --------------- -------- -- ---- PASS PART FAIL SITE -- Backfill/Grading - - - - Sanitary Sewer Storm Drain [ J Reinspection fee of$- -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( 1 Please call for reinspection RE: PP Y --_--_� [ J Unable to inspect-no access ADA Appi oach/Sidewalk Other e,'g D/ Inspector ,-:7 _ E Finial - — - Ext PASS PART FAIL DO NOT REMOVE this insliection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 20110-4'0��t 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- BUP Date Requested C/!7_ AV PM BL.D �1 Location co,�S ,SGJ Lv C C �-- Suite MEC Contact Person _ v_ Ph � �—~ PLM — -- Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: --� Foundation FPS Ftg Drain SGN _--- Crawl Drain Inspection Notes ----- - - - Slab SIT Post&Beam -- Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation --- Drywall Nailing Firewall Fire Sprinkler --- -- --- -------- ------- -- Fire Alarm Susp'd Gelling _.--- --- -- ---------- - --- - - Roof -- ------- Misc: Final PASS PART FAIL PLUMBING Post& Beam - -- -— ------ Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam - ------ - ---- Rough In Gas 1_ine Smoke Dampers Final PART FAIL c" ECTRI . etvice Rough In UG/Slab w nrt Alarm - APART FAIL ---- ------- ----- --- Backfill/Grading - "-"--- -- — --- "- - Sanitary Sewer Storm Drain ( ] Reirspection fee of$ — required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( 1 PIP2Sp gall for reinspection RE: _ [ ]Unable to Inspect no access ADA Approach/Sidewalk eroach/Sidewalk Date ExtCr F .I PASS PART FAIL DO NOT REMOVE this inspectis n record trorn the job site. 1 �......._..-- ,�_.�---- a�.....---- � 11 1 1 .. �. .��. - ,,, _�� -� r �\ CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 539-4175Business Line: 639-4171 MST Zia o co — 13UP _ Date Requested__ �,qM PM _y 13LDLD Location .77.5-4,- �!oCU g SuiteMEC _,.1_ Contact son __-_- Sc�7� Ph 7 3- � �S�— PLM _ Contractor _ --_��- - _ Ph SWR — Tenant/Owner l-^r i� (_<z�/ ELC Retaining Wall - -- ___— --- -----_._� Footing -.--._.._.__...._._ ELR —__— — Foundation Access FPS Fig Drain ----- --Crawl Drain Drain Inspection Notes — SGN Slab — �— -- SIT Post&Beam --- --- ----- - -- — ---- -- -- -- Ext Sheath/Shear -- ----------__- Int Sheath/Shear — -- -- Framing `— Insulation - — --- ---------- � - �� / Drywall Nailing Firewall - ------- ----- - Fire Sprinkler Fire Alarm -- --------- - - usp'd Ceiling _ M' PAR FAIL 2, PLUMBING-.'.' Post& Hearn Under Slab Top Out Water Service Sanitary Sewer - - Rain Drain:} Final -- --._ PASS _PANT FAIL _ MECHANICAL Post&Beam Rough In / ice,�'J Z.L fC Gas Line Smoke Dampers Final ---- PASS PART FAIL ELECTRICAL -- __--- Service Rough.In UGAM Low Voltage — Fire Alarm Final - _ - PASS PART FAIL SITE Backfill/Grading - --- Sanitary Sewer Storm Drain r ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: _-- ( ]Unable to inspect-no access ADA Approach/Sidewalk �- Other Date J ] O I Inspector - r_s� '--�_Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MSi_ 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- Date Requested & - Z� _AM __PM —_,_ BLD LocationS w Ga C u IL— r r Suite _ QQ MEC Contact Pefzon Ph _ —�G �j PLM -- - --- - Contractor PhSWR BUILDING Tenant/Owner _ ELCZ-- Retaining Wall —�` v— ELR Footing - � —--- Foundation Access: „' G (D�x FPS Fig Drain - f>� SGN Crawl Drain Inspection Notes: - Slab -------- -- _ ----- --- - - - -- SIT Post&Beam 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 A. Beam 1�-- Under Slab ZE Top Out Water Service _ Sanitary Sewer Rain Drains Final -- --- -.---- � - PASS PART FAIL MECHANICAL — — Post& Beam - - -— Rough In Gas Line Smoke Dampers Final ---- RT FAIL LECTRIC V ---� Service Rough In UG/Slab _r4i, 6. Low Voltage Fire tj=TI - - ---- al P S PART FAIL T 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 Fire Supply Line ( ]Please call for reinspection RE: [ ]Unable to inspect no access ADA / Approach/Sidewalk Date Inspector �, Ext Other -- — Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ' O c �n 4j r � � N r_ aup IU s s v ttvl 'J G N I 7 Cr' C r � c � U yC L O J7 O Z U LL v � v CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTAN'r PERMIT NOTICE DEXHEIMER ELECTRIC INC 10639 SE FULLER ROAD MILWAUKIE, OR 97222 Electrical Signature Form Permit #: M3T2000-00449 Date Issued: 11/21/00 Parcel: '15,11 36AA-ri EO 15 Site Address: 06955 SW LOCUST ST MODEL HOMF $30.00 Subdiv'sion: VENTURA ESTATES Block: Lot. 015 Jurisdiction: TIG Zoning: R-4.5 Remarks: S1F (Path 1 MODLE HOME Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: WINGA'T'E CORPORATION DEXHEIMER ELECTRIC INC 5000 SW MAEDOWS RD STI= 151 10639 SE FULLER. ROAD LAKE OSWEGG, OR 97035 MILWAUKIE, OR 9722.2 Phone #: Phone #: 786-0886 Req #: SUP 2514-s LIC 00043975 ELE 26-32iC AN INK SIGNATURE IS REQUIRED ON THIS FORM X - __� ILI Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE I M PLUMBING 411 HARNEY WAY VANCOUVER, WA 98661 Plumbing Signature Form Permit #: MST2000-00449 Date Issued: 11121/00 Parcel: 1"1 36AA-V'"0^, Site Address: 06955 SW LOCUST ST MODEL HOME $30.00 Subdivision: VENTURA ESTATES Block: Lot: 015 Jurisdiction: TIG Zoning: R-4.5 Remarks: S/F Path 1 MODLE HOME Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed V)rm is received OWNER: PLUMBING CONTRACTOR: WINGATE CORPORATION I M PLUMBING 5000 SW MAEDOWS RD STE •151 411 HARNEY WAY LAKE OSWE ;O, OP 97035 VANC:OtIVER. WA 98661 Phone #: Phone #: 310-2083 Reg #: I Ir. 115262 PI M 37-357ob AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Authorized Plumber If you have any questions, please call (503) 639-4 17 1, ext. # 310 CITYOF TIGARD PLUMB:Nr, PERMIT DEVELOPMENT SERVICES PERMIT#: PI_M2u01-00158 --� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/18/01 SITE ADDRESS: 06955 SW LOCUST ST MODEL HOME PARCEL: 1S136AA-09300 SUBDIVISION: *Z)MRA ESTATES ZONING: R-4 5 BLOCK LOT: 015 JUR 3DICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: pr"UPANCY GRP: P.3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF PAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE-: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of irrigation backflow prevention device___ FEES _ Owner: "- —" Type By Date Amount Receipt WINGATE CORPORATION PRMT CTR 4/18/01 $36.25 27200100000 15840 S POPE LANE 5PCT CTR 4/18/01 $2.90 27200100000 OREGON CITY, OR 97045 _�_ — --- Total $39.15 Phone 1: 503-657-3300 Contractor: I M PLUMBING 411 HARNEY WAY VANCOUVER, WA 98661 REQUIRED INSPECTIONS RP/Backflow Freventer Phone 1: 310-2083 Final Inspection Reg#: LIC 115262 PLM 37-357pb This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws 4,11 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 by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By:� 7 ' �' "fie y Permittee Signature:L2)/ �}fj'�� /r�q j .,%� Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application Datereceived: '///.(/O/ Permit no.:P(J`f000/_JD!5,�' City of Tigard Sewer permit no.: Buildin Address: 13125 SW Hall Blvd,Tigard,OR 97223 gpermitno. City of Tigard Phone: (503) 639-4171 Project/appl.no.. Expire date: Fax: (503) 598-1960 Date issued: By: eceipt no.: Land use approval: Case file no.: Payment type: t U I k 2 family dwelling;or accessory J('onnncrcial/industrial ❑Multi-family U Tenant improvement New con—,taction U Addition/alteration/replacement l7 Food service U Other: ' t Job address: Loe�S Description _ 01Y. F"(ea )�'lotal Bldg.no.: Suite no.: — New 1-and 2-family dwellings only: Tax map/tax lot/account no.: —t? f f7 D (includes 100 ft.foreach u1111ty connection) SFR(1)bath Lot: Block: Subdivision: SFR(2)bath -- - — - - Project name: _ SFR(3)bath City/county: ZIP: `22,3, Each additional bath/kitchen -- Description and location of work on premises: �'L_D_ Sitetitilltles: L l?44(zk(\C\on4 S41bT-Exr'1 Catch basin/areadrain Est.date of completion/inspection: Drywclls/leach line/trench drain Footinp drain(no,lin. ft.) Business name: M, }�w, n Manufactured home utilities - Manholes Address: Rain drain connector City: Stater ZIP: 66 Sanitary, sewer(no.lin.ft.) --- Phone: -(� Fax: E-mail: Storm sewer(no.lin. ft.) CCB no.: I Z Plumb.bus.reg.no:?j }-3r Water service(no. tin.ft.) -- City/metro lic,no.: Fixture or Item: Contractor's representative signature: y . Absorption valve -� - Back flowreventer Print name: Sco rr bUS& ate: p 1 Backwater valve � Basins/lavatory Name: Clothes washer _ Address: Dishwasher City: State: ZIP: `-- Drinking fountain(s) Ejectors/sum _ Phone: I;Ir - E-mail: Expansion tank Fixture/sewer cap Name(print): - Floor drains/floor sinks/hub Mailing address: - <- �,� 7 Garbage disposal Huse bibb City: XfIce maker Phone: Fax: E-mail: nterceptot/grease trap Owner insiallution/residential maintenance only: The actual installation Primer(s) will he made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: Date: Sump Tubs/shower/shower pan Name: Urinal --- - Water closet Address: Water er -- City: ---— 1State:� ZIP: Other: -- Phone: Fax: E-mail: Total r Not all Jurisdictions accern credit c•amds,please call Jurisdiction for more information, Notice:Ibis permit applicalicn Minimum fee................$ �'• yJr O Visa U MecterC'r•d expires if a permit is not obtained Plan review(at _ %) $ Credit cal'number tL�_ within 180 days ager it t o been Slate surcharge(8%)....$ r p TOTAL ....................... Name of r•arrllmMder as shown on cmdil card accepted as complete. S Cadholder siXnature ��— Amount 440.4616(WICOM) PLUMBING PERMIT FEES: PRICE TOTAL No-w1 and 2-family dwellings only: FIXTURES InvidualZ` QTY ea AMOUNT_ (Includes all plumbing fixtures In PRICE TOTAL di Sink 1660 the dwelling and the first100 ft. QT. (ea) AMOUNT for each utility connection) 16.60 Lavatory One(1)bath $249.20 Tub or Tub/Shower Comb _ 1660 -— Two(2)(2)bath _ $350.00 Shower Only 16.60 Threes bath $399.00 _ Water Closet 1660 SUBTOTAL Urinal — 16.60 _%STATE SURCHARGE Dishwasher 16.60PLAN REVIEW 25'/e OF SUBTOTAL -- ——� TOTAL. Garbage Disposal 16.60 - Laundry Tray 16.60 — Washing Machine -16.60 Floor Drain/Floor Sink 2° 1660 - PLEASE COMPLETE: 3^ 16.60 q 16.60 W — __ter H_ -- Qt b rL�r Work Performed aector__ U conversion O like kind 16 60 - mechanical Fixture Type: New uanliMoved Replaced Removed/ Gas piping requires a separate ----_ _— Cap ed permit — Sink MFG Home New Water Service 46A Lavatory -- -- 46.40 Lavatory MFG Home New San/Storrn Sewer Tub or Tub/Shower Hose Bibs 16.60 Combination _ __Roof — 16.60 Shower Only - 16.60 Water Closet Drinking ountain _ — Urinal _ — Other Fixtures(Speeify) — 16.60 Dishwasher - -Garbage Disposal - - _— _ � _ -- Washing Machine _ Floor Drain/Sink: 2" Sewer-1st 100 55.00 _ 3" Sewer-each additional 100' — 46.40 -4" 55.00 Water Heater Water Sorvice-1st tU0' - Other Fixtures Water Service-each additional 200' 46.40 Specify) _ J Storm&Rain Drain-1st 100' 55.00 _ Storm 8 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 -- - _ Residential Back r7. Catch Basin _Inspectionof Existing Plumbing or SpeciallyRe u�ns�ections COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling Grease Traps - -- -— - -- QUANTITY TOTAL k ,netrlc or riser diagram Is required If Quantity Total is >9 'SUBTOTAL 8%STATE SURCK.R "PLAN REVIEW 25%OF SUBTOTAL Required only if fixture_yl lY otal is>9 _ TOTAL $ *Minimum permit fee Is$72 50+a state surcharge,except Residential Backflow, r'reventlon Device,which Is S30 25+B%stale surcharge "All Now Commercial Buildings require plans with Isometric or riser diagram and plan review i\dsts\fomes\plrr fees.doc 10/10/00 CITYOF T I GA R D _ ELECTRICAL PERMIT / PERMIT#: ELC2001-00212 DEVELOPMENT SERVICES DATE ISSUED: 4/25/01 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 SITE ADDRESS: 03�155 SW LOCUST S1- MODEL NOME PARCEL: 1 S136AA-09300 SUBDIVISION: $10,1MIRA ESTATES ZONING: R-4.5 BLOCK: LOT : 015 JURISDICTION: TIG Proiect Description: Hot 1 oh _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 4J1 - 600 zmp: SIGNAL/PANEL: MANF HM/SVC/FOR: 601+amps - 1000 volts: MINOR LABEL (10): —_ SERVICE/FEEDER _ _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: A 'I PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FOR: PER HOUR: 401 - 600 amp: FA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION _ 1000+ arnp/volt: >=4 R__ES UNITS: > 600 VOLT NOMINAL: _ Reconnect only _ SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: WINGATE CORPORATION DEXHEIMER ELECTRIC INC 15840 S POPE_ LANE 10639 SE FULL-ER ROAD OREGON CITY, OR 97045 MIL WAUKIE, OR 97222 Phone: 503-657-3300 Phon3: 786-0886 Rep#: SUP 2.514-S LIC 00043975 ELE 26-321C _= FEES _ Required Inspections _ Type By Date Amount Receipt Rough-in —A PRIPOT CTR 4/25/01 $46.85 2720010000( Elect'I Final 5PCT CTR 4/25/01 $3.75 2720010000( Total $50.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All worts 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 by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246.6699 or 1.800-332-2344. Permit Signature:, Issued By: i OWNER INSTALLATION T lie installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _-- _ DATE:__. INSTALLATION ONLY SIGNATURE OF SUPR ELEC'N: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application 7Projjcct/7appl. �.5�� Pe(mit no, p�, _ City Of Tigard : hxpiredate: CityufTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Ruceiptno.: — Phone: (503) 639-4171 — — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction li(A(ldition/alteration/rei)larc•,nr ni U Other: - _ _ U Parlial .108 SUIllAN,FORMATION Job address: tpC{,S S SrJ Loe-J 5 1 131dg.nu: ,`iuitc nrr. I.;\ 111;110,1\ l()t/account nu.: -- Lot: I Block: Subdivision: 1-0 " r- ---C Project name: Description and location of work on premises:- Estimated d:r,c of contplcliunhnsl�ation: Job no: fee Mar Business name: r Ikxcription (fly. (ea.) Folal no.Insp New residential-single or multi famlIv per Address: ? / J� t;,r,j 1 dWPIIi11gUr1it.IllfindlSA(Iaf11r1IgAfAge. City: r� �— State:0 ZIP: Serviceiminrkd: Phone:5e)3 7 60 6 Fax:9f;6C;lo E-mail: lo(N)sy n in less — -- .1 r:CB no.: Elec.bus.tic.no: Each addttiona1500 sq.ft.or ponion thereof q �S — -- Limitedener-y,residential - ity/metro lic.no.: 0l6 01 Limiteder /,non-residential 2 0 Each manufactured home or modular dwelling Signature of supervising electrician n(required) hate Service and/or feederServices i - Sup.elect.name(print):' License no:��j r allet.:11on feeders-Installation, alter.rbn or relo a.don: 2(Ni amps or less ? 7a ): 201 amps to 400 amps ^_ _ 2 - - --- --- — 401 amps to 61N1 amps ? s: 601 amps to 1((N)nmpsZIP: overl(xN)ampsorvolts ?Fax: E-mail:neion:The installation is being made on property I own Temporaryservicesorfeeders - which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 2(NI tinge or less 201 amps to 400 amps Owner's si nature: _ Date: 401 to 600 amps Branch cirrults-new,alteration, or extension per panel: Nance: —` A. Fee for branch circuits with purchase of ,J// Addres service or feeder fee,each branch circuit N V r 2 City Slate: ZIP: H Fee for branch circuits without purchase T of servire or feeder fee,first branch circuit:- 2 Phone: 1 ser' E-mail: - -- Each additional branch circus, Misc.(,Service or feeder not Included): U Service over 225 amps-commercial U Heulth-care facility Each pump or irrigation circle 2 'J Service over 320 amps-rating of 1&2 U Harardouslocation Each sign or outline lighting 2 fumilydwellings U Building over 10,(NX)square feel four or Signal cir vin;)or a limited energy panel, J Svv, tover 60n volts nominal more residential units in one structure alteration,on stenion* 2 JHu,,..,,goverthreestories UFeeders,4(N)amps ormore 1(kcupant load over 99 persons U Manufactured structures or RV park Fich additional Aspection over the allowable In any of the alcove: U rgress/lightingplan U Other, ---- Perins ection C8latnit__—sets of plans with tiny of the above. Investigation fee _ The abo,e are not applicable to temporary construction service. other Not all IudMlictions accept credit ea/d%,please call iuriWiction for more information Notice:'This permit applieatiee Permit fee.....................$ U Visa U MasterCard expires if a permit is not. stained Plan review(at _ %) $ Credit card number:— — ___ _ / I — within 180 days atter it has been State surcharge(8%)....$ Name of c�+lr�shown on� Expires TOTAL ,C M rn accepted as complete. .......................$ --- Cardholder signalute Arrrcant 4404615(6/MOM) Electrical Permit Fees: Limited Energy Fees: — -- — TYPE OF WORK INVOLVED -RESIDENTIAL ONLY - _. Complete Fee Schedule Below: Restricted Energy Fee..................................................... $75.00 Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Ser.,ice included: Items Cost Total Cherk Type of Work Involved: Residential-per unit 4 Audio and Stereo Systems 1000 sq.ft.or less —-__ $14, 15 -- F..ach additional 500 sq ft or 1 r� portion thereof $33.40 u Burglar Alarm Limited Energy $7500 Fach ManuTd Home or Modular2 n Garage Door Opener' Dwelling Service or Feeder $90.90 Services or Feeders ❑ Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocation 2 200 amps or less $80.30 Vacuum Systems* 201 amps to 400 am; $106.85 2 401 amps to 600 amps _ $160.60 2 Otner 601 amps l0 1000 amps $240.60 - 2 - Over 1000 amps or volts $454 65 2 Reconnect only $66.85- 2 ---- TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Fee for each system............... ............................... ......... $75.00 Installation,alteration,or relocation $66,85 2 (SEE OAR 918-260-260) 200 amps or less 201 amps to 400 amps _ $100.30 _ _ 2 401 amps to 600 amps �___ $133.75 _ _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, E] Audio and Stereo Systems see"b"above. Branch Circuits F-] Boiler Controls New,alteration or extension per panel a)The fee for branch circuits Clock Systems with purchase of service or feeder fee. Fach branch circuit $6 65 2 Data Telecommunication Installation b)'f he fee for branch circuits r� without purchase of service LJ Fire Alann Installation or feeder fee. First branch circuit $46 85 _ HVAC Each additional branch circuit _ $6.65 Miscellaneous Instnirnentation (Service or feeder not included) Each pump or irrigation circle $53.40 L� Intercom and Paging Systems Each sign or outline lighting $53.40 signal circuit(s)or a limited onerc Landscape Irrigation Control* panel,alteration or extension A $75.00 Minor Labels(10) $12500 ❑ J Medical Each additional Inspection over the allowable In any of the above F] Nurse Calls Per inspection _ $6'LCiO --.- Per hour $6250 _-_ �� In Plant `�__ $73 75 Outdoor Landscape Lighting' Fees: Ej Protective Signaling i Enter total of above fees $ ._ __.._ u Other 8%State Surcharge. $ — Number of Systems 25%Plan Review Fee $ ' No licenses are required Licenses are required for all other installations See"Plan Review"sertion on - front of application — - Fees: Tofal Balance Due $ --- - -- Enter to'al of above fees =- --- Trust Account p -_ - 8%State Surcharge f - Tofal Balance Due 1 415ts\fortes\cic-fte,doc 10/19;01) MASTE CITY OF TIGARD PERMIT PERMIT #: MST2000-00449 DEVELOPMENT SERVICES DATE ISSUED: 11121/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 06955 SW LOCUST ST PARCEL: 1S136AA-09300 SUBDIVISION: VENTURA ESTATES ZONING: R-4.5 BLOCK: LOT: 015 JURISDICTION: TIG REMARKS: S/F Path 1 MODEL HOME BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: I,IIC sf BASEMENT: sl LEFT. 7 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1. 99 al GARAGE: 600 sf FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: I FINOSMENT: sf RIGHT: 1S VALUE: S 166.656.13 OCCUPANCY GRP: R3 BDRM: 3 BATH: I TOTAL 2.411900 sf PEAR 26 PLUMBING SINKS: I WATER CLOSETS: I WASHING MACH: I LAUNDRY TRAYS: I RAIN DRAIN. nm TRAPS: LAVATORIES: 4 DISHWASLERS: I FLOOR DRAINS: SEWER LINESIr7U SF RAIN DRAINS. 1 CATCH BASINS. TUBISHOWERS: 7 GARBAGE DISP: I WATER HEATERS. I WATER LINES. 111rI BCKFLW PRFVNTR: I GREASE TRAPS. OTHER FIXTURE.S. MECHANICAL FUEL TYPES rURN�tu0K. BOILICMP c 3HP: WENT FANS CLOTHES DRYER: I AS FURN>=100K: 1 UNIT HEATERS: I HOODS: I OTHER UNITS 1 MAX INP: btu FI,'rOR FUHNANCES: VENTS. I WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER _TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amu 0 200 amp: WISVC OR FOR: 1 PUMPIIRRIGATION: PER INSPECTION: FA ADD'L 50CSF: 4 201 400 amp: 201 400 amp. 1st WN SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL OR CIR: SIGNALIPANEL: IN PLANT: MAN11 HMISVCIFDR: 601 1000 amp: #101-amps-'1000w MINOR LABEL. 1000♦amplvolt FLAN REVIEW SFCTIUN Reconnect only, >=4 RES ONIT5 SVCIFDR>=225 A.: >600 V NOMINAL: CLS AREAISPC OCC' ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: x VACUUM SYSTEM. AUDIO 6 STEREO. FIRE ALARM: INTERCOM/PAGING OUTDOOR LNDSC LT: BURGLAR ALARM: x OTH: IRRIGATION BOILER. HVAC LANDSCAPEIIRRIG: PROTECTIVE SIGNL. GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR. HVAC: DATA/TELE COMM: NURSE CALLS TOTAL 0 SYSTEMS: TOTAL FEES: $ 7,020.42 Owner: Cont•aclor: This permit is subject to the regulations contained In the WINGATE CORPORATION WINGATE CORPORATION Tigard Municipal Code,State of OR Specialty Codes and 15840 S POPE LANE 15840 S POPE LANE all other applicable laws All work will be done in OREGON CITY, OR 97045 OREGON CITY, OR 97045 accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone: Phone: Oregon law requires you t 1 follow rules adopted by the Oregon O ility Notification Center Those rules are set Reg fr. III „,+ forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8� Slab Insp PLMIUnderfloor Electrical Service Exterior Sheathing Inst Rain drain Insp Sewer Inspection PosUBeanl Structural Mechanical Insp Electrical Rough In Low Voltage Water Line Insp Fooling Insp Post/Beam Mechanica Mechanical Insp Framing Insp Gas Line Insp Appr/Sdwlk Insp Vooting Insp Underfloor insulation Plumb Top Out Framing Insp Gas Fireplace Electrical Final Foundation Insp Crawl Drain/Backwater Electrical ServirA Shear Wall Insp Insulation Insp Mechanical Final J _ { 1 - r Permittee Si nature : ` \ Issued By :� ' �ZG �� -_ 9 -� Call (503) 639-4175 by 7:00 p.m. for an inspection needed the uslness day CITYOF TIGARD SEWER CONNECTION PERMIT PERMIT SWR200000314 DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/21/00 SITE ADDRESS; 06955 SW LOCUST ST MODEL HOME PARCEL: 1S136AA-VE015 SUBDIVISION: MK1(Il1RA ESTATES ZONING: R-4.5 BLOCK: _ LOT: 015 JURISDICTION: TIG TENANT NAME: USA NO- FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached Owner: ^ _ WINGATE CORPORATION — FEES ES — 15840 5 POPE LANE Type By Date Amount Receipt OREGON CITY. OR 97045 PRMT CTR 11/21/00 $2,300.00 27200000000 INSP CTR 11/21/00 $35.x)0 27200000000 Phone: 503-657-3300 -- – Total $2,335.00 Contractor: Phone: Reg #: —_ Required Inspections Sewer Inspection This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the dale issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OONC by calling (503) 246-1987. Issued by: _7 - � 7 r Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed tent business da —. Y r',F TIGARD Residential Building Permit Application Plan Check# 25 SW HALL BLVD. New Construction Recd IGARD, OR 97223 Single Family Detached Date Redd 1- ZZ—c7z) � � Date to P.E. �Z--dT� V 503-639-4171 j \C Date to DST71- F 503-684-7297 Permit Cal ST 9=r mUyq Print or Type Called SCOTT ✓•MAr! 1 ,q Incomplete or illegible applications will not be accepted - Nam ori Ptoje ---� Name l,W�+ A S--0 .lob VE- TL;P, ES-ii-(N IS-- S Architect Mailing Address Address Site Address 1 c> NIAJ f r -�, �-0 W S i S T City/State Zip Phone N a e C q rC Fo 4ii,,N tj 6 917-4`11 Z 2 S'C 16 Nam�e7 Owner Mailing Address 'r-."0(- .L..�.— S - Eng ineer Mailing Address --- City/State Zip Phone Ei- U z:J-v �L.�,aN C 1 Ti hS4 PV/State Zip Phone General Name _Tj :L—g 7Ib L5�1 •�ZYZ Contractor S4 PAI R� �� Describe work Ne Addition O Alteration O Repair O Mailin Ad reSs �� .0 1/�o be done — Prior to permit �t� � /�d nig 5 L Additional Description of Work: issuance, a copy City/Stale Zip Phone of all licenses are required if Oregon Const,Cont.Board Exp.Date PROJECT expired in COT Lic# VALUATION / _�'�� database _l �� /n/Zq r 03, -- ,.. c<. Mechanical Name NEW CONSTRUCTION 6NLY: /c_� Sub- - --TE;; 1? Sq. Ft. House:;�9� Sq. Ft. Garage® Contractor Mailing Address — t --- I�.�U�G SE EV E.l_ � Indicate the restricted energy installation by the electrical {'nor to permit issuance,a copy 1City/State, Zip Phone subcontractor in the followingareas r " 2g�y Restricted / Audio/Stereo - of all licenses -L4\C -AMA S �1 S �f, are required If Oregon Const.Cont Board Exp Date Energy System Alarms expired in COT Lic.# , ' — Installations _— Vacuum �- Irrigation _database System System Plumbing Name (check all thatOther: Sub- a Y) _ — — r� m i'��:rn8t�c� app Y) Address T- Number of Units in Building Unit Number Designation Contractor g Has the Subdivision Plat recorded? N/A YES ^NO Prior to permit City/State Zip Phone _ issuance,a copy of all licenses are Oregon Const.Cont.Board Exp.Date required if Lic.# expired in COT eJ Zw Z• - — —" — --- database Plumbing Lic.# Exp Date I hearby acknowledge that I have read this application, that the informition given is correct,that I am the owner or authorized agent I -35 of the owner, and that plans submitted are in compliance with Name Oregon State laws. _ Signature of Owner/Age tDate 1--lectrical � - 1�- q Z Z- 0 Sub- Mailing Address ntact Pe(so Na a Phone# Contractor 5o ,i t y X13 $r1r City/State Zip Phone �Prior to permit r� �t(l r. t r�9/7,2100 ssuance,a copy a(Z 61 Tz L- -1 k On OR OFFICE USE ONLY: cit all licenses are Oregon Const Cont Board Exp Date Plat# Ma !TL#' required if Lia# i PTL expired in COT L a� 5 _ --- 77 database Electrical Lic.# Exp Date Setbacks. Zone: ' f ;Zj" 3"?1 C, —-------- Electrical Supervisor Lic # Exp Date Engineering Approval: Plan in Approval: TIF: r11 I� ems' I\fists\forms\sfd-new dor,11120198 �,6csv 'Oou1`'n TUALATIN VALLEY EIRE & RESCUE • SOUTH DIVISION Tualatin Valley COMMUNITY SERVICES • OPERATIONS FIRE PREVENTION Fire & Rescue October 23, 2000 Bob Poskin, Senior Flans Examiner City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 RE: Ventura ESiateS Subdivision Dear Bob, I performed an on-site inspection of the above note project to assess fire apparatus access and firefighting water supplies for the construction of a model home. Both firefighting water supplies and fire apparatus access are in place and adequate for construction of the model home. Please contact me at (503) 612-7010 with any additional questions. Sincerely, Eric T. McMullen Eric T. McMullen Deputy Fire Marshal 7401 SW Washo Court, Suite 101 •Tualatin,Oregon 97062• Phone: (503)612-7000•Fax: (503.1612-7003 www.tvfr com Bob Thompson Residential Plans Examiner City of Tigard RE: Model Home Lot 15,Ventura Estates October 24, 2000 Dear Bob, We,Ventura LLC,have received temporary use permit status for model home#1,Ventura Estates. The subject property is located at 6955 SW Locust Street in Tigard,OR. The legal description is lot 15, Ventura Estates. As Ventura Estates has not yet been recorded,Ventura LLC takes complete responsibility to changes(if any)that occur during the final stages of recording ti.-rlat Sincerely, ;;7 Barry D ns, Member Ventura LLC Lr or ►rj , �ENn R"R ��ArE s i�13�Afl - v� oi5 g, Pic 5-roQM vR t�,-na. nQ.Ai �A�.MEn4T v .7iU• , T7ardE IoRL�A 1 3oR ' 3G �tn4 {4"^f _e v� o C- i �. 4"A 1V I ,� 2O►