8516 SW LUCILLE COURT-1 cc
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CITY OF TIGARD BULDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ------ -
BLIP -----_
Date Requested Z/- Zi' AM_ PM _ —_— BLD --_
Lucatlr n L 'w L `i C ///a Cl- ---- Suite _�—_— _ UIEC �-
Contart Person __ Ph VO?j // Z — PLM
Contractor Ph —_ SWR
BUILDING Tenant/ weer ELC Ze, w-6v
Retaining Wall L/r� �_ , i w r c /VC
Footing 1---� ` ELR _—
Foundation Access-
I&,✓ Ps
Ftg Drain _
Crawl Drain Inspecti,)n "Dotes SGN _
Slab — SIT
Post&beam -- ---
Ext Sheath/Shear l 1?5/77
Int Sheath/ShEar -`-- --
Framing
Insulation --
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roor
Misc: - ----- --
FPA - --- //� r
PASS PART FAIL -------- __-__- --y,6�
PLUMBING
Post& Beam -
Under Slab
Top out -
Water Service
Sanitary Sevier — - --
Rain Drains
Final - -------
PASS PART FAIL
MECHANIC AL
F'ost& Beam --- - _
Rough In
Gas Line
Smoke Dampers
Final
P PART FAIL.
LEC
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
A91 PAf T FAIL -- - -- -------- -----
SITE---
Backfill/Grading --- -- -- -- -- - -----------
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ required before next inspectlon. 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 11-/ Inspector i G Ext
Final -
PASS PART FAIL DO NOT REMOVE this 1nsp-:t1on record from the job site.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE,
VANDER STOEP ELECTRIC
23765 THIRD ST NE
AURORA, OR 97002
Electricel Signature Form
Permit #: MST2000-00454
Date Issued: 9/29100
Par-,,91: 1 S135AD-04400
Site Address: 08516 SW LUCILLE CT
Subdivision: LUCILLE ESTATES
Block: Lot: 00b
Jurisdiction: TIG
Zoning: R-12
Remarks: Fire repair - truss details need to be available at framing inspection.
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valA, the signat.ire of the supervising electrician is required. Please have the
appropriate individual from you; company sign below and return this Electrical Signature Form prior to thE.
start of the work to the address above, ATTN: Building Dept.
No !31ectrical inspections will be authorized until this completed form is received
OWNER; ELECTRICAL CONTRACTOR:
NATHAN, ERWIN J VANDER STOEP ELECTRIC
8.1-16 SW LUCILLE CT 23765 THIRD ST NE
TIGARD, OR 97223 AURORA, OR 97002
Phone +': Phone #:
Req #: LIC 69417
SUP 43608
ELE 24-304C
AN INK SIGNATURE. IS REQUIRED 0;4,, THIS FORM
x
S' nature of Supervising Electrician
If you have any questions, please call (503) 639-41'7 1, ext. # 310
or-
CITY OF TIGARD
13125 .".W. HALL 31..V0.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
NELSON PLUMBING
PO BOX 818
BATTLE; GROUND, Wil 98604
Plumbing Signature Form
Permit # MST2000-00454
Date Is,ued: 9/25100
Parcel: 1 S135AD-04400
Site Andress: 08516 SW LUCILLE CT
Subdivision: LUCILLE ESTATES
Block. Lot: 006
Ju-isdiction: TIG
Zoning: R-12
Remarks: Fire repair - truss details need to be available at framing inspection.
Your company has been indicated as the plumbing co-jactor for tr,e permit indicated above. In order for the
plumbinq permit to be valid, pk ase have the appropriate individua' from your company sign below and return
thi; Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Debt.
No plumbing inspections will be authorized until this completed form is received
OWNi-R. PLUMBING CONTRACTOR:
NATHAN, ERWIN i NELSON PLUMBING
8516 SW LUCILLE CT PO BOX 818
TIGARD, OR 97223 BATTLEGROUND, WA 9b5n4
Phone #: Phone #:
Reg # I Ir 125759
PI M 37-171 PB
AN INK SIGNAJURE IS REQUIRED ON THIS FORM
Signature of Authorized Plumber
If you have any questions, please call (503) 639-4171, ext. # 310
a
CITY�T_�!/ O F T I I AG+A R D i ELECTRICAL. PERMIT
(V` PERMIT#: ELC2000-00581
DEVELOPMENT SERVICES DATE ISSUED: 10/6/00
13125 SW Hall Blvd., Tiq ird, OR 97223 (503) 639-4171 PARCEL: 1 S135AD-04400
SITE ADDRESS: 08516 SW LUCILLE CT
SUJDIVISION: LUCILLE ESTATES ZONING: R-12
BLOCK: LOT : 006 JURISDICTION: TIG
Proiect Description: Installation of 7 branch circults.
RESIDENTIAL UNIT 7 EMP SRVCIFEEDERS MIS_CELLANEOUS�_
1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG:
LIMITED EF1ER(2Y- 401 - 600 amp. SIGNAL./PANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
__ - SERVICEIFEEDER — BRANCH CIRCUITS _ ADD'L INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER. PER INSPECT ION:
2„1 400 amp: 1st W/O SRVC OR FDR: 1 PEP HOUR:
401 600 arra: EA ADD'L BRNCH CIRC: 6 IN PLAN1 .
601 - 1000 amp: _ PLAN REVIEW SECTION
_
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect onl ____SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC:—_—�
Owner: Contractor:
NATHAN, ERWIN •r VANDER STOEP ELECTRIC
8516 SW LUCILLE CT 23765 THIRD ST NE
TIGARD, OR 97223 AURO�A, OR 97002
Phone: Phone:
Reg #: 89417
SUP 4360S
ELE 24-Z04C
FEES �_ Required Inspections
Type By Date Amount ReceiptRough-in
PRMT CTR 10/6/00 $86.75 2720000000!
Electrical Permit Application
Date received: id G Cri) Permit no.:
City of 'Tigard ProlerJappl.no.: Expirer ate:
City njTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Sy: Rcceiptno.:
Phon••: (503) 639-4171
Fr 4: (503) 598-1960 Case file no.: Payment type:
Land use approval:
TYPE 1
1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
U New consiniction U Addition/allet:uion/replacement U 011ier: _— U Partial
JOB SITE INFORMAI
Job address: �'cJ/(�, 1.c 1, ��—(I C�� Bldg. it Suite no.: 'I ax -t"Thax btt/account —
Lot: Block: Subdivision:
Project name: ?)[Ch��Tf�/�1� Description mid location of work on premises: 1__ AAA(4E--
Estimated date of cont leti�n/in;prrtiun 1
i 1 ' 1 t LF
Job no: i'c Hurt
Business name: 1lcscrlptiott Uty. (em.) Total no.iusp
�G 5 E '5 New resirknlinl-sioKk or multi-lamilr q r —
Address: 3.7& ( . i _ _ __ dwelllnRanil.lncludcsattaclKdt+arage.
City: State:G 'ZIP: -1 7cuc."Z— Serviceincluded:
Phone:���7-5/1'Z- Fax: 2- I ( ,-mail:Rv4A1fa1--:R-c- ' 3�'it or less
Poch additional 500 sq.ft.or portion thereof
CCB n0.: EIeC.bUS.11C.n0: . –�r') Limited energy,residential 2
2mignatture
t I Limited energy,Hon-residential 2
Each manufactured home or modular dwelling
of supervising elect Ician(required) _ hate Service and/or feeder — 2
Sup.elect,name(print):tjL , SFA :5-Tt License no,q3 C- 5errlcesorfeeders–installation,
alterotlon or relocation:
motgbxlluh" 201:amps or less 2
;Jame(print): 201 amps to 400 amps ___2
--- – 401 amps to 600 amps 2
Mailing address: 601 amps to I(100 amps 2
City: Slate: ZIPOver I W)amps or volts 2
Phone: rax: E-mail: Reconncc!imiy I
Owner installation:The installation is being made on property I owl, Temporarvservicesorfeeders-
which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation:
2
ORS 447,4f5 2001,479,670,701. amps — —
1 amps tto 40000 amps o 2
2
Owner's si r ature: _ Date: 401 to 6(x)amps
Branch circuits-new,alteration,
or extension per panel:
NArne: A Fee for branch circuits with purchase of
A(Idfess: service or feeder fee,each branch circuit 2
t_ity; State: It Fee for branch circuits withoutpurchr.se
of service or feeder fee,first branch circuit: 2
Phone: Fltx: 13-mail I ach additional branch circuit:
Misc.(Service or feeder not Included):
U SQrV1ce Over 215 amps-cominerclal U Health-earl'facility Each pump or irrigation circle 2
U Service over 320 maps-rating of 1&2 U Hazardous location Each sign or outline lighting 2
fnmilydwellings U Building over 10,000 square feet four o- Signal circuit(s)or a limited energy panel,
U System over 6(111 volls nominal more residential units in one structure alteration,urextenaion� — 2
U Buildlug over three stories U Feeders,400 amps or more *Description:
U(kcupant load over 99 persons U Manufactured structures or RV park FAch additional Inspection over the allowable In any of the above:
U Egress/lightingplan U Other: ._. --- Per inspection r
Rrbmh rets of plans wllh any of the above. I Investigation fee _
The above are not applicable to temporary construction semce, other _
Not all lurisdiclinns acce;n credit cards,please call jurisdiction for more information. Nol;cc:This permit application PU mit fee.....................
U visa U MasterCard exrires if a permit is not obtained Plan review(at _ %) $ _
.red+!card number: within 180 days after it has been State surcharge(8%) ••••$
�•
hxptres
accepted as complete.
_ — ------- TOTAL .......................
Narne of cardholder as own on credit card
Cardholder signature Mmount— 440-4615(6AWOM)
1
Elertrical Permit Fees: Limited Energy Permit Fees:
Number of Inspections per permitallowed TYPE OF WORK INVOLVED-RESIDENTIAL ONLY
Service included: Items Cost Total
4a. Residential-per unit Restricted Energy Fee........................................ $76.00
1000 sq it of less _ $147.15 (FORALL SYSTEMS)
Ead1 additional 500 sq 8.or Check Typc of Vork Involved.
portion thereof — $33 40 -__
Limited Energy $75.00— Q
Fadi Manurd Home or Modular Audio end S!ereo Systems
Dwelling Service or Feeder _ $90 90_ 2 ❑
Burglar Alann
4b.services or Feeders
Installation,alteration.or relocation Garage Door Opener*
200 amps or less $8030 2
201 amps to 400 amps $100.85 2 ❑
fleeting,Ventilation and Air Conditioning System'
401 amps to 600 amps $16060 2
601 amps to 1000 amps $240.60 2
(her 1000 amps or volts $454.65 2 Vacuum Systems'
Reconned only $6685 2 ❑
Other
4c.Temporary Services or Feeders
Instanauon,sltnral'ion,or relocation TYPE OF WORK INVOLVED-COMMERCIAL ONLY
200 amps or less $6685_— 2 ---
201 amps to Ola amps $100.30 2 --
--
401 amps Io 600 amps $133.75 2 fee for each system............................................. $75.00
Over 60u amps to 1000 volts, (SEE OAR g1B•260-260)
see 411 above.
Check Type of Work Involved:
4d.Branch Circuits
New,alteration or extension Pei panel E3 Audio and Stereo Systems
a)The lee for branch circuits
with purchase of service or Q
Boller Controls
feeder fee.
Each branch circuit Has— 2
III The fee lar brandh circuit, — Clock Systems
without purchase of se vice
or feeder fee. Ej Data Telecommunication Installation
First branch circuit $46.65 1/6
Feah additional branch Urrill $6.65 6 � .j„l Fire Alann Installation
4a.Miscellaneous ❑
(Service or leader not included) HVAC
Each pump or Irrigation circle $53.40
Each sign or outlor Nghung _ $53.40 _ ___ instrumentation
Signal dreult(s)or a limited energy
panel,alteration or ehdenslon _- $75.00 Intercom and Paging Systems
Minor Labels(10) $125.00
4f.tach additipnat Inspection over a Landscape Irrigation Control'
die allowable In any of the above $82.60
Per Inspection _ Medical
Per hour $82.50
In Plant _ $73.75 — _ u Nurse Calls
Jr. Fees: $ d �r j E] Outdoor Landscape Lighting'
Ba.Enter total of above fes
6%Surcharba(08 X total Ices) i=7-5-1,T-�` C] Protective Signaling
Subtotal
$b.Enter 25%of 8n.,Ba for $ Other —a
Plan Review 8 regulred(Sec 3) — -'--
Subtotal $_ ----
�'1 __—Numbr )f Systems
LJ Trust Account 0_ 7 / No liamses e;."r,!,, ed Lic!nies are required for all o8xn Mshallatinns
Total balance Due $ �) (D -- ——
FEES:
— ENTER FEES $. —
6%SURCHARGE(.08 X TOTAL ABOVE)
TOTAL S
CITY OF TIGARD BUILDING INSPECTION DIVISION 'S
24-Hour Inspection Line: 639-4175
Business Line: 639-4171 �ST
BUP
_
_Date Requested AM— PM BLD
Location �)'� w L'+ c, %lam �1 Suite MEC ----
Contact Person _ _ (.; _ Ph PLM —_ —
Contractor Ph SWR
_BLIIIL _._.a -tenant/OwnerELC
Retaining Wall _ -�— ELIR
Footing Access:
Foundation / ��`�� C i. FPS _
Ftg Drain I I - SCN
Crawl Drain Inspection Notes --------
Slab --- ---- -- --- SI
Post& Beam ------ -
Ext Sheath/Shear
Int Sheath/Shear -`------ --_-
Framing _ — -
Insulation
------ -------
Drywall Nailing _�_ U -_- ---- --'---- - -
Firewall _.---
Fire Sprinkler --- ------ - - - - ------- ---
Fire Alarm
Susp'd Ceiling
Roof
?A
aJj ------ --
AS PART FAIL. - ------- ------�_-._ -- -
PIAIMBING
Post& [Seam - -.. ---- -- -
Under Slab
Top Out -- - - ---- ---- - - - --------
Water Service
Sanitary Sewer --- -" -" -
Rain Drains
Final -
PASS FART FAIL
MECHANICAL
1'o,l A Reanl -- -----------�--_.__..�..�--------
Pough In
(.gas I_Ine -------._._-.__..---------�
Smoke Dampers
F inal
PASS PART FAIL
ELECTRICAL. - -_ -
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm ------
Final
PASS PART FAIL
SITE
Backfill/Grading ----
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE:
Fire Supply Line [ 1 P _�.__ _ [ J Unable to inspect-no access
ADA
Approach/Sidewalk ,l
Other Date '2' Inspector Ext _
Final – —
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
_ MASTER PERMIT
CITY OF TIGARD _—_
PERMIT#: MST2000-00454
DEVELOPMENT SERVICES DATE ISSUED: 9/29/00
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 08515 SW LUCILLE CT PARCEL: 1 S 135AD-04400
SUBDIVISION: L UC!I-LE ESTATES ZONING: R-12
BLOCK: LOT: 006 JURISDICTION: TIG
REMARKS: Fire repair - truss details need to be available at framing inspection
BUILDING
REISSUE: STORIES. FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: REP HEIGHT FIRST: of BASEMENT: 51� LEFT, SMOKE DETECTORS.
TYPE OF USE: SF FLOOR LOAD: SECOND: at GARAGE: at FRONT: PARKING SPACES
TYPE OF CONST: SN DWELLING UNITS. FINDSMENT: at VALUE: S51,39B.00 RIGHT:
OCCUPANCY GRP: R3 BDRM BATH TOTAL: 000 at REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUBISHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: RCKFLW PREVNTR: GREASE TRAPS:
OTHER rIXTURES:
MECHANI^AL _
FUEL TYPES FURN<100K: BOILICMP a 3HP: VENT FANS: CLOTHES DRYER:
FURN>=100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: AS 7UTLETS:
ELECTRICAL _
RESIDENTIAL UNIT SERVICE FEEDER TEMP':,WCIFEEDERS BRANCH CIRCUITS _ MISCELLANEOUS ADVL INSPECTIONS
10005-F OR LESS: 0 -200 amp: 0 200 amp: WISVC OR FOR: PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L SOOSF: 201 -400 amp: 201 400 am^: tat WIO SVCIFDR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 •$00 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HMISVCIFDR: 1101 1000 amp: 601+ampa•1000v: MINOR LABEL:
1000+amolvolt
PLAN REVIEW SECTION
Reconnect only: >=4 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL CLS AREA/SPC OCC:
ELECTRICAL•PESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO- FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTrIUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM NURSE CALLS: TOTAL N SYSTEMS:
Contractor: TOTAL FEES: $ 1,244.83
Owner: This permit is subject to the regulations contained in the
NATHAN,ERWIN J OREGON HOME IMPROVEMENT COTigard Municipal Code,State of OR. Specialty Codes and
8516 SW LUCILLE CT DBA OHI CONSTRUCTION all other applicable laws. All wor will be done In
TIGARD,OR 97223 17255 SW PILKINGTON RD accordance with approved plans. This permit will expire if
LAKE OSWEGO,OR 97035 work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days. ATTENTION
Poona: Phune: Oregon law requires you to follow rules adopted by the
0,igon Utility Notification Center. Those rules are set
Rap N: LIC 00034908 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
Mechanical Insp Electrical Final
Plumb Top Out Mechanical Final
Electrical Rough In Plumb Final
Framing Insp Final inspection
Insulation Insp
Issue By: _ - o LQ.:1%1'_�_ Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed 0 next bu ness day
.ITY OF TIGARD Residential Building Permit Application I'IanC
13125 SW HALL BLVD. Alteration - Interior Only Recd
Date Recd
TIGARD, OR 97223 Single Family Detacheu or Attached (Duplex) Date to P.E. C>o
V 503-639-4171 Date to DST r/�'J
F 503-6$4-7297 Permit# N5/Ar2p-0e J�>J
Print or Typc Called________
Incomplete or illegible applications will not be accepted
------------------ -- ------ -------- --- --
Name of Project Name
Job --
Architect Mailing Address
Address Site AddressAs 1(,o
C-L I`- City/State Zip Phone
e
-- -- _ Name
Owner Mailing Address
tate Zip Phone
/t Engineer Mailing Address
1. kv9q,,5f`�� City/State 7-ip Phone
General ate
Contractor i Describe work New O Addition O Alteration O Repair 95
ailing Address to be done.
Prior to permit -
r% Additional Description Work:
issuance,a copy ity/State Zip Phone. _
of all licenses O3 - i�� �
are required if Oregon Const.Cont. Board Exp.Date PROJECT
expired in COT Lic.# VALUATION $ -
database ---- --- —
Mechanical Name NEW CONS_TR_UCTIO ONLY:
Sub Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address
Prior to permit Indicate the restricted energy installation by the electrical
issuance,a copy City/State Ip Phone subcontractor in the following areas
of all licenses Restricted Audio/Stereo
are required if Oregon Const.Cont.Board Exp.Date Energy System Alarms
expired in COT Lla# Installations Vacuum Irrigation
database System System
Plumbing Name -- - (check all that Other:
Sub- ��,,y�(3 a I
Contractor— Mailing Address Corner Lot YES NO Flag Lot YES NO
check one) (check one
t Has the Subdivision Plat recorded? N/A YES NO
Prior to permit lty/State Zip Phone
issuance,a copy CIT4.ZQ V$ ar Compliance
of all licenses are Oregon Const.Cont Board 'Exp. Date Calculation Attached_
required If Llc.#
expired In COT /0 1 hearby acknowledge that I have read this application,that the
database Plumbing Lic.# i Ex . Date information given is correct,that I am the owner or authorized agent
of the owner,and that plans submitted are in compliance with
?�-• L=�_ / Ore on State laws.
�lame S', re of Owner/Agpnt
Electrical
Sub- Mailing Addrers lenntact PersorName Phone#
Contractor r� , S I' L FOR OFFICE USE ONLY:
City tate Zip Phone Plat#: Map/TL#:
Prior to permit
issuance,a copy Setbacks:)� ( � Setbacks: Zone: Solar:
of all licenses are Oregon Coast.Cont oard Exp. Date
required N Lic.#
expired in COT - /D Engineering Approval: Planning Approval: TIF:
database Ele Ica Lic # Ex D to
v - O C
I tical
ESupervisor Lic.# x ate
- v-S
I forms\sfintalt.doc(DST)10/23/98
OHI CONSTRUCTION
17255 SW PILKINGTON RD.
L.AKU OSWEGO.OR 97035
TEL.( ()3)635-6248
TEL.(800)y17-8131
FAX.(503)636-718.3
Client: Dick Nathan Business: (503)849-8366
Home: (503)443-2178
Property: 8516 SSW Lucille
Tigard,OR 97223
Billing: 8410 SW Pfafile St.
Tigard,OR 97223
Operator: GEORGE
Estimator: GEORGE HUSBANDS Toll: (800)927-8131
Business: 17255 SW PILKINGTON RD.
LAKE OSWEGO,OR 97035
Reference: Doug Jones / Crawtord Litums Mgt. Fax: (360)577-7131
Business: 1405 17th Ave.
Longview,WA 98632
Type of Estimate: Fire
Date Entered: 9/13/2000
Price List: PORTORD
Estimate: NATHAN,E 1
Attached is our estimate for services required at the insured address. The amounts in this estimate are based on the assumption
that the work is to be completed in its entirety. If portions of the work are to be deleted,the rem:Jning amounts may require
adjustment.
Please note that this estimate might contain open items-please check carefully.
Thank you for the opportunity to be of service. Please call should you have any questions,or need further clarification.
n i x i e re ee( 't,-v 5 S d� � 1 S req leo
!r -�►-n►t �„t l �,i s�� c �, CITY OF TIGARD
— - Approved...................................I) 1
CondlNonally Approved.................... I
For only the wpry ascribeddi�:�s
PERMIT NO. 1'T��
See Letter to: Follow......... [ 1
c I 1
f Job Add _