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Case File rn r OD i i r qULLDING �____ i'PM T j )TE -, ' ISSUED: & I/ CITY OF T 1 OARD -N' PARCEL.- ' ' COPAMU.VITY DEVELOPMENT DEPARTMENT 7- ZONII\IG; P 13125 SW Hai, Rlvd.Tigard,Oregon 972239810 (503)639-4171 AW- F60 8 Mrr4l 41n 6et7� > = WALL COMr Tr-��LTIOI, :::LASS OF WORK. : HEP FIRST. . . . 0 of N 6 Es W. T"ePE, OF USE.. . . :SF 'EC',OND. . . . 0 5f PROTECT "YPE I JF CONST. :5N 0 Sf N: S: E: W. ) :UPMCY :3RP. -A3 TOTAL - 0 5f ROOF` CONS'f : FlRE RE'T'- K-WF-4.)NCY LOAD' 0 BA'SLMENT. 0 5f AREA SEP. RATED: 3TOP"'. : 0 ;4T. 1`1 f GARAGE'. . . : 0 5 f OCCU SEP. RATED: G M'T MEZZ? REDD -:7 : LOOR LOAD. . . . 11 0 ps:f Lcr*T. 0 f t PIGHT: 0 f:, IR SPKL. MOK DCT. . '.3 1DWC-'.LIN, G UNITS: rRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: bLDRKa v) BWJ�G: 0 IMP SURFACE: q.1 PRO CORR: P A PR 1-11 N G Q1 ,,ALUE. $-. 0 ,Iemair-ks 12/13/95 STORM REPAIR AS NOTED IN FUND 12 FILE. REPAIR RAF7CR W CORNE. Jwner FEES )TEVE 1-',LC..rNEP t Yj)e amol.tnt by date I-e(-kt Y"'560 SW ASHFORD ST PRMT 0. 00 JMH 02/01/96 FU14D 12 I G A 11 L, (3 R 97L`24 hone #3 U T1 t a C t 0 v- CnRl- RCD INAN ')7 SW A1311FORD GT OR 972P4 --------- !-.1ione 4 . 1 0. 00 TOTAL #. REQUIRED INSPECTIONS persit is issued subject to the regulations contained in the I 'vi-,t /Betam Insp -igard Municipal Code, State of Ore, Specialty Codes and all other Mect-ic.Aniccl Insp 3pplicable laws. All work will be done in accordance with PlIm top-al-tt Iniq) approved 9'ans. This permit will expire if mark is not started Framing Insp within 180 days of issuance, or if work is suspended for more Ins".ilation insp than Ise days. Gyp Board ITISP Rain dr-ain Intip Final lnsr)ectic-i v I in i t Cii 11 fc-,- inspectiori 639-4175 Residential Building 11 ermit Application City of Tigard 1:312 SW hall Blvd. Tigard, OR .97223 (503) 639-4101 Jobsite Address: Office Use O Subdivision: P_-2?a/. 5*5rrffr e l,,/�qY0ng�_�_.—_ Contact Date ! Initials Valuation: Q Result — New Construction Only: (Square Footage) Planck/Rec # Pe.—mit # --- House Garage —__ Reissue of _ Map & TL# Corner Lot? Y /' N FFlag�Lomat?' Y N Zone Plat # — Owner: --- ' Approvals Required Address: j r-, o �' 1 PlanningSetbacks y�C- re- l l L 7ineering Solar Phone Otner _ Contractor. r� Items Re red j Subcontractors _ Address: -23 52z 1` Truss Details — �� Other Phone ( � `�' Notes _ Contractor's License #_ �1_ (att ch co of curr9nt Oregon license) Contact Name: -- Contact Phone: Subcontractors: ArchitectiEnginepr: Plumbing: Address Mechanical: (attach copy of current OR Contractor's License) r Phone: L 1 JOB DESCRIPTION: G'�r/��t ✓ `�Cs/'�I�I� � YIKC�� f �/2-L" '�' "r'�y G� rr i� t��' Applicant Signature Applicant Phone number Keceived by: Date Received i L Permit Account Description Amount Amt, Pd BaL. Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mach. Permit (NECK) State Tax (TAX) ._ Bldg: P'umb: Meth: Plan Check (PLANCK) _ Bldg: _ Plumb: Mach: Sewer Connectlan (SWUSQ) Sewer Inspection (SWINSP) Parks Dev Charge (PKSOC) Residential TIF (T1F-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-I) Institutional TIF (TIF-IS) Cffice TIF (TIF-0) Water Quality (WQUAL) Water quantity (WCUAN ) Fire Life Safety (FLS) Erasion Cntri Permit (ERPRSA7,) Erosion Planck;USA (ERPL4;4) -�resion Planck/CCT (,ERCSN) TOTALS: City of Tigard, Oregon Detailed Damage Assessment Form BUILDING DESCRIPTION: OVERALL RATING: (Check one) INSPECTED(Green) ❑ Name: _ LIMITED ENTRY (Yellow) ❑ UNSAFE (Red) ❑ Address: ASk�c `A -- - —----- ------- No.of Stories: — DATE TIME _O1"qL, 4_fam)pm Basement: Yes ❑ No Unknown U Approximate Age: _ .3 t___,years REPORTED BY Approximate Area: square feet INSPECTION TEAM MEMBERS Structural System: Wood Frame�` Unreinforced masonry U — Reinforced Masonry U Tilt-tip U Concrete Frame U Concrete Shear Wall ❑ — ---- --- Steel Frame U Other ————�-�— --— Primary Occupancy: Dwelling'A Other Residential U Commercial U Notified occupants to vacate premises U Office U Industrial U Public Assembly U Occupants indicate temlx)rary housingSchool U Government U Iimer.Serv. U is required U Hospital ❑ Other-------__.. Instructions: Complete building evaluation and checklist on next page and then summarize results below. Posting Existing Pecommended --- None U Posted at this Assessment: Inspected(Green) ❑ � U Yes X No Limited Entry(Yellow) ❑ ❑ Existing;posting by: Unsafe(Red) ❑ U Ai-ea Unsafe ❑ U —_-- Recommendations: ---- U No further action required U Engineering Evaluation required (circle one) Structural Geotechnical Other _ U Barricades needed in the following areas: Other(falling hazard removal,shoringjbradng required,etc.): e, � Comments(Why posted Unsafe,elc.r l ON^ Q—cv"vv r sr— ��e ��rr�o,�. -?r,�'C �•Rrc� � fir. YNO ca �� Q - "��Ct�•rr.rq• � ��^SJ�o �onl C)y� �eo.+a) �lM� (�1 "t—L01 I trot A ,rwn Y-,q4- ELC <ITY OF TIGARD BUILDING INSPECTION DIVISION MST -Hour inspection Line: 639-4175 Business Line: 639-41i.t BUP Gate Requested_ _AM _PM BLD Location /,��il �c-tl X17 /"� /i� I Suite MEC _ Contact Person Ph PLM _ Contractor (_. ��/'� C��1;�et 1 Ph 662C-/S�r%� .. SWR BUILDING Tenant/Owner ��1.°�, ` /j7cCi �� r-(C�l/tdt ELC Retaining Wall ELR ....... _ Footing A Foundation NOT REQUESTED FPS Fig Drain Crawl Drain Ir• FOUND DURING RESEARCH SGN Slab _ NO INSPECTION(S) FOUND IN FILE — SIT Post& Beam — Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm ��dN7_451-5-) /'} �j r Susp'd Ceiling -__- � �/ V Roof Misc: Final PASS PART PAIL - -- — PLUMBING Post&team Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final f /� PASS PART FAIL S( /G✓ "( MECHANICAL Post& Beam -- Rough In Gas Line Smoke Dampers Final ------ PASS PART FAIL ELECTRICAL Service Rough In -_- — UG/Slab Low Voltage Fire Alarm -----.-- ---- Final PASS PART FAIL —SITE _ Backfill/Grading --- Sanitary Sewer Storm Drgin [ j Reinspection fee of$ _required before next inspec ion. Pay at City Hall, 13125 SW Hall Blvd C itch Basin F re Supply Line [ ]Please call for reinspection RE: [ J Unable to inspect no access AA ApproachlSidewalk Date �_ ;! / inspector Ext Other _ -- -- -- Final PASS PAPT FAIL DO NOT REMOVE this inspection record from the job site. CITYOF T I G A R D ELECTRICAL PERMIT DEVELOPMF NT SERVICES DATES UIED: 07/14/20000394 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-417 r SITE ADDRESS: 07568 SW ASHFORD ST PARCEL: 2S112CA-08500 SUBDIVISION: RENAISSANCE WOODS ZONING: R-7 BLOCK: LOT : 01 1 JURISDICTION: TIG Proiect Description: Installation of branch circuit. _RESIDENTIAL UNITTEMP SRVC/FEEDERG MISCELLANEOUS _ 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION EACH ADD'L 500SP: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCJIT_5_ --- ADD'L INSPECTIONS_ _ U 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION ___ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: _ SVC/FDR >=225 AMPS: _ _ _ CLASS AREA/SPEC OCC: Owner: Contractor: PAUL WHITE GRF ELECTRIC 7568 SW ASHF=ORD 15460 SE PARADISE LN TIGARD, OR 9722.4 MUL.INO, OR 97042 Phone: 516-5270 Phcne: 503-829-4146 Reg #: LIC 76751 SUP 1655S _ ELE 3-484C _ _FEES _ _ Required Inspections _ Type By Date Amount Receipt Elect'I Final PRMT DLH 07/14/2000 $37.50 0003731 5PCT DLH 07/14/200[ $3.00 0003731 Total $40.50 This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR Specialty Codes and all other applicable laws P i work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952.001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE ISSUED BY: OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ DATE: _CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: — _ DATE: __ LICENSE NO: Call 639-4175 by 7:00prn for an inspection the next business day 07/05/2000 12:00 5038295747 GRF ELECTRIC PAGE 01 CITY OF TIGARD Electrical Permit Application Plan Check 0 -- 1:�t2B �W HALL BLVD. Rec'dB By TIGARD OR 97223 Dale Recd Phone (503)638-4171, x304 Date to P E ' Inspection (503)639A175 Dais to DST Print of Type Dais t t 14'aert7o-40 j9 Fax (503) 589-1.960 Incornpleta or Illegible will not be accepted Called 1, Job Address: S -4—. Co-Mp—lete Fee S$ChedU/e Below: Name of Development � C_`l rr. . — Number of Inspections per permit allowed Name (ur name of business) _ Service Included- Items Cost gDm Z Address - -- --- oy, Reeldential•per unit City/State/Zip_3 � 3�r L� TODD sQ n or leas -- T s 117.75 � _ • Each additional tion sq n or egidenbal ponlon thereof S 26.25Commercial Rt Lirnrhfd Energy $ 60 00 Each Manure!Home or Modular aa. Contractor Installation only.,, Dwelling Service or Feeder s 72.75 2 iPrlor to permlt Issuance,appllCrtrsb mint provide c�newactor license ab.Servleee or Fesidars tnfonnation for COT daft bagel. Installation, alleralion.or retoca0un Electrical Contractor _ L rnu amps ur lose s M 25 2 Aadres9 1 '; r�S_ 201 amps to 400 amps S 6550 l /� 101 ams In 600 ams - - 5 I2G,60 2 City_��'.:..L.L�h,z_- State __-�1�Zip p p -- - --- 801 amps 10 1000 amps f 1925,) 2 Phone No 1{Z-q 1 4 LIU —� Over 1000 amps of Vona s 303.75 - 2 .loll No _ -- - Rercnnect only � f 53.60 � 1 Eiw- Cont Lice No d Exp.Datb _7c�' ' ar.Temporary Services or Feedene OR Slate CCH Heg. No. 7 W 5 I__Exp Date Insiallatwn,aneration or Wocetlon CO 1 Business Tax or Metro No. 3Y 7Z _EXp Dste r (-rk 200 amp"nr IeRR s S350 2 201 amps to 400 amps 80.25 2 Signature of Supr Elec'n — 401 amps 10 BOO amps - >; 10700 2 Over 600 amps to 1000 volts, licensin No Exp.Dat Iu-n1 -- see"b"obr:vs. Phone No _ 7rt �. cr �(-/ ad. Branch Circuits Nvw,alteration or efrtenslon per panel [ F61 Y v Z'( 7 4-7 a) The fife for branch circuits 2b. For owner Installations: WIM purchase of service or reeler fee. Print Owner's Name � p Farh branch circult _ s 5 35 2 Address h) I he ten for branch circuits City T without purchase of servke ty_. —-State _ Zip __ or N"Kfer fee. Phone No First branch circuit �_ f a7 w y Each uddiliunal branch cfrcun S 535 The instollahon is being made or,property I own which its not w.Mlscellsnwoua Intended for sale, lease or rent. (SarWA Of frteder not included) Fadi pump w irnpabon un9e 5 4:,75 Owners SignatUO Facn sign or nutNne fighting s 42 76 ^� -- Signal cfrcuil(s)or a limned energy 3. Plan q,9viow!Section (I/required).' panel,altwramr,er artenalnn -,_ $ 60.00 N^ Mlror l.oMls(10) S 10700 Please check approprl ate Item and entor fee In section 68 af.Each additlonal Inspection oval - - _�a or mints maidenbal units In one structure the allowable In any of the above Service and feeder 225 amps cr more Per inspection -J S 5000 m over ri00 voM normal IPlant Par hour 3 50.00 _ In an ��SysAaS Sp 0n Classified area or structure containing special ce-rupanry as - dnscrlbod to N h C Chapter 5 5, Fees: So.Lnior total of shove foes Submit 2 soft of plans with application where any of the above apply 510 Surrharpe(05 x total fees) Not required for temponfy constriction services Subtotal f, NOTICE al.Fnler 251E of line as for Pl:m Revmw if mgulled(fisc.3) S PERMITS BFCOMC VOID Ir WORK OR CONSTRUCTION AWHORVEf] SuhMtnf : - 15 NO COMMENCED WIIH1N 180 DAYS OR IF CONtTRUCTION OFt WORK IS SUSPENDFD OR AFu1NDONED FOR A PERIOD OF ISO nAyS MTrvst Arxouni a _ AT ANY TIME AFTER WORK IS COMMENCED Total balance Due ( G idsl0lbirmscelectnc dnc CITYO F TI G A R D MECHA`JICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2000-00277 13,125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/12/00 SITE ADDRESS: 07568 SW ASHFORD ST PARCEL: 2S112CA-08500 i SUBDIVISION: RENAISSANCE WOODS ZONING: R-7 BLOCK —_ —_-- LOT: 011 JURISDICTION: -rIG CLASS OF WORK: FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APDL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRE_SSORS _ HOODS: _____._FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: 3 • 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + Hp: WOODSTOVES: FURN < 100K BTU: __AIR HANDLING UNITS CLO DRYERS: FURN -100K BTU: <- 10000 cfm' nTHER UNITS: > 10000 cfrn: GAS CUTLETS: Remarks: iNSTALLATION OF A/C UNIT Owner: - ------�__ -- ---- ___ FEES _ AUL. WHITE Type By Date Amount Receipt 568 SW ASHFORD _ IGARD, OR 97224 PRMT GW(_ 7/12/0 $50.00 0003647 5PCT GWL 7/12/00 $4.00 0003647 Phone: 516-5270 _ Total $54.00 Contractor: — KY HEATING + AIR CONDITIONING 637 SE NEHALEM ORTLAND, OR 97202. REQUIRED INSPECTIONS Cooling Unl Insp Phone:235-9083 Final Inspection Reg #:LIC 00050244 This permit is issued subject to the regulations contained in rhe Tigard Municipal Code, Stat., of Ore Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This pe,mit will expire if work is riot started within 180 days of issuance. or if work is suspended for more than 180 days. ATTENTION Oregon law requires YOU to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or died questions to OUNC by calling (503)246-9189 Issue By: __1' --I,-.,, �,f/ Permittee Signature:_ Call (503) 639-4175 by 7:00 P.M. for inspections needed the next bUSine:;s day CITY OF TIGARD Mechanical Pep ", lication Plan Check# C.� Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd 6 30 415'4-1 TIGARD, OR 97223 JU11 Date to P.E._ _ (503) 039-4171, x304 Date to DST PrRW80nI 06v'l-ul'MkIVI Permit# 10ea~4277 Incomplete or illegible applications will not be accepted called Name of 0p,-pmeni/Project Description Table 1A Mechanical Code OI Price Arnt Joh Street Address ^^',,[� SugaAt A) Permit Fee —_ v 16 00 ['Address ��)(P�JW tom► rl Pr 1) Furnace to ducts 000 BTU Bldgs CMy/state Zip--- including duds 8 vents see footnote 1,2 9.6_5 2) Furnace 100,000 BTU+ _- including duds R vents see footnote_1,2 _ 1200 Name(or name of business) 3) Floor Furnace - Owner Pal-ti L'V h'U-I c, including vent set;footnote 1,2 9_.65 Mailing Address 4) Suspended heater,wall heater --(66� SW n� � r or floor mounted heater_ see footnote 1,2 9.65 VV T1J 5) Vent not included in appliance ermit _ 4.75 City/State Ztp rP,hone Check all that apply. 'Boiler Heat Air d 17224- ✓��, J27� For Items 6-10,see or Pump Cond Qty Price Amt Na (or name of business) footnotes 1,2 Com 6)<3HP;absorb unit to cal,nC 100K BTU_ ( g 65 � Occupant Mailing Address — P 7)3-15 HP;absorb unit 100k to 500k BTU 17.65 city/state Zip Phone 8) 15-30 HP;absorb - -— -- - - -- unit.5-1 mil BTU --- 24 15 — Contractor Nance 9)30-50 HP,absorb unit 1-1.75 mil BTU _- 36.00 11q ¢ Cr I'1C . 10)>50HP;absorb unit — Prior to permit Moiling Address >1.75 mil BTU 60 15 issuance,a copy I L 6 T IVU'K U M 11 Air handling unit to 10,000 CFM_J__--- -- ---- of all licenses /State Zip Ph __ _ 7 00 are required if and oe- ,1 12)Air handling unit 10,000 CFM+ expired in COT Oregon Const.Corti.Bard UeJ Exp. one database_ 5 n2 13)Non-portable evaporate cooler - �Architect Name 7.00 14)Vent fan connected to a single duct or 61,ting Address — --- 475 15)Ventilation system not included in appliance permit _ 7.00 Engineer cn;istate Zip Phone '0 — 9 16)Hood served by mechanical exhaust _ 700 _ Describe work to be done: 17)Domestic incinerators _ 12_.00 New `Repair O Replace with like kind: Yes O No O 18)Commercial or industrial type incinerator Residentia)1j Commercial 48.25 19)Repair units ----- _ Additional information or description of work: _ _ 8.4_0 I j l,?i jd 40- conrl firvir r- 20)Wcod stove/gas FP/other units/cbthe dryer/etc NOTE: For Commercia;projects only;Units over 400 lbs require 21)Gas piing one to four outlets structural 2 calcs. ^-_— See ro-.)tnote 1 _ _ _ 3.75 Type of fuel oil O natural gas O LPG O electric O 22)More than 4-per outlet(each) 75 Minimum Permit Fee 650.00 SUBTOTAL a I hereby acknowledge that I have read this application,that the information 2%SURCHARGE 4-Cc, given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%Or SUBTOTAL the owner,that plans submitted are in compliance with Oregon Stale taw% _Required for ALL commercial permlts onl Signature of Owner/Agent D to --- -- —— TOT.A.L ;yi ;�3fi) Other Inspections and Fees: -� 1. Inspections outside of normal business hours(mininum charge-two Contact Person Name Phone hours) $50.00 per hour 2. Inspections for which no fee is specifically Indicated (minimum charge-half hour) $50.00 per hour Foonotes for commercial projects only: 3. Additional plan review required by changes,additions or revisions to 1 Provide full schema!ic of exisring and proposed gas line and pressure pians(minimum charge-one-half hour)$50.00 per hour 2 Provide drawings to scale showing existing and proposed mechanical units —_� _ ^ "Slate Contractor Boiler Certification required "Residential AX requires site plan showing placemert of unit l mechperrn doc rev 02/4/99 1 9- 0 o. V • z ri E-1 � z o C) W N W QQM w W CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST SUP Date Requested. -I _--_AM (�(� BLD - — Location USuite — - _- MECO Contact Person — Ph _.' S'_`! u y j PLM _ Contractor --_ _---_ Ph — SWR --_ BUILDING Tenant/Owner — ` -- ------ — r Retaining Wall ---_- --_-- -~ -- -- - Footing ELR Foundation Access: - - ------ �� Ftg DrainFPS Crawl Drain Inspection Notes: SGN Slab _----- - Post& Beam --._---------- -.----- --- SIT Ext Sheath/Shear - _ -- Int Sheath/Shear Framing Insulation -`-----------_--- -- -- - DryvV<rI Nailing -- ---- -- - Firewall ----- - -- - - - ---- Fire Sprinkler Fire Alarm -----.---- Susp'd Ceiling Roof - ------ Final - --- ---- - PASS PART FAIL --.- _-_ PLUMBING --- -- - r1ost& Beam Under _ - --- Llnder Slab Top Out - Water Service Sanitary Sewer ------ Rain Drains -- Final — PASS PART FAIT_ ECHANI .gyp --- -------------- ---- -- __—__ ---- Pos eam _ -__--------- --- ---- P,ouc_h In ----- Gas I..uie �...---- - ------ -------- Smoke Dampers -- in FAIL ---�--- - TRI ' ----- -- -- --- ------- Service - ---- -- Rough In - -- ----- -- - --- - - --- UG/Slab Lc•w Voltage - ----------- - - -- -- E. larm WqSd PART FAIL. S Backfill/Grading -- -- -- - Sanitary Sewer Storm Chain [ J Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall 131vd r;'atch Basin Fire Supply Line [ ]Please call for reinspection RF - _ - I I Unable to inspect -no access ADA 1l--- Approach!Sidewalk (, C Other _--- -- Date -` -4 Inspector_—� Ext Final PASS PART -FAIL 00 N T EMOVE this inspection record from the job site. —_ ELECTRICAL PERMIT -- CITY OF TIGARI� � �� DEVELOPMENT SERVICES DATE ISSUED: ELC2 1r,• •r '1t1A PERMIT#: ELC2UU4 00051113125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 2/3/04 PARCEL: 2S112CA-08500 SITL_ n•JDrFSS: 07568 SW ASHFORD ST ZONING: R-7 SU',., VISION: RENAISSANCE WOODS BLOCK: LOT : 011 JURISDICTION: TIG Prr)ect Deacriptrvn: Install 4 branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS p10or) SF OR LESS: 0 - 200 amp: PLrMP/IRRIGATION: %C'l ADD'L 500SF: 201 •• 400 amp: SIGN/OUT LINE LTG,: i LIMITEL CNERC (: 401 - 600 amp: SIGNAL/PANEL: i1 4NF HM/SVC/FDIC: 6014•arrmps - 1000 volts: MINOR LABEL (10): __ SERVICEIFEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLANT: 601 - 1000 amp: _ -- PLAN REVIEW SECTION 1000 1, amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect onllr: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: _ Owner: Contractor: VANDEHEY,MARK WEST SIDE ELECTRIC CO INC 7568 SW ASHFORD Sr 1834 SE 8TH AVE TIGARD,OR 97224 PORTU ND OR 97214 Phone: 503-684-5286 Phone: 231-1548 Reg #: LIC 13306 —- - -- SUP 26635 FEES ELE 26-135c Description Date Amount Required Inspections (GLPRMT] ELC Permit -- (rAX]8%State Surcharge ' 1 114 $5.34 Rough-in _ Elect'I Final Total $72.14 This Permits issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregcn Utility Notification Center Thuse rules are set forlh in OAR 952.001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503) 246-6696 or�X_234Q Issued By �fD. �� _ Permit Signature: ��O —- — -- � OWNER "'STALLATION ONLY The installation is being maw: )n prop._ own whim . not intended for sale. lease, or rent. OWNER'S SIGNATURE DATE:. ,,NTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:_ LICENSE NO: �' Q L� J��— -- _- -- - ---------- --- Call 639.4175 by 7:00pm for an inspection the next business day OJ O l :22p Buff'" Miari op 503-G35- 0517 p. F_a Electrical eian FOR CIFFICE USF ONLY ?�� fAtND :uf"''�J 'U ►ermil Na �y" _-�/ ptanrrnt Approval City of Tigars, _f itc/[tY: No 13125 SWI[mill 11lvd, �(_i� t) I�UNanntv,ew Other Tigard,Oreg m ri7�23 CD 2?1em . pertldt Nn. Phone: 503-6394171 G Latnd Use --- ij` l au NA. __ Internet. www.citlgard15�', ►t�►G[�IVICtnr Cnnrort Jyp61q ® Searare Ifor 7A lrtrtlt In!:prCti00 Re�fOlitt�03-D3Y-4l i� Namc/McduW:- /J4/ I Sapplemrnfal Infnr,..ation. _TYPE OF WORK --_---I ---.. -- PLAN RF:VIM:W(Plciw cheek all that apply) Ncw rAlt5tructitxl __— J Dem ftlihon C7 S-vx t over 223 arnpc.. Weatth carp raciltry - egrmne+cral 1hrmti—1—r+nn Add ition_/alteratum/re lacer cnt (N - f]Scivice ovef 320 awTvpat r of Building Duct I0,000 sa+,ue Acct. r CATFCORY OF CONSTRUCTION 1 ire 2 family dwellm9s four a m rosident:al un r..n 1 Rf 2-Family dwelling 0- 1 omfnercla ndustrial 17 system over `d0 yolL`r' ~nal on`lwtMtufr ❑ttuildmd trve. hrcr enries Q Fecd+n,100 rngl.p mnre /IICCCSS $uildin 1..-�Mulei-1 ami _ _ I](keuprro load over 7i7 Prisons I []Manu(acturcd zetuelurn or RV park ?st0[Build (�tl1G: ❑bL�c A'l;tum!•.plan 0 Oti'm SrAm,t tplass wNh■ayof tbt atlote. ion SITE-1 NVORMATION ant! ION The alro�r arc t.e[applleaDlc to lerttpot�ry t�tfatr>.ciien°arviee_-__ lob sift addresrs' 7��c r� _• - �— -- Suite C �131�/ t• : Number of ins ectfoasper trmit auu.•ert I'ro'cct Name:_ --- 1lateflption _ -� par(_' T°"' ,, Ntw/M1�lM1a1[h�k M maNi lareity fret Cross strea Mirectiont to jobsiL e..tll;..�.rw.inwled-aft-bed zim mce. :Servkq Iftclyded 1000 R ttf kat 145,15 4 Each sddnrun�l 7110 is 411 o_eercw-�ac�f 7J�0 .- 1 rr: - —�� 1achmrnr nnntr•R,dcnu,r --- 15.110 --- - y _'.Fax i:1+ 1rCCl�• - batt:mannfw:ruml hume.w mulalty Jv.ellin4 _ - - P/p•..._... - amulet sndrtw fccdrr 9t 90 2 D_FSCKII''1'AOT1 OM WORT( �.v,°«ar reeee.e-imt,naorr c r:C\! 'k � .\'�t,- I aperation or rrlKst;na: � k6sla lis z 401.mp[to too ami _ 16001 2 PROM Y OWNER TENANT 60+a to t6ci0 s --__-.� ... 240.60 2 Over 1000 Amps M Mat IS1.65 2 Name: 7.t at—mmtc[oral - -- 6655 2 Address _--� I,- , ! L ( Temporary ye►rµYy or renferc.inll daali . ��LiL�_ � I + dt .•r rn[ r :ee relttcN itro ��Staleatir: _I t r zt-i rel a+�,w k„ — -- f�.�s 1 f, r,.r t Phone: c - LQFox: - - — 401106x►.� iii—�s - 2 PPI.ICANT Ct3NTAC1' :RSON BrartcM c:rt+itr-new,aH eralien.rr ,. firtemion per panel: Nkf11C: \A/6c- t`7 ♦ G l�'1L - A.Vm fa branch cirewts wirh pwchare of AddreSs: to 3 �1 wiyice or afe mh Irr inch Lamm, 6.64 2 R � (��T. 17.Fee Ra branch anvrb w+thurt pweMee of Ci �$Cdtf:�l �`Q f `Z _1..��---- acrviaakctlrrGe fireAraraficirant L Il i._•.� �4'f3 Fax' fach rYhNonil in,rtci,c+runl h6s r� r .rasa(acmoe or(order not incUrdeo: l� mail: ti•►e C.0 P_Cfr' z_I� tach m art' ctmk ath seertt10 _ z F -nViline lliiotinR Job No. SSI cifcUW0 or a Itmized mcfLv - - - -- - -- apraana+,a eatea•[ipn •-- - -- --- �'�� ]. RusineSS Name, _ _ --- fku,K,tion Address: R: r� —•- '-�- aca adrlltinnal inJredbn ever lite al/owaMe to of too above; ClryiStatC�71G _ -------- PevyNplclamprMur(min. I�)» _Phonc: Fax. toresfieri (-fee CCH Lie.#: _ I-� G `1 3 S G � ---- _ - - Dedirkal Parmlt Fels" Stl>jx", king cicctrici# Subtetal S 57 attire re aired: _ .Ll4t rpt. Ilan Revie_wi25°A of Pamir Pec S Printm Nac' t - _#= _—^ Sate Surthm�c(89=of i'rrYr+[f Fee S -, -- - — —_-—_ rOTAL PERMiT FEE S 2,-LL - Autl onmd - ry beet Tho peemit appficaA.n expires if,perms,is nes rhlained mthiu Sipnt»ufr _.. Mt f110Jay e.ftev:rbe,b."nheetptcdoftempine. •Frr"Wttmdolo"ret err Tri-County 1luild,nt Induatra•ser-re(bard. --- - (Pie ise v;i name) i thra\Temti,Fdrvm\L•IcPermitApp.tloc 01/03 i ? •1� LL90-9EL I EOS I '00 o t.iloa l A ap t g Isam eL0 :80 i0 20 qaA CITY OF TIGARD 24-Hour BUILDING Inspection Lira: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST �— F OUP _ Received Date Requested AM--_ opn _ BLIP Location . `2�L<? ►? Suite _ MEC Contact Person �"�� i r.. Ph(_ � Z / -�� PLM Contractor __- Ph ( ) _ SWR _ BUILDING Tenant/Owner _ Footing ELC Foundation Access: ELC Ftg Drain Crawl Drain ELR Slab Inspection Notes: SIT Post is Beam Shear Anchors ----- ----- Ext Sheath/Shear Int Sheath/Shear Framing Insulation --- ------------- -- -- Drywall Na„i,i; Firewall Fire Sprinkler - — ire Alarm ---- Susp'd Ceiling -- Ott-r:—_ - Final PASS PANT FAIL --- P_LUMBING _' _ �— Post& Beam --- - ----- - Under Slab __ ^ Rough-In -------- --- - --- _� Water Serfice Sanitary Sewer - - -- Rain Drains Catch Basin/Manhole - ------ Storm Drain Shower Pan - ------ --- ------ Other:__ - ------ Final - -------—----- PASS PART FAIL -`-- -- -- -- --- --.-- MECHANICAL Post 8 Beam -- ------------- -- - ---- -- Rough-!n - - Gas Line - ---- _ Smoke Dampers — Final ---- - _-- --- -- PASS PART_ FAIL - - - ELECTRICAL —� -_ Service - �—_.---------- -------- Rough-In ----- G/Slab Low Voltage - FAre A*rm F _.SASS ART FAIL �J Heinspechon foo of s required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE n Please call for reinspection RE Fire aupply Line ------ E:j Unable to inspect-no access ADA , Approach/Sidewalk Date `' G - Other: Inspectd)r "�-✓"`^ Ext _- _ Final DO NOT REMOVE this Inspectlovr record Froin the job,flte. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-417c, Buslogss Phone: 6�39-44i171 Inspection. Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg, Underslab Mech, Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech, San. Sewer Gas line -Bldg. Plbg. Underfloor Rain Drain Framing Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: �' ( � �� _ Tine: _AM PM Addressl"'Z( ��\ Builder: Permit THE FOLLOWi CORRECTIONS ARE REQUIRED: C> {,� � ��--c�•-`�-k_ ��f C�-,-'1 ��,v�-tom �Z L,A_, ►�v, t('Q -� Inspector: [ '�� Date APPROVED DISAPPROVED APPROVFD SUBJECT TO ABOVE ,Call For Reinsp.