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12781` SW Blue Hercn Place
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERIMIT NOTICE
METZGER ELECTRIC INC
8780 SW LEHMAN ST
TIGARD, OR 9-1223
Electrical Signature Form
Permit#: MST2002-00290
Date Issued: 81211'2
Parcel: 2S103BC-3HP02
Site Addr--ss: 12780 SW t3L.UE HERON PL
Subdivision: BLUE HERON PARK
iilock: Lot: 002
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF Path 1
Your company has been indicated as the electrical contractor for the permit indicated above. In of der for the
electrical permit to be valid, the signature of the super ,ing 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:
WINDWOOD HOMES ME'i ZGER ELECTRIC INC
12666 SW NORTH DAKOTA 8780 SW LEHMAN ST
TIGARD, OR 97223 TIGARD, OR 97223
Phone #: 590-4700 Phone #: 244-9025
Req #: LIC 96805
SUP 3130S
ELE 34-167C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 210 RECEIVED
Alli;
LL i k ur i iuAxL)
131ITLTYING Wl''4It YN
CITY OF TIGARD MASTER PERMIT
T PERMIT#: MST2002-00290
DEVELOPMENT SERVICES DATE ISSUED: 8/21/02
13125 5'VV Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 12780 SW BLUE HERON PL PARCEL: 2S103BC-BHP02
3UBD!VI,iION: BLUE HERON PARK ZONING: R-4.5
BLOCK: LOT: 002 JURISDICTION: TIG
REMARKS: New SF Path 1
BUILDING
REISSUE: STORIES: FLOOR AREeS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 2 FIRST: 1 258 of BASEMENT: of LEFT: 0 SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 576 of GARAGE: 31 of FRONT: 20 PARKING SPACES 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT. of RIGHT. 6
VALUc: $173,58600
OCCUPANCY GRP: R1 BDRM: 3 BATH: 2 OTAL: 1,834 00 of REAR: 45
PLUMBING
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: I LAUNDRY TRAYS. RAIN DRAIN: 100 TF. PS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS
IUB/SHOWERS: 2 GARBAGE DISP. 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS:
OTHER FIXTURES.
MECHANICAL
FUEL TYPES FURN<1100K: I COIL/CMP c 3HP: VENT FANS: 3 CLOTHE""HYER: 1
GAS FURN• 100K: UNIT HEATERS: HOODS: I OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVE.S: GAS OUTLETS: 1
ELECTRICAL _
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'I INsrECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: I PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 3 201 400 amp: 201 - 4100 amp: IRt W/O SVCIFOR: 0o SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp401 -500 amp: EA ADDL BR CIR SIGNALIPANEL: IN PLANT:
MANU HM/SVC/FDR: 801 - 1000 amp: 501-amps•1000v: MINOR LABEL
loco.amplvolt
PLAN REVIEW SECTION
Reconnect onto: `-'--!•--
>v4 RES UNC rs: SVCIFDR>=225 A.: 600 V NOMINAL: CLS AREAIGPC OCC:
ELECTRICAL-RESTRICTED ENERGY _
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO d STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGWj: OUTDOOR LNDSC LT
BL,RGLAR ALARM OTH. BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Ow ter: Contractor: TOTAL FEES: $ 5,597.23
T his permit is Subject t0 the regulations cont':,ed in the
WINDWOOD HOMES WINDWOOD HOMES INC Tigard Municipal Code, State of OR Specialty Codec and
12655 SW NORTH DAKOTA 12655 SW NORTH DAKOTA all other applicable laws. All work will be done.o
1IGARD,OR 97223 T!GARD,OR 97223
aaxurdance 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 ATI ELATION
Phone: Phone: 780.4375 tM Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center These rules are set
Rep N: LIC 50196 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, Post'p_am MFlchanica Mechanical Insn Shear Wall Insp Insulation Insp Electrical Final
Sewer Inspection Underfloor insulation Plurnb ep Out Exterior Sheathing Ins( Fii„wall Insp Mechanical Final
Footing Insp Crawl Drain/Backwater Electnr I Service Low Voltage Rain drain Insp Plumb Final
Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Water Line Insp Final Inspection
Post/Bearp.Strastural PLM/Underfloor Framing Insp Gas Fireplace AppriSdwlk Insp
lssued ,j : af �„ Permittee Signature : A.
all (50:1'1 639 x175 by 7:00 p.m. for an inspection needed the next bus 4s day
CITE' OF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2002-00194
1312.5 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/21/02
SITE ADDRESS; 12780 SW BLUE HERON PL PARCEL: 2S103BC RHP02
SUBDIVISION: BLUE HLRON PARK ZONING: R-4.5
BLOCK: _ LOT: 002 _ JURISON,- ."ION: (IG
*TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection permit for new SF attached residence.
Owner:
WINDWOOD HOMES = —` FEES
12655 SW NORTH DAKOTA Type BY Date Amount Receipt
TIC�ARD, OR 97223 PRMT CTR h/21/02 $2,300.00 27200200000
INSP CTR 8/21/02 $3,;.00 27200200000
Phone: 590-4700
Total $2,33:: 0fI —
Contractor: V
Phone:
Reg#:
Rsquired inspections
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit exp,rer The Agency does not
guarantee the accuracy of the side sewer le!erals 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" PArmit and the Agency will install a lateral. ATTENTIONOregon law requires you to follow rules adopted
by the OrcLon Utility Notification Center. Those rules are set forth in OAR 95,' 001-0010 through OAR 952-001-0080
You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987
Issued byi. � _
__�� Permittee Signature: -�- -
C-II (503) F39-4175 by 7:00 P.M. for an inspection needed the next bus! ess day ___ r
CITY 4F TIGARD 24-Hour
BUILDING Inspection Liner (503)639-4175 MST 7- 7'00h-20
INSPECTION DIVISION t3uainess Line: (503164-41711
BUP
Received / _Date Requested .,4-1_a— AM _ PM--_.__ BUP —
Location _ L Z -._ —_� ��-Suite-- MEC
Contact Person -- _ Ph OCp'Z __
PLM
Contractor_ _ ph(__— SWR —
BUILDING Tenant/Owner _— — ELC
Footing
Foundation ACC@8S: ELC
Fig Drain D V - --.---
ELR
Crawl Drain �' -- -- --
Slab Inspection Notes: o yrs Gc.f��w� SIT _
Post R Beam
Shear Anchors - ----- - --_----
Ext Sheath/Shear
Int Sheath/Shear -- -------
Framing ----- --- -- ---- -- - __ --
Insulation
Drywall Nailing
Firewall --------------------
Fire Sprinkler -- ----- _------ -.------- ___----- __._------ _ _._-_--
Fire Alarm
Susp'd Ceiling - --- ------ - - -- ------- ..._.._------_ - -- -----
Roof
Other: -- ---- - --..---- -- - ------ -- --
PASS 'I PART FAILVIEU __ _.------ ---- -- __-- _ -. --------___-- --
_ ING —
Post&Beam — `_ ___---------- ----. _.. ---- ----- ---- -----
Under Slab - -- --- ------__.-. ----- -
Rough-Ir
Water Service - ---- ----_ ----- ------
Sanitary Sewer -------�-- — -.---
Ruin Drains -------- - -----w.,...------- -------- -
Catch Basin/Manhole
Storm Drain - ----- --- -- - - _ - - -.----
Shower Pan
iA�NPAL
RT FAIL
Post 8 Beam
Rough-In
Gas Line
#ASI�e Dampers --_---____--
PART _FAIL -- - --— --- --- ---- ---- -.. . �.. - -EL'MRICAL
Service-� - - -- --------- - -- - - - - ---- ------ --..-- --
Rough-In
UG/S - ----- --- --- -- _ ---- -
Flre arm rr'' -- --- - - -- - ---
PART FAIL u Reinspection fee of$ —_-requi•ed before next ins^•fiction. Pay rt City Hall, 13125 SW Hall Blvd.
S 0 Please call for reinspr:ction RE: - _ __- n Unable to inspect-no i ccess
Fire Supply Line
ADA
Approach/Sidewalk ._ Inspectrir- -_- -_- -_-
--- - -- Ext -
Other:
Final — — DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY Of TIGARD �
Residential Certificate of Occupancy
Pcrmit No.: Address:
Owner/Contractor: l
Date of Final Inspection: 3-117 / y3 Inspector: �'�-•-�
This structure has been found to be in substantial compliance wit.,the provisions of the State of Oregon One& Two Family Dwel ing
Specialty Cyte and is hereby approved for occupancy.
I