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Case File i . n� f r 869n SW BML[LOWM S% CITYOF TIGARD __CERTIFICATE OF OCCUPANCY PERMIT#: MST1999-00193 DEVELOPMENT SERVICES DATE ISSUED: 05/20/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PARCEL: 2S111DA-06500 ZONING: R-7 JURISDICTION: TIG SITE SUBDIDV S ON. APPLEWOOD PARK NO.08690 SW BELL�LOWER 2 FILE COPY BLOCK: LOT:060 CLASS OF WORK: NEW TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME. REMARKS: PATH !- New single family dwelling w/attached garage. Final Building Inspection and Certificate of Occupancy Approved 9/20/99 by Ken Schriendl, Buildinn Inspector Owner: MATRIX DEVELOPMENT CORP 6900 SW HAINES ST STE 200 TIGARD, OR 97224 Phone: Contractor: LEGEND HOMES CORP 6900 SW HAINES ST PLAZA 2, SUITE 200 TIGARD, OR 97223 Phone: 620-8080 Reg #: LIC 00060563 This Certificate grants occupancy of the above referenced building or portion thereof and confirms that ehe building has been inspected for compliance with the State of Oregon C Ipecialty Codes for the group, occupancy, and use under whir;h the referenced permit was issued. % isUILDING INSP CTOR BUILDING OFFICIAL_ POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1��9"��.a 24-Hour Inspection Line: 639-4175 Business Line: 635-4171 BUP —_ _Date Requested – "1J AM. —PM !� BLD _ Location A„l Suite MEC Contact Person �(7 � Ph � C1� PLM _ Contractor Ph SWR Ut[17TI'a6 , Tenant/Owner ELC Retaining Wall ELR Footing Access' Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: Elm /„ / „C �• s Q� Slab 1' L'.(1� SIT Post& Beam --- — Ext Sheath/Shear Int Sheath/Shear Framing _ _ I —_ Insulation _(�U 2L (, Drywall Nailing C15�� Y� Cal Ii(1A 46 Firewall • �— Fire Sprinkler Fire Alarm �) Susp'd Ceiling I 6Zacg0i .dc ��,�u.,.-r �.�5 �.,�rA[,�_CA ea) Roof Misc ART- FAIL - -- — --- - _ AG Post&Beam -- --- Under Slab _ Top Out — _ — Water Service Sanitary Sewer —_--.---__.--- Rain Drains Final -- PA S PART FAIL ;,ost& Beam _ -------- ---- Rough In GasLine -- --- ---------------- — ----. —.._ Smoke Dampers ir ASS ] PART FAIL Uftff-T—RICAL --- - - --- ------- Service Rouyh 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 ( j Please call for reinspection RE _ _ [ ] Unable to inspect- no access ADA Approach/Sidewalk Other Date 20 Inspector- - Ext Final — PASS PART FAIL DO NOT (REMOVE this inspection rer.ord from the job site. l CITY OF T!GARD MASTER PERMIT PERMIT#: MST1999-00193 DEVELOPMENT SERVICES DATE ISSUED: 5/20/99 13125 SW Ha;l Blvd., Tigard, OR 91223 (50 639-4171 SITE ADDRESS: 08690 SW BELLFLOWER �x PARCEL: 2S111DA-06500 SUBDIVISION: APPLEWOOD PARK NO. 2 ZONING: R-7 BLO",K: LOT: 06q/NA JURISDICTION: TIG REMARKS: PATH I New single familydwelling w/attached ara(g. 9 9 g BUILDING REISSUE. STORIES: 7 FLOOR AAM REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT. ?4 FIRST: 927 of BASEMENT: of LEFT. 3 SMOKE DETECTORS- TYPE OF USE: SF FLOOR LOAD: d0 SECOND: 1,227 of GARAGE: 479 of FRONT: ,-I PARKING SPACES .. TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT. of RIGHT IS tICCUPANCY GRP: RJ BDRMl BATH: 3 TOTAL: of VALUE: E 153,594.21 REAR: to PLUMBING SINKS-. I WATER CLOSETS- 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: I DISHWASHERS: 1 FLOOR DRAINS. SEWER LINES: 100 SF RAIN DRAWS: 1 CATCH BASINS: TUBISHOWERS t GARBAGE DISP-. I WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: I GREAFr TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS. 4 CLOTHES DRYER: 1 (-;AS FURN—100K: 1 UNIT HEATERS: HOODS. I OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES. GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER _TEMP ERVC/FEEDERS BRANCH CIRCUIIS MISCELLANEOUS AnD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: W/SVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 701 400 amp: 201 - 400 amp: 191 W/O SVC/FDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 - 600 amp: EA AUDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601+amps-1000v: MINOR LABEL: 1000•amplvolt: PLAN REVIEW SECrION Reconnect onlv: - >•4 RES UNITS: SVC/FDR-225 A.: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: x 0TH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC' DATA/TELE COMM: NURSE CAL LS TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 4,9U8.20 This permit is subject to the regulations contained in the MATRIX DEVELOPMENT CORP LEGEND HOMES CORP Tigard Municipal Code,State of OR. Specialty Codes and TIGARD,OR 972244 PLAZA 2,SUITE 200 6900 HAINES STE 200 6900 SW HAINES ST all other applicable laws All work will be done in i TIGARD,OR 97223 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 to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg a LIC 00060563 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 844.8444 Underfloor insulation Plumb Top Out Low Voltage Arnr/Sdwlk Insp Building Final Footing Insp Crawl Drain/Backwater Electrical Service Gas Line Insp E actrical Final Foundation Insp Footing/Foundation Dr: Electrical Rough In Insulation Insp Mechanical Final Post/Beam Structural PLM/Underfloor Framing Insp Rain drain Insp Plumb Final Post/Begjm,Meehanlca Mechanical Insp Shear Wall Insp Water Line Insp Final inspection ISSU By : 1 r' C - Ll(.d- Permittee SignatureAor: CA Call (503) 639-4175 by 7:00 p.m. for an inspection needed the ext btiSi s Y SEWER CONNECTION CITY OF TIGARD DEVELOPMENT SERVICE.b� PERMIT#: SWR1999-0011 13125 SW Hall Blvd., Tigard, OR 97223 (5 SITE ADDRESS; 08690 SW BELLFLOWER LN A DATE ISSUED: 5/20199 PARCEL: 2511 1 DA-06500 �i SUBDIVISION: APPLEWOOD PARK NO. 2 ZONING: R-7 BLOCK: LOT: 060 JURISDICTION: TIG TENANT NAME: LEGEND HOMES USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for a new single family dwelling Owner: FEES+ MATRIX DEVELOPMENT CORP Type By Date Amount Receipt 6900 SW HAINES ST STE 200 --- TIGARD, OR 97224 INSP BON 5/20/99 $35 00 99-315555 PRMT BON 5/20/99 $2,300.00 99-315555 Phone: Total $2,335.00 ^ Contractor: WOLCOTT PLUMBING CUNT. INC PO BOX 2007 GRESHAM, OR 97030 Phone: 667-9891 Reg#: LIC 00023847 PLM 26-208PB - _ 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 date 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 fc-th in OAR 952-001-0010 through OAR 952-001-0080. You m obtain copies of these rules or direct questin,is to OUNC by calling (503) 246-1987. Issu by: t � a �j _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed t next u esk`day CITY OF TiGARD Residential Building Permit Application Plan Check a 13125 SW HALL BLVD. New Construction Recd By=R-Vj- DateRec'd_� � TIGARD, OR 97223 Single Family Attached Date to P E. s �y-S►� V 503-639-4971 Date to DST F 5C3-684-•7297 Permit Print or Type called incomplete or illegible applications will not be accepted _ src�l2 `IY -ooh a I Name of Project 1 Name Job � 7 /� Address Address Si 'Address 1 `� �� t': Architect Marling A `rem 17 City/State Zip Phone Na Name Owner Mailin ddress I c•- ?C� 1 Engineer Maifin�gAc�drsss Gty Stgte Zip1 Phone- i CC- L/` 7 _C_�c�/State— Zip Phone General NaMe Contractor ` e� J //-C—r71 Describe work New q/ Addition O Alteration O Repair O Mailing Adbress to be done Prior to permit Additional Description of Work. issuance,a copy City/State Zip Phone of all licenses are required if Oregon Const.Cont.Board Exp.Date PROJECT expired in COT Lia / j/ / `I e7 VALUATION_ $ database fly- 6 CC Mechanical Name NEW CONSTRUCTION ONLY: ;/,0 O' Sub- r Sq. Ft. House Sq. Ft. Garage Contractor Maiii71ea, fy -�' 7 Prior to permit Indicate the restric ed energy installation by the ele rical issuance,a copy tr" 'State Zip PhonS 3 7 subcontractor in the followin areas of all licenses C�/ C' Restricted Audio/Stereo are required if rego,,Condi Cont Board Exp. Date Energy _ System Alarms expired in COT Lic 1! / Installations Vacuum Ir,'gation _database l 3 5' "� S IT System Plumbing Name (check all that Other: Sub , o �n ; n apply) Contractor aili g Address Number of Units in Building Unit Number Designation ✓ �� -7 Has the Subdivision Plat recorded? N= NO Prior to permit ity/Ste aTip Ph �/o ng` issuance.a copy p j , of all licenses are Oregon Const.Cont Board Exp. Date required if Lic iM - l] n9 I hearby acknowledge That I have read this application, that the expired in COT 2 3,?17 �7 database Plumbing Lic 0 Exp Date information given is correct, that I am the owner or authorized agent / of the owner, and that plans submitted are in compliance with _ UJaa J11� /0 Oregon State laws Name Sig ture of Ownpr/Agen Date Electrical 61 0/ 6 Sub Mailing Address I c ct Pers r hon # Contractor 75' 7� City/State Zip Phone Pto t Pim t / n issuance a edgy j /-/M FOR OFFICE USE ONLY: of all licenses are Oregon Const Cont.Board Exp.Date required if Lie.N Plat R: Map/TLN: ? J �� expired in COT r'? -'4/ � �� `'Z � r7 database ElectrtcaiLic x �O T( Exp Data Setbs: Zor , QL> Electrical Supervisor Lic.0 Expo Da.e riginAerir Approval Planning'Api val /TIF: i%dstsUarmsbfa-new doe 1180/98 FLOT FLAN LOT #60, Afi F-'LEU)0017 FARK R-1 2 51 ',1 C 4, TAX LOT „,rooOO �69 Q Sw BELLFLOWE R STREET S.E. 1/4 OF SECTION 11, T.2, R-IW, W.M. CITY OF T IGARD � WATER METER lU--------- WATER LINE WASHINGTON COUNTY, OREGON SANITARY SEWER 5TORM DRAIN HOMES ,� ----- — It, OF ST'REET LEGEND MANHOLE 6900 S.A. EA1NR1 [RT STRTIGARD, OREGON CATCH BASIN PIA7A 2. SUITZ 200 97223-2614 PROFa5ED OmcE (80s) 620-0080 FAX (803) 896-6900 STREET TREES ---- ® STREET LIGHT FIRE HYDRANT JI.0 B LFLOWER STk ET I —SS— r— -i — —— ---Sol— CURB E CJ 51GEWALK—" 'N 89'54'25" E 52.28' 8' UTILITY I - I \�/f EASEMENT 19651 ( R•19,x' ------ - - --- \ 29.85' I I C `p I U- ul 4�fd5 0 PARC7 I , I , PROVIDE EROSION! PENCE CONTROL FENCE _J FIN. FLR • !9lo' '/ I v i , / PER G FLR ■ I%B' GOMMl1NITY ' EROSION PLAN 196 0' N 89'54'25" E 1118' I I CITY OF TIGARD ELECTRICAL. PERMIT DEVELOPMENT SERVICES PERMIT #: EL..C.38-0*'?40 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 05/08/98 i PARCEL: I'S111DA-06500 SITE ADDRESS. . . :O8690 SW BELLFLOWER SUBDIVISION. . . . :APPL_E:WOOD PARK NO. 7 ZONING: R-7 PID BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :O6O JURISDICTION: TIG Pro j ect Descri pt i on: Temp Service ---RESIDENTIAL IJNIT----- ---TEMP SRVC/FEEDERS----- -----MISCELL._ANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 1 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL_. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601 +-amps.-J.000 volts. : 0 MINOR LABEL ( 10) . . . 0 ------SERVTCE/FEEDER----- -- - BRANCH CIRCUITS----- -•---ADD' L Ih SPFCTIONS-- 0 cOO amp. . . . . . : 0 W/SERVTCE: OR FEEDER: 0 F'ER INSPECTION. . . . . . 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 F'ER HOUR. . . . . . . . . . . : 0 40.1 600 amp. . . . . . : 0 EA PDD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . .. . . 0 601 — 1000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION----------- - .- ..-- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 UGI..T NOM I NF _.. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner ----------------------------- FEES ---------------- LEGEND HOMES type aeor_int by date reept 6900 SW HAINES PRMT $ 50. 00 J SD 05/08/98 98 -;30` 593) TIGARD OR 97223 5PCT $ 2. 5O JSD 05/08/96 98--3O5593 Phone #: Contractor: GARNER ELECTRIC E 52. 50 TOTAL 1787 SW TUALAT I N VAI._L_E'I HWY SU i TE L ------- REQUIRED INSPECTIONS ---- ALOHA OR 97006-1248 Elect' l Service Phone #: 591-1320 Elect' 1 Final Reg #. . : 00t2ll This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 188 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. These rule are set forth in OAR 952-MI-NII through OAR 952-801- 7:\You may obtain a copy of these rules or direct questions to;0LIC b cal ng ! 246-1987. Permittee !3i gnat1.1r�e : _ /-5 1ssi_red By :,- -------------- ------ - -------OWNER INSTALLATION The installation installation is being made on property I own which is not intevided for sale, lease, or rent. OWNER' S SIGNATURE: _ DATE: -------------------------CONTRACTOR INSTALLATION ONLY------- ---------- ------ SIGNATURE OF SUF'R. ELEC' N: DATE: LICENSE NO: +++++++++++++++++++++++++++++++++++++++++++i•+++++•F+++++++++++++++++++++++i•+++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++:•++++++++++++ Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd Tigard, OR 97223 Permit # _ l- Date Issued Phone (503) 639-4171 FAX (503) 684-7297 CITY OF TIOARD TDD No. (503) 684-2772 Inspection (503) 639-4175 _ 1. Job Address: 4. Complete Fee Schedule Below: — Name of Development�pQ crx� P PhP� Number of Inspections per permit allowed Service included Items Cost(ea) SUM Address -1-, — - 9-� 4a. Residential -per unit City/StatelZip �?�- 1000 sq it or less 10"0 — — II Each additional 500 sq It.or Name (or name of business)--te!;�o.., $2500 Residential� ,Yiovv��S portion thereof -- S$25.00 l dtial Limited Energy "--'-- Commercial �` I Each Manurd Home or Modular S6800 Dwelling Service of Feeder ---- 2a. Contractor installation only: 4b. Se)yices or Feeders / Installation,alteration,or relocation $60 00 2 Electrical Con - 200 amps or less _ 2 201 amps to 400 amps $80 00 2 AddresS�_1vi � (-!S to — �� VO 7 401 amps to coo amps $120 oc 2 CiIIYAb ��- p--I�-- $leo 00 601 amps to 1000 amps $340 OC 2 Phone No. �``g. � -- Over 1000 amps or von$ $5000 ? Reconnect only Job NO _ — ---- contractors license NO. r — - 4c. Temporary Services or Feeders Contractor's Board Reg. No._ �__ Installation,alteration,or relocation / 200 amps of less _ - 2 Signature of $u Elec'n -- 201 amps to 400 amps $5000 _ 2 License No Phone No. Y 401 amps to 600 amps $00 00 00 . Over 800 amps to 1000 volts $loo 2b. For owner installations: see"b"above 4d. Branch Circuits Print Owners Name__.__ — New,alteration or extension per pane - a)The fee for branch ctrrults with , Address --- purchase of service or feeder fes. city State— _ Zip Each branch circuit $500 Phone NO. b)The lee for branch circuits without purchase of service or feeder fee. The installation is being made on property I own which is First branch circuit $3500 --- not intended for sale, lease or rent. Each additional branch circuit $500 4e. Miscellaneous Owner's Signature - (Service or!seder not included) $40 00 ' Each pump or Irrigation circle — 3. Plan Review section (if required y10DO: Each sign or outline lighting - Signal clrcult(s)or a limited energy $40 00 Please check apprupriate Item and enter fee In section 6B. Minor Labels el rato or extension -- $100 00 4 or more residential units in one structure Service and feeder 225 amps or more 4f. Each additional inspection over System over 600 volts nominal the allowable In any o1 the above Classified area or structure containing special occupancy per inspection __._ $35.00 as described in N E C Chapter 5 Per hour $55.00 In Plant $5500 Submit 2 sets of plans with appilcation where any of the above apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees NOTICE 5% Surcharge (05 X total fees) E Subtotal $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25%of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review if required (Sec.3) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal S A PERIOD OF 18n DAYS AT ANY TIME AFTER WORK IS 1 r " Trust Account # $ COMMENCED r Balanre Due CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00376 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/3/03 PARCEL: 25111 DA•06500 SITE ADDRESS: 08690 SW BEL Li LOWER ST SUBDIVISION- APPLEWOOD PARK NO. 2 ZONING: R-7 BLOCK: LOT: 060 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: "TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOIL ERS/COMPRESSORS HOODS: FUEL. TYPES 0 3 HP: 1 DOMES. INCIN: LLL 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: C'-O DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN —100K BTU: <= 10000 cfm: ^ GAS OUTLETS: > 10000 cfm: Remarks. I r"i, 11 V mul Owner: FEES SCHOPPE, CHRISTIE Description Date Amount 8690 SW BELLFLOWER ILII ( III I'rrniit I'cr 7/3/03 $72.50 TIGARD, OR 97224 tit:ur`I'ax 7/3/03 $5.80 Phone: �n t-h24-115h3 Total $78.30 --- Contractor: SUN GLOW INC 2428 SE 105TH AVE PORTLAND, OR 97216 REQUIRED INSPECTIONS Phone: 253-7799 tooling Unt Insp Final Inspection Reg #: LIC 48131 This permit is issued subject to the regulations contained in the Tigard Municipal Code, 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 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 952-001-00 Issued By: _ — Fermittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day 07/02/2003 15:24 5032537693 SUN GLOW INC PAGE 01 u"ai;t0U1 00:23 FAX $036847297 CICn of Tigard fa1002 R1cchanicW-Pcrndt APPHcati.on Dateroccivrxi� �_�E,"^ OCr3 Ci City of 'Tigard ' _ Permit ao. Prc��er:dappl.no.: �tpircdrtte: Ciryof77gevr! Addmss: 13123 SW Hell Blvd,TiFmd,OR 9Z?7'1 Phone: (503) 639-4171 Dewiewed' By- Fax- (503) 398-1960 — Cent:file.ho,: Peyuleat fypm. Land usie approvai ..—_- Uuadlnp petnut no• -- =&2 wetling or acurp�nTN [a c',mrrt:r:ntUinduAui:,l 0 Multi-family O Tenant irnpmvoment iurl 11d.1iClrnl'sllCrtfLrnNlrplA[rrricnf L2 Other lob artdrmas. Indicate u 4u y� _ equipment, eaptiticm in boxes bJIM rjnw-Indit-atc the dollar Bldg.nu: Suite na.: value of all mechaWcal mattNals,equipment,labor, 'Wettread, Taut ma lodacoount no.: -- profit.value$ Lot; Bieck: ubelivisiun: W •See checklist far im ortenl. - -_ __ __ __� P appals:-arlotr infi�rmatrr�n and Pto'ctttitmc G jurisdiction's fer schrAii[A fur tcsidettial pemit fee City/ctwncy: ��: Z� Dtrstai 'on and lookitlio 11 1 jig r Cd row Fat.date of co l4donlinspeetiort: lira tipNort QfY Hes.mtly Res.oaf 1 entldt imprnvemat.Or change Of use: !AV - Is existing apace heated or conditiorwAl 13 YrA D No A.lrhandling unit (_FM` ie exi�tin 5 r uulatr 1� Ye: W No eg tt an_requrerd) -fie kAircortditJo ltendono exra nQti H'VAClys<cm 0iler/compres/7tqtitc Wier Aatstpeas Hama permit no.: s.U'1__CG� CAS{. -1�L.d._..__.. �.- HP -- Tone sTWH Addt>'s9: � `� - i�olcAtfnm uctatrrokedetex -_ r'Iry� Q , � Y S �p _ Han is len ri — Phntr:j5,3:_ _jSC) I fwa' F-mnil. I n a t a I I imp I am fu rn arae- B !. CCB nn: lncludinQ ductwork/vent Bract O Yee 13 No Y �1 - -- InstalUnplacbeatc'rl-auepee , (lityhnem)fir_nq.: p p �Z 7 _ Waal,lir fluor mou ted Nmne(please print): eat foraPplilinco n cr tJroa t�/�� Absolpdonaniti Name: � 7A Hp llJllrrs— --- --- Attdrrss: �_s V rt'�_ Can resse$ HP -- Htnironme rttn�tie art irnM10 au: uty: _ State: Z1P. Applltttrloc.rnt Fhooe: T—FIx�� I}-mail es-e—yRust� noets,TYPe�TTlia,lutrLrri7f i Tn r,r - - bond fire auppttssion svO=m Name. r VKhawt in-0ith angle dart(beta tans) Mailing addtrts: 0 AIAJgust systLm a art Pw c- r amt nnot AC C9tv. Ste _ 7,1P � �([ e 1 P eR art hvt�on(trr to air ext) Z`�"t +� L 10 ___ NG 1711 Phoae: Fbx: )smail: u6 ping tact a tfottal avv ou ets — rrncm ptpre6 sc aiierequlred) Nom; Number or ouneta Address: ter app abet er egla --- —. DeconVivefireplace ary. 'fie' _L"`•— inscr"�- _—� ERsonc Fax &rn - stoves er.vnr A llcartl's signature. 7 17.10, Hc1i�1 JMrtelederrr roe rtes'crrd•,1��doJroe.eMe.fee M M r IOmMV,= -_—Fem,it fee..................... a vim )(Mmtt � t Notice-Thie Im.,It application Minimurn frc................� sd otenlrr A' r �$f7f�i t7 &.+epleea If•pormll is nee oWlintA Flan review(tet %I $ ys ►' E.tyites within 180 days Siler it has Fern cute surrhargr(8961 $ _ (? Norse e b w um`— accepted 1N ccmplett s 78 tfua"�h ..................$ l 07/02/2003 15:24 5032537693 SUN GLOW INC PAGE 02 , 1 .. . �_ .y. . I. I . .�.. . N� wAilm- Ehl ' i I 1 � .. I i I I � I I I i a _ l._— 4 i , .. 1 J .1 I • i 1 1 I .1 1 ( .. I .I 4 -1 i i I I I I I 1 1 I i CITY OF TIGARD 24-Hour :3UILD:NG Inspection Line: (503)639-4175 MST INS' ECTION D"VISION Business Line: (503) 639-4171 — p BUP - - --- --- Receive(. _ Date Flequested� o �'S AM_.--- _ PM _ BLIP I.e.ation -_', b Suite-- - MEC -3 �C� 2 a S3 � -- - -- -- Contact Person .-_ __ - - 4%��./�.�+r�_.�_ Ph( ) _7_7—T9 PLM Contractor -- - - -- -- -- - Ph( —---! —^------ . __ SWR �,UILDING — Tenant/Owner --- ELC Footing - - — ELC )undation Access: Fty Orain ELF! Crawl Drain Slab Inspection Notes: SIT Post&B#,,,mY1 - Shear Anchors -- Ext Sheath/She.,r Int Sheath/Shear Framing InsulatOn Drywall Nailing - ----- - --- .- —_ Firewell Fire Sprinkler - — -- - - - - --- Fire Alarm Susp'd Ceiling - — - Roof Other: Final _ PASS PART _FAIL PLUMBING Post&Beam Under Slab -- ---- -- - Rough-In Water Service -- Sanitary Sewer Rain Drains — Catch Basin/Manhole Storm Orain -- Shower Pan Other: - -- Pinel ^� _ PASS _PART FAIL MECHANICAL Post&Beam Rough-In - Gas Line Srngke Dampers - OA PART FAIL ECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alw m Fint-I Reinspection fee of$ _required before next inspection. Pay at City Hell, 13125 SW Hell Blvd. PASS PART FAIL SITE ____ F] F] Please call for reinspt ction RE:,_ _ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL l