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InitiallyGood { 00 cp N C� G m r r- O m r r i 8921 SW BELLFLOWER kid S CITYOF T I G A R D ELECTRICAL PERMIT PERMIT#: LC2000-00468 DEVELOPMENT SERVICES DATE ISSUED: t.V14/00 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S111DA-07900 SITE ADDRESS: 08921 SW BELLFLOWER ST SUBDIVISION: APPLEWOOD PARK NO. 2 ZONING: K-7 BLOCK: LOT : 074 JURISDICTIGN: TIG Proiect Description: Branch circuit. RESIDENTIAL UNIT _ _ TEMP SRVC/FFLJERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+a,nvs -1000 volts: MINOR LABEL (10): _ SERVICE/FEEDER BRANCH CIRCUITS _— _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 2.01 - 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: J Owner: Contractor: LIANNE BOBER (GARY) COOPER ELECTRIC 8921 SW BELLFLOWER LN 11845 SE 34TH ST TIGARD, OR 97224 MILWAUKIE,OR 97212 Phone: 620-7760 Phone: 653-8803 Reg#: SUP 2965S LIC 00042918 ELE 3-191C FEES _ Required Inspactlons Type By Date Amount Receipt Rough-in PRMT DI-H 8/14/00 $37.50 0004454 Elect'I Final 5PCT DLH 8/14/00 $3.00 0004454 Total $40.50 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State o'OR. Specialty Codes and all other applicable;aws. 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 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: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day 06,02/95 MON 09:40 FAX 803 598 1980 CIT7' OF TIGARD 1 002 CITY OF TIGARD Electrical Permit Appllcatlo p �)/,p� (anCheck0 13126 SW HALL BLVD. F�� / ReC'd By TIGARD OR 91223 REQ' Outs Recd 7 Phone(5153;039-4 1171, x304 r, Zoo Date to P E. —' Inspection (503)619-4175 Print of Type ApQ1601 Otto DST s c� Fax 1503; 598-1980 0�-V�'L Incomplete or illegible will not be me tj4id'k1 Called 1. Job Addniu: d. Complexe Fee Schedule Below: Name of Development_ Number of Ir» ctlolu er nit aticwed Name(or name of business) - Service Included. Items Cost Sum Address !_a 4m. ResWential-per unit --1 ! CltyiStstNlJp 1000 sq.n.or lose s „+'5 — 4 _r Each adt"onal DCG sq ft or Portion thereof S 26/16 Commercial Residential umltec Energy _" s 6000 Each Manufd Harte or Modular 2e, Contractor Installation only: Dwelling%Noe or Feeder 3 72.75 2 (prior to permit issuance,applicants must proeWo,contrsftr filmes 41c.Services or Foedem Information to COT data ratel. IrtilaCatlon,alweii0m,or relocatlor Electrical Contractor , 200 amps or lose 5 64.25 _ 2 Address%f_1�_ _1�1''5 `f S" 201 amps to 400 amps 6 1)6.60 '— 2 401 amps to 500 amps S 126.60 2 city /r1,4WiQ&A1 k,State CCS, Zip L Z'z _ 601 amps to 1000 limos $ 10250 2 Phone No. /h l73—ZXL)3 Over 1000 amps or volts � S 36375 2 Job No, �_ Reconnect only 6 6360 2 Elec Cont Lice No ' - ��'- F.V.0"-�' i ' 4c.Temporary Services or madam OR Stas CCB Rap No._-7 E10.0212 Z-�7-Q1 Instauillon,altsnuon,Or!aiocaoor COT Business Tax or M m N6t o. Exp, / 20o amps or lees s 63.60 2 eV00 r'o 3,3 y--- _ 201 amps to 4W wnD4 _ S $028 2 Sipnaturo of 6upr.Eleo'n —i 401 amps to am amps _- -- S 107.00 2 Ova,,600 amps to 1000 volts. License No. / _lL_ ono"b"above r Date /4 � D/ ttlrsnch Clrtxrtts Phone N0. 4d._ New abareeon or anenvon par perrl s;Try fee for brantr ortVits 2b. For owner Installations: with pure"#of savko or Bede.Me. Pr nt Owner's Name _ E/om onnch db At S 536 2 Addreea _ b)The fee for warict circuf s WHhootpum----- - City state.__Zip o/Iwede foe. o s«.lcc Phone No Fkat btench dreuo { 37,e0 3 7 Each addisonat branch circuli! __.. + 335 The installstlor i6 being rri l4 or Dmerty I own which is not N.Ilstaoelynavus Intended for solo lease or rent (Servet or foodar root ind,ded) Esoh pump or lrrgauon circle, { 41.78 Owners Signature - -- -- _ ._ Each slgr or ouiMr lighting - —{ 41.75 31gru,dtrxrlt(s)or a IIn91so energy 3. Plan Review section :(lf'rs ufrad ` West'e'terst'nn or erlarN°^ • 8000 q 1 tAn°r Labels 110' Planes chock appropri Item and either fee In section 69. 41.Each eddNicnel Inspection over 4 or mote residential units In one ebuch,ro the allarrnbb in any of tN dxwe Pal IrMaMon $ 50 00 3evlcs and test lir 725 amps o more pw hour $ 8000 _ System over 80p vote nominal In Plant $ 6100 C eaelled area or Wi.tture containing specla 9-.CUpancv as — 1 Y desalbad In N E C Chop!er Enter tots Mabove Vag S Submit 2 emits of plane with epp!Ieatren whore any of the above son!y. OR Swa"(,05 x total fees) s irat required for temporary coristruatton serv-cos. Subt'cfw { ab.Enter 25%of line ft fol NOTICE run Review If rwWr+c(ft.3) { PERM'S BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED 5tbforal f IS NOT COMI ENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK 13 SUSPENDED OR ASMDONEU FOR A PERIOD OF 180 DAYS ❑ Tnnt Ao oun!e _ D AT ANY TIME AFTER WORK 13 COMMENCED Total balance Due_ $ `�. 'us!stirnnrklectnc.doc i CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ------ — pBUP __--- Date Requested AM PM _ 9LD 1_ocation_ g�z.Z/ 5 , i�P �Uw <-ti Suite — MECZe,i'P u 3/ Contact Person — _ Ph 2 -8 PLM - — Contractor _ Ph SWR BUILDING Tenant/Owner -- ��� ELC — Retaining Wall ELR Fooling ------ ----- Foundation Access: FPS _ Ftg Drain — Crawl Drain Inspection Notes SGN — --__ 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& Beam Under Slab Top Out - ------ - - - Water Service Sanitary Sewer Rain Drains Final -- - ---- ---... PASS PART FAIL _-- ECH Post& Beam --- - — _ ---- Rough A Gas Line .(T[V - - --- ------ ----------- Smoke Dampers PART FAIL ftECTRICAL 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 RE:Please call for reinspection Fire Supply Line ( 1 P _ ]Unable to Inspect-no access ADA Approach/Sidewalk Other Date Inspector _ _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 6394171 — BUP _ Date Requested_/ - �.M PM _- BLD Location <'� 5 `t1 �i�/ v� -�^ - _ Suite MEC _ Contact Person _ Ph _w�7 v PLM —_-- _ Contractor - - vac Ph j- 6�i G,.3 SWR _ BUILDING Tenant/Owner t ��G _ ELC Z�G- GU�ff Retaining Wall ELR Footing Access Foundation FPS Fig Drain _ Crawl Drain Inspection Notes: SGN _ 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& Beam ------_--- -` — -- Under Slab Top Out -- -- Water Service Sanitary Sewer -- -- -- - Rain Drains Final PASS PART FAIL - MECHANICAL Post&Beam - -- -- - Rough In Gas Line Smoke Dampers Final `--- FAIL �ELE RIC ,e-rvice Rough In UG/Slab _ Low Voltage F' larm — Fn PART FAIL Backfill/Grading Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Nall 13125 SW Hall Blvd Catch Basin Fire Supply Line I I Please call f reir;pection RE:__- nable to inspect-no access ADA Approach/Sidewalk Other Date_ Inspector _ _ Ext Final PASS PART FAIL J DO NOT REMOVE this inspection record from the job site. 1 \ CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00314 13,125 SN Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/2/00 PARCEL: 2S111 DA-07900 SITE ADDRESS: 08921 SW BELLFLOWER ST SUBDIVISION: APPLEWOOD PARK NO. 2 ZONING: R-7 BLOCK: LOT:074 'URISDICTION: 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: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 3 HP: 1 DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSI"ONES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=1001( BTU: <= 10000 cfm:� GAS OUTLETS: > 10000 cfm: Remarks: Installation or a/c unit. Placement of a/c unit must co nply with standard setbacks. Owner: FEES LIANNE BOBER Type By Date Amount Receipt 8921 SW BELLFLOWER LN PRMT BLD 8/2/00 $50.00 HAND RCP' TIGARD, OR 97224 5PCT BLD 8/2/00 $4.00 HAND RCP' Phone:620-7760 Total $54.00 Contractor: ENERGY MASTERS HEATING+ A/C 7470 SW 76TH PORTLAND, OR 97224 REQUIRED INSPECTIONS Cooling Unt Insp Phone:244-8880 Final Inspection Reg#:LIC 000585 PLM 26-476PB 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 cf 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 throng AR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calli (503)246-9189. 1 I sue By: rmittee Signature: V1 all (503) 639 75 by 7:00 P.M. for Inspections needed the next business day Plan Cprsck CITY OF TIGARD Mechanical Permit Application Recd 13125 SW HALL BLVD. Commercial and Residential Date Recd $'&-ee'5 -- TIGARD, OR 97223 Date to P.E. ---~ _ (503) 639-4171, x304 �(� Date to DST Print or Type / I1 PennitiJ�rC'._ Inccim�1et_e or_illegible applications will not b ccepted Called Name of Development/Projed _ Description Table 1A Mechanical Code Qt Price Amt Job A Permit Fee Street Address SuMeM � 16.00 �(11( Ste, ���I j(_ �, 1) Furnace to 100,000 BTU BIdgM CxylSlato Zip Address 4 including ducts&vents see footnote 1,2 9.65 —'— -- 2) Furnace 100,000 BTU+ _ including ducts&vents see footnote 1,2 _1200. T Name(or name of burin 3) Floor Furnace Owner L 1 A .A-44� D including vent see footnote 1,2 9.65 Melling Address 4) Suspended heater,wall heater yell 5vJD II f 1p�� L i,, or floor mounted heater see footnote 1,2 9.65 5) Vent not included in appliance ermit 4.75 C y/SUte Zip Phone Check all that a I 'Boiler Heat Air � pp Y TJ 6?_ �•�7" ��,_7 J(�, For Items 8-10,see or Pump Cond Qty Price Amt Na (or name of business) footnotes 1,2 Comp •• 6)<3HP;absorb unit to �El 11'1 ti 100K BTU Occupant Mailing Address 7)3-15 HP;absorb unit 9.65 100k to 500k BTU 1.7.65 CMyrstate Zlp Phone 8)15-30 HP;absorb unit.5-1 mil BTU _ 24 15 9)30-50 HP;absorb Contractor Name9) 1-1.75 mil BTU 36.00 A��t N1..Cl�t� I VII 10)>50HP;absorb unit Prior to permit Mailing Address >1.75 mil BTU 1 60.15 issuance,aCOPY ^] kJ b 11 Air handling unit to 10,000 CFM of all licenses CStat n Zip Phone 7,00 are required if m� ~17;Z W� 12)Air handling unit 10,000 CFM+ expired in COT Oregon C ctt..Cont.Board Lk.N Exp. ole 1115 database p OI G 13)Non-portable evaporate cooler Architect Name 7.00 14)Vent fan connected to a single duct Or Mailing Address _ 4.75 15)Ventilation system not included In appliance permit t7.00 Engineer cxyrstate zip Phone 16)Hood served by mechanical exhaust 7.00 Describe work to be done: 17)Domestic incinerators 12.00 New O Reppir O Replace with like kind Yes O No O 18)Commercial or industrial type incinerator Residentia9k Commercial 48.25 19)Repair units Additional Information or description of work _ 8.40 20)Wood stove/gas Mother units/clothe dryerr/etc 7.00 NOTE: For Commercial projects only:Units over 400 lbs require 21)Gas piping one to four outlets strurtural gas talcs. See footnote 1 3 75 Type of fuel oll O natural gas O LPG O electric O 22 More than 4-per outlet(each) .75 Minimum Permit Fee 150.00 SUBTOTAL I hereby acknowledge that I have read this application,that the information _ °�SURC"AR_GE ,d given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL the owner,that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits onl TOTAL Slgnat re of Owner(,Agent� Date -� LL �, � t- ��-- ;z� �� Other Inspections and Fees: �� ��L! 1. Inspections outside of normal business hours(minimum charg twt� uV Contact Person Name Phone �d rr �-, 1 hours) 550.00 per hour V � 6 ey 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 schematic of existing and proposed gas line and pressure. plans(minimum charge-one-half hour)$50.00 per hour 2 Provide drawings to sca69 showing existing and proposed mechanical units. 'Slate Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit 1:Vnechperm doc rev 02/4/99 ENERGY MASTERS INC. PLOT PLAN g C.,6e V- ADDRESS: �r4 C �. CERTIFICATE OF OCCUPANCY CITY Q F TIGARD PERMIT#: MST99-00116 DEVELOPMENT SERVICES DATE ISSUED: 3/30/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111 DA 07900 ZONING: R-7 JURISDICTION: TIG SITE ADDRESS: 08921 SW BELLFLOWER.L'(4 SUBDIVISION: APPLEWOOD PARK NO. 2 BLOCK: LOT:074 CLASS OF WORK: NEW TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: PATH I: New single family dwelling w/attached garage. Final Inspection Approved 7/22/99 by George Steele, Buildiing Inspector Owner: MATRIX DEVELOPMENT 6900 HAINES ST#200 TIGARD, OR 97223 Phone: Contractor: LEGEND HOMES CORP 6900 SW HAINES ST#200 TIGARD, DR 97223 Phone: &'0-8080 Reg #: This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was issued. BUILDI ,G INSP CTOR BUILDING, FFICIAL POST IN CONSPICUOUS PLACE. CITY OF TIGARD 13UILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — EUP Date Requested /t tom. 2 —7'1 AM�' —PM BLD Location !� bel l t�1 n(.Le t� : Suite G� MEC Contact Person '��� Ph Z, I ��3-70 PLM _ Coniractor Ph SWR #U --W Tenant/Owner ELC Retaining Wall ELR Footing Access: — Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes- Slab otes Slab -- SIT Post&Beam ----- Ext Sheath/Shear _ Int Sheath/Sherr �1 D Framing ---�!� c�Cr�� �1f 1/1r4� OCea/LIL� �- 7-e~ 9 _ Insulation Drywall Nailing — ( �,s�-ti.� �� !^t'Lc Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof M��PA�SS PARTFAIL PL BIND Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL_ _ CHAM Pos Beam -- RouyhIr I Gas LinenA Smoke Pers (I - --- ASS ART FAIL ELECTRICAL �- - Service Rough In UG/Slab Low Voltage Fire Alarm _ Final PASS PART FAIL _ SITE Backfill/Grading Sanitary Sewer Storm Dain ( ]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: _ ( J Unable to inspect-no access ADA Q Approach/Sidewalk Date -7" Z Z^ / Inspector /O�-ti Other Fxt Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST 1 BUP Date Requested_ �i "`�Q / AM_— PM BLD _ Location Suite MEC Contact Person '"r�.r Ph -33 PLM �a ^� Contractor Ph _ SWR BUILDING – Tenant/Owner ELP Retaining Wall Footing Access: ELR Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab - Post&Beam ---- --- SIT Ext Sheath/Shear Int Sheath/Shear — Framing Insulation Drywall Nailing Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling Roof Misc Final — -- -- -_— PASS PART FAIL LUM Post&Beam Under Slab Top Out Water Service Sanitary Sewer - - Rain Drains PART FAIL MECHANICAL Post& Bearn Rough In Gas Line - Smoke Dampers Final - PASS PART FAIL - ELECTRICAL Service 1 Rough In - UG/Slab _ Low Voltage Fire Alarm Final PASS PART FAIL SITE —— Backfill/Gracing Sanitary Sewer Storm Drain ( ]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 V Inspector Final Ext — PASS PART FAIL DO NOT REMOVE this inspection record from the joL, site. \ CITY OF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM1999-00215 13125 SW Hall Blvd., Tigard, OR 9722 (503) 639-417'1 DATE ISSUED: 7/15/99 SITE ADDRESS: 0897.1 SW BELLFLOWER I PARCEL: 2S111 DA-07900 SUBDIVISION: APPLEWOOD PARK NO. 2 ZONING: R-7 BLOCK: LOT: 074 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of a residential backflow prevention device. FEES Owner: - - - -- LEGEND HOMES Type By Date Amount Receipt 6900 SW HAINES STREET PRMT GEO 7/15/99 $25.00 99-316906 PLAZA 2, SUITE 200 MISC GEO 7/15/99 $1.75 99-316906 TIGARD, OR 97223 J Total $26.75 Phone 1: 620-80810 Contractor: MARTIN SANDERS GROUNDS MAINTEN PO BOX 307 NORTH PLAINS, OR 97113 REQUIRED INSPECTIONS Phone 1: 647-5567 RP/Backflow Preventer Reg #: LIC 00005742 Final Inspection PLM 11608 ORMNAL 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 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: _ Permittee Signature: Call (503) 6 175 by 7:00 P.M. for an inspection needed the next business day i i CITY OF TIGARr Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Recd By TIGARD, OR 97222 Date Recd `•(`3) 6s9-4171 Date to P E. Print or Type _�___ Date to DST Incomplete or illegible applic..itions will not be accepted Permit#PLN7/ff,� a0�is Related SWR# Called_ Name of Development/Project FIXTURES (individual) QTY PRICE AMT jot) / i Sink 1150 A ,,J"".ss Addiess Suite Lavatory 11.50 Tub or Tub/Shower Comh. 11.50 Bldg# C /State f Zip Shower Only I Y 11.50 Name Water Closet 11.50 // l ��. ! v,, S Dishwasher 11.50 Owner Mailiroddress Suite Garbage Disposal 11.50 Washing Machine 11.50 City/State Zip Phone Floor Drain/Floor Sink 2" 11,50 Name 3" 11.50 _ 4" — 11.50 Occupant Mailing Address Suite Water Heater O conversion O like kind 11.50 Gas piping requires a separate mechanical permit. City/State Zip Phone Laundry Room Tray 11.50 Urinal 11.50 Name ✓ . C, M �) Other Fixtures(Specify) 15.00 Contractor MailingAddre (Suite T Prior to permit ity/St to Zip f 3sPhone Ov 6y S�b issuance,a copy — _ , of all licenses are Dregon Const.Cont.Board Lic# 7-3,5- 0() xp. ate required if S- (� Q- 0 U expired In COT Plumbing Lic.# Exp.Date database - 0- �� Sewer-1st 100' 38.00 Name Sewer-each additional 100' 3200. Architect Water Service-1st 100' 38,00 Or Mailing Address Suite Water Service-each additional 200' 32.00 Engineer City/State Zip Phone Storm&Rain Drain-1st 100' 38.00 Storm&Rein Drain-each additional 100' 32.00 Describe work to be doneMobile Home Space 32.00 New O Repair O Replace with like kind Yes O No O Commercial Back Flow Prevention Device 32.00 Residential O Commercial O Residential Backflow Prevention Device' 19.00 Additional description of work Catch Basin 11.50 Insp.of Existing Plumbing 50.00 Are you capping,moving or replacing any fixtures? perthr Yes O No O Specially Requested Inspections 50.00 If yes, see back of form to indicate work performed byper/hr fixture FAILURE TO ACCURATELY REPORT FIXTURE Rain Drair single family dwelling 45.00 WORK COULD RESULT IN INCREASED SEWER FEES. Grease Taps 11.50 1 hereby acknowledge that I have read this application,that the informatio^ I QUANTITY TOTAL given Is correct,that I am the owner or authorized agent of the owner,and I Isometric or riser diagram Is required R Quantity Total Is >9 that plans submitted ale In compliance with Oregon State Laws. *SUBTOTAL sllLnjtur go bate j Contact Portion Name 1T Phone 7%SURCHARGE � ;7 **PLAN REVIEW 27%OF SUBTOTAL 1 BATH HOUSE,$178.00 -Required onl it fixture gly total is>9 _ 2 BATH HOUSE$150 00 TOTAL 1 3 BATH HOUSE$285.00 (This fee Includes all plumbing fixtures In the dwelling and the first 100 tool of sanitary sewer storm sower and water service) 'Minimum permit fee is 150+7%surcharge,except Residential Backflow Prevention Device,which Is$25+7%surcharge —All New Commemlat Buildings require plans with isometm or nser diagram and plan review. PLEASE COMPLETE: Fixture Typev Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher _ Garbage Disposal Washing Machine — Floor Drain/Floor Sink 2" Water Heater Laundry Room Tray _Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: Ik1tilVon";4hmripp Aw rrqgf CITY CSF TIGARD MASTER PERMIT . . . MST99-011E. DEVELOPMENT SERVICES DATE ISSUED: 03/30/99 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PARCEL: 2S 1. 1 1 DA--07'?00 SITE ADDRESS— :08921. SW BELLFLOWER SUBDIVISION. . . . :APPLEWOOD PARK NO. a ZONING: R-7 1='D BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :G'+?%, JURISDICTION. T I G Remarks: PATH 1: New single family dwelling so/attached garage. BU1LPING ------------------------------------------------- REISSU=: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------ CLASS OF WORK.:NEW HEIGHT,.......: 23 FIRST....: 1034 sf GARAGE.....: 495 sf LEFT..........: 4 SMOKE DETECTRS: Y TYPE OF USF...:SF FLOOR LOAD....: 40 SECOND...: 1286 sf FRONT.........: 22 PARKING SPACES: 2 TYPE OF CON5T.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT........,: 4 OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2320 sf VALUE..1: 170648 REAR..........: 21 PAWING ----------------------------- �_-------------------- SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.........: 0 LAVATORIES...,: 4 DISHWASHERS...: 1 FLOUR DRAINS..: 0 SEWER LINE ft! 100 SF RAIN DRAINS: 1 CATCH BASINS. 0 TUB/SHOWER'S... 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: I GREASE FIAPS..OTHER : 0 MECHANICAL -_---_------------- --- ------------ - FUEL TYPES----------- FURN ( 100K ..: 0 BOIL/CMP l 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1 GAS FURN )=I@W 1 UNIT HEATERS.,: 0 HOODS......... 1 OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1 -------------------------------------------------------------- ELECTRICAL ------------------------------------------------------------ —RESIDENTIAL ----- - -- --RESIDENTIAL UNIT---- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1000 SF OR LESS: 1 0 - 200 amp..: 0 0 200 amp..: 0 W/SVC OR FDR.,: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 5005F.. 4 201 - 400 amp..: 0 c01 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/BLIT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 6(* amp..: 0 401 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT....... 0 MANE HM/SVC/FDR: 0 601 - 1080 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -18: W 1000+ amp/volt.: 0 ----------------------------------- PLAN REVIEW SECT ------------------� ------ - - Reconnect only.: 0 )24 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMIN41_: CLS AREA/SPC OCC: ------------ ELECTRICAL - RESTRICTED ENERGY ---- -- - __-._---------------------------- AUDIO d STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAG13G: OUTDOOR LNDSCL.TT: BURR-AR ALARM.. 0TH. BOILER. - A, SF RESIDENTIAL— '. B. COMMERCIAL--�------HVAC......,....: LANDSCAPE/IRRIG. PROTECTIVE aI 6 . .. GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL.........: OTHR: HVAC............ DATA/TELE COMM,: NURSE CALLS....: TOTAL M SYSTEMS: 0 Owner: ------------------- -------.._-___-_Contractor: -- - - - --- ----- - --- TOTAL FEESA 49228.71 LEGEND HOMES LEGEND HOMES COK' This permit is subjert to the regulations contained in the 6900 SW HAINES 6900 SW HAINCS ST #200 Tigard Municipal Code, State of Ore. Specialty Codes and all PLAZA 2, SUITE 200 TIGARD OR 972:3 other applicable laws. All work will be done in accordance TIGARD OR 97223 with approved plans. This permit will expire if work is Phone A: 244-8159 Phone A: 620-8080 not started within 180 days of issuance, or if the work is Reg L.: 00060`_ 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 952-801-0010 through OAR 952-001-0080. You may obtain copies of these rules o direct questions to OUNC by calling (503)246-1987. - — REQUIRED INSPECTIONS ------------------------------------------------------- » Erosion 844-8444 Crawl Drain/Back — Electrical Rough Insulation Insp Mechanical Final Footing Insp PLM/Underfloor Framing Insp Rain drain Insp Plumb Final _ Foundation Insp Mechanical Insp Shear Wall Insp Water Service In Building Final Post/Beam Struct Plumb Top ut Low Voltage Appr/Sdwlk Insp -- Post/Beam Meehan Fry#ctr ervi s Line Insp Electrical Final --- r Issued By: � .- Permittee Signature : � +++++++ +++++++++•4 +++f 4•+ ++++++4+++f+++•++++++++++++. . *a ++++ Call 639-4175 by 00 P. M. for an inspi;_tion needed the ne t business Jay I CITY OF TIGARD Residential Building Permit Application Plan check I`' 13125 SW HALL BLVD. Additions or Alterations Recd Byia TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Reda l V 503-639-4171 Date to P.E.Date to DST, - F 503-684-7297 Permit# �/'I-/'-y_ Print or Type Called_,�-4K. Incomplete or illegible applications will not be acceptedLEfr VM,� ��-i�r Name of Project Name - Job A if'L U9J'-;H� / k �l Lc Address SitpAddress Architect Mailing A ess (.i .G' ,/ Nam CityIsla a Zip Phone �! l Name ) � � /S-r Owner Mailing ress 9 - - / CEngineer Mailing Address qy - -- dy( �e Z�p Phone g G©neral Na City/ tat :"Zip Contractor Describe work k New Addivon o Alteratlon�o Y ' r t` Ma 1p fN0 i �r .1, to bs dOrN�i�1" %i, i r ",� �,C i V.1 1Z ti Prior to permit J': Addlti;"Mll NscrIptim of Wgri: Y �r, y r l; ;r s•;a Issuance,a cepy /.tate Phone .. `•.irt 'Ta,; *.: ,Y ;.y �-r:%.;r-car ",1�'1'.f7,P� of all licenses are required if Oregon Obnat Cont Board Exp.r ate PROJECT .-: ~1� ddatabase coT uc.t1 / VALUATION �" S atabase Mechanical Nemo NEW CONSTRUCTION ONLY: Sub- `S�� L C�it'1 Sq. Ft. House: / Sq. FL Ga ge' Contractor Mailing Addre� l _ _ � �l' -L Prior to permit , J U 169-5 A/ Indicate the restricted energy installation by the electrical ' Issuance,a copy C' /state Zip Phone subcontractor in the follow ng areas of all licenses - , _ Restricted Audio/Stereo are required if Oregon Const.Cont. Board Exp. Date Energy System Alarms expired in COT Lic# L rj l Installations Vacuum Irrigation database 0 -J System System Plumbing Name (check all that Other. Sub- �� �� l `nrr apply) Contractor Mailing Address Comer Lot YES I NO Flag Lot YES NO check onp —deck one) Has the Subdivision Plat recorded? N/A `( NO Prior to permit CP/State zip Phone issuance,a copy of all licenses are Oregon Const.Cont. Board p Date required 0 Lic.# expired in COT 3 - c' l� I hearby acknowledge that I have read this application,that the database Plumbing Lic.# Exp. Date information given is correct,that I am the owner or authorized agent 22 of the owner, and that plans submitted are in compliance with Oregon State laws. Name Sign Lire of Qwnergent Date Electrical , v �a. ._v 2_�� Sub_ Mailing Address Contact er on ams Phone#, Contractor 5' i ��" City/State Zip Phone/ Prior to permit issuance,a copy A. FOR OFFICE USE ONLY: _ of all licenses are Oregon Const,Cont. Board Exp Dat plat#: required if Lic a _ aplTLN: expired in COT / -z //5 / _ `P�-r '�i 1&P/) C no -- database Electrical Lic.#, Exp. Date tbacks: Zone Solar:/ / Electnc9l Supervisor Lic # p. nate G� Engineenwi Approval Planning Approval: IF: I:ldstsVorrns\sfaddalt.doc 11/10/98 F'L_OT PLAN LOT *14, AFFLEWOOD PARK fR-1 251 11 DA TAX LOT 01900 3921 5W LELLFLOWER LANE S.E. 1/4 OF SECTION 11, T.2, R-U, W.M. CITY OF TIGARD WASHINGTON COUNTY, OREGON LEGENDHOMES 5U00 S.W. HAINES STREET TTCARD, OREGON PLAZA 2, SUITE 200 97223-2314 N OPPICE (503) M--11080 FAX (503) 598-8900 r 1oA LOT 99 LOT g8 LOT 76 N 89'54'25" E 6200' Amb 204.4' LOT 7✓ LOT 73 0 WATER METER 2050 204.2 ZQA W- -- -- WATER LINEd.0' 4P'" SS— - - "- SANITARY SEWER SD— - - STORM DRAIN P LOT 74 w - - - 1, OF STREET 70; !n 4:16 S�� FT. • MANHOLE REGENT II1A ® CATCH BASIN FIN. FLR. • 205sa' GARAGE FLR. 204.1' STREET TREES ROPOED40 / - - -- - - - H STREET LIGHT FIRE HYDRANT 204.5' N 40 N -------- - -------------- 8' UTILITY-- - - ---------- --------- - EASEMENT 2043' I I N 89'54'25" E SIDEWALK _ ® 62,00, PROVIDE EROSION CONTROL FENCE PER r-CAI 1UNITY -- -- - - - _- '- - SS EROSION PLAN _--- ------ 1 \ .. 'C'3 5W BELLFLOWER 5TREET CITY O TIGARD SEWER CONNECTION DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)539.4171 PERMIT #. . . . . . . DATE ISSUED: 03/30/99 PARCEL: 2S 1 1 1 DA--07900 SITE ADDRESS. . . :O8921 SW PELI_FI_OWER SUBI)T V I S I ON. . . . :APPL_EWOOD PARK NO. 2 ZONING: R-7 PD FLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . ..074 ,JURISDICTION: TIG TENANT NAME. . . . . :I-EGEND HOMES USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CLASS OF WORK. . . :NE..W DWELL_I NG UN T TS. . : 1. 'f YPE OF' USE. . . . . :SF NO. OF' BUILDINGS: 1 T NSTA[.A__ TYr'E. . . . :t.-I PSWR I MPERV SURFACE: 0 s f Remarks : Sewer connection for a new single family dwelling. Owner-: -­ ..----------------------------------------------- -._ _.. FEES -----------.--.- LEGEND HOMES type amount by date recpt 6900 SW HAINES PRMT E 2300. 00 GEO 03/30/99 99-31408 + PLAZA 2, SUITE 200 INSP $ 35. 00 GEO 03/30/99 99-314084 T I GARD OR 972223 Phone #: Contractor: OWNER Ph oll e #: $ 2335. 00 TOTAL Reg #. . . ---- --� REQUIRED INSPECTIONS -_..._This Applicant agrees to cosply with all the rules and regulations Sewer Inspection _ of the Unified Sewage Agency. The pereit expires 189 days froe the date issued. The total amount paid will be forfeited if the �_— pereit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the eeasureeent given, the installer shall prospect 3 feet in all directions froe the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Pereit 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 952-991-9919 through UAR 952-9991-9989. You eay obtain copies of these rules or direct questions to by calli (593)246-1987. pk/Issued by : _ Permittee Signature i •t++++++++++++.1-++++-++++++++++.++++++++++++++++++++++•+++++++-h++++++++++++i•++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bl_rsiness day ++++++++++++++.....+++++++++++++++++++++++++++++++++++++++++•++.t+++++.4-++++++++t++++� J