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10859 SW KABLE STREET e V W M O co Z M T", 016> V S 129.3' 47/ Ik N) 77 ,v m 3 c4. 0, As <b .0. SCALE DRAYNG LOT 56 ERICKSON HEIGHTS S.E. 4 SEC. 100 T.2S., R.1 W.0 W.M. Cl TY OF TIGARD WASHINGTON COUNTY, OREGON MAY 22. 2000 Center-line Concepts Inc. DRAWN BY: MSG CHECKED 8Y; INGDIiI SCALE 1"m-20' ACCOUNT # 115 640 82nd Drive Gladstone, Oregon 97027 M: \MU\L56ERICK 503 650-0188 fax 503 65 -0189 J NOTICE: IF THE PRINT OR TYPE ON ANY I f TIT-1 I I I rI rlI -r + ► a I , ,l1T1.i_ ,rTT �:.��i .� rli_ i ( ' .��I. -�..� _r.�r , l r ( i _L1_�. I _i r �—�( f1111i 1f I I I 11 1 I I I IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 _-� 31 9 10 11 1 IT IS DUE TO THE QUALITY OF THE No.36 ,,.r,•.,,,.,wr... hr ORIGINAL DOCUMENT E 6z` SZ LZ 9z Z � z EZ Z^Tz Oz 6i 81 LT 91 T T,1;111I ZT TT T 6 8 L 9 4 Z '_ . I ISI' llil�lll ' I T II11 III! Illi IIII 1111 LI.I III! III Illi llllJl11. 111 l llll�11111lI 11.1.11111111l�11111111 IIII IIII 1111 IIIIIIIII I I II I II IIII IIII illi IIII IIII ILII II �Li�lltll�u ...��lll l�� llllillll 111 it lllf�ll l 0 w U co cn r m cn 10859 SW KABLE ST CITY OF TIGARD BUILDING INSPECTION DIVISION MST . -66 17( 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 � � ,,_Date Requested__ AM PM BIPBLD Location5� S w �c,G%✓ Suite MEC _ Contact Person _ Ph �� ' _ PLM Contractor Ph _ _ SWR BUILDING Tenant/Ow,ier ELC Retaining Wall ELR Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: -- — Slab —e_ SIT Post& Beam Ext` oeath/Shear Int Sheath/Shear -- Framing Insulation Drywall Nailing - S L'„I� F'C fi" _r _ /<//[ s'S�r�/g!5— _ Firewall �T Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: ----_�.. __-_---_ — -- --- --- ----- --- Final ------ ------ PASS PART FAIL - ------------- -- PLUMBING Post& Beam __._.-..______.�_....__-__. �i✓A�>� - TopUnder Slab Z, - 00 Top Out -------------------- Water Service Sanitary Sewer - - Rain Drains Final --- --------- ----___�.-_ _ PASS PART FAIL MECHANICAL Po,,t& Beam ----------------------..._ ..__.._--__-� Rough in Gas Line Smoke Dampers Final ---- -------- - . ------------ - ._... - - --- PAj PART FAIL Servire Rough In ---- --.�_ UG/Slab Low Voltage - ----_ - _ __- Fire Alarm S PART FAIT_ Backfill/Grading Sanitary Sewer Storm Drain ( Reinspection fee of$_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ] Please call for reinspection RE _ i Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk /2- Other Date -s Inspector _ _ /�? C" _Ext Final ~` — �- PASS PART FAIL DO NOT REMOVE this inspection recond from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST Gl(il/�Gv�7 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested-) 2-,>� AM _PM BLD Location J Q R S-q S�.' `G�`� Suite MEC _ Contact Person Ph PLM Contractor _ Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: FPS Foundation -- Ftg Drain SGN Crawl Drain Inspection Notes: bias, _-_—_-- _- SIT _ Post& Beam Ext Sheath/SheGc - ---- Int Sheath/Shear Framing - - -- ----- - - -- Insulation Drywall Nailirni __-_.--- --- - --- ----- - -- Firewall FireSprinkler ----..----------.._--- ------ __.._._.--- __._ - -------..._. �__ ._ Fire Alarm Susp'd Ceiling - - --....-------- --— --..�__--___. ------- ------ --- --..... - - Roof Misc: __ -- ------.._.- --- - -- -- - - - Final - PASS PART FAIL - - ------ ----- UM Post&Beam -- ---- ----- -- Under Slab Top Out Water Service Sanitary Sewer Rain Drains PA, PART FAIL -- ANICAL Post&Beam Rough In Gas Line _ _ -------------- - - - Smoke Dampers Fnnl PASS PART FAIL _ ELECTRICAL Service --- - -- Rough In ------- UG/Slab ---_.-----.___ -- _ -- - -- — Low Voltage Fire Alarm - -- - - — - -- Final PASS PART FAIL -- - ---- —-- -- �- -----SITE Backfill/Grading — Sanitary Sewer Storm Drain ( I R mspection fee of$ _-_-required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to inspect-no access Fire Supply Line I l Please call for reinspection RE:--- _ _ _ _ � � P ADA Approach;Sidewalk pate / -� InspIrc,tor _ Ext Other ----- ---- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION blftlnlV MST '174-hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ Date Requested_,/y�—j -�I `:A�IIPM BLD Location L' Sw � J _ Suite MEC Contact Person Jb % Ph Z/ PLM Contractor „•,,// Ph SWR - Tenant/Owner A&5, �Gt� ELC — Retaining Wall ELR Footing /-,ccess: / , Foundation LCL- /' ,4” 0,r"/ i) �'� FPS - Fig Drain L 0 / Crawl Drain Inspection Notes: / Ir N IG SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation ' Drywall Nailing Firewall Fire Sprinkler Fire Alarm �� o l 7G v < <P Susp'd Ceilinp �G"�` / Ll Roof - Misc: - -- - — --- m - PART FAIL --- ----- -- ---- PL BING F'ost& Beam -- -�- - Undcr Slab Top Out -- --------------- --- - ----- Water Service Sanitary Sewer -- - Rain Drains Finai PASS PART FAIL -- MECHANICAL Post& Beam -- -- --- ---- - --- Rough In Gas Line Smoke Dampers Final ----- -- - -- - PASS PART FAIL ELECTRICAL ----_---- _ -�--- - --- - -_ Service -- - --------------- _-------- - Rough In UG/Slab ------ Low Voltage Fire Alarm - f=inal PASS FART FAIL -- �_---__. _--- - --SITE Hackfill/Grading I ----- — --- ----- Sanitary Sewer Storm Drai i [ J Reinspection fee of$ required before next inspection Pay at City Hall, 1315 SW Hall Blvd Catch Basin [ j Please call for reinspection RE -_-__ [ Unable to inspect- no access Fire Supply Line ,ADA Approach/Sidewalk Date 1 2I C Ext Other -- F inal PASS PART FAIL 00 NOT REMOVE this Inspection record from the job site. CITY OF TIGARD 13125 S.W. HALL BLVD. _ TIGARD, OR 97223 �.f IMPORTANT PERMIT NOTICE GAGE ENTERPRISES INC PO BOX 1429 CLACKAMAS, OR 97015-1429 Electrical Signature Form Permit #: MST2000-00171 i Date Issued: 07/06/2000 Parcel: 2S110DA-I=1-1056 SitF; Address: 10859 SW KABLE ST Subdivision: ERICKSON HEIGHTS Block: Lot: 056 Jurisdiction: TIG Zoning: R-3.5 Remarks: S/F PATH I Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign beiuv ind return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authr,r-. 9d untie :;-is completed form is received OWNER: ELECTRICAL CONTRACTOR: GAGE ENTERPRISES INC PO BOX 1429 CLACKAMAS, OR 97015-1429 Phone #: Phone #: 503-657-0142 Req #. CP 34544 ELE 3-128C AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13126 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICEFR h;��'-1 Fp CRAFTWORK PLUMBING INC JUL 2 4 2000 7736 SW NIMBUS AVE 13Y:_ BEAVERTON, OR 97008 -J Plumbing Signature Form Permit #: MST2000-00171 Date Issued: 07/06/2000 Parcel: 2S110DA-EH056 Site Address: 10859 SW KABLE ST Subdivision: ERICKSON HEIGHTS Block: Lot: 056 Jurisdiction: TIG Zoning: R-3.5 Remarks: S/F PATH I Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN.- Building Dept. No plumbing inspections will be authorized until th-s completed form is received OWNER: PLUMBING CONTRACTOR: CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Phone #: Phone #: 644-8698 Reg #: I Ir 79656 PI M 20-1481313 AN INK SIGNATURE IS REQUIRED ON THIS FORM X �^ 2IL�-//— Signature of Authorized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PL/15/20 -00308 13125 SWHall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/15/2001 PARCEL: 2S1 1 ODA-09500 SITE ADrRF-SS: 10859 SW KABLE ST SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.G BLOCK: LOT: 056 JURISDICTION: TIG _ CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING h,ACH: 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: Irrigation backflow prevention device. _ FEES Owner: — Type By Date Amount Receipt PRMT CTR 08/15/2001 $36.25 27200100000 5PCT CTR 08/15/2001 $2.90 2720010000C Total $39.15 Phone 1: Contractor: MOODY ENTERPRISES INC PO BOX 713 ESTACADA, OR 97023 REQUIRED INSPECTIONS Phone 1: 503-630-5532 Final Inspection Reg #: LIC 5973 PI-M 11717 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. '',pE:cialty 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 requne5 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 O'ONC by calling (503) 246--1987. Issued By: Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day �-fsTe=odo -�0/7/ Plumbing Permit Application Datereceived: e• 2 0/ Permit no f JtJ-200/-063,6,f' City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard phone: (503) 639-4171 Project/eppl.no.: Expire date: Fax: (503) 598-1960 Date issued: By� Receipt no,; Land use approval: _ _ Case file no.: Payment type: L�I &2 family dwelling or accessory U Commercial/industrial U Mulli-family U Tenant improvement �j New construction U Adtlitinr!alteration/replaceinent U Food service U Other: —Description Fee ca. I oral Bldg,no.: Suite no.: New I-and Z-family dwellings only: Tax Wrap/tax lot/account no.: (includes 100 ft.for each utility connection) Lot: SFR(1)bath 5" ; Block: Subdivision: SFR(2)bath Project name: L 2 f.t�'ti I,! SFR(3)bath -- City/county: ZIP: Z Z'' Each additional bath ki chen Description and location of work on premises: r 4- Siteutilities: _ Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain Footing drain(no.iir+. ft.) Manufactured home utilities Business name: — G !7= Manholes Address:PC,fir 7/3 Rain drain connector City: ZIP: 7C 2-3 Sanitarysewer•(no. lin. ft.) Phone: dj,6- c S'J�'z Fax:fy.rtC E-mail: Storm sewer(no.lin.ft.) CCB no.: //7j / Plumb.bus.reg.no: J`/•"3 Water service(no.lin. ft.) City/metro lic.no.: -- Fixture or Item: Contractor's representative signature: i ,,, Absorption valve Print name: n Date: Back flow reventer ]- - i Backwater valve Basins/lavatory rName:r, ,;�, j �,�, % Clothes was er Address c 7/YDishwasher City: Drinking fountain(s) -� -SY .tc«�, ii__ StateC•% ZIP: �'ZJ Ejectors/sum Phone: c3, r`o'c X17 Fax: rte; ! <� E-snail Expansion tank Fixture/sewer cap Name(print): , Floor drains/floor sinks/hub Mailing address: 6/ - Garbage disposal _City: State: Z1P: • Hose bibb _ - --- -- - Ice maker Phone. Fax: E-mail: In _ -- - tcrccptor/grease trap (honer installation/residential maintenance only: The actual ins allation Primer(s) - will be made by me�intenir made by my mgula+ Roof drain(commercial) employee on the ppter 447. Sink(s), asin(s), ays(s) Owner's si nature. Date: _� 1 p Sump Tubs/shower/shower pan Name: Urinal _ "- -- ---- Water closet Address: '—__ Water heater _ City _- State: Z.IP: Other, -- Phone: Fax: �-mail: �! Total NM all Jurisdictions seep credit cards,please call Jurisdiction ror more information. Minimum fee................$ 2` , Notice:This permit application ._U vise ❑MasterCard expires if a ptrntit is not obtained Plan review(at ._ %) $ Credo cud number! 4. .� Expires � it/ _ Within 180 dnys after it has been State surcharge(8%) ....$ .2 -90 p Name of rardholck—r eTh—own' rre itnl— accepted as complete. TOTAL . ..........$ 9 - Cardholder signaturr Amarum -- - -- 440.4616(WWOM) 4) m 0 z m g ry O N O N N p N N N d ao W C6 co a0 V d $m O O 1- O m 7 U U O V O U p >00 = Z 2 I t S z z z z z z M O o w 0 w w cn CL U) w 0 4 U 0 r a w o LL o 0 a O N m - a r a J o° m o o m a � a U K+ 0 0 n ON d �7 N N CV N N l^ 0 00 W f� a0 c N 0 V r Q � A O v > v G� r O � F �7 Q wCL w 4 � N >, n m CL _ _ m N N Q U LL LL li U Q� M r ap o c rrq-' aQ o w a n a a a 0- a ERM ` CITY OF T I G A R D ORIGINM MASTER MIT#:MST 000- 00171 DEVELOPMENT SERVICES DATE ISSUED: 07/06/2000 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10859 SIN KABLE ST PARCEL: 2S110DA-EEH056 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT:056 JURISDICTION: TIG REMARKS: S/F PATH I BUILDING REISSUE: STORIES: 2 _ FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,167 of 9ASEMENT: of LEFT: 4 SMOKE DETECTORS: Y TYPE OF USE: Sr FLOOR LOAD: 40 SECOND: 1.156 of GARAGE: 674 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5 VALUE: $241.326 63 OCCUPANCY GRP R3 DORM: 3 BATH: 3 TOTAL 292300 of REAR: 99 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TPAYS: 1 RAIN DRAIN: 100 TRAPS' LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS 1 CATCH BASIN:: IUDISHOWERS. ) GARBAGE DISP: t WATER HEATERS: 1 WATER LINER; 100 BCKFLW PREVNTR: I GkEASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN i 100K: BOIL/CMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1 ns FURN>=100K I UNIT HEATERS: HOODS: I OTHER UNITS: 2 MAX INP: Ito FLOOR FURNANC'& VENTS: 1 WOOUSTOVES. GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEE.DERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp 0 200 amp: WISVC OR FDR: I PUMP/IRRIGATION, PER INSPECTION: EA ADD'L 500aF: 6 201 400 amp: 201 400 amp: tat WIO SVCIFDR. On SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL OR CIR- SIGNALIPANEL: IN PLANT. MANU HMISVCIFDR: 601 • 1000 amp: 601♦ampo•1000v: MINOR LABEL 1000-amp/volt: PLAN REVIEW SECTION Roconnect only: —4 RES UNITS SVC/FDR-225 A.: >600 V NOMINAL: CLS ARFA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO. .CUUM SYSTEM: AUDIO&STEREO: FIRE ALARM INTERCOMIPAGING: OUTDOOR LNDSC LT BURGLAR ALARM: OTH BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DA1Art ELF COMM: NURSE CALLS. TOTAL M SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,308.77 RENAISSANCE DEVELOPMENT This permit is sub)ect to the regulations contained in the 1672 IS WILLAMETTE FAILS T Tigard Municipal Code,State Of OR Specialty Codes and WEST WI OR WILLAMETTE all other applicable laws All work will be done in accordance with approved plans. This permit will expire d 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 Rea 0: 111, 49956 forth in OAR 952-001-0010 through 952-001-0030 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion 844-8444 Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Footing Insp Crawl Drain/Backwater Plumb Top Out Low Voltage Rain drain Insp Plumb Final Foundation Insp Footing/Foundation Dr; Electrical Service Fireplace Insp Water Line Insp Final inspection Post/Ream Structural PLMIIJnderfloor Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Building Final Post/Pgam Mechanica Mechanical Insp Framing Insp Gas Fireplace Electrical Final Issued By IllyE;__ Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITY OF TIGARDORIGINAtRMIT WER CONNECTION PERMIT SERVICES #: SWR2000-00133 DEVELOPMENTDATE ISSUED: 07/06/2000 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110DA-EH056 SITE ADDRESS; 10859 SW KABL.E ST ZONING: R-3.5 SUBDIVISION: ERICKSON HEIGHTS JURISDICTION: TIG BLOCK: LOT: 056 TENANT NAME: FIXTURE UNIT'S: USA NO: CLASS OF WORK: NEIN DWELLIN3 UNITS: 1 'TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: S/F PATH I Owner: FEES [INSP ype By Date Amount Receipt RMT PLN 07/06/7.000 $2,300.00 0003518 PLN 07/06/2000 $35.00 0003518 Phone. �� Total 52,335.00 Contractor: Phone: Reg#: 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 forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Permittee Signature: Issued by: 1 ----_ — -- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day i CITY OF TIGARD RE �� n� )plication Plan Check#_ 13125 SW HALL BLVD. Recd By --� Date Recd TIGA,RD, OR 97223 Date to P E V 503-639-4171 I Date to DST F 503-684-7297 Permit# .%)15 of (wy -00_)7! Print or Type Incomplete or illegible applications will not be accepted Name of Project — Names _ Job i �-L��lk}�`" ��s �° -� Architect M IingAddress ` d re ,` /, Address Site�� f �C% S,/,v / 1,- Cid/State Zip I Phone QYQ Owner Mailing Address Name! � /6Z2 ��til�flys'//S 7 ' n Ad 4 Engineer Mail� Address v'�/ City/State ._ ip Phone g /5T'riv5.r, E City/St to Zip Phone General Name C�� /�it Contractor >�� Describe work New 4 Addition O Alteration O Repair O Mailing Address - 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 Lic# �" VALUATION database_ _ i� _ � i%�� I echanicr,l Name.//. NEW CONSTRUCTION ONLY: Sub- ( !�/ //�'�t/ f� !c 7 y Sq. Ft. Housr, �, / Sq. Ft. Gjarage 1 _ _ /- Contractor Mailing AddressIcrestricted ndiate the restrid cteenergy installation by the electrical — Prior to pc mit �C�Zlr`' ��/�!/�'!ti/ /.Jr� � � jl issuance,^copy City/tate Zi Phone subcontractor in the followingareas of all licenses �,�;� /C' �y 7/,7.j -- Restricted T Audio/Stereo are requ red if Orer�on Const` Cont. Board Fxp. Dale Energy ESystem _ __Alarms . expired in COT Lica; G Iristallations Vacuum Irrigation _ database _ ___ Systern _ System Plumbing Name I (check all teat Other: Sub- L ri��l�tz ��' /�1�/,_1/�� _appy) _ Contractor Mailing Address Number of Units in Building I'iit Number Designation Has the Subdi�•ision Plat recorded? N/A l= NO Prior to permit Cil /State I hone issuance,a copyt i'l�!�✓ CC'! _ -- —of all licenses are Oregon Const. Cont Board Exp Date required If Lic.# — �� (C/� expired in COT -- database Plumbing Lic.# Exp. Date I hearby acknowledge that I have read this application,that the n information given is correct, that I am the owner or authorized agent of the owner, and t plans submitted are in compliance with Namg. -Oregon Stat Electrical (:% � �_/L'f, Sign 2 ne/Agnt Dat Sub- Mailing Address Contact Person Name Phone# Contractor 2'�L`u2 9 — _ !S'!-6,(,t S ity/Sl to Zip Phone l/ Prior to permit issuance,a copyS-___ _..— FOR OFFICE USE ONLY: _ all licenses are Oregon Const Cont Board Exp Date —-- Plat#: Map/TL#: required if Lic# expired in COT ` database Electrical tic # Fxp Date__ Setbacks: _ Zone: Electrical Supervisor Lic # Exp Date Engineering Approval: Planning Approval: TIF: i Asts\+.nms\sfd-new doc 11/20/98 i ELECTRICAL - CITY OF TIGARD RESTRIC EDPEN RICKY DEVELOPMENT SERVICES PERMIT ELR2001-00084 13125 SW Hall R.',/d.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/27/01 SITE ADDRESS: 10859 SW KABLE ST PARCEL: 2S110DA-095(,9 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 056 ;URISDICTION: TIG Proiect Description: A.RESIDENTIAL B.COMMERCIAL AUDIO& STEREO: AUDIO&STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: -- TOTAL#OF SYSTEMS: Owner: Contractor: GREENLINE INC PO BOX 230755 TIGARD, OR 97223 Phone: Phone: 968-1978 Reg#: LIC 103033 ELE 34-397CL ` _ FEES Required Inspections Type By Date Amount Receipt _ ,r PRMT CTR 3/27/01 $75.00 2720010000 [.r 5PCT CTR 3/27/01 $6.00 2720010000 Total $81.00 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 952-001-0010 through OAK 952-001-0080. You may obtain copies of these rules or direct questio,is to OUNC at (503) 7.46-1987. Issued by Permittee Signature i - ^_- OWNER INSTALLATION ONLY _ The installation is being rn o roperty I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: '""'�"" DATE:_ Z CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day _ Electrical Permit Application Date received: "� p( Permitno.: 1 Lm e e City Of Tigard Pmject/appl.no.: Expire date: City(If 7'igard Address: 13125 SW Nall Blvd,Tigard,OR 97223 pate issued: By: Receipt no.: - Phone: (503) 639-417! Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: JYPE OF-PERM] I &2.family dwelling or accessory' U Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alleratinn/replaccmcnt U Other: U Partial 1101111 1 Job address (,�, tj Bldg. no.: Suite no: Tax map/tax IoUaccount no.: Lot: Block: Subdivision: Project name: Description and location of work on premises: Estimated date of completion/ins ,cellon: -- - 1 Job no: Fee Max Business name: �" F,�_ IOescrtpunn Qty. (ea) Total no.ins New rasidenllal-.single of nnilti-famlly per Address: r 0V 11110 FJ- dwelling unit.Includes attachedgarage. City: State: ZIP: Servireincluded: Phone. f Fa '-mail: 1000 Ski nor less -- _ --4 Fach additional 500 sq,ft.or portion thereof CCB no.: Q' ii& Limited energy,residential 2 City/ CtM tic.no' Limited energy,non-residential _ 2 Foch munufnctured home or modular dwellinp Signature of supervising electrician(required) hnce Service imdAsr feeder Sup,elect.name(print): ,,.,,W O,, V r Services or feeders-Installation, PROPERTY OWNER alteration or relocatlon: 200 amps or less Name(print): ' V7 (J 201 amps to 400 amps T -- - -- 2 -- 401 amps to 600 amps 2 Mailing addrrss�01, 1- �.� �' 601 amps l0 10(Nl amps 2 City: Stale' ZIP: Over 1(00 amps or volts � 2 Phone: Fax: E-mail: Recnnnectonly - I Owner installation:The installation is being made on property I own Temporary servlcesorfeeders- which is not intended for sale, lease,rent,or exchange according to in4allatlon,olterrilon, 21x1amps or less 2 s,rn•Incaflon: ORS 447,455,47), r) 7 ! 201 amps to 400 amps - 2 Owner's s! nature: _ I):tut: m l n,r;oo an, s z OEM 1111111Rrnnch cfrenfts•mew,alteration, or extension per panel: L. V ^_- A. Fee for branch circuits with purchase t,f Address: service or feeder fee,each branch circuit 2 - -------- — - — City: Stale: _ ZIP: B. Fee for branch circuits without purchase - -� Of service or feeder fee,first branch circuit 2 Phone.: Fax F-mail: -. --- Ruch additional branch circuit: Misc.(Service or feeder not Included): U Service over 225 amps-commercial J I(ecdth carefacifity Bach pump or irrigation circle 2 U Service over 320 amps-raring of 1&2 U Hazardous location Fach Lign or outline light) 2 ramilydwellings U Building over 10,000 square feel four or Signal circuit(s)or a limited energy panel, 1 U System over 500 volts nominal more residential units in one structure alteration.or extension* ? U Building over Three stories U Feeders,400 amps or more •Ikscri,tion -- U occupant load nve,119 persons U Manufactured structures nr RV park Fach additional inspection over the allowable In any of the above'. U Egressfllghtingplan U(Wirt perinspection Submit , sets of plans wills anv of 1hP s!n)ve. Investigetionfee Fhe a1mve are not applicable lu temporary construction service. Other -- Permit fee............ $ Nor all Juris,lictions trcept credo,art1s,please call)udsr.lclioo f:x rnrne intnrrwtinn. tvhrtice: 11115 permit application """"' - Ubisa U MasterCard expires if a permit is not obtained Plan review(at ` %) $ Ctedu card numb^: - �../ within IRO days aper it has been Stale surcharge(946) ....$ Vol 1 F"p1fr, accepted As complete. TOTAL . $ Name of ca�+��f--aa shown on crc It ca v — S CaMholder rignalure _ Amor,,, -- 4404615(&MCOM) CITY OF TIOARD Residential Certificate of occupancy Permit No.:/V-6/ ,o7( 0- Q U/;?/ Address: & Owner/Contractor: ,� Q SSG/�✓�,� Date of Final Inspection: Inspector: This structure has been found to be in substantial compliance with the provisions of the State of Oregon One& Two Family Dwelling Specialty Code and is hereby approved for occupancy.