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8394 SW DURHAM LANE — — — E 8334 S'W DURHAM CT, TIGARD, OR __._..-__.-.._____�___. -----__�.._-_-- ----- - __.._._..___.LEGEND...........----_-- -------_ LOT P OFDURHAM �A K� SUBDIVISION — W — ^ IUATE R L 4T E RAL -- -�s - -- - = 1&' ANIT4R T- 4 SEI,IJER Li41'ERi_"kL — ------ -- = :�11_ 1 FENCE TREE PROTECTION PENCE DURI1A11� G, T a-10 ��'19" E TRACT B 2 704 -.- - -- . -- ------------ - ------- 00 v I - � I 1.11 C4RA E 180.5' I .7.4 R,4 E I � i I i I �3 - I L. - I a o I 181 . F.F.E. � /� 1 �0 �� '-off K/ 241 ©I11 SET ACK SET ACK �� i 1L1w,.. ..:.�..�.,:.._,._..j���wxxx.x„nm�. �„ n n...,.n ra.,Hw�,:.. � . � ,,. {_ i �:) 0000 Ql0000 00 - 00 -SILT ` FENCE EL - RECENEDR__-_ __-- -- - -- ---_- -- -.--___ PLANT LIST MITI<;•�`rIO�J TREE - DC)UCxL"S FIF <MEA5UREC� AT 5-�45E ,1, F�ROPOSEC STREET TREE TOTAL. = E -4. 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OP 972W DURHAM OAKS SUBDIVISION -- SW DURHAM RD AND SW HALL BLVD - TIGARD, OR 443-6303a o r , �.Au� I�A e . 160) 44$-2443 --.� ..:+..w....„. ._ ......_..... _..Wm .. ...._...,.+.�...::...,..-._ .. _....,::.Wr..-......__.. .-_._ .an—,._,_�....:...._—_...u..c . ..__..._�.. w...Wr...a:u.unw.,.ru..r,,. .u..oaa. ._ 4 � I4 ' NOTICE: IF THE PRINT OR TYPE ON 1llllll IIIIIII III II ► III III III I � l 1I1 II1 1 � 1 1 �T]-rjTTp vp If--r-1.1I Ill I I II1 I � I I � I III 1II TIT 1 � 1 III flI I � 1 [jr-IT-1T-111 r I rpt 111 tlt � t � i iJi I � t IIIJill Iii � Ii 1IIIllI ,... I f I I I 1 . I I I I 1 1 I IMAGE ISN T A I ; r 0 ,� CLEAR AS THIS NOTICE, 1 2 3 4 .�J E1 7 8 - 10 11: 12 IT IS DUE TO THE QUALITY OF THE No-36 ORIGINAL DOCUMENT - ----. .._-_-- _.---- _.___ —_ ----- --- --- --- -- — _ -__ --_- ---- --- --- — -____ _ - — ---- - - ----.--- ,— - --- - - _ -- -- I E 6Z 8Z LZ 8Z 5Z fiZ EZ Z TZ OZ 6I 18I LI 9T 5I fiI ET ZT ti i bi A8 L 9 9 _ E hit, iii i ii iliiiiii!i viii iii iliiilii ilii iiia � «l� ��< <l� 1«iii�� �ii� iii �i1i11�� iii11��tiii11�� �� 1111�� ��1111�� ��1111�� ��1111�� �� 1111�� ��1111�� ���I <<�� ��111111 ,�� 11�� ���� ���� ��� �lil �.�ui� � a Iii illilu i �. 00 W C D r z 8394 SW DURHAM LN CITY OF TIGARD 24-Hour BUILDING Inspection Line: (5 639-4175 MST INSPECTION DIVISION Business Line- 03)639-4171 BLIP Received ___A__ __ Date Requested____�_ _ AM_____ PM - BLIP -2 r- Location Location ,-�_� ( _Suite MEC Contact Person Ph PLM Contractor - _ Ph (__ ) ___- SWR BUILDING Tenant/Owner _ _ ._. ELC Footing ELC Foundation Access: - Ftg Drain ELR _ Crawl Drain Slab Inspection Notes: SIT - Post&Beam Shear Anchors �- - Ext Sheath/Shear Int Sheath/Shear _T _ Framing 6 R 05Z.Q N1 Ea-_LJ A6— Insulation �i-�E� •�-��C GC: t u _ Drywall Nailing Firewall N S UL_ m-n�.1 C-1 Fire Sprinkler ---?-- Fire AlarmZS S_ -- / Susp'd CeilingPP � v Roof Other: IIID Uhf - ' LO©� -T-AiS0 L,/-� [ - --- C50 PASS PAR FAIL T- C+' -2. j zpv St)Z-"em PLUMBING FCrw IL Post Beam Underr Slab •� 'f}-f,�L4:GG G-. cc �� ��'GZy•� ��� - `' � �j ``' Rough-In Water Service � Water Sanitary Server Rain Drains - - - Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL --� �— MECHANICAL Post&Beam _ Rough-In Gas Line Smoke Dampers --- -- -- - ASS PART 'AIL —ULWTRICAL v _ Service � 4 Rough-In UG/Slab Low Voltage Fire Alarm Final [� Reinspection fee et$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: _ Unable to inspect-no access Fire Supply Line , / ADA �� - `-f _ Approach/Sidewalk Date / Inspector _ Ext Other: _ Final - DO NOT REMOVE this Inspectlon re rd from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-417'1 BUP Received Date Requested__ _ ( Am_____ PM_—____- BUP _ Location _�— _ � _ _. __.Suite_____ MEC _ v Contact Person _— Ph ( �) �__��___—__��� PLM Contractor _-__ _ — --- -__ .. Ph(_i) �- _-- SWR — —_-- BUILDING Tenant/Owner _ ELC Footinq Found-i --- ELC _ Access: — Ftg Drain ELR Crawl Drain Slab Inspection Notes? SIT Post& Beam Shear Anchors Ext Sheath/Shear IN Sheath/Shea, Framing --- ------_--- - _ ___-----_-_-____ Insulation Drywall Nailing -----_- -- - — - -- ---__ Firewall 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 Drain - - Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam-~ Rough-In - - -- - -- Gas Line Smoke Dampers - - ------ Final PASS PART FAIL - tLECTRICAL Service — Rough-In - —- ----------- ----- UG/Slab Low Vnitage ___-- F+fie Alarm Reinspection fee of$ —_required before next inspection. Pay at City Hall. 13125 !QW Hall Blvd. 'r: PART FAIL Please call for reinspection RE: [j Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date �_ I�� '- U -_ Inspector "_ _� Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL kAAAAAA AAAAAA UAAAAAAAAAAAAAA AAAAAAALAAAAAir ► d 44 k VQ 44 a ► A44d �' ► � o , A ► j j � y d `S p � � � ► 44 o ► 44 ► , �J s N ° ~ ► t -st- ► r ► 44 � R ® ► e ► , CITY OF TIGARD 24-Hour 6i1lLDING Inspection Line: (50 9-4175 ) c r•-u�o INSPECTION DIVISION Business Line: 3)639-4171 MST B t1 P ------ Received Date Requested ---- AM-- PM _ BLIP Location -- `A 3'_�1 q T) -__ _ Suite MEC --— Contact Person ______ Ph ( ) :210 PLM — Contractor ... _ —_---___ Ph (_----- _ _ SWR BUILDING _ Tenant/Owner ____ ._ — _—_ ELC _ Footing ELC Foundation Access: Fig Drain ELR Crawl Drain r Slab Inspection Notes: SIT Post&Beam -- --------- - - -- -- - - Shear Anchors Ext Sheath/Shear _ Int SheatF:'Shear Framing J 1 Insulation C` r.-t Drywall Nailing - — - Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling ------- ---- -- -- - Roof Other.1491`� — ------�-- -- AS PART FAIL --- ----- --- - - --- Post& Beam __- Under Slab - --- - - -- --- - --Hough-In Water Service - - -- - — _ - Sanitary Sewer Ham Drains - -- Catch Basin/Manhole Storm Drain - --- - -- --- Shower Pan Other. - Final 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 Final �J Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE F] Please call for reinspection RE:__-_ --- Unable to inspect-no access Fire Supply Line ADA �•� Approach/Sidewalk Date '7Inspector Other: Final DO NOT REMOVE this Inspection racol from the job site. PASS PART FAIL CITY OFT IGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST aLLIL� t:y� 64SPECTION DIVISION Business Line: (503)639-4171 _7 BLIP Received _— Date Requested / _ AM_..`/ PM. BLIP Location C __Suite __ MEC _ Contact Persons Ph(____.) S PLM Contractor PhSWR BUILDING _ TenanUOU�;ier ____ ELC Footing~ Foundation ELC Acces 3: Ftg Drain ELL _ Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear Framing -- - ---- .. . - --- — ---------- Insulation Drywall Nailing Firewall Fire Sprinkler ------- - --- — Fire Alarm Susp'd Ceiling - ---- - Root Other: - - -- Final PASS PART FAIL PLUMBING ^— Post& Beam Under Slab Rough-In --- - -----_-- Water Service ---- - --- - ---- - - Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain --- -- Shower Pan fA PARTFAILNICAL Post& Beam Rough-in -- - _ Gas Line — Smoke Dampers Final PASS PART FAIL ---- —-- —- -- -- -- -- ELECTRICAL Service Rough-In UG/Slab _- -- - _ - ---------...----- ------ Low Voltage _ Fire Alarm Final Reinspection fee of$ __ __required before next inspection. Pay at,ity Hall, 13125 SW Hall Blvri PASS PART FAIL SITE Please call for reinspection RE:——_._,�__--.__�� Unable to inspect-no access Fire Supply LineADA yy Approach/Sidewalk Date ~� — Inspector. .1 �__ __ - - Ext_._ -- Other: Final 00 NOT REMOVE this Inspection record from the job site, PASS PART FAIL MASTER PERMIT _ CITYOF T I G A R D PERMIT#: MST2004-00045 DEVELOPMENT SERVICES DATE ISSUED: 3/8104 13125 SW Hall Blvd., Tigard,OR 97223 (503) 639-4171 PARCEL: 2S 112CC-D0017 SITE ADDRESS: 08394 SW DURHAM LN ZONING: R-12 SUBDIVISION: DURHAM OAKS JURISDICTION: TIG BI.00K: LOT: ul REMARKS: New SF detached dwelling. BUILDING _ REQUIRED SETBACKS REQUIRED _ --- STORIES'. � FLOOR AREAS —-- _ REISSUE. bVH1875 LEFT. S SMOKE DETECTORS: HEIGHT '" FIRST: i�,l`, sf BASEMENT. d CLASS OF WORK: NEW PARKING SPACES FLOOR LOAD: Art SECOND. I'�A,, sf GARAGE: 305 of FRONT: - TYPE OF USE: SF RIGHT -' DWELLING UNITS. TM W) sf TYPE OF CONST: 5N VALUE: 153,081.30 REAR. "• OCCUPANCY GRP: R3 BDRM: J BATH'. 9 TOTAL. 1 r 75 et PLUMBING _ RAIN DRAIN. In�.� TRAPS. LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS: SINKS: 1 WATER CLOSETS: ) WASHING MACH: ' LAUNDRY TRAYS: - SEWER LINES iip SF RAIN DRAINS CATCH BASINS. GREASE TRAPS GARBAGE UISP- 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR TUBISHOWERS: 2 OTHER FIXTURES. MECHANICAL _ FUEL TYPES FURN-100K I BOIL/CMF<3HP: VENT FANS: 4 CLOTHES DRYER: I �;AS FURN>=100K: UNIT HEATERS: HOODS: I OTHER UNITS: MAX INP: btu FLOOR FURNANCES-. VrNTS, I WOODSTOVES: GAS OUTLETS: t ELECTRICAL —' - TEMP BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS RESIDENTIAL UNIT SERVICE FEEDER 1 0 -200 amp 0 - 200 amp'. WIS VC ON FDR. PUMPIIRRIGATION: PER INSPECTION: 1000 SF OR LESS: PER HOUR: 201 400 amp 201 400 amp. 1st WIO SVCIF OR. SIGNIOUT LIN LT EA ADD'L 500SF: IN PLANT: 401 80U amp: 401 800 amp- EAADDL BR CIR SIGNALIPANEL�. LIMITED ENERGY: MINOR LABEL MANU HMISVCIFDR: 601 - 1000 amp: 601•amps-1000V 1000.amolvolt PL AN REV IF W SECTION - Raconneat only >_4 RES UNITS: SVCIFDR-225 A.. >600 V NOMINAL CLS AREAISPC OCC: ELECTRICAL•RESTRICrED ENERGY D.COMMERCIAL A.SF RESIDENTIAL AUDIO 6 STEREO: FIRE ALARM: INT F.RCOM/FAGING'. OUTDOOR LNDSC - AUDIO b STEREO: VACUUM SYSTEM: HVAC L ANDSCAPEARRIG: PROTECTIVE SIGNI. BOILER: BURGLAR ALARM: 0TH: MEDICAL: OTHR: GARAGE OPENER: CLOCK: INSTRUMENTATION. DATAITELE COMM' NURSE CALLS: TOTAL M',YSTEMS: HVAC: TOTAL FEES: $ 7,264.61 Owner: Contractor: This permit is subject to the regulations contained in the BUENA VISTA HOMES BUENA VISTA HOMES Tigard Municipal Code,State of OR. Specialty Codes and 6932 SW MACADAM#C 6932 SW MACADAM HOMES all other applicable laws. All work will be done In PORTLAND,OR 97219 PORTLAND,OR 97219 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: Oregon law requires you to follow rules adopted by the -443-6033 Oregon Utility Notification Center. Those rules are set Phone Phone: 503-443-6033 forth in OAR 952-001-0010 through 952-001-0080. You Rog N: LIC 152235 INobtain C by calling(503)2ies of 46r1987or direct questions to REQUIRED INSPECTIONS - Insp Mechanical Final Ersn Cntrl 681-4444 Post/Beam Mechanics Plumb Top Out Exterior Sheathing Inst Waterorm Linenlnsp Plumb Final Sewer Inspection t.lnderfloo:insulation Electrical Rough In Gas LineVoltage nsp Water Service Insp Building Final Footing Insp Crawl Dral, Backwater Insulation Insp ApprlSdwlk Insp Foundation Insp PI-MlUnderfloor Framing Insp Shear Wall Insp Rain drain Insp Electrical Final Post/Beam Structural Mechanical Insp Iss690BY / KIN11 _ Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the nex business day CITYOF TI GAR D SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S.'VR2004-00048 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/8/04 SITE ADDRESS; 08394 SW DURHAM LN PARCEL: 2SI12CC-DO017 SUBDIVISION: DtIIt1IAM OAKS ZONING: It-1' BLOCK: LOT: iil% _ JURISDICTION: I.I(, TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for ne,v SF dwelling. Owner: -- FEES BUENA VISTA HOMES Description Date ~Amount 6932 SW MACADAM #C PORTLAND, OR 97219 1SWUSA I S��r connect 3/8/04 $2,400.00 1 SWUSA I Swr Connect 3/8/04 $0.00 Phone: 503-443-6033 tSWINSPI Swr Inspect 3/8/04 $35.00 (SWINS111 Swr Inspect 3/8/04 $0.00 Contractor: — - - Total $2,435.00 Phone: Reg#: Required Inspections This Applicant agrees to comply with a'; the rules and regulations of the Clean Water Services. The permit expires 180 days from the dale 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" Perm 1 Issue by: (� f v Permittee Signature: Call (503)639-4175 by 7:00 P.M. for an inspection needed the ne0usiness day 17 • Building_Permit Application ' - Received Building Date(B : a C% Permit No:w t`:' vu y L � City of Tigard BE ► v Planning A p gwal ro[ a10U -000•-1 DateB Permit N fiV D" 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 IJAN 3X004 Date/8y: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use Internet: www,ci.ti ard.or.us Date/By: Case No. _ g Y O Contact Ju�ls See Page 2 for 24-hour Inspection Request: 503-6394%61NG DIVISION Name/Method: 7 G Supplemental Information TYPE OF WORK REQUiIItED DATA: New construction Fj Demolition 1&2 FAMILY DWELLING Addition/alteration/re lacement Other: CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate & 2-Family dwelling CommerciaVIndustrial the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. c _ Accesso Buildin Multi-Family _ �1_ Master Builder M Other: Valuation......................... ............................... S JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths:_2 Job site address: `\ , r Total number of floors..................................... New dwelling area(sq. P.).......... ................... , SF Suite#: Bld ./A t.#: Gara uc on area'(sq. ft. Project Name: Covered porch area(sq. ft.)............................. Cross street/Directions to fob site: Deck areas R. 1 �1V Other structure area(sq.ft.)............................ �w NC11 � Svc ��-�vh�,l'vl - ---- REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: Lot#: - – Tax map/parcel #; /.Q LC•-•TJp(2)11 Note: Permit Fees*are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the is ork indicated on this application. C Valuation......................................................... S Existing building area(sq.R.)......................... _ New building area(sq. ft.)................ _ _ Number of stories............................................ PROPERTY OWNER TENANT Type of construction....................................... Name: rx Occupancy group(s): Existing- New Address: j pg7j2 �' _ A7 Alk .� _ Cit y/Sto to/Zi _ L9 Phone: Cj C Fax; NOTICE: All contractors and subcontractors are required to be 7APPLICA C NTACT PERSON licensed with the Oregon Construction Contractors Board under -1 provisions of ORS 701 and may be required to be licensed in the Business Name: VW04 jLHsdiction where work is being performed. If the applicant is exempt ConUct Name: S from licensing,the following reason applies: Address: _ —__ --- — City/State Zi __ --— - --- — Phone: _ Fax:v – N^� BUILDING PERMIT FEES* E-mail: LLt �� � ptptefe�`iofeeschedule. CONTRA OR C _ - ------- - — Business Name: s Fees due upon application.............................. S Address: L City/State/Zi Amount received..........................................._ S - az Phone: Fax: 443 41 Date received ______ ----__---—- -_ --- -- Authori'ed _� Notice: This permit application expires if a permit is not obtainear%ithin Signature: _ %���'w/,L� Date—_L`__, 180 dais after it has b^en accepted su complete. 'Fee methodoloV set by Tri-Cott, building Industry Service Board. (Please print name) i Dsts`Permit Forms\BldgPermitApp doc 01'03 01/20/2004 16:7.2 5032537693 SUN GLOW INC PAGE 02 Mechanical Permit A licatx To,I Retdved Methenieal� `I tkswyy-- Permit No. 5ov4-C.�jU� •/�IV ['farting APPmvei Building City of Tigard DaWM : ---_-- P�tr„t ha.: 13125 SW ball Blvd1Nry Piot Review otter Tigard,Oregon 97223 b�tc/a ernit No. - phone: 503.639.4171 Fax, 503-598-1960 Feso-lteview tend Use Internet: www.ei,tiSud.oT,.u3 0TY UI- I Ctmtact luri%-.� pare2for 24-hour Inspectiou equem. 5034"4421di L'Ii, Namer effiid: _ 9� mretal[ereretltlen _ '!t'1feE OF WORK COhtD+�Rt,LAL FEIE•_ A!Utlr�!�]BEC�1diliC1IST New consttuet� t'nn _ ]_,D molition N1Cchatlic�l parvt f1 ts'are based on flit total value of the work perfornted. Indicate rhe valts�(rounded ro the acxest dollar)of el! AddidoNalterativrsJcc lacezlaeCOVST Other: trechanical rnuteials,equipment,labor,overhead and pruflt. — G0 RU valuta S See YAgc z for Fee Schedule tA&2-F'arnfly dwellingCommercial/industxial , r Alulti-Familyaster Builder ll'tmxt-M and L -- iI01v Y ,Furnace•add•on air conditioning•' < r Gas beat`pum ——- 14.00 1- --- Job site ad&ess: 6 i Duet vmtk -1a suite#: st �a t.; : , - 4--_ C JJ ydronk hot er system 1 __I4 a7 1 Pro'ect Name: A. I Residential boiler Cft rs ross street/Directions to job site: diatm or h tonin c em I a no Unit hectare(fuel,riot electric) TT Vd �Ruelv"t wall,in-duct suspeltdad,eat) y 14.00 ftr Of above 1000 r units 12.15 Subdivisiosu -- Lot# direr etl�o4ti,.ca_ _ --- Tax mn / el#: Water hearer _ 1000 rM VVnRK Gras fire lace i0 Flue Kat iwatar trantcgaf ftrepla iee) Lo li t� 0 _ Wood/Pellet stove cj Wood fireplace/insert 10.00 - - - II i 10.00 rGltirrinoylllnedflur/vent_ __. QROPER 'ICFrN r. Other. �- -�— 10.00 —.1�1� 1- Environmratal Esharnt lc yenti UQtL— [—Name: Range hood/other ktuhen equipment I ryon 41dt�It:SS: - Clothes dryer exhaust - —10 00 a /Si te/Zl Single duct exhaun 7 ! L athmartn toilet oamparonents. Phone. 0 ax. 2 ro C CONTACIrk; ON Lutili 680 f__f An Jcrawl s ace fan; _ 10.00 P- - Name: [lther: Address. �,. � - Fuel MM city/state/zip: ._ - I M for f rlt $ �acts rydEitio al _ ! Fumece,ere. •• PhOn (� x37[: r G1 heat�trmp __ '• _� 1�-tl411i. o� 1 "l Wall/sus dWunithM,-. CONTRACTOR Jf Wates heater Fire�ace Business Name: - ri/) „ , E Address: Zy�x �. 1Z� R �• --- Lit /Statelzi : J C 1 cloches Phone - 2a - T Fax' Ocher. Total: CO3 Lic. #:-4 - tta..tau e • Subtotal;- 3 AudiorizSig�sated f '0 Date: Minimum FcTmit Fee _2.S0 S �'� ��� Lm eview t c 25.6 of Permit Fee) S _ State Surchiree($%Of Pttrmit F'ee S '- (Pie"& r name) rTatFERuFEESS Fre arethodotog'set hn Tri•Couaty Buildisr tndestm Strvtrr gesrd. rut!ce: This permit applieotton expires its psrrtttt tt net ebUlned within •,31tr plan rrgnlred Nr neteritrr A/C uchs ISO days Orr it her b"13aaepted■s eoutptetr. �..�>u`Pe-.aRr,�.,dMecPermltAay.doc OI�vJ 01/20/2004 16 03 FAX 5036284633 THE MULLEN COMPANY lit OU2/002 Plumbing Permit A QED Received Plumbing — -�~— Permit Not/ City of Tigard JAN 3c) O4 Planning App-w4t - Sewer 011e/9 : Permit No: 13125 SW 1141 Blvd Plan Review other Tigard.Oregon 97223 ( y()FT AN -D&WM-Y. Pcmat No: Phoru. 503-639-9171 Fax: 503.599.10110NN(• drat/ avlaw Land Use InterneT: www.ci.Hgard.or.us Contact -� JuHt.- I CS See Page 2 for 24-hosts Inspection Request: 503-639-4175 Name/Method: I Supplemental Information. • art.OP WOE- - FER*SCAEIIIJLE�1brt ` 1ta(6tzfpr4F! chelddW $- rrr New cotLtructionv4� _- r Dern ition Desen tioa .tea total Addition/alteration/re lacemen'. Otho; + Umxv � Of! �xK>E- �famil3+� , _1_. a�isioll!t toe eirilo�+rn3N �lfe� SFR(1)bads 249.20 1 8z 2-Fltm_�'.il dweliimoiComrnercLalMdustrial — .__ - -.-----_ _ . _ � SFR 21 baht 350.00 Aoaessory Sui1clingM_inti F_arnity sFR(3)bath 399.00 Maswr Euiltic F� Outer' Each additional bath/kitchen 45,00 JOB 9rTF.INFORM9TIOItan-dl.00ATiON Fire Egrinklar-so. ft.: - Page 2 Job site address: , r girt Utilfttes Suite 0: Bid ./A t.##: Gatch bastin/eren drain 16.60 Diy,wolVlnch line/ri neh drain 16.60 Protect Mune: c Foo6ng drainnn. linear ft.) -- --- Page T Crass street Directions to job site: �yw -- n 1'r r J L /� ManuCac ur�d home utilities„ 110,00 Manholes 16.60 R Rain drain cvrmectur 16.60 sani sower n,).linear R.) Page 1 Subdivision: )�7�" Lot#: Storm sewer(no.linear ft.) Pa c 2 Water service nm linear ft.) Page 2 Tax map/parGel #: _ FIrture or Item . , WSCk& iON OF (A! „ _ ---- Abto trp ion valve 1660 t .Yl -- l y� Y Backflow teventer P e t L ILL 1 Backwwar valve 16.60 Clothes washer 16.60 — Vithwauhar 16.60 -=llrinkin fountain ---- '- _16.60 -- PROPERTY UWI'1J R-_ TEXI ANT Drink relate 60 Nai11C: S Ex ansion tusk _ _- 16.60 -__-�-- Address: Fixturetwer exp- -- - 16.60 ,fly/ tatc iFloor draWflovr sin"ub —_ 16.60 Phone;r /!?7 UO Fax; G UP Oub a dls oral 16,60 t Hose bib 16.60 CO lee rnakar 1660 'Name; A,Yi 11,A r i i Yi c 16.6 Addreal: e-- McCacal gas-value. i city/State/zip: Rimer Roof dein commereia) 16.60 Phone: 5 l )Z Fax:SAO 42 1 slt1k/bas avuon ---- — -- 16.60 --- E-Mail: M p Tub/shower/shower Pan _ 1660 — O OR - Urinal _ 16.60 Name: Business �— w'atcl closet 16.60 _ r,L(c{ r�u�Fl-7 ( D Water heater --- Address:__A- j Other: -- - - Ci /State/Zi t�In 9_,Z. o n Phon 5'�' F'a�t�o' .._. uetRctldas` ' CCB Lie. ff: +_ 1utlb. L e.#: --- _— Subtotal s ut oriml Residential BaMtntrnum Pestnit Fee$7250 Lv A ckflow MWmarn Fee 536.23 _ Signature. �i� �— Date f `f _ Flan Renew 25%of Permit F")_ Std 9WAM($It 9f rurna Fee S tricup print namc) TOTAL PEIDUT F19 IS Nauta: TVs permit appllution aspirem if a permit is not obUined within All new eommertdai bv1 dlep eeaulre 2 acts of pians with Ieomrlrie or 180 days after it!_a been ecoep104 as oempleteriser diagrrtte for plan Ar%iow. `F're methodology set by Tri-Cainry eiulldtng industry%armee fM2r4. i,`lhts\PtTmit FaRns`PlziPcmtitApp dne 01 0) 0.1/20/2004 16:08 5036425815 ROSS ELECTRIC INC PAGE 01 Electrical Permit ' 'QnK11 Will]a I _ l 1 Rluived 8loottiQtl Date/By: P t No.:y115T e�C%'U�1 _ M 1 City of Tigard ^ FFIIntn9 A,ppmvsl sign 13125 SW Hall Blvd, ,JAN cj I I Revicw — - Other No.: Tigard,Orepon 97223 _ Other Pemnit No.� Phone. 503 639-4171 Fax; 503.6Di-IAbQIGqJ Post Revicw Land Use Internet. www•ci.tigard.or us IiUILDINC; C,IV b°t`J°y --- Case No. 24-hour Inspection Request- 503-639.4175 ConLict I lune• See Page I for LNune,Method. Supplemental Information. O>~WORK ---� pL+,_4;t#iavr w 71 u�rt�ca e. New consrructotl_ _ --�r Demolition service over 225 a -- �- —= rrtPt Health-%are facility Additionialteration/r cement pier; eammerci.l ❑Har,rdous location I>~Ai TEtyORXUFCONSTKU ItI �Service over 320 anvil-rating of I ❑Building over Io,000 squwv feet, I h 2 family dwellinps four or more residential unit•%•n rqJ1 &2-Famll dwe;lin =Con tmerclahTndustrial aO System over txxl volts nominal orae structure Aceessor Buildin Multi-Fanit ❑Building over three stories Feeders,400 amps or more Master Builder u occupant goad over 99 pentons Manufaetimd structures or RV park Other: ❑Egreu/lighting plan other. 1018 S1Ttt INFORMATION ii d[L lITION Submit sets of glens with any or the above. Job site address: Tate above are note Ilcoble to tempers tonttractl n seryls . Suite 0: Bid %A t.# — IrE>!~scumal 1. Number of Ins_ eetions er It Allowed Project Name: ne.crl tion - Qa Fee(ea,) rntal Cross sttreet/1tDireectims to Job site:/� 1 ►{!� /� �Iew rf%Mentlal.sitttle or rraltl family per ►� "' �"'r r t 4 I V 1 I I(��U IJ, d-fling draft.tocfode%attached RsraRe. Setvke Included. Iow ,rL or legs 14515 4 Each addirional 5W R.or portion thereof _ 33.40 _ i Subdivision: Lot#: Lt'"'t"'°'m '�s'&n"� rs.00 2 Tax ma Limned crierYy,non rnrdenHiff 75.00 2 ph]8rCe1#: Tach numuflcf r I home or modular dwe;tmt DESCRIPTION OF WORK scrvia A"&'or feedar "90 2 O Servsor freder%-Imullation, (— dtcration or rrtncatloo: t4- ' � _ 00 amps or Ics% _ d0.10 2 20 I am tL 400 arra _ 106 30 2 PROPERTY OWAt�R _ 401'mps m _ ,--- — 160.60 2 Twit, 601 amps ro 1000 ones _ 00.60 2 Name: c Over 1000 sm or valty 4S4 65 _ 2 RacwmeetOn� 66,55 2 Addres Temporary service%or reeden•installation, C /$ tt'/ 1 }� ) atreratJnn,or rrkxtdon: Pho11e . D � 2ftp am s ori�t,, __ 66.n3 l Fax U t I em 400 — IDO.30 2 CART CONTACT PERSON 401 1O °!"pe 13 73 2 ---- _ - ---_ _ Branch rlrcuivt-new.alteration,nt.Name: —Ys �_ l �e 'vl extentloe per panel; Address: ajj�\ C_, — 1 A-Fee for b r:nch cncuits-ith purchaw of CI /State/ZI : Y G --J _ +�*v_ c_e:r feeder fee each branch cin nit 605 2 cT — _ B'Fce for brancA ctrcuitt without purchase of - — Phone:5Cl2 Fax: mice Or fuer let.Fav t>rutch circuit 46.83 2 - Earh itiorul hhnch circurt -malty. l:Om . Mile(,°.sauce or feaekr not ntc uded). CO CPOR Each pump m-irnsuicin circle 53.40 2 Job NO: Each It cr outline li hum t)40 2 -- Spinal cucuit(s)of a limited cnertty panel. Business Na pg�, G y strer or a _�� 2 mC. ails ttlenaion� Address: 3i 4� i� °ej;rn"" _ 2 City/State/Zi tiS(vOE.p , p� -1� Each additional ins�ectioo aver the allowable In an of the above: Phone:,5t3 Z DO Fax: S' lncv ri o�°--M hota{mm. I hour 62.so z --- CCB Lic.#: !'!j7 76 / Lic,#: 3b Od cr Supervising electricia — —_--- � atLPWillirtFwM_ si ature re uired• .ra/0'0e's<) - Subtotal t Name: '- S Plan Review(25%of Pttmit fice S PtYrt ,f-�,(le 0 S Lic.# Statc Surcharge`tr ep�8%eC Permit reel S Authorized TOTAL PERMIT FEE S $ipntture, __JIRA dav% (•oases: 'rhk permit application"Pirn If a permit is not obtained within —_ DatC:T aper it baa been accepted a%corplete. 'Fre merhadologv rat by TH County Building Indu%try Ser-dee Board. (Please print name) i tbsq\Permit Form%\FICPermttApp,doe 01/03 SEE 35MM ROLL# 22 FOR LARGE DOCUMENT CITY Of TIOARD Residential Certijwate cif' Occupanc:v Permit No.: ST"ZC10`>✓-c!�cxj'`��Address: / y Z�U Owner/Contractor: Date of Final Inspection: Inspector: This structure has been found to be in substantial compliance with the provisions 01`0 f a State of Oregon One& Two Family 1hrelling __�kecialty Code and is hereby approved for occupancy. s