Loading...
8417 SW DURHAM LANE 8417 SW DURHAM CT TIGARD, OR LEGEND L 'l '13 (--)F DURHAM OAK SN SUBDIVISION W.4TER L ", TERAL 141NIIIT41R-T- 4 `EWER L,-ATER,:-4L 5ILT FENCE __0__ TREE 9ROTECTION FENCE q 154 t tLi 0 ju lu 24' SET A CC:K 15 SET F.F.E. 0 LL Lo Q 2 06 e I cz SE TBA(:5K uj r I (3sARA E L �_ �__ I all SW DURHAM OT RECEIVED 61 "44'19" E TRACT B jl_�i64­ . — - L-7— - .— . sqft. e i '1 2004 CITY OF TiGAR D BUILDING DIVISION PLANT LIST MITk_'3,41*I('_)N TREE [:)0UGLA5 FIR 3" TO 4"4PI (1-11E,45UFRED •4T BASE ) PROP015E(71 4TREET TREE TOT4L - 54, TG74L INCHES Y ( 2 FER LOT FLOWERIN(_'.� (_�HERR ---—-- 0 I­IITIl.';l-4TICN TREE 4' TO 5' 4RIE50IRVIT�E 2.5' oc. '" T,,� (ME-45LIRED -J BASE ? TREE 1C BE S, E D TOT41L 238. TOT 41- INCHES = 2 " x NORTH SITE PLAN '_................ ............ ..... CGS-L 0, T 13", BUENA Vl$'TA GUST. O)MES i C ,/ l � Ifi!M SW Wil AQADAM AVE., SUITE C l a �, � �'N* A V* l ► T A ( 1 0M Pt.�)RTLAND, OR 97`221IC4 t I DURHAM OAKS SUBDIVISION -- SW DURHAM RD AND SW HALL BLVD TIGARD, OR (603) 443--6033 E Irl-A li A FAP�,,., (503) 443-2443 11111 11111 1111111I ]TITITITTr I i I i I 11-11 111 1 1111111 11FIT] 111_.1.11 1 1111111111TI-11-1 1111111 1111111 NOTICE: IF THE PRINT OR TYPE ON ANY ► I I I .,I f IMAGE IS NOT AS CLEAR AS THIS NOTICE, II 8j 12 10 11 /�'L/r IT IS DUE TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENT OU 6Z 8Z LZ 8 z 5 t E zz T z O 9 6 T 8 I L I 9 9 T 1 E z T I 1 01 6 111111111111111111111iIIIli1111111111111111111J_ 1.1111111111 111 WHIM 111111111 00 J .4 cS v c Y D 3 r z f r.l I 1 1 8417 SW DURHAM LN CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST _ ' BUP Received __ ___ ______Date Requested --_- ' _ _(..___- AM--- PM BUP Location _ --`�-� _l'h- k J Suite.------,----_. MEC _ . ----.-----------. Contact Person .________ Ph PLM Contractor _- - _ _ Ph(—) __ _ SWR BUILDING Tenant/Owner _— - _ EL.0 Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam ------- - ---_— ShearAnchors ------------.---_----_.. _— Ext Sheath/Shear _ Int Sheath/Shear Framing --- ---- _ - _ Insulation Drywall Nailing _-_-- Firewall Fire Sprinkler - -- --- ---- - ----- -—----- -—----- Fire Alarm Susp'd Ceiling - - -- - ----------------- -- Roof Other. -- Final PASS PART FAIL PLUMBING ----------- Post&Beam Under Slab - Rough-In Water Service -- - - Sanitary Sewer Rain Drains - -- - -- --- -- --- Catch Basin/Manhole Storm Drain — Shower Pan Other: Final — _PASS PART FAIL MECHANICAL Post&Beam Rough-In — - - --- - - ----- ------ -- - Gas Line Smoke Dampers --- -- Final PASS PART FAIL ELECTRICAL Service —----- Rough-In — UG/Slab Low Voltage Alarm �n PART FAIL [l Reinspection fee of$___�_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. A S - - F-1 Please call for reinspection RE: __- s F] Unable to inspect-no access Fire Supply Line ADA Date 5 l - Inspector .N(*_ t Approach/Sidewalk 2. t �-- Other: _ - Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 — �� BUP Received Date Requested�;f�� AM _ PM 13UP .— Location _ GGn Imo_ Suite_ MEC Contact Person _—_ ___ _ Ph PLM Contractor - _—_-- -- Ph( ) --- SWR —_-- BUILDING Tenant/Owner _-.—_�_ _— _— ___ ELC Footing _- — — ELC Foundation Access: Ftg Drain ELR Grawl Drain _ Slab Inspection Notes. SIT Post R Beam Shear Anchors `--"-— -- Ext Sheath/Shear Int Sheath/Shear Framing ---- -- - - -- - - Insulation Drywall Nailing - ---- , - - - — Firewall - ,1 Fire Sprinkler - Fire Alarm Susp'd Ceiling -- --- -- - --- Roof Other - --- - ----- ---------------- Final PASS PART FAIL PLUM6IN_G — Post& Beam Under Slab — Rough-In Water Service -- Sanitary Sewer Rain Drains — ----- -- -----— --- Catch Basin/Manhole Storm Drain --- --� --i-- — - Shower Pan ICH S IPART FALAANICAL - Post& Beam Rough-In ---- _ Gas Line Smoke Dampers - ---- - ---- --------- ----- -- Final PASS PART_FAIL - - --- - - -- --- - --- -------- — ---- ELECTRICAL Service Rough-In UG/Slab voltage Fire Alarm Final u Reinspection fee of$__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS PART FAIT_ SITE Please call for reinspection RE:— _____. —_---- ___ Unable to inspect-no access Fire Supply Line /' ADA t!r Approach/Sidewalk De � _— InMwetor _ ___'L-i' - Ext ----__ Other: Final b0 NOT REMOVE this Inspection record from the job site. PASS PART FAIL Crj� ,yCVJ Q � �0 N ry � ti � � n ? CL rz cp rb , �. C. �n c a p ^ N "-.A CL a. n � ' CD ° 1 �j�l � O o 0 s � 1 ry c C ro hN RO F ,� O i M CITY OF TIOARD 24-Hour BU►:-DING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received ___ __ _Date Requested_ Z "' 24 _ AM- —_- PM _ BUP LocationLj_,_�,,_-__ Suite - MEC Contact Person Ph PLM Contractor --.-- -__-_-_ --- -- (-_.__-) _-_-- - SWR BUILDING Tenant/Owner __ _ _ ELC Footing - ELC _ Foundation Access: +— Ftg Drain ELR - Grawl Drain Slab Inspection Notes: SIT Post& Beam ---- Shear Anchors Fxt Sheath/Shear ..� -- Int Shea.n/Shear C.Z � Framing 1 Insulation Drywall Nailing - -- Firewall Fire Sprinkler - ------- Fire Alarm Ceiling - Hoof Othor: ----- ASS PART FAIL F'ost earn Under Slab -- - -_-_—_ -- -- Rough-In Water Service -- - - - - ---- - - Sanitary Sewer Rain Drains -- --- - --_ -- --- -- -- Catch Basin/Manhole Storm Drain -- -- - - - ------- --- ---- - ��_ Shower Pan Other. _ - - -- _ --- - ---- -------_ _-.------ -®--- - — Final PASS PART FAIL MECHANICAL - Post&Beam -- - Rough-In - - - -- - - -- - ---- _-- ---- _ --------_- -- Gas Line Smoke Dampers -- ------- --- -- -- - --- ---. ----- ---- -- -- r PASS' PART_ FAIL --- -- -------- - -�- �EECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm Final L__1 Reinspection fee of$____-__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _—_- - L] Please call for reinspection RE: Unable to inspect- no access Fire Supply Line ADAoach/Sidewalk Dote _-_� - Inspector , ---}_ _ Ext Other: _ Final DO NOT REMOVE this Inspection red from the job site. PASS PART FAIL AAAAAAAAAAAAL AAAAAAAAAAAAAAA tAAAAAAAAAAAAA i M40 i No. 1*0 poll z R 4 d 3 � n � � y PL et poll d d ° r ► qq 1 ri cm C) ► 4 N rD 0. ► 0. 4 �' �••� 4 4 4 � R 44 ► ► 4 b � ► 4 i i 4 ► �rvvvvvvvvvvvvvvvivvvvvvvvvsvvsvvvvvvvvvvvv V'I CITY OF TIGARD MASTER PERMIT PERMIT#: MST2004-00023 DEVELOPMENT SERVICES DATE ISSUED: 3/2/04 13125 SW Hall Blvd., Tigard, OR 972:3 (503) 639-4171 SITE ADDRESS: 08417 SW DURHAM LN PARCEL: 2S112CC-DO013 SUEDIVISION: DURHAM OAKS ZONING: R-12 BLOCK: LOT: Illi JURISDICTION: TIG REMARKS: New SF detached residence. BUILDING REISSUE: BVH1675 STORIES: FLOOR AREAS REQUIRED SETBACKS _ REQUIRED CLASS OF WORK: NEW HEIGHT 22 FIRST 51 BASEMENT st LEFT: 5 SMOKE DETECTORS: TYPE OF USE: Sr FLOOR LOAD 40 SECOND: -.I sf GARAGE. 305 s! FRONT: 15 PARKING SPACES: < TYPE OF CONST: 5N DWELLING UNITS: 1 IRRo sf RIGHT: 5 VALUE 163.OBL30 OCCUPANCY GRP: R3 BDRM: BATH. 3 TOTAL t.�;:S Sf REAR: 1'• PLUMBING SINKS: ' WATER CLOSETS: - WASHING MACH. LAUNDRY TRAYS: RAIN DRAIN: IWI TRAPS: LAVATORIES. 5 DISHWASHER& I FLOOR DRAINS, SEWER LINES: 100 SF RAIN DRAINS, CATCH BASINS: TUBISHOWERS! 2 GARBAGE DISP. 1 WATER HEATEr1S: 1 WATER LINES: 100 BCKFLW PREVNTR GREASE TRAPS. OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: 1 BOILICMP<3HP: VENT FANS: .1 CLOTHES DRYER: 1 FURN»100K: UNIT HEATERS: HOODS: i OTHER UNITS: 0 MAX INP blu FLOOR FURNANCES. VENTS: ' wnnn9TnVFS GAS OUTLETS: J ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEVERR BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS 1 0 200 amp: 0 -200 arlp: W19VC OR FOR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF 201 400 amp 201 400 amp: tat Vito SVC IF DR. SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY. 401 600 amp: 401 600 amp: EAADOL BR CIR: SIGNAL/PANEL- IN PLANT: MANII HMISVCIFDR 601 1000 amp: 601•ampa•1000v: MINOR LABEL: 1000+ampfvolt PLAN REVIEW SECTION Reconnect only' >-4 RES UNITS SVC/FDR-225 A.: >600 V NOMINAL. CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL_ _ B.COMMERCIAL _ AUDIO&STEREO VACUUM SYSTEM: AUDIO&STEREO. FIRE ALARM: INTERCOMIPAGING: OUTDO JR LNDSC LT: BURGLAR ALARM: OTH BOILER: HVAC: LANDSCAPE/IRRIG: PRC I ECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATIONS MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,264.61 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 Phone: 503-443-6033 Phone: 503-443-6033 Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through 952-001-0080. You Rog"' LIC 15223,5 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Ersn Cntrl 681-4444 Post/B#�:.m Mechanica Plumb Top Out Exterior Sheathing Inst Storm drain Insp Mechanical Final Sewer Inspection Underfloor Insulation Electrical Service Low Voltage Water Line Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water Service Insp Building Final Foundation Insp PLM/Underfloor Framing Insp Insulation Insp Appr/Sdwtk Insp Post/Beam Structural Mechanical Insp Shear Wall Insp Rain drain Insp Electrical Final LZ r r- Issued By : ' 1. c P t% I �� Permittee Signature :_ Li Call (503) 639-4175 by 7:00 p.m. for an inspection heeded the next usiness day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2004-00031 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUEC: 3/2/04 SITE ADDRESS; 08417 SW DURHAM I_N PARCEL: 2S112CC-DO013 SUBDIVISION: DURHAM OAKS ZONING: 1t-12 BLOCK: LOT: 0l3 JURISDICTION: IIsi 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 new SF dwelling. Owner: FEES BUENA VISTA HOMES Description Date Amount (3932 SW MACADAM #C PORTLAND, OR 972.19 1tiWUSAJ Swr Connect 3/2/04 $2,400.00 1 S�%�USA I Swr Connect 3/2/04 $0.00 Phone: 503-443-6033 1SWINSI'l Swr Inspect 3/2/04 $35.00 1SN'INSI'l tier Inspect 3/2/04 $0.00 Contractor: ---- —__ Tnral R2 43c; nn Phone. Reg #: Required Inspections (his Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does riot 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 :he installer shall purchase a "Tap and Side Sewer" Perm i __ Issued by: �' `_ '�< is Gt t t Permittee Signature: r U Call (503) 6394175 by 7:00 P.M. for an inspection needed the nox /business clay ly Building Permit Application Received Budding Datil© `,JG �'� Permit No -CJOv City of Tigard Planning Approval Other Date/ByPermit No,- 13125 SW Hall Blvd. ` R1•-� Plan Review Other Tigard,Oregon 97223 \ Date/By /f1A✓ 3-I_e Permit No.: Phone: 503-639-4171 Fax:m503-598-196Post-ReviewPost-Review Land Use JJ Date/By: Case No Internet: www.ei.tigard.or.us Contact Juris. See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information GITY OF TIGARD - -BUILDING DIVISM TYPE,OF WORK REQUIRED DATA: New construction Demolition 1 &2 FAMILY DWELLING alteration/replacement Other: — CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate I & 2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,tabor, AccessoBuilding Multi-Famil overhead and profit for the work indicated on this application r� ❑ Master Builder Other: Valuation......................................................... S JOB SITE,INFORMATION and LOCATION No.of bedrooms: No.of baths:__Z&rj Job site address: t, -�y�.��� - Total number of floors..................................... -- Suite #: -- Bid ./A t.#: New dwelling area(sq. ft.).............................. Garage/carport area(sq. ft.)............................ Project Name: Covered porch area(sq. ft,)......................... .... Cross street/Directions to job site: n Deck area(sq.ft.).......................................... . - '7VV� Other structure area(sq. ft.)............................ -- REQIIIRED DATA: COMMERCIAL.=USE CIIFrIcT,ICT Subdivision: Lot#:�_ Tax map/parcel #: < :2•C 4 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 work indicated on this application. ���� yy��� 1� u►FF•�[n ---1 �r Valuation,..................................... ................ S Existing building area(sq.ft.)......................... _ -- New building area(sq. ft.)............................... Number of stories........................... ................ PROPERTY OWNER I C1 TENANT Type of construction...................................... Name: 'D Occupancy group(s): Existing: Address: i New: _ Cit /St to/Zi C1 J'7-Ic Phone: Cj Fax: 41__� NOTICE: All contractors and subcontractors are required to be APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under --- --- - provisions of ORS 701 and may be required to be licensed in the Business Name: ' _ jurisdiction where work is being performed. If the applicant is exempt Contact Name: from licensing,the following reason applies: Address: - -L �Jt.'-Y� -- - - — �ff_ City/State/Zip: ---- - - —- -- - ------ -- --- Phone: --- - Fax: ------ --_ -- -- - E-mail: y) e --- —" _T��-- BLUDING PERMIT FEES*�4-u'- Plesis'e'efW 64ee ichedtila J CONTR_AC O_R Business Name: �j S Fees due upon application Address:_ �" C, City/State/Zi -� 611 Z Amount received Phone: Fax: '5 Date received CCB LIc. #: — --- --- �.� -- —J Authorized ---T--`---�--� Votice: This permit application expires if a permit is not obtained within Signature I):uc Igo days after it has been accepted as completr. •Fee methodology set ht tri-County Building Indusus Seri ice Board (Please print name) i ADstsTermit Fcrnu\Bld$PermitApp doe 01/03 01/20/2004 16: 22 5032537693 SUN GLOW I11C PAGE 02 Mechanical Permit Application peccived Mechuti al l kIsTr: Pemit:40. -- City of Tigard PlammngAnmvel Suildwg -._. pude : _ _ - Pmmt No 13125 SW Hall Blvd Plan ttcvirw Otho Tigard,Oregon 9"+223 -Iff,"h No - Qse Phone: 503-639AI71 Fax: 503-598-1960 retew tared DaZJB7SI. Cane Na.:- interact; www.ci,4ard.or.us conrarl lurif.: SecFagsfor 24-hour Inspection Request. 503-639-4175 lyameRNcttu�d: I.9n�pteeneerni rarereunon r^— COMB (. FEF''_ Mtt E 1-`.>0 L8>s9>r _ R OF WORK. __ �New con9tnletion �M�t Demolition Mechanical pertnit ftcso ere based on the total value of the work peribrmed- Indicate the value(rounded to the.u=c5t dollar)of al AdditioNalteratlon/reOther: mechanical material;,equipment,labor,overhead and pro it, r,T �x ^~ u"crtvta. ----�- - - Value: S See Page 2 for Pte Sehodule - 1 !ic llin CommerciaUTndtut:rial Accesso� Building J Multi-FamilyREMEMA '= —M - ---- - _.. DescTiption I QtX I F e Teal Master Builder � pther: —__ Heaflawcooran ------ _ JQBSITL ORl►tAT(ON and LeJl.AtfbN � rurnace•add-on Sir conditiontn -- 14.00 )Ob site address: Oras Qeupump 14,00 �- - Suite#; Bl JA t.#; Duct amtk - -- -.-I _14 _I-_ H dronie hot wawsystein ! 1400 1 Project Nam e: - Residential boiler T- -- -- Cross street/Directions to job site: � r nadiator or h runic a rprn) l o o �� h G� n� ¢ b� l A it allheaters(fuel,not electric) - Ik\/ ( (� in wall,,in-duct,s:�xndacl,etc) 14.00 � FluNvent Lfor any of above - '.0.00 R8 'r units Subdivisim _ Ot er rtl Air lFu�oa Tax tna / rCel ft: _ Water heater 10.00 p'E'[p1Y_� Gal fireplacc 1 10 �J Flue vent water dcu«�PS-E=lue) 10.00 r Lot hilver(1109) f 10-00 L- WoodlPelkt stave _ 10.00 Wood fireplace/in—ten 10.00 LOOM nylllnedfludvent 1 10.00 >)'RIVYER '�I�fAM •. fRher. -( I 10.00 Name: Es.imomeutrl U1111 t civ 1 chkitchen equipment 10, 0 Address: Clothes dryer orhe1tst 1000 ` Cit /St tP./Zl Single duct ahaun ( 1 Phone, -Q2 - 8X: q (bamlrootm,roilrc camparrnlents, l Cd'OI'f1'A ! utility »+ I 6.80 A.ttlrarrawl space fans ��,. 1U.00 � Name. Address: �� Cit /5 ateJZi •• tO far reit 4 s oo aeh rddle;o I Furnect,etc. ! - PhOn 51L, Faa: Gas heat pump - - •• h-mail: wall/suspendodlueit hmelt t CON TRACTOR I Water heater _ Business Name: =)—u)���(_, ; Fireplace Bim.. - .. Ci /StatdZi ,._ cjclothes �) Pbane - Z` _ 7 Fax:' 3-?.�3=7frf13 atter .. CCB Lic. #: �}$l31 — - -- total: - _ Mecaoaiaal teasel as ;..ihorizOd C 1� l� l A;oft S Slgtuture.C _ Oate: Lvtinlmtan Permit Fee 72.50 S ^ �,_ -PLar Revlevv Fcc 25•�of Permit Fee) L 1S�p11611c�� a name) State Surch e 0%of ftm it Fee S btt�Tr<t.rt�lzntrr 1-Et s rotice: This permit app estloa ewpired tra p•rmtt is net obwred%ItHn -fee ntetltodotar tet bra Tr-0muty Rutl&ug tedrstry Sert'etee SO's IN days after it has been tas""d to eMePtete. '4511te PIP'""aired for r:trrier AIC nnhc. :tDsti�P!*R1it Rt,rttatMeePermltApp.doc 01103 01/20/2004 16 03 FAX 5036284633 THE MULLEN COMPANY Z002/002 Fluldabing Permit Aplicatiou Rzceived Plumbing Permit No City 0 Tigard PlannigApproV61 1 sewer y $ Da Permit No. 0125 SW Hill BtvJ. Plan Review prlter - Tigard.Oregon 97223 DaW9v: Permit No Phcnc 503-639A171 Fax: 503.598.1960 Foss-Wow land Use ardor us Cam - ----- Gsc N Lactrac: wwwxi.ri4 _— g Contact A"Page 2 rcr 24-hour inspecrion Request: 503-639-4175 Name/Method: Bu IemeoW rororsostion me OF WOR • � . FEE"SCM"ULEE r'tWM I.&I oo�r`'�s�"chedcllst f New construction _]Dam tion Desetiptioo Q pa(ea.) I Total FAdditiorJalteratiorshe lacement Other: `F ►`v. ;�,,::" C.'IETONi0D kr eie�H011s 1 & 2-Fltrnil dwell' ConlmercealMdus,trial SF 249.20 __.�' �i_+ _ SFR 2)bath 350.00 Aacesso Building Multi-Family SFRA�Jbath _ 399,00 r[] Master Builder �I other' F,ach additional batlVVitchen 45.00 _ JOR SRPiMFORMATIOIsI•stuti L ON� Fire sprinkler-sq. h: Pae 2 Job site address: siteUtilittes-- Suite#: Hld ./A t.#: Catch baain/area drain — 16.60 elUlaach line/erernch ain _ 16.60 Project Name: Footing drain no. linar_tl_.) _ Page 2 Cross streevDirections to job site: Manufac r o a 110.00 _ rJ L n I � Maeholcs _ 16-60 I I ` I %l I Rain drain connector 16.00 _ Sanitary sewer(no. linear ft_�_ Pate 2 1 Subdivision: c j Ot�#; 1 Stotm scwcl (no.lincar ft.) Pa e 2 Water service.(o. Iinear ft.) P e Z Tax map/parct:l#. - Fixture orItem -DESCitIP'ITON,OF W�O� Absorption valve 1660 C Ly1 t. Baclrllow preventer P&Ao t } Y Backwater valve 16.60 Clothes washer _ 16.60 --- — Qithwashar 16.60 1 PI�S 4 TEstAM DrinkingfounmIn 16.60 PBQPTRTYOW _ F.jectors/surnp 16. 0 Name: expansion tank _ 16.d0 Address. Fixture/tewerto - 16.60 _ Cityi�tatC/1.1Q: 1 Floor daW119slr ain"ub 16.60 L Gnrbase dhpoaal 16.60 Fax; t Hose bib 16,60 APPru-1BONNYls�SON lee malar 16.60 Name: M � In,-•_-^torrLprease trap 16.6 Address: �/t�y � ajocve., t lmhcal xas-value. S Poe 2 City/StatC/Zi rsrimer , 6• 69 _ Roof draut commercial � 16.60 Phone: 5(� ll� �p.Q_Z Fax: 14 !�?�?1lLJ, slndri a�aco �— - 16.60 E-mail: )e " 4 1 Tub/shower/shower pan 1660­ CONTRACTOR Urinal --- -- -- 16.60 f Business Name: - watt,-closet __. - _-- -- 16.60 Water h;Wcr _16_50 -- Address: 1� City/State/Zip. �Oher Phon 'fd' Fa. ,Ylt tnb suneoto 5 — - CCB Lie. #: 'dumb. C, e.#: 1 ,i'6 Mixirnum Perrot Fee T72'S� T Auc iurtzeci Zo O R idmtial Backflow h4w,iuts Fee S36.Z! `l� !'IaT Rtvie^A _L25%of Permit Fee). S - ---- - �= -- --- --- Su�S�f�r f case f fin uTnit Fee (Pleas print namrj TOTAL FERMIT reg s �_ Notitt' This p"It appllutlen aspirin if a permit it not obtained within All new coo us"Llal bvlldlnp P"ulre 2 acu or plans with bomrtrie of 19U days after it his been aadlp.ed ae complete riser diagrair for plan r�-law. 'Fee mcthodclor+tet by Tri-County Rullding tndut"Saevlce 603rd. 1,�p ts\Pertnit FormsT[,"PermitNPp doe 01103 01/20/2004 16:08 5036425815 ROSS ELECTRIC INC PAGE 01 Electrical Rerml—t Application - - - I Received Electrical Nte/ay: pettnit No. City of Tigard PlinntngApproval _ Sip 13125 SW Hall Blvd. oetdB Permit No.: Other _. Tigard.Oregon 97223 Plan RCVICWbate/By: Pemrit No.: Phone. 503-639.4171 Fax: 503-598-1960 Post-Review — Land Ute - Internet: w ww.ci.ttgard.or us Dptr/9y` Case N : 24-hour inspection Request 503 639-4175 CantaCt suns I WW See Page 1 for Ntrr+c/iNethod. — _ Su irmenta!Infnrmafion. TYPE OF WORK ' _ �1�'-��pWl►N lie e cAhftk At that th at tlri�it711c New construction Demolition �Ser.micc ial 225 amps• Hulth c ire Gciliey cnmtnercial Hazardous Imation Addition/altcration/r lacement Other. D f A1EGR)RY OF CONSnT. N Service over 320 amps-rating of ❑Building over iO,00I&2 family dwellings four or mart residen1 &?`family dwelhn CommercIab Industrial ❑System over Nxi volanominalarc structureAcCc$$0 Buildin ❑Building over three stonesMulti-FamiFeeders,ao0 amp,oOccupant load over 99 persons []other ehmd structusrpark Mastcr Builder _Other: ❑Egresallighung plan p Mlnu —JVYJ-3111 V, ORMATION indLOCATION 1LJSubmit sets of plena with any;(—the above• Job $ite address: The above ace not appllcab p 1,np rar•y 0 tracdoa M,44c. Suite #: Bld ./A t.#' --�I�_ Number of int e_ttions er ermlr Allowed PfOJCCt IVaRiC: _il Ihacrl tlotl Qty Foe(eal TeW L�W/1 _ I�✓ — 1 Cross stfeet/Dlrec corns to job site: xew rhldeatlai-rIngle or nroltl-Fatally per dwelllsk■Olt.lticlodes attached gl raRr, .� �i i (��I V �1 service lncladed 1000 II.or les, _ 14s EaChaddmono; 00-'�aq R or rtion_ dicreor ;3,qq 1 Subdivision: � _ Lot#. Imtted ener . *rntw _ — i9.Q0 1 Lrrnitezt etecryy_non rc+tdennal —_z�� 2 Tax map/parcel#: _ Facts manufacturod home or mod,ilar dwelling I t7 ON OF WORK — service and/or feeder_ 9090 2 p o�Mees-er feeder-Icauilallon, C— alleratlno or relocation; _ -�-- _ ---Y - OO amps a lest - -- ao.3 2 201 amp:to 40o amps 106 aS z 401 arra Mi0 ams PttvpERnrbavr R – — -P -�— - - 16010 — i RT 601.n�ro tan%— , ^ za.t�o 1 Iti C: f} Over I DO—ps or volts �" Raaonnectoniy 66.85 -- z Address: IfMporary tervieee or(•orders•installation, Cl /S te/,ZY i (11 alteration,or relocation: - [1 100 amps to less s 66.A5 — 1 Phone �2, L Fax 0 0l am .a,Qoo am _ -- I Oo.35 2 CONTACT PERSOPf 401 to 600 ami, 133 is z Name: Y ` p Branch circuits-new,alteration,nr - �r 1 extrnslon per panel; Address: �� S A ree fa branch circuits•lith purchase or tery ce or hedcr ftt,each Iaanch circuit 665 2 Ct /Sta.te/Z1I1' -- B.Fee for branch cimuinwitheui purchase at Phone J 1 ��1 y aervux or fmle*.ia,fun!ranch circuit 46. �_ Fax: —'� `r __ As i Each itiarul ixanch cits:uit - - E-mall: e J jLjV S.GCM : Mix(,Service nr feeder not included) 6.63 z ACTOR �ach�+utnp m itntption circle_ 53 40 z Job No: Each sign or ratline lighting_T - S3.4o _ _ S19TH11 cireu't(s;or a limited cneryry panel, BUSiness Narnc: OSS G Q;crallon,or ezteruion �� Address:a?870 54� ^Zj #lam. ne ;rn"nPage L 2 �.1 /State/Z��� rj(p��-p p �� Each additional inspection over the allowable in of tht above: _ Pcr ms !Nor Phone: 0 _ — txrhots(min thn�__ 6 .SO __�_Z /_� D-- Fax:5V Z �f„rr" InvaN _!_ion fee CGIJ ) iC. #: I5 ifs 7�_ I.,lc, #/:�b� Other: Supervising electrician -- _ _ aLPar�hrE +_;t, ;e., $i azure required _ jZP�►n Subtotal S _Plan Review 25'tw Of Permit Fes $ l Pratt Name: f—Ce BOSS Lic. # _--,_ Y iC Suite Surchortte(8"/r of permit Fix S Authorized R TUTAL PERMIT FEF. S Signature, Notice. Thi.,permit epplleatlon dtpires If a permit a not obtained within Date: IRA days■nor h bu been accepted as complete. methodology iet by rrt County Building Industry Service Board. — i ttysalPermit Fonns�FICPerrrdtApp.doc 01,03 I i SEE 35MM ROLL# 22 FOR ARG- E DOCUMENT