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14308 SW 132ND PLACE i �--- SIDEWALK ( Z � n�p'1 J' � L. 526 IIJOT 26 ��•i N .It )8 1'496 SFo PLA N 3387 L/�2a X 00 ." 52 ./l n (31, (31, 0 % Z 1 f �� ,♦ �- ClWILDING 5ETBACK5: `'�5,1 a- LO Y?� I l FRONT OF STRUCTURE: 15' -011 O N I �` EL. 520' GARAGE: 20' -0" � � \o SLAB EL% / ��� REAR OF HOUSE: V-01' • v cn o I 519.00' ,�� SIDE OF WOUSE: 5'-O 11 5 3" \ / -� � 'l� �;� SIDE OF HOUSE: 5'-011 o Q 1 421 i- -- 'FJ �� f=- E= I -\ FIN. FLR: i — �- 520.00''-, EL. 5101 ' i •� uj z W W �L. 504 �;; 010 _ co cL. 500 , PROVIDE EROSION CONTROL TO CODE �` -- _ - - _- -- __ SPECIFICATIONS - -�'" ---- ----- -i EL. 494' -•� �Zjab, �►.r�. 1EL. 1 ,i-N12 r EL. 502' C01"YRrA4T © 2007 STREET SMART NEIGW5C4%4000S ...._.� .... ,r.�w.ririn..,n .- ..... :"rt.vi: ,. -a,. .•ue7.Wn,< ._ y,:u. v. .. .. ars;l'44•ry)..ice„ ..�',^.J11'.; 'Js'rtay_ - P17FITI-11NOTICE: IF THE PRINT OR TYPE ON ANY r�r1ilfililili tlililiilil � liililili dill ( ffl�T� TJT1 > lI ] Jilt 111111 1+�1- 111 1 ( 11111111 f III III 111111 111 111 Ilr r11 f�.1 _rl� ..1.111111IIf- Tri 'TIT11-1-1 IIT11 1111 A I I I I I 1 f -v'z/ IMAGE IS NOT AS CLEAR AS 11HIS NOTICE 1 2 3 4 5 6 �. 8 9 1Q 11 12 ITIS DUE TO THE QUALITY OF THE � —_ — - � -L-- — _ _ _ ----- - — �--� No.36 ORIGINAL DOCUMENT -- E 6Z SZ LZ�Z 5Z 'bZ EFill T1 ,11 ' TZ 11 6T f3i LT 8T S' T PT Ei I Zi TT I IIII IIII 11111111 IT Illi !!IIIIIII Ilii Ilii IIII 11Uli�l,�llll 1111 ll�ll 1111 Ii. 111116 i IIII- Ilii 1111 IIII illi IIII illi :1111 Ilii Ilii IIII IIII IIII Ilillllll 1111 illi 1111 1 1111111 111 I l 1111 llll l� I I I I� 1� A w 0 ao w N d n fD 14308 SW 132"`, Place I Tuesday, July 08, 2003 9:00 AM Plugs&Switches 503-925-0489 P 05 07/:7/2003 13:05 FAX 5035981960 CITY of TIGARD lb005 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, Ok 97223 IMPORTANT PERMIT NOTICE �.` �� 1 1-0 PLUS & SWITCHES V P.O. BOX 111 SHERWOOD, OR 97140 - ��t. Electrical Signature Fora* Permit#: MST2002-00445 Date Issued: 2114103 Parcel. 2S 109AS-09700 Site Address: 14308 SW 132ND PL Subdivision: RAVEN RIDGE Block: Lot: 02G Jurisdiction: TIG Zoning: R-7 Remarks, Construction of new SF detached residence. Path 1 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 sunervlsing electrician is required. Please 1;3ve tt.a appropriate individual from your company sign below an-i return this Flectncal Signature Form prior to the 0-Irt of the work to the address above,ATTN: Building Division. No electrical inctipections will be authorized until this complex.,:+form Is received OWNER: ELECTRICAL CONTiACfOR: DECAL CUSTOM HOMES PLUGS & SWITCHES 2345 STH ST. P.O. BOX 111 COLUMBIA CITY, OR 97018 SHERWOOD, OR 97140 Phone #: 503-36G-0797 Phone#: 503.925-8450 Req #: Lic 141529 FLE 34-527(: S'UP 4546S AN INK SIGNATURE IS REQUIRED ON THIS FORM I X ___ __ _ 5ignat� , of Sup ising Electrician If you have any questin,A. please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE MAC PLUMBING LLC PO BOX 330 YACOLT, WA 98675 Plumbing Signature Form Permit #: MST2002-00445 Date Issued: 2/14/03 Parcel: 2S109AB-09700 Site Address: 14308 SW 132ND PL Subdivision: RAVEN RIDGE Block: Lot: 026 Jurisdiction: TIG Zoning. R-7 Remarks: C 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 Piumbing Signature f=orm prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized tint*l this completed form is received OWNER. PLUMBING CONTRACTOR' DECAL CUSTOM HOMES MAC PLUMBING LLC 2345 6TH ST. PO BOX 330 COLUMBIA CITY, OR 97018 YA--OLT, WA 98675 Phone # 503-366-0797 Phone # 360-686-0555 Reg # LIC 140446 PLM 5961JP ANDY MACFARL AN INK SIGNATURE IS REQUIRE O IS F Sig tur o u ori ed Inber —� If you have any questions, please call (503) 639-4171, ext. # 310 y O 7 H N a y N p o � l co�. C C J r4 tit � zz G \ , W a � O O W O � � n D 3 io \ CITY OF TI GA R D —__BUILDING PERMIT DEVELOPMENT SERVICES PERMIT#: BUP2002-00528 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/14/03 SITE ADDRESS: 14300 SW 132ND PL SUBDIVISION: RAVEN RIDGE PARCEL: 2S109A6-09700 BLOCK: LOT: 026 ZONING: R-7 REISSUE: JURISDICTION: TIG CLASS OF WORK: FPS — FLOOR AREAS EXTERIOR WALL CONSTRUCTION , TYPE OF USE: SF FIRST: 1,262 sf N: -- _ SECOND: 1240 sf S. E. VV: , TYPE OF CONST: 5N PROJECT OPENINGS? ISTOR: CCUPANCY GRP: R3 TO fAL AREA: 2,502 sf N. S: _E' W --- CUPANCY LOAD: BASEMENT: 817 sf ROOF CONST: FIRE RET? 2 GARAGE: 605 sf AREA SEP. RATED: HT: 24 ft BSMT?: Y MEZZ?: N _ REQD SETBACKS OCCU SEP, RATED: FLOOR LOAD: 40 psf LEFT: 5 ft RGHT ' REQUIR5 ft FIR SPKL: y---ED DWELLING UNITS: 1 FRNT: 32 ft REAR: 32_ ft FIR ALRM : N SMOK DET:Y' BEDRMS;4 BATHS: 4 IMP SURFACE: HNDICP ACC:N VALUE: 0 3 31 i '-. - PRO CORR: N PARKING: 2 Remarks: F ,, 1tl4(1_'L Owner: -- — DECAL CUSTOM HOMES Contractor: -- 2345 6TH ST, CENTRAL PACIFIC FIRE SPRINKLER COLUMBIA CITY, OR 97018 PO BOX 676 CATHLAMET, VVA 98612 Phone: 503-366-0797 Phone: 503-366-0797 Reg #: B(M-849-4308059 _= FEES A _�EgUIRED INSPECTIONS Description Date _ Amount Sprinkler Rough-In Iltl 'll I11 Icrnut Fce 2/14/03 - Sprinkler I I I '+tarn Tax $232.50 Final 2/14/03 $18.60 Total $251.10 This permit is issued subject to the regulations contained in the Tigard Municipal Code, Slate of OR. Specialty Codes and all other applicable law. 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. A17ENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC b calling (503)_246-q699 or 1-80C-332-2344. Issued By. - Pe nn it tee Signature: Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application —' Date received:/2 /D OZ Permit no. uPaTO City of Tigard Cily n('fix aril g Address: 13125 SW IlidI Blvd,Tigard,OR 97 Project/appl.no.: Expire date: Phone: (503) 639-4171 i" Date issued: By Receipt no.: Fax: (503) 598-1960 Case,fit no.: Payment type: Land use approval t&2 family:simple Complex: LUX"3 7�U�Add &2 family dwelling or accessory U Commercial/industrial UMulti-family U New construction U Demolition ition/alteration/replacement U Tenant improvement >IZ-Fire sprinkler/alarm ❑Other: JOB SITE INFORMATION Joh address: /y3�d' — roL- d\ Bldg. no.: Suite no.: Luc ;� Block: Subdivision: Q� /�A//-71/ 2//� rE" Tax map/tax lot/account no.: / Project name.: Description and location of work on premises/special conditions:_ Name: Mailing address: _ i & 2 family d"elling: _City: -ui.fL�/�}' i7 State:P,11 7.1 P. 7p/j Valuation of work........................................ $ Phone. ---- 07q Fax: F..-mail: No.of he(Irooms/haths.........•....................... Owner's representative: Total number of floors......,. Phone: Fax: E-mail: /NC'en'a New dwelling area(sq. 1't.) 4.!fscr(cnrr„ Garage/carport area(sq. 11. r?SO� Name: Covered porch arca(sq. I't.) .....I................... _ Mailing address: -- — Deck area(sq.11.) City: State: ZIP: Other structure area(sq. ft.• .. ................... ). . Phone: Fax F nhail: Commercial/industriallmulti-family:CONTRAff OR Valuationof work........................................ Business name: Ir/V7/ Existing bldg.area(sq. ft.) .........................• — -- New bldg ( It) _ Address: 0.x /.- / arca sq. ........................ City: i/T 7- state:!./ ZIP:P: c i Number of stories Phonc. .-j"/9• Fax: Type of construction.............................•...... y� E-mail: CCB no.: le pe)_Tlo Occupancy group(s): Existing: �- (•ity/metro lic. no.: -- New: Notice:All contractors and subcontractors are required to he C licensed with the Oregon C'onsUvction Contractors Board under 2, Name: provisions of ORS 701 and may he requited to he licensed in the Address: jurisdiction where work is being performed. If the applicant is Cit tit. /II exempt from licensing,the following reason applies: �\ Contacto ersn: Hall 1 n _ no.: Phone: Fnx: I:-mail: — ------ Name: Contact person: Fees clue upon;q)plication ........................... 9 __-- Address. Date receihcd: y City: State: ZIP: Amount received ......................................... Phone: _ Fax: E-mail: Please refer to tcc schedule. -- I hereby crn+,y I have read and examined this application and the Nut tilt lurisd+carms tr•cept credit cards,please call jurisdiction for more intimation attached checklist.All provisions of laws and ordinances governing this Uvisa UMasmerCard l work will he complied with,%%lurther specified herein or not. Credit card nailer _ Authorized signature:-- Date: — ^-'xpt trey - ----- -- - Nmne at cnrdlmldet ns shown on credo card ` Print name: _ S -- r'vdholdet dgnature ---- Amount Notice:'I'll is permit application expires ifn permit is not obtained within 18(1 days dfler it has been accepted as complete. 44WKl.l(hnritA';)MI I TY OF T I G A R D _ MASTER PERMIT PERMIT#: MST2002-00445 DEVELOPMENT SERVICES DATE ISSUED: 2/14/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 SITE ADDRESS: 14308 SW 132ND PL PARCEL.: 2S109AB-09700 SUBDIVISION: RAVEN RIDGE ZONING: R BLOCK: LOT: u-'n JURISDICTION: 111; REMARKS: C BUILDING REISSUE: STORIES. FLOCR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT. :4 FIRST. sf BASEMENT. all sl LEFT. 5 SMOKE DETECTORS. r TYPE OF USE: SF FLOOR LOAD. t'! SECOND :a. sf GARAGE. 605 of FRONT: 32 PARKING SPACES. TYPE OF CONST: 5N OWELLING UNITS: TP«RD sf RIGHT: 5 32190 OCCUPANCY GRP: Hl DDRM. 4 BATH: a TOTAL � sf VALUE '26, REAR: 32 PLUMBING SINKS: 1 WATFR CLOSETS: 4 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES. .> DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS. TUB/SHOWERS 4 GARBAGE OISP: I WATER HEATERS: WATER LINES: 100 BCKFLW PREVN,'R: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL _ FUEL TYPES FURN,1UOK BOIL/CMP<3HP VENT FANS: 6 CLOTHES DRYER: 1 (;A5 FURN>-100K: 1 UNIT HFATERS. HOODS: 1 OTHER UNITS: 1 MAX INP. btu F LOOR rl ItNANCES: VENTS I WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANE)US ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 angl 0 -200 amp W/SVC OR FDR: PUMPIfRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp 201 400 amp: 1st W/O SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp 401 - 000 wnp: EAADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVC/FDR: 1101 - 1000 amp 601• .ops-1000V•. MINOR LABEL: 10001 anlplvnit: PLAN REVIEW SECTION Re,mmact only: >-4 RES UNITS: SVCIFDR>-225 A.: >600 V NOMINAL: SLS A.REAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: X VACUUM SYSTEM AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM 1, OTH, BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: X CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC. X DATAJTELE COMM: NURSE CALLS. TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,148.49 This permit Is subject to the regulations contained in the DECAL CUSTOM HOMES DECAL CUSTOM HOMES LLC Tigard Municipal Code,State of OR. Specialty Codes and 2345 6TH ST. 2345 SIXTH STREET all other applicable laws. All work will be done In COLUMBIA CITY,OR 97018 COLUMBIA CITY,OR 97018 accordance with approved plans. This permit will expired 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: 503-366-0797 Phone: 503-366-079.7 Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through 952-001-0080. You Roti n: LIC 147174 may obtain copies of these rules or direct questions to OUNC by calling(503)246.1987 REQUIRED INSPECTIONS Erosion Control Insp 81 Post/Beam Structural PLM/Underfloor Fr ning Insp Gas Fireplace Sprinkler Final Grading Inspection Post/Beam Mechanica Mechanical Insp ',tear Wall Insp Insulation Insp Appr/Sdwlk Insp Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Inst Rein drain Insp Electrical Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Mechanical FIneL- Foundatloo Insp Fooling/Foundation Dr; Electrical Rough In Gas Line Insp Sprl Plul Inal i Iscued By : Permittee Signature Call (F03) 639-4175 by 7:00 p.m. for an inspection needed th Xt business day. CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00296 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/14/03 SITE ADDRESS; 14308 SW 132ND PIL PARCEL: 2S109AB-09700 SUBDIVISION: RAVEN RIDGE ZONING: It BLOCK: LOT: u?�, _ JURISDICTION: Ilc; TENANT NAME: -- USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UI ZITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURF/,CE: Remarks: S Owner: DECAL CUSTOM HOMES _ ___ FEES 2345 6TH ST. Description Date Amount COLUMBIA CITY, OR 97018 — ISWUSA]Swr Connect 2/14/03 $2,300.00 SWIJSA]Swr Connect 2/14/03 $0.00 Phone: 503-366-0797 IS WINSP]Swr Inspect 2/14/03 $35.00 Contractor: ISWINSP]Swr Inslirct 2!14/03 $0.00 — Total $2,335.00 Phone: Reg#: Required Inspections This 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 not guarantee the accuracy of the side sever 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 shal! purchase a "Tap and Side Sewer' Perm Issued y: � Permittee Signatur Call (503) 639-4175 by 7:00 P.M for an inspection needed the'-In txt business day f Buuldingermit Application City of Tigard uatereceived: Permit CiryojTigard Address: 13125 SW Half j}1 ' iRar UK 1'1:,2'i Project/appl.no.: Expire date: -- Phone: (503) 639-4171/ •' •. .' Date issued: HK: Pax: (503) 598-1960 Receipt no.:- — - OCT Case file no.: Payment tne. Land use approval: — -- I&2 family:Simple Complex: �— _ _ Q� ❑ 1 &7.fancily dwelling or accessory ❑Commercial/ir!dustrial U Multi-family ❑New construction ❑Demolition ❑Addition/alteration/replacement ❑Tenant imlpruvcinrnt U Fire sprinkler/alarm ❑Other: 11 SITE INFORMATION Job address: Suite no. Lot_. ..__. bdivls Bluck: Suion:_ r - -.� —��_-_— Tax map/tax lot/account no.: Project namei JIE�D _(y�---- --- -- -- Description and location of work on premises/spccial conditions: /s___�O/Vit� $�N�( �i►Iil� _ 1 1 1 AX145 LLQ- Mailing;address: -__--_ '+'�+ �i —__ 1 !i;2 family dwelling: b�.a�tM Ccty C 5tatc js 7.IP: -- _ Valuation of work......................... ._ $ 3 Z� Q PhoneFax • ! mall: No.of bedrooms/baths........................ ........ _ R Owner's representative: �� � P s!�U(... ted ^�- Total number of Hoots......•................. ..... . 3 Phone d `) I ax: (, -per 13-mail: New dwelling area(sq.ft.) .......................... 2 CTRL Oaragelcarport area(sq. ft.)......................... Name: Covered porch area(sq.ft.) ......................... _ Mailitip, "a_dchr.ss:a,0t� --� -fit Deck area(sq. ft.).................. ..................... Cita'` v►ti�/ (' State ( L[I?: Other structure-area(sq.ft.)..... Phone:344 F:!x'jt;4 owe, L-mail: Commercial/industrial/nmlfi-familp: a 1 1 Valuation of work.................... ... ... . $ Business name: Existing bldg.area(sq.ft.) ..•.N........ —. New bldp,arca(sq.rt. .. City:Ltk�,) % h' r Stat 7,1P: X Number or stories.........••..••. Plxone (e(� � lrax: E-mail: Type of construction..•,.•... — CCII Occupancy group(s): Existing: —1 New: City/metro tic,no.: �f U(p _ —- -- Notice:All contractors and subcontractors arc required to be " afi c licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the jurisdiction where work is being performed,Ir the applicant is City! Q exempt from licensing,the following reason applies: y 1.e4 r N State: 7.II Tote'L Contact �crsoi �) -4.t� Plan no.: - --- ---- - - - Phoncrp-Q 7.-O�t Fa>,; -- - lanai-• -- _Nance: (,../V �f�rContact person: Fees due upcm application ........................... $ Address: eZgL_._�`�'Jv�T� — — hate rr-ccived: (:ity: Sr' _R .%). Slate ZIJ _ Amount received ......................................... S ----- ----- Phone: 3/ Pax! ` p'7 E-mail: _ Please refer to fee schedule. I hemby ecrtify I Itave tract and ex aryai e .thi "pplicatio and the ►+M.i i�c�c;�d�sKnK��au wd�;ptu�e�,ct iuraemc!on i«,,;oft womzJ_I; attached checklist, All provii G ads and niinance. ,overninl;this U visa U Mutt card work will tx•complied wjth, h r slxcif <I herrin not credtr wd anmhv lilue+ Autlu!tizwdhnlun —_----_— )ate: [Q�� �(,n Name ar ardAoTrer u atioN:a,aef,r crp - Print narne:. t✓ _ — _-- -•- _ s _-- C1tdEci�eiil�uun _ _Amouni Nodtc: Phis lmrirdt application expires if a permit is not obtained within 180 days after it has been accepted at complete �-_—440 461.1(r.4 'W) ! Mr:chanical Permit Application Uateroceived: Permit no.:ot",xv QU ii,` City of Tigard Wnject/appl.no.: Expire date: C11yof7lgard Address: 13125 SW Hall Blvd,Tigard,OR 97223 pate issued: By: Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case rile no.: Payment type: Land use approval: _ Building permit no.: T11 317M O 1 &2 family dwelling or accessory 0 CommerciaUindustriai U Multi-family O Tenant improvement O New construction J Additi()n/alteration/replacement U Other: JOB SITE INFORMATION 'ON SOIEDUL.F: Job address: / L.)L,j t_j a. INA C_ Indicate aquipment quantities in boxes below. Indicate the du!lar Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: r profit.value 5 2!2&�ipQ Lot: Block: _ Subdivision: aJ� Pjp"(,�, 'See checklist for important application information and Project name: k/40- jurisdiction's fee schedule for residential permit fee. City/county: Ki'D /kj_ ZIP: I &2FAM114Y DIVELLING 1101MIT FEE SUILDULE Description and Incation of week on premises: Fee(cu.) Total Est.date of completion/insrccdon: fDescrintion _ Qty. R�_.only -Total. Tenant improvement or change of use: AC: ��' Is existing space heated or conditioncd?CI Yr, 'WNo Air handling urul�75f t:ITI_ Ali con tlamng(51fc plan ocquircd) — Is existing space insulated?U Yew I Alteration of existing HVAC system " 1 -Hol er/compressors Business name'. 1 fN �,yf State boiler permit no.: HP Tons HTU/H Address: Q o) 36 _ it smo a ampers/duct smoke detectors 5tateo 1,11'. OG- � ear pump(a tc p an require ) — Phone:(p $• 3�� Fax; $� I: wail: Install/replacefurnacclburner__ CCB no.: �_ -- _ - - Including laductwork/vent/reloch liner U usp n No _ O onto /rep ac rc ocatc tcaters-suspen suspended, City/metro lic.no.: wall,or floor mounted Name(please print): Vent for appliance other titan f6mace 1 1 Re et+ on: Absorption units BTUM Nana' �1.1L _ _� Ca�"ti- .(OWA AAAA)Att X� Chillers_ - Hf' _ _ Address: Com fessor.t Hi' Vaq-� _�y�- aj ♦ ninenis]exhaust an Yenl tion: City:�� Gf y Stat 7.11' / /atAiance:cot _ .t Phcacd70$-/�,) ':;I,\ 364-OVO I'-mail A;�r1t-(t� rex exhaust r s, 'ypc res, tc a azrnat fire suppression systemName CA LCLt� ''v+ . ust fan with single duct(baht fans) Mallin address: �unt_s�s��tem o an rc,n eatin orAC ty: p(�y �� Stale I I' pining mint dittrlbut on(up l0 4 outlets) CifY1' . _____LPU NeiOilPhone: w� I: ..p p { nr;ul piping eac addrtlonalovcr4outets romsp p ag(schematicrequired) Name: L X1.1 N N� � Number of outlets �1_ A2 - l�ter t ! app ce or ego pme p nti __ Address: �Z 2 .� /( /�.- - becorativefirc_place Ly ry ► Phone: _ I ax _ • — 1; Woodstovelpenct stove _ Applicant's 1b�signature_: Other..Za► Name (prinq: - - --- Nor as nmu4crfmass�r w crV uew:ir cartL,MEW till)uri�dion for mat idotm>tloa Permit fee................... .$ Notice This permit application Minimum fee........ S U Pura U rCard Cndrr coed aumAer _ _ expires it a permit is not obtained Plan review fat _ %) S pyy within Igo days alter It has been State aurChnrre(894') ....S r— �or r4r is ah""CM 1 car�u- accepted as complete $ ToTA►, ..... . Cadboldn rl — Amami 1104617(&U COM) U1/31/GUUG 1n. i rnn uuu,� - • Plumbing Permit Application Date received: Permit no.:l/ll�env-oV City of Tigard Sewer permit no.: Building permit no.: _- Address: 13125 SW Hall Blvd,Tigard,OR 9722 CiryofTigaid phone: (503) 639•4171 ProjxUappl.no.: Expiredate_ Fax: (503) 598-1960 nate issued: Ry: Receipt no. Land use approval ease file no. Payment type_ TVPE dF PERMIT TUI 2 family dwelling or accessory U Commerctal/industlial 0 Multi-fiululq UTenant impr7eme.nt w construction U Addition/alteratioNreplacement U Food service U Other: 11 1 1 t Nit Job address _ Ihu. ription Fee ea. Total / 3 �- -� " / _�� _.- .-��- New 1•end 2-family'dwellings only: Bldg.no.: ~�S"ttc no.: (includes too ft.for each utility connection) Tax map/tax lot/account no.: _ SFR(1)bath _ Lot: Block: Subdivision: /1J SFR(2)bath _ Project name: SFR(3)bath Zip: Each additional batlJkitchen City/county: J�e�otw, SiteutWties: Descri tion and location of work on premises: _�- - = Catch basiNarca drain cam Cst,date of coil 1pletionlinspection: D wells/leach line/trench drain Footing drain(no.lin.ft.) _ S NKnufactu home utilities Business name: — Q�•F �s � L. __ Manholes Address: Q� 44 1 MJtL Rain drain connector City: State ZIP: ? Sanitarysewer(no.lin.ft.) E-mail:one: __ Fax�7- - � Storm sewer(110.lin,IL) Pha tG _L�u Water service(no.lin.ft. C1:8 no.: 7 Plumb.bus. reg,no. Fixture or Item— City/metro lie.no.: Absorption valve Contractor's representative signature: Back flow pre.venter Print name: Date. Backwater valve — TZIM Bosinstlavatory -- Name f��� Clothes washer �y Dishwas er _ Address: 9_'13qS1 Drinking fountains) _ City:(t wl.#J' State ZII':�Zq/ EJaaors/sump -- 1'11onr., 6 ) Fax.J�p -0$/O E-mail: _xpansion tank Fixturc/scwer cap Floor dr ins/(loor sin s/hub Name"(print): (A�,,,�.�,t'f�ti — -444 C;atbae disposal mailing address' ,�+ '� ose bibb -- _- City: � _ State: ZIF / ice maker _ — Phone: .07 7 Fax: -o [ mail: lnterce for/gteose trate_ _ Owner installation/residential maintenance only: ne actual installation _I'rime;{s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property 1 own as per ORS Chapter Mal. Sin (s) basin(s),lays(s)! Owner's signature: _ _ Date: Sump Tubs/shower/shower pan Urinal Nanic: A�,�h.J' /,V �11 Caw 1��N_ ' ___ _ -- Water closet - Addmss: L4Z __._ _ i4f� Water heaw 0tiStatco ?.IP: t cr. PhOn 62 - -4 P"• e] 1: mall: Tottl Minimum fee - ... . - Na dt iwtuncUms rcep er&cards,ply ra11)urisdieden far own WQlmdem Notice 1165 permit applicauot, Plan review(at -_ 1t) O Visa O Muteres.•c1 expires if a permit Is not obtained State surcharge(919') .. OrAl card numb" - --- —L-L- within 180 days aAn it has been — re+ accepted as complete Name of wdholder Y at, oo crodlt ash $- Car�lioldet —Talouat_ awn 4t to rdotury Ur/J1r LUUL ru.61. PnA JV1JVU'2r&1' . Electrical Per mit Application Datereceived: Permit nolr. .' City of Tigard I Project!appl.no.: 6xpiredele- CityojTigurd Address: 13125 SW Nall Blvd,Tigard.OR 97223 pate issued: By: keceiptno, Phone: (503) 639-4171 — - - Fax: (503) 598.1960 Case file no.: Payment type. Land use approval; all W Will Be.2 f unily dwelling or accessory O Cam mercial/industrial J Multi-(:stmt} U•Tenant improvement New construction Q Addition/alteration/replacement U Other, _._ O Partial 11 Job address: O 6 W ri Bldg.no.: Suite nu.: mux n;a;!rax lot/account no.: Lot: _ Block Subdivision: ,0 Or— Pro,ject name: f)escri tion and location of work on Premises: 4t�f y�YOrI �dCl�i►afK. Estimated date of completion/inspection: 40 Z.- CONTRACTOR APPLICATION Job no: Fee Max Business narnc0_&j4+ .1 L MuL Wu tk criptiun Qty. (ea. iota( no.lns New residential-single or dnuiti(anis lier AddrC 5: rj . _ dwellinKunit.Indtgeln.ttarlrcdgarnge. City. TARD I State ZIP: WC Seniceincluded: ( 4 p Phone: L Fax:76 E-mail 1000 sq.n.or its: Each eddidonal 500 s CCB no,: nrtlon thereof V7 Elec.bus.tic.rail:• Z` t.imued en y,residz residential ft.or City/metro lic,no.: a Limited energy,non.residential 1 Sach manufactured home or modular dwelling ? Signature of supervising electrician(required) Date Ser vim and/or feeder 2 Sup elm(,name(print) jbV ( I,icensenw s Services orfwIlen—Installation, 344talteration or relocation: 1 j W 0i I V 11111 1 200 amps or leas I Y 2 I, 201 amps to 400 ams 2 Name�pnLUS+ ^ �c 1.�—� — 401 amps to 600 amps 2 Mailing address:. f� �.-.__ G01 ant s a)1(X10 ems _ 2 City: IF Stater L[ V76/0 Over 1000 amps or volts _ Phone: Fax: F-nuul: Recunnecto�______ 1 Owner installation:'Ilse installatiun is being made on property I own Temporaryserrices or feivAen- which is not intended for sale,lease,rent,or exchange accurding to btstallatlotyalterallon,orrelocation: I ORS 447,455,479,670,701. 200 amps or leas - — 2 201 amps to 400 unps 2 Ownres 91�nature: _ Dale: 401 to 600 amps 2 Branch circuits-new,alteration, or extension per panel: Nattic: �` Q�J �s �y A. Fee fat brurch citcuilti with purchme of Address: service or feeder fee,each branch eircui( t ll� State: ZIP: /h It Fee for branch circults without purchase --`-- — of service.or feeder fee,fust branch circuit 2 Each additional brurch cucurt Mlw.(Service or feeder not included): I Servrzv rnvrr 225 unps enmmen-in] 'J llralth carr faeilit) Fach pump or irritation crdcIr 7 U Servue over 320 strips-ruing of I R 2 U liarardous lecaunt I a,h sign of ouuine lighting_ _ T2- farniy dwellings U Building over 10,000 square fort fuut cv ;ir:nal circuit(s)or a limited energy panel, ❑System over 600 volts nonunal more residential units in one structure IItrr10011,or extension* = -- ❑Budding m:r than stories U Feed m,41x,amps is more • bescri tion O oreuputt load over 99 pelsetna U Manutwtumi aen,rn,iw m RV pari: Fisch add iticnal Inspection over the ellonable to any of the above: U Elitess/lighungplan U 011ier --- _ Perini ori Submit aeh of p'Ans whh any of the above. Invesugadon fa ?lie above rare not applicable to temporary conAruction smice. Other Not all iuriadretium,accept credit earth,please each iuNadlcaoo Its nae Intors0atlon. Notice:This permit application Permit fee.....................S — U visa ❑MasterCard expires if n pemtii is not obtained Plan review(at _ %) $ Credit cud tw Air, _.—_ __ within 180 days titer it has beat State surcharge(11%) ....S 'plfe• accepted as complete TOTAL . $ Name a (wa on R01 card S _ Cardbo la�— Amount ,10,615(~-X)M) SEE 35MM ROLL # 21 FOR OVERSIZED DOCUMENT CITY OF TIGARD 24-Hour --- BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST Received / Date Requested r SBUP BUN _ Location Suit MEC — Contact Person ph 4ZU PLM - Contractor ( ) ----- -- - Ph SWR UILDING TenantOwner ELC Footing - Foundation Access: , ELC Ftg Drain - Crawl Drain _ `--� ELR Slab Inspection Notes: SIT Post&Beam _ C� 1%- Lt/, ,�►r. 1�-- -- - Shear Anchors Ext Sheath/Shear - Int Sheath/Shear Framing Insulation - -- Drywall Nailing Firewall Fire Sprinkler — Fire Alarm t---y - Susp'd Ceiling _- Roof Ot her: F' ART FAIL�'� --- - Under Slab Rough-In Water Service - Sanitary Sewer Rain Drains Catch Basin/Manhole —` Storm Drain Shower Pan _ -- - - RT FAIL _ ANIC_ L ' Fos auam --- - -- --- — --_, Rough.In Gas Line — - Smoke Dampers --_ in ------ ASLI PART FAIL --- _ e- cc Rough-In - UG/Slab -- _ Low Voltage SWSS FAIL L ] Reinspection fee of$ _____- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S _ [] Please call for reinspection RE: _ (� Unable to inspect-no access Fire Supply Line _..� ADA ) 3 Approach/Sidewalk Date ��_ L' Inspector Other: -- Final -- - - 00 NOT REMOVE this Inspection record fronts the Jot) site. PASS PART FAIL