10211 SW 87TH AVENUE 5
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10211 9W 87th Avenue
CITY
OF
T I G A R D MASTER PERMIT
PERMIT#: MST2000-00483
DEVELOPMENT SERVICES DATE ISSUED: 12/1/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4 171
SITE ADDRESS: 10211 SW 87TH AVE PARCEL: 1S135AA-•MRE04
SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12
BLOCK: LOT: 004 JURISDICTION: TIG
REMARKS: S/F A PATH 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST. 580 at BASEMENT: at LEFT: 3 SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 948 of GARAGE: 260 sf 'RONT: 20 PARKING SPACES 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: at RIGHT: 0
VALUE: $121,199.00
OrCUPANCY GRP: R3 BORM: 2 BATH: 3 TOTAL, 1,328 0,) at REAR: 10
PLUMBING _
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUVORY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVAL ORIFS: 3 UISHWASHERS: 1 FLOOR DRAINS: SI-WER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER I-INES: 100 OCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
"UEL 1YPF3 FURN<10014: 1 BOILICMP<3HP VENT FANS: 4 CLOTHES DRYER 1
GAS FURN>•100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: I
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1
_ ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER Tr MP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS
1000 SF OR.LESS. 1 0 200 amp: ^0 200 amp: WISVC OR FOR: 1 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'l.5r10SF: 1 201 400 amp: 201 -400 amp: tel WIO SVCiFDR: 00 SIGN/OUT LIN LT: PER HOAR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADUL OR CIR: SIGNAI PANEL: IN PLANT:
MANU HMIBVCIFDR: 601 1000 amp: 801+amps•1000v: MINOR LABEL: I
1000+amp/volt
P!.AN REVIEW SECTION
Reco.sect only
>•0 RES UNITS: 9VCIFDR>•225 A.: >BOU V NOMINAL: CLS AREA/SPC OCC
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 8 STEREO VACUUM 5 STEM: AUDIO&STEREO FIRE ALARM INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS TOTAL 0 SYSTEMS:
Owner: Contractor: TJTAL FEES: $ 5,750.50
WINDWOOD HOMES,INC. WINDWOOD HOMES INC This permit is subject to the regulations contained in lh(:
47"55 SW NORTH DAKOTA 12655 SW NORTH DAKOTA Tigard Municipal Code,Sall of Specialty Codes and
1'r�ARD,OR 97223 TIGARD,OR 97223 all other applicable laws. All workk will bis done in
accordance with approved plans This hermit will expire if
work is not started within 180 days of istuance,or if the
work Is suspended for more than 180 days ATTENTION
Phone: Phone: 780.4375(M) Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Rep 9: LIC 50196 forth in OAR 952-001.0010 through 952-001-0080 You
may of lain copies of these rules or direct questions to
/ OUNC by calling(503)246-1987.
'4 REQUIRED INSPECTIONS
Ern;Ion Control Insp 8, Post/Beam Mechanica Mechanical Insp Framing Insp Gas Fireplace Electrical Final
Sewer Inspection Underfloor Insulation Mechanical Insp Shear Wall Inr,p Insulation Insp Mechanical Final
Fonting Insp trawl Drain/Backwater Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final
Foundation Insp Footing/Foundation Dr; Elecl,lcal Service Low Voltage Water LInF,Insp Final Inspection
Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Line Insp Apl.r/Sdwlk Insp Building Final )
Issued B : L (_16 ')11- -d�-✓ Parmittee Signature
Call (503) 639-4115 by 7:00 p.m. for a'1 inspection needed the next business day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELO 3MENT SERVICES PERMIT#: SWR2000-00335
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/1/00
SITE ADDRESS; 10211 !W 87TH AVE PARCEL: 1S135AA-MRE04
SUBDIVISION: NIAPI. E: RIDGE ESTATES ZONING: R-12
R!OCK. _. LOT: 004 _JURISDICTION: TIG
TE VANT NAME:
USA NO: FIXTURE UNITS:
CLJ%SS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SFA.
Owner:
WINDWOOD HOMES, INC. FEES _
12655 SW NORTH DAKOTA Type By Date Amount Receipt
-IGARD, OR 97223 PRMT CTR 12/1/00 $2,300.00 27200000000
INSP CTR 12/1/00 $35 00 27200000000
Phone: 503-625-6526
Total $2,335.00
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 a,-.curacy of the side sewer laterals If the sewer is not located at the measurement giver, 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" Pe!mit and the Agency will install a lateral ATTENTION: Oregon law requires you to follow rules adopted
by the Orennr, Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You mr.y obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987
Issued b : i �� �i i�. ,; �i j Permittee Signatur
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
1:ARLSoN TESTI�1: rr'1
11 3t)'i1i1 THC 11:31 FAX 511.3 6711 9147 -- -- —
'CdZ1So�' Geotechnical O B,x2rkl1 Salem office BendON9i
� G.O. Box y;�it4 4060 Nudsrm Ave..NE P.O.Box 7.318
A Division o1 Carlson i resting,Inc Tigard.Oregon 97281 Salem.OR 91301 Band,OR 97708
Geotechnical Corsultlntq Phone(503?684-3460 Piinne(503)569-1252 Phone(541)330-9155
Construction In%peclion and Related Tests FAX(503)670-9147 FAX(503)589.1309 FAX(541)3309163
CGT No, G0001565 A
Permit No.
FIELD OBSERVATION REPORI
U.ATES COVERED' November 29,2000
PROJEC is Maple Ridge Subdivision
AL)DW ES5. SW Locust Street&87"'Avenue—Tigard, OR
BY: W. Sandino
%VFA1 HF R Warm and cloudy
PURFt10SE Or VISIT Construction Observation
I arrived on site at 0830 on November 29. 2000 at the request of Dale Richards of Windwood Homes. At
the time of my arrival, the contractor had excavated lots 1 to 5 lu subgrade elevation, the subgrade of
lots 1 to 6 to consist of native silty and silty gravelly soils The contractor showed me where the footings
where going to be located and I observed the subgrade conditions in these areas l probed the tooting
subgrade of lots 1 to 6 with a Y," steel probe rod at intervals, and was unable to penetrate more than
about 4 inches in any location. According to u conversation with Dale, I understand that he intends to
form the footings directly on top of the existing subgrade, and backfill a minimum of 18 inches or, the
exterior footing wall tie will provide insulation on the inside of the footings In addition, while tie
perimeter footings will be less than the 18 inches that we recommended in our report of July 14, 2000, we
understand that the design bearing pressures do not exceed those given in that same report Based on
our understanding of the planned building loads and intended construcaion, we conclude that the above
changes are in accordance with the intent of our recommendahocs, and therefore, based on my
observations and probing the subgrades observed today have been prepared in general accordance with
our recommendations
t raft the site at 0930
7
W Ston Sandino Re sewed by. JMN✓
Geulechnical StatT
Note. Our reports pertain to the locations observed at the time of our visit only Information contained
herein is not to be reproduced,wept in full,without prior authorization frorn this office.
Attachment Site plan
Distribution W ndwood Homes- Date Richards -Fax 625-175F)
Kurahashi&Associates—Greg Kurahashi -Fax:644 9731
City of Tigard Budd ng Dept - Briar Regure—Fax 684 7297
10/09/00 No` 08:53 FAX 503 598 1960 CITY tlP TICMRD i ` z Q003
Building Permit Application
Date rmcived:
cityof Tigard g PreiecUappl.no.: 1=.xpire sate:
City o/Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.'
Phone: (503)639-4171
Fax: (503)598-1960 Case rile no.: Payment type:
1 k2 family:Si.nple Complex:
Land use appr9v l:A rc7 -77W'': �_.�__�_
,01 � 2 family dwelling or accessory 0 CommctCiai/induwial ..I Multi-(anuly UNew construction O Demolition
AAddition/altemtion/repiaccment U Tenant improvement 7 Fire sprinkler/alatm 0 Other.
Job address: /0�1 I $606 ) Bldg.no.: Suite no.:
• Block: �3ubdiviaioo Lot
Tax maphax lot/account no.: AS/
Project name: i_ .`.1 r t;; _.f
Description and location of work on premix.-slapecitu conditions: _
Name: �:•,., n c e.
Mailing address: z. _— l&2 fierily dtveWag:
City: y state: - 7.IP: r Valuation of work ....................... ...1 .... S a
Pbione: . :..."
r` f ax: '- fs mall: No,of t>Cdnx,msibaths...: +...... _
Ownces_representative: , ' '• �'_____ 'hula[wimber of floors............r.::................
Phone: ,., 'ax: r t, F:-mail. New dwelling arca(sq.ft.).......2A.:;........... --
Garage/carport area(sq.1l.j..... ....... �—
Covered porch area(sq.fQ..........
�............ _
Name: t' neck area(sq.A.).............._............
............ ---
Mailing address: _„ r - area(sq.ft.).............'.......
.... --
y, Sante: ZUI: Other Structure
Cory: ,., ,..; -
--' Commerclallinduatrialimulti•fatally:
Phone, i;,� E maul:
Valuation of work........ .... .......................... $ _ __--
existing bldg.arca(sq.ft.) :�.................. _
Business name: _
::. , New bldg.area(sq.ft.).................... ........
Address: — 4,y�_____ Number of stories..... ................................. —
---
City: <; ,, rt State: ZIP.
Type of construction.............................. ....
pbone: Fax: E-mall: T - Occupancy Fuup(s): Existing:
CCB no. --—— New;
City/nie•m lie,no.: Notke*All contractors and subumtmctors are required in be
licensed with the Oregon Construction Contractors Boatel under
provisions of OR.S 701 and may be required to be licensed in the
Name: 1 — --- jurisdiction where work is being performed if the applicant is
Address: exempt from licensing,the following reason applies:
City: l �• ' Stnte:'7' ZIP: ''
Coarser person: Pian no.:
Phone: ,• V. wa><: L' mail:
Name: Contact pemn: Pecs due upiw application .... .....................$ —__------
Address: •� =-L _. M_ _ fate received:
City: - �..`-State:' � ZIP: Amount received.................................... ....
Phone: Fax: 1 ;7:-j 4 E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the So MI iugidicanN K"tM M9S1 C111d4,lAeW Mn h+r"Me WMMMM
attached checklist.All provisions or laws and otdhiances Aovendug this U vats ❑�ta+tercud
arr
work will be complied with.whether specified herein or a. t test exd a OMW
' pita
Authoriml Signature: nate: + ^N+, ter u�howq ai c Y red $
Print name: •r — --�a�inl,' nR � Aimwot
Notice:This perm;t application expires its permit is not obtained w;thin 180 days after it has been accepted as cumplete W4613(aAxtx.'OMi
10/09-00 MON 08:55 FAX 503 598 1960 CITI' 01; TIGARD I�JQ05
Mechanical PermitAppiication
Date received: Permit na.;',
City of Tigard Project/appl.no.: 6xpircdate: -
Cityoji''igard Address: 13',25 SW hill Blvd.Tigard,OR 97223
Phone: (503)639-4171 Date issued: By: Ra eipt no.:
Fax: (503)598-1960 �/- '/ r Case fileno.: Paymenttype:
Land use approval: Building permit no.: j
*T&2 fanuly dwelling or accessory U Commercial/industrial U Multi-family U'Tenant imprnvcment
U New ammnvcsn m U Addition/alteration/replacement U fkher:
Job address: 1. ( C, I ' Indicate cyulptment(1,uantitics in boxes below.Indicate the dollar
BWO.no.. Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax ma tax),A/account no.: /.j -,•j•L,i. ^•', :,,.., _profit Value$
Lot: r� Block: Subdivision: , r` •4- I ,/_1;f,' a *See checklist for important application information and
Project name: d '.1L I jurisdiction's fee schedule for res:dential permit fix.
City/county: /,PjI-) ': "2• -=�
Description and location of work on premises:
_ Fmlat,) Tohl
Fiat date of co letionfrnapection: Rnt.rrall Ra.anl
Tenant improvement or change of use: t
Is exirtitlg space heated or conditioned?Q Yes U No conditioning
i unit required) ,_
is existings act'insulated?U Yes .0 No con tuonin (Aria V C s
P Alteration o n VAC s stem
of er compressor
Business name: k„ . ,, State(oiler peruiit no.:
HP __Tons -,BTIJ/H
Addreaa: ',,-. ! ! 1°?%•1 irwamo uct Arno edetectors
Cf .}/ , state: ZIP: eat u (m u re
Phone: ns replace furna urner B
- - Including ductwork/vent liner U Yat J No
CCB no.: / ;!�_ nstal rep acdre ante heaters-suspen ,
Cit /metro lic.no.;--- wall,or floor mounted
Name(please print): r! .,r,;' rant iter a ranee a er th an Ernace
nn:
Absorption units _-_ BMIH
Name.
�r,� /J i;' Chillers•� ..� r,..', ,�. r H
Address. m CavrsstK s HP -
._ .__ _____-_ ,er ttraiwenr a mat and gent tbn:
City: State: -LIP: Appliancevent
(Mimic: .Fax: ryerex auai - -;-�-�-y_
ooRN ype I rCm.kitchefY urriat
hood fire suppression system
Name: 11.0aust fan with single duct(bath fans)
Mailing address: A Exhaust system a tart rant heating or AC
- ue ue and dindbution(up to 4 ou ets)
City: State: %1P! C, - T I_I'(i NG __(HI
Phone: FaX:.,,; Email: Fuel Piping each additional over 4 outeU
rDee" (schematic required)
Name' Numtcr of outlets _
—. _ or eq pmenl:
Address: Decuradve riieplace
City: State: assert-t)'Ix --
Phone: I Fax: E mall: _tW i7 e etstove -
Applicant'i signature: ----_ Date:
Nttme(print):
Na all Jutishcucas ucetK creui Cada,please rall Jminaeruv,r,K mme MRKrwaaf. Permit fee......................s
Notice: I his permit applieston Minimum fee........
rxpiraw if a permit is not obtained ••
D Via O MrsrctC uJ
Civlii card muda - ^L— within 180 days after it has been
Plan review(at 7f) $
Sive surcluage(8%)....S
- -Awr,e N cxe�wGier�, nn c tt a accepted as complete.
t TOTAL .......................S __
4404617 0MC M1
In 0 i 00 40\ 08:54 F1!; 503 598 1960 CIII OF TIGARD Q004
Plumbing Permit Application
--- )ate received: t•; Permit ria✓'fir
Ci of Tigard ra:•rn �°
g Se eerpermitncf.: Fluildingpermituo.:
' Address: 131']5 SW Hall Blvd.'I Tigard,OR 9722? - - -
City gfIigard Phone:(503)5394171 Project/appl.no.: Expire date:
Fax:(503)598-1960 Date issued: By: I Receiptno.:
Land use approval: Carie rile no- Payment type:
D f&2 farnily dwelling or accessory U Commerc:ia-Vindusui:d U Multi-family ❑Tenant improvement
U Afew construction U Addition/alteration/rLplaccrnent U Food sen;re J Other —^
Job address: t ,.J b J-' 1 Dascriptioo Oty. Fee(ea.) Total
Bldg.no.: Suite no.. New 1-and 2-fandly dsielftn;•s only:
(Includes 100 R.for each utility comet-0410)
Tax tax lot/account no.: r`' J ' ' ''. SFR(1)bath
L.A IRIOCIL Subdivision: :y j.*:' `;? .r SFR(2)bath---� - —
Project name: 41 it N 1. "L'G ES • r%s SFR(3)hath
City/county: : , additional bath/kitchen
DescripUun and location of work on premises:_ $lteutiflldes: a
Catch basin/area drain
Fist,date of completion/ne;pcction. Drywella/leach line/trcnch drain I
Footing drain(no,fin-ft.)
—
Manufactured home utilities
Dusuicsti nnnu'� _ /J_'Q Manholes -
Address: 7 JRain drain connector �r
City: rJ " r 1 Staw. - "lfp: G Saaitary sewer(no.lin.fL)
Phone: -..4IC3ze Fax: n,fi
-�,-E-mail: Storm sewer(no.lin.ft.)
CCB no.: --,c • ,,, • Plumb.bus.reg.no: / , C' star service lvbtttm or kem:no—lin.ft.)-
City/metro lie.no.: ., .. i__;—^
Contractor's rc resentative signature: Ahsnrption valve
p g 'e-" '``` Mack flow reventer
print rtant j",q ! iL Date: ',,y1jy Ile� Backwater valve
Besinsflavato
Name: 8, Clothes washer
Dishwasher
Address: / c �1/ Ihrukin fountain(s)
City: 4L.• /; ,'1 _ State:.-Jr ZIP i )• ks'cctors/sum
Phone: -c• ,3 mx 1?mail; Bx ansion tan
ixt sewer cat
Name(print): +� r �� .h, ` Fluor dtwn. oar sinks/hub
G- ,t Gache c disposal
Mailing address: ,' �,,F" t y,/ '. r - Nose bibb —
City: _ I Stater�lZl1': a;•+ ccs maker ---
Phone: �-•..-g r'<a Fax:; 'c,>: Email: Intercep(or/grease trate
Owner installationfresidential mainumance only: The actual installation mer(s)
will he made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the property I own as per ORS Chapter 447. Sin (s), asin(s),lava(s)
O)wner's si nature: - - Dote: Sum -
Tubslshower/shower pan
Urinal
Name. - ---
_ ater c oset
Address:
C,ty: --- -- State: ZIPS, _. — thcr: -- —
Phone: rTFa,<: h-mail: erla
o Minimum fee................$
Na d11uri,akrs<,n sept nahl ant,,1lave udl Jt �crit marc fNrtttrtlon. Notice.This pent;tit application
U v6u U hltutercard expires if a permit is not obtained Plan review(at —%) $ —
GMIt rad mimAa: _ within 180 days ancr it has been Slnte surcharge.(8%)....$
Nam at rump u dWWhrid ate --- accepted as complete. TOTAL .......................$
S
---- CeJdrlda I Yule�` — ANtoaM W4016 61691000Mt
10/09/00 MWN 08:56 FAX 503 598 1960 CITY OF TIGARO IM 006
Electrical 11"ermitApplication
--- - - Date received: �,�/^. permit no.:
City of Tigard Project/appl.no.: Expire date:
Cirynj:"i�+aid Address:13125 SW Hall Blvd,Tigard,OR 9722 beteiasued: By Rccciptno.:
Phone: (503) 639-4171
Fax: (503) 599-1960 ! Case file no.: Payment type:
Land use approval: _
LIr Rr 2 fancily dwelling or accessory G Commen:ild/industrial LJ Multi-family D°Penner imp,crosncut
G blew construction U Addition/alteration/replacement U Other: U Partial
Job sd css: ,i s, 81dg.no.: Suite no.: jT&x map/tax Iot/accotrnt no.: 45135 fid
1« BIuJc: Subdivision: !J' 1 c>; /8-^
Pm'ect name: f Ilkscri tion and location of work on premisim. - --
Estimated date of comletion/ina ction:
Fee M+u
,lob no: -- _ 0O Qty, ea) lonl ao.Imp
BUaltltSs name: NewrecidennW-shrgteorsa•Itl laoily per
t _
Address: ' r' , �. [.✓ drnlWtgmrir InchdtftteearlrvlytraRa.
City: 1; $Wte: '/1 7.IP o,J-...:... ServkYtnciNaL 4
tone _ft.or leu
Phone:^ , '_ Each additional S00 sq.ft.or portion dicteof
CCR no.: J c ;� Elco.bars.lie.nn: S!., Uitnad .residential 2
City/metro lic.no.: err,t 3 Lindted y,non-residential 2
harh ttrarmtaetumd home nr modular dwelling
Service and/or feeder 2
Signuturr or supervbint!e;ouk on(required) Services orleaders-InsEWetlon,
Sup.deco name(print):d t e,•. !Ie-r Ucenaean $-� aga idon orreloestbae
till W win RVIIIIA1101 200 amps or lea 2 _
201 amps in 4nn mtps 2
Name(pont): 1, r ps
o 600 amps 2
Mailing address: / r'yr'' Z '� "iJ 601 amps m 1000 ams 2
Cit T iJ State: •i'_ ZIP: - Over 11100 am or vola 2
Fax: - ZS L mall: k"'orui tonl1
'1'eai'orety aerMcd or feeders-
Owner installation:The installation is being made on property 1 own Installation,skerisdoo,
orrelsratloat
which is not intended for sale,Ieave,rent.or exchange,according to 2ix1 amps or less — 2_
URS 447,455,479,670,701 201; w 400 Amps 2
Owner's si nature: Date: 401 to 604 amps 2
,r,snchelrnirr ncw,alteratbe,
or extension per petrol:
Name: A. t•ee for branch cacwa with purchase of
AddPCtx _ service or feeder fee,each branch cimult 2
Cit State: _: B. Fee Ibr branch circuits wkhout purchase
----- — of service or leader fim first bmncb circuit: - 2
7.
Phone Fax: E-mail: f:arh additional branch Circuit:
NOW.(Sarrloeor reetier ad Ychsded)s
Each pump or impation circle 2
O Savice over 225ampc-mmnxnial 0 HealthurefacWty -p 2
d Service ovrr 120 Ampc rating of I&2 ❑Hazardous location Each sl i or orthne li nn
family dwellings U Rudding over IoJx10 square fee+lour(it Signal circuit(s)or a limited energy Wei.
Osystema
over note wAidrttlalantismori.atrun ctualteration.orexteruion• 2
U Building over unee stotus U I-rader3,400 at"nr roti. elle",tion �!
O Occupant load over W pentons O htun ifw:tured atructura or kv pard: FAch eddMMrrrl l"SPW Mir over the allawamr.to any of dw aMrvr.
OEigrraerlighUtyplui Utxhe -- - Perinspectiuu
RuMait—arta of place wale try of the abate. Invraigsuon Poe _
Tlae above are not applicable to tealpors ry syssdrttedon xsartice. other
Permit fee................ ...S _
Nra prM�etlt,r scega aailt ands,glean nit Inrlvdknnn for wee hOR"anna Notice:This permit application Plan review(at
U Visa U MastaCud expires if a permit is not obtained Slate surcharge(A9[) .. .s
crtdrr nerd enrnber —�__ _.� / / within ISO day:,utter it hay been —
Laertea accepted w complete TOTAL .......................S
-f•'Ff�"-cif° i r iaewn ne
s
-- � �gaa4re — Amorm�
440.4615(faVOR.v)atq
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9
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
OWEN WEST ELECTRIC
8310 NW REED DR
PORTLAND, OR 97279
Electrical Signature Form
Permit#: MST2000-06483
Date Issued, 1211/00
Parcei: 1 S135AA-MRE04
Site Address: '10211 SW 87TH AVE
:' ibdivision: MAPLE RIDGE ESTATES
Block: I_ot: 004
Jurisdiction: TIG
7oning: R-12
Remarks: S/F A 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 supervising electrician is required. Please have the
appropriate individual from y( , company sign r)elow and return this Electrical Signature Form prior to the
star+ of the work to the address above, A 1 T N. Building Dept.
No electrical inspections will be al.rthorized until this completed form is received
OWNI R. ELECTRICAL CON I RACTOR:
WMDWOOD HOMES, INC. OWEN WEST ELECTRIC
12655 SW NORTH DAKOTA 8310 NW REED DR
TIGARD, OR 97223 PORTLAND, OR 97229
t'hurre t/. 503-625-6526 Phone #: 297-6375
Req #: UC 00029492
SUP 2986S
LLL A J98C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
If,Ou have any questions, please call (503) 6394171, ext. # 310
art.•
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
JIM'S PLUMBING
PO BOX 7160
ALOHA, OR 97007
Plumbing Signature Form
Permit #: MST2000-00483
Date Issued: 12/1100
Parcel: 1 S135AA-MRE04
Site Address: 10211 SW 87TH AVE
Subdivision: MAPLE RIDGE ESTATES
Block: LoL 004
Jurisdict;on: TIG
Zoning: R-12
Remarks: S/F A PATH 1
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 cintil this completed form is received
()WNL P 171UMBING CONTRACTOR:
WINDWOOD HOMES, INC. JIM'S PLUMBING
12655 SW NORTH DAKOTA PO BOX 7160
TIGARD, CR ^7223 ALOI.A, OR :7007
Phone #- 503-625-6526 Phone #. 649-4034
Reg #: 1 Ir 71860
PI M 34-186ob
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Aut466zed R6mber
If you have any questions, please r.:311 (503) 639-4171, ext. # 310
CITY OF TIGARD F 'ILDING INSPECTION DIVISION OC2 o ��r
24-Hour Inspection Line: 1-49-4175 Business Line: 63, 171
BUP
Date Requested� AM PM BLD
Location /6d1// r-7 /?V--e - Suite
MEC
Contact Person ��eJ�cA Ph 7 G� 7� PLM
Contractor Ph SWR _
BUILDING Tenant/Owner ELC _
Retaining Wall ELR
Footing Access: ^
Foundation �.•- c./Q FPS _
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab -. - _ SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -
Firewall
+r^Sprinkler - ---
SusN d Ceiling —f-� /�'G'-�r r �s / l
Roof
Misc: --
Final
PASS PART FAIL —
PLUMBING
Post&Beam
Under Slab
Top Out ---------------
Water Service _
Sanitary Sewer —
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post&Beam -- — --
Rough In
Gas Line
Smoke Dampers
Final - --- ----___ ----_—_
PA RT FAIL
Service -
Rough In
UG/Slab
Low Voltage
VS "'PRT FAIL
IT
Backfill/Grading -' -
Sanitary Sewer
Storm Drain J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I J Please call for reinspection RE: _______ ( J Unable to inspect- no access
Fire Supply Line /
ADA
Approach/Sidewalk Date / Inspector F x t
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspecti•an record from the job site.
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST 2-66C' O� �y3_
INSPECTION DIVISION Business Line: (503) 639-4171
BLIP
Received . Date requested _��_____ AM—_ __PM --.-- BLIP
Location — C 2 l I X21 k-42_ -----Suite MEC
Contact Person �,��tn __ Ph(_.. _--__) C' ' �-� PLM
Contractor _ Ph ( ) --- SWR
BUILDING Tenant/Owner —__ _____ ELC
Footing ELC
Foundation
Access:
Fig Drain Tlr-
1,)4,x ilzr ELR
Crew! 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
Roof
Oil sr: -
'-
YVAW PART FAR
imu M8 HNGr___
Post&Beam
Under Slab
Rough-In
Water Service -'
Sanitary Sewor
Rain Drains _-
Catch Basin/Manhole
Storm Drain -,--- -
Shover Pan
Other. -------
F
'!�PASV, PART FAIL
ANICAL� - ._ .. - ------------ - - .. .- --- ---- — -----
Post&Beam
Rough-In -- -- - - - _
Ces Line
Smoka Dampers - - - --
F
PART FAIL
L' RICAL
- -- -
Service
Rough-In
UG/Slab
Lnw Voltage
Fh a Alarm
Final Reinspection fee of$_-_�____-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PARI FAIL
SITE — LJ Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA Dat -� L� /C Z.
I
Approach/Sidewalk -s-►t-1- __ Inspector _�_-- flit!--
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL