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14430 SW 128TH PLACE 14430 SW 128"' Place our C`TY OF PGARD Inspection Line: 503` 659-4175 S BUILDING P ( 1MST INSPECTION DIVISION Business Line: (505)F39-4171 BLIP _--------- .— - Date Requested /_ * �'-- -- AM-- ---- PM --- -- BLIP Received ____ ---- G —? -- --- _---SI lite_—._— -- - MEC Location l 44-'3Q�%—i 1 e - --- -- ---- Contact Person Ph (___--) __— ----------- — PLM ContractorPh(----) SWR ----_--_-------_--- -- BUILDING Tenant/Owner — — -------- - — EL ----- Footirg ELC - FoundationI Access: ELR Ftg Drain trawl Drain - - SIT Slab Inspection Notes: Post& Beam Shear Anchors Ext Sheath/S:ir it - Int Sheath/Sht ar - -� Framing i i �w fit atl�L ��� /—'fie - Insulation — Drywall Nailing Firewall Fire Sprinkler - Fire Alarm Susp'd Ce"ing --- Roof -.. -- ---. Final _ 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 Srr.oke Dampers - Final PASS PANT FAIL - ELECTRICAL Service Rough-In - -- UG/Slab Low Voltage - --- - Fire Alarm Final Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL Unable to inspect- no access SITE _ Please call for reinspection RE:-________—__._-__- -- Fire Supply Line ADA DOW C' Inspector ------Ext Approach/Sidewalk 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 �_MST d�a G 5 INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _ Date Hequested_ — 3Y6_AM PM--_ BUP Location _- 3�-� ZC — Suite MEC Contact Person _ Ph( ) ^ jam' 1�U`:� PLM Contractor _ _ Ph( ) — _— SWR BUILDING Tenant/Owner _ ELC Footing Foundation Access: ELC Ftg Drain ELH Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Sheai Int Sheath/Shear -- Framing Insulation Drywall Nailing Firewall Fire Sprinkler ----— Fire Alarm _ Susp'd Ceiling — - _— Roof Other: s�— Final PASS PART_ FAIL --- — -- — PLUMBING Post&Beam � - -- -- -- -- Under Slab Rough-In Water Sery :e Sanitary Sewer Rain Drains ----- - Catch Basin/Manhole Storm Drain — -------------- — Shower Pan Other: — - ----- ---- —1/'PAS.,jy PART FAIL NANICAL_ _ 1'ust&Beam — - Rough-In ----- - - --- —_ -- — Gas Line Smoke Dampers ------ ---- .-- -- __, _ Final PASS PART FAIL - --- ----- --ELECTRICAL Service -- — -- --- - - - --- - - - Rough-In UG/Slab —_ -----------___--- —. Low Voltage Fire A!arm -- ----- - -- Final F1 Reinspection fee of s __- - required before next Inspection. Pay at City HRII, 13125 SW Hall Blvd. PASS PART FAIL SITE_ n Please call for reinspection RE:. F-] Unable to Inspect-no access Fire Supply Line ADA � Approach/Sidewalk Dab__��� Ip%paoter _ itxt Other: Final -- DO NOT REMOVE this Inspection record from the Job 11 Its. PASS PART FAIL CITY OF TIGA,RD 24-Hour BUILDING Inspection Line: 503) 639-4176 MST INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Received _ Date Requested—AM PM BUP Location _. '?.,-epi Al/ - Suite MEG _ Contact Person ph( _) �3 ���5 PLM Contractor __— -- Ph( ) - SWR —. - --- - ---- BUILDING -- Tenant/Owner — — ELC Footing -. - - --- -- Foundation Access: ELC -- -- Ftc,Drain �:- �r� Crawl Drain ELR -- - ---- - - --- Slab Inspection Notes: SIT Post&Beam -- Shear Anchors Ext SheathiShear Int Sheath/Shear - ----- Framing - - ----._-- Insula"• - -- Drywa.,wailing Firewall , �, -- Fire Sprinkler - d7- 2 e Y Fire Alarm — — Susp'd Ceiling — Roof Other: --- Final — PASSPART FAIL -- _ - ---- _ — Po at - --- Un lab Rouah In -WE Service Sanitary Sewer - - Rain Drains - .. �_ --_------ - Catch Basin/Manhole Storm Drain - Sh r Pan off _PASS PAT FAIL - -- ICAL - -- -- -- os earn — Rough-In r-,aa Line smoke Dampers ,Final -- ----- -- A RT FAIL - -- - - socwre._ - — — - Rough-In UG/Slab - - - - - Low Voltage Fire Alarm - — -- Final Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SS ART FAIL- 511 1h _ ( Please call!or reinspection RE:- Unable to inspect.-no access Fire Supply Line ADA Approach/Sidewalk Date--r—� - - 1Jn ector - Other: __ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL `• l +' _ ! _ �T t " �" Irl �/�7 � w ��u MASTER PERMIT CITY OF T I �GA ,D -7 i�u�t,� f-)L- PERMIT#: IJ�ST2002-00235 DEVELOPMENT SERVICES DATE ISSUED: 6/5/02. 13125 SW Hall B v , OR 97223 (503) 5Jy-4171 SITE ADDRESS: 94830 S1fJ 1 PL PARCEL: 2S109AA-05700 SUBDIVISION:' FLK HORN RIDGE ESTATES "' 'LING: R-7 BLOCK: LOT:023 JURISDIG: ION: TIG REMARKS: New SF detached, Path 1. BUILDING REISSUE: STORIES: 3 FLOUR AREAS REQUIRED SETRACKS_ REQUIRED CLASS OF WORK: NEW dE'GHT: 20 FIRST: 1,480 at BASEMENT: 922.00 at LEFT: 5 SMOKE DETECTOR 3: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 2,182 et GARAGE: 702 at FRONT: 20 PARKING SPACE.3: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: of VALUE: $452,979.80 RIGHT: 10 OCCUPANCY GRP: R3 BDRM: 6 BATH: 5 TOTAL: 3,662.00 of REAR: 22 PLUMBING — SINKS: 3 WATER CLOSETS: 5 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 8 DISHWASHERS: I FLOOR DRAINS: 1 SEWER LINES' IN SF RAIN DRAINS: I CATCH BASINS: TUBISHOWERS: 5 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: '0,, BCKF LW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K BOIL/CMP<3HP: VENT FANS: 7 CLOTHES DRYER. i GAS FURN>•1OOK: I ".0T HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: hW FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: I ELECTRICAL RCSIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERF — BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 - 200 amp: WISVC OR FOR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 50CSF: P 201 •400 amp: 201 •400 amp• tatWlO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 -600 amn: 401 600 amp: EA AUUL i.:'fNR: SIGNAUPANEL: IN PLANT: MANU HM/SVC/FDR! 601 - 1000 amp: 801+ampa1000v: MINOR LABEL: 1000+amplvolt PLAN REVIEW SECTION Reconnect on' >•4 RES UNITS: 9VCIFDR>•226 A.: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO J!,STEREO: VACL''JM SYSI EM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: MVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAlTELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 9,489.84 This permit Is subject to the regulations contained in the PAUL CARNEY INC PAUL R CARNEY INC Tigard Municipal Code,State of OR. Specialty Codes and 1480 NW 102ND AVE 1480 NW 102ND AVENUE all other applicable laws. All work will be done In PORTLAND,OR 97224 PORTLAND,OR 97229 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: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rea r: t IC 56852 forth In OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 84 Post/Beam Structural PLM/Underfloor Electrical Dough In Gas Line Insp Appr/Sdwlk Ins-- Grading Inspection Post/Beam Mechanics Ftng Drain Bsm't Walls Framing Insp Gas Fireplace Electrical Final Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Footing Insp CraWI Drain/Backwater Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final Foundation Insp Fooling/Foundation Dr; Electrical Service Low Voltage Water Line p Final Inspection Issuod By : � I '' Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an Inspection needed the next business day tz, iyy3Z) CITY OF TiGAR® SEWERCJNNEC'I'ION PERMIT PERMIT#: SWR2002-00156 DEVELOPMENT SERVICES DATE ISSUED: 6/5102 13125 SW Hall I rd, OR 97223 (503) 639-4171 PARCEL: 7S109AA 05700 SITE ADDRESS, 143`30 S 128 Fi L SUBDIVISION: ELK HORN RIDGE ESTATES ZONING: R-7 BLOCK: LOT: 023 JURISDICTION: TIG TENANT NAME: SA NO: FIXTURE UNITS: U CLASS OF SA NO: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL T,'PE: LTPSWR IMPERV SURFACE: Remarks: Se\er connection for new SF. _— Owner: — --- �_. FEES__ PAUL. CARNEY INC Type By Date Amount Receipt 1480 NW 102ND AVE PORTLAND, OR 97224 PRNT CTR 6/5/02 $2,300.00 772002000,30 INSP CTR E/5/02 $35.00 27200200001) Phone: .503-297-9406 Total $2,335.00 Contractor: Phone: Reg#: Required Inspections _ This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date Issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet In all directions from the distance given. If not so located,the Installer shall purchase a"Tap and Side Sewer" Perm ` Permittee Signature: Issued by: 2 ,-._ / 1' -- Call (503) 639-4175 by 7:00 P M. for an inspection needod the next business day - 11l, vv.,o rt.n aviavoiaou CITY OF TIGARD 0 001 A . X15 . ]Buil�ding•PermitAppJf'cation �~ Daterece:ved: r ? �'� permitoo.:�'lf' . Q� C"�J t Iii Tigard Projeet/appl.no.: edate! Address; 13125 SW Hall Blvd.Tigard,OR 97223 City ofTieerd phone: (iO3) 639-4171 DauiseueG, _W By: / Receipt no.: Fax: (50;)598-1960 *'�.A 1 t , Case Gee no: Paynlenttype: Land u: approval, `�' � r I$?f�nuly Stm`�e Complex: �` *("w conctntrtjon L.)oemoiition � 'I �2 f4miiy dweilini or accessory ❑CommerLi^.Uutdustral J Mulu-family Ulii� 4ddluon/alteratiordre lacement. J"Fenant improvement U Firr sprinkler/alarno J Other. J. Z Bldg.no.: S•aite no.: U Lot: Block• iSuhoiviSion: 4 //' /�rt.� Tc, t t __ sj Tax map/tax lor/account no.: 1'rojva name: I)escription and location f work on premises/special conditions:_ /V Name: Mallin address: v 1&2 family dwelling: s s1 77,-, City: -' Stem: ZIP: ;L Z Valuation of work....................................... c phone: ) t/�6 Fax: LyG r6�1 l.�meil: No.of bedrooms/baths................_..... Owncr's mptesentatiVe: .�_ C Total number of Hoofs................................. r T S- i'az: r[, Y6a f Email: New dwelling areas ft ......... y E y Phone: '. ( q. ) ................. Gamge/carp,)tt arta(sq.ft.)......................... _ Covered porch area(sq.ft.) . ••• Name: S C` �-- - Deck area(sq.ft.)................. .. ....... _� 1- Mailing address: — Other structure area(63.ft)••••,.................... City: State: ZIi': ' E,-mail: t:ommes�riaUindos�triaUmta ultl- miiyt Phone: �I"ax: Valuadon of ...... work.............. .. S Existing bldg.area(sq.!i) .......................... -- Business name: ` c' New bldg.area(sq.ft.) - Addreas: Number of stories....................................... _ City: State: I ZIP: Type of construction.................................... -- — Phone. Irax: Frmail: Occupancy group(s): Existing: ._ CCB no.: New: City/metro Itc.no.: - -- 711 contractors and subcontractors are required u�be ith the Oregon Construction Contrictors Board under s of ORS 101 and may be required to be licensed in the jurisdiction where work is being performed.if the applicant is Address: i� / :xemp:from licensing,the following reason applies: r T -. State: ZIP: 7.2' Contact .rsten- n- n��r'•t Plan no.. �) /.�'/5 _ _ _, Phone: L `1 iG I tax:7 t 7?.; &mail: // 4 ,,►sContact Person: ��� Pees due upon application ...r...................... $ Name: u — bate received: Amount received..- State: - �, �� � ....................................... ZIP: S_ �� T'a /'► &mall: Please refer to fee schedule. Phone: ti -G y 'ax: — ,N/�,W�.Jtalediraea tteotOt credit card].P 0 can ieriedktlea for heals IaWMI Woo. I hereby cerdfry I have mu and examined this application and the N In O aft woCud c t[ snatched checklist.All pro- Isions o awa and ordinances governing this C�M01) aaatbcr• . Uue Zr�t,yu work will be complied t; epe�ifled here r not. _ "- 1 Due: ----� a NeWO N C 1• Authorized signature: llY mal Print name: / �r-/ G '� —� `-I -- - - e 1404613(WWCOM) Notice:This permit applieatif 1 expires if a permit is not obWned within I So days after it has Coen accepted as nom I vo,u1/4uu4 va:ia I-All, 5u35981960 CITY OF TTGARP Q002 glee tric l Permit Application pDatcr=eived: C 0 Pu,dtno.:l ,n0 City A Tigard ProjecU+ppl.no.: EsNiri late: Ciryo(Tlgard Address 13125 SW Nall Blvd,Tigard,OR 97223 Date issued: - iiy Rcceiptno. Phone: ('03) 639-4171 Fax (50 1) 598-1960 Case file TIO.. Payment type Land u!,r approval: !� I Bc 2 family dwelling or accessory 0 CommerciaUindusuial 0 Multi-family :r,�ant improvement O 1' v construction D Addition/altcrntion/replact mcni D Other. _ ial I�� INFORMt lob address: Bid .no.! Su;te no.: Tax mapAax loVaccount no.. Lor. Z Block: Subdivision: `i Protect name: t.�T Z D.scription and location of wori<on premises: Ai I Estimated date otcom lesion/ins ertion: o TION t Job no: G •� :3 7177 USi0e55name: - Newneidenrfal-cinglearroula-r+mtlyp Address: Z I �� r C,_C( dmirviewut.lncludrsettmctrdprace. City'. C� •1i, S�:VL ZIP: v Scrviceuscludcd: 1000 sq.A.or lets Pho,ie Yrz -I/G Fax:666 a83v ma11: Enchadditional 5oosq.ft.orportion thereof CCB lio.: ����7u FICC.bUS.lit.D0. Limitedene,; residcnual a �1ty/frier ]i O.: Limited energy,non-residential _ 2 Each manufactured home or modular d,velling "•'— D+te Service and/or(ceder ___ 2 S,gnf of f electri:ian(requirtd) r--- Services or feederv-Itutellslion, sup.e .name(print): I I(Arense no: alteration or relocation: 200 2 1 �-j. ��f�c 201 amps a TWO cops 2 Name(print):_ �`� t C 401 amps to 600 e s 2 Mailing address: U i Z" 1?` 601 am s w 1000 a•nps 2 ' —�T A- State-cP— ZIP: .7 Over 1000 am %or volts 3 City: Phone: - �6 IRsx' 2 Y Y G k I islrail: Temporary _ TeerHs'ae o►feeder^- Owner Installation:The in:inl)ation is being made on property I owninstallation,allerstten,erteleeluoe: which is not intended fol:ale,lease rat,or exchange according to 200 amps or less _ 2 ORS 447,455.479.670,"01-- !01 amps to 400+mps _ 2 OrA ' sinature: _ /�Dge:el S 66 ` Z 401 to 600 ams 2 nnsteh dmits-stow,attention, or extension per panel: A Fee for branch circular with purchaseoservice or feeder fee,Tach brunch circuit 2 __- Stere: Zip: B. Fee for bench ciruiH without perchtue2 of service or feeder tae-tint branch circuit:PhOoe: 'ax F-mail' Eaeh+ddlNonalbtanchcircuie _ 14Mlot_(Servke or leede�eon Included): bac,)U-mp or illation circle 7.. iceover 225 unps cc max:al O Haar,Cali,W1111y 2 Fieh si m or outline li hung iceover320+mp+r+Ungrl'Idd OHazardousloc+tionSi nalcireun(s)oralimitedenergypnnelydwdlings O Building over 10,000 square Poet four or sherstion,or esten+ion• _ 2 more residential units in one evucture —� --1--- O System over 600 volar nominal O Building over Uva stories O Feeders,400 amps or more •Ikscripuon: - ..._ O fkcupann load over 99 persons O Manufactured structures or Rv park F,ach additional inspection over the ullonwble In any of tlr above: nEgrees/liandngplan LlOdtee — Prrinspec.tion Submit—_ :ear of ptsoa with say of the above, 111-1 dation roc — Tin above are wt NPI,litablr to tem construction aWke. Other _ Permit fen.....................S -- Nr4 d111Y1 iaee aorepr arenas tard plow call Jrlr)wacrim ra more Irtfattnalioe Notice:'This permit application Plan view(at %) $ expires if a permit is not obtained State surcharge(896)....$ 0MU U Mul"Cott i �5 _L (,U'4v Gt t 7 r� I within 190 days after it has been g TOTAL . oedit e"r�-�era L .,.. spin, +ceepted as complete. ......................$ 'so s r Cold 1 1+44615 16V 10M) die AmeYM 11 .1 ­vaviaov 1.111 Ur 116AKU 10004 Mei.ItAit< a Vermit App➢i :a ion - - - - Date rccelvsd: 7 e 7' Pamir no.: '(JDc�� Clay f h ' aril project/appl.no.: Expire te.: C. n and Addreft: 13125 SW Hall Blvd,Tigard,OR 9"223 r 11 r'7 �� Date issued: By:j, t Receipt no.: Phone: ( Q3) 639-41'11 Fax: (50.) 598-1960 Case file no.: Paymanttype: Land u: C approval: _ Buildingpernut no.: �I TYPEOF =.2 family dwcllin, or accessory U CemmemislAndustrial U Multi-family U Tenant improvement ew construction 0 Addition/altcrauon/replacen ent O Other. ____ 1 1 I. 1 1 1 1 1 — Job address- t; S /'Z Y t• l... Indica a equipment quantities in boxes below Indicate the dollar Bldg.no.: _�_ Sulte no: value of all mechanical materials,equipsi,:.nt,labor,overhead, Tax map/tax lot/account ro: profit. Value$ _._.. of; ISubdivision. f "See checklist for important application information and Project narrte: jurisdiction's fee schedule for residential permit fa City/county: ,,o r/� �.! 1�,, ZIP: y i ? y ' Description and ocl ati6n A work on Oemises: 1 1 1 1 t t Fre(M) Total Est,date of completion/it spection p Bcuiiptiuu . Res.only Ra.only Tenant improvement or c Lange of uee: /U �? A h .: Air handling unit _ CFM Is existing space I atcd or condihoned115' U No pjicondltio�-T(sitse plan required) _ Is existing space i'tsulatui?O Yes U bio Mention of exiying_ VAC system 1 1 oils/compressor �—_ Business name: `_/ :d Z- ,�• ('oo . State boiler pernvt nu. _ ftp Tons DTIJ/H Addrrss: v/Z S w Z e iioltmolcc damput/duct smoke detectors Crty G .y e� e: ZIP: /Z at ump(slue plan ui� Plwnc: r l$ SGZ U I Fax: Email: Instal replace furnacelburner . fncludirgd:,t,:wrwk/ventliner OYuUNo _ nsla lace/mlocareheaicrt"-tut ended. City/metro lir.no.: -wall,orfloor mounted �� Vmt Drop 6ancc-�cr thin furnace Name(please q: �' - + ` iSi=crywt►u Mot Absorption units BTUM adllrrs _ _ ___ 14P Name: A../ 7 r� rem .eusan lip - Address: /�1 h't) /V w o fr r .rA-�TMtha�uai and/w�iattuu: 5tme;r r 1. ZIP { cl_ Appli/nct vent _ — I'hOne: aexhaust -- r 71 W T*ImTru.k1was=W- hood fir.:tupptessinn trystem Name: c_ ��` PWutust fan with tingie duct(bath fans) Mailirllr,arlchxsS: Exhaust s titan�a+art 6v .air ng ar pip aua�ut Idl0r up in 4 oU e" UCi _ State ZIP: Tye (pc7 „ NO Oil p��• Fax: &mail: !'ue� ea piping e t 0 over a'1 ilea - - - Wp (fe eelemabcrequired) Number of)utters Name.: — — Tt'°..•�� /� ...v.....c� + -her ap uce or e�gdpna�lt; - `' --- �1c De4orattveCueyIs" _ -- insert-type at - - F G.ruil' �oodFmv Ire U clove Pltiunn• ' _ Applicant's signature: Date ci tier N"�rinU - ►+.a l ­r­41 r a.,pi ew Derr l.a+aiealea far iahtsatwa pe t mit fon.....................8 laryw U Mast :Douce.This pnmMi ir application $ - _ tilmwtl fee............. .. ofv cat t U Ma (�+ "1 r...' expims if a permit is not obtained Ilan inview(atChWlS _- . , . within 180 da)-t after it has berm _-" -- ■ ne« c `� auocpted as mmplete 5 aurhatEe(896)....s T 'AL.......................$ AMNON 4"l7(title" (,rtr ur 11GARD 009 Phu iibing Permit Application IDatFerc-ccivcd. A i%% permit no.: '�fp�gpa Dll�u City >'f Tigard ----� Sewer pertnn no.: Buildingpermit no.; Address 131"25 SW Hall Blvd,Tigard,OR 97223 ------ — CirvnlTrgarrf phone: CiW) 619-4171 Pro)ecdappl.no. Expiredate: Fax. (5C'-) 598 1960 bate issued. By- Receipt no.. Land u. a approval. Case Me no. Payment typo: 1 12 OKI]a 10 ,Kl I &2 family dwellint or accessory ❑Con-tmr;rclal/industnal O Multi-family Q Tenant impmvernent 1•New consuucaon 1]Addition/alteration/replacement ❑Pood smice L-)Othcr. 1 t1.11MNFORAIATJQNt Job address: ;Z > DescHption Qly. Fee(ea.) Total Bldg.no.- _ _ Suite no.: New 1-tnr'2-Cunily dwellings only: Tax map/tax lot/account t-3.: (includes 100 H.for each utilityl.onnection) r SFR(1)bath _ Lot; 2 Block: Subdivision: 1411.., 2� SFR(2)barb Project name: _ _ STV )bajh City/county: 7-/ z h a d noonal ba-dUUtc'ten Desai on and I ation, f work on premises: 7E— I Siteutilitles: -•9� /f-�-L__ Catch basi /area dram Fat.drte of^ompletiontin pectien: Drywells/leach lindtrenrh drain t 1 1 111111111113111111 FOntia?drain(no lin.ft.) _ -`- Manufactured home udlities� -- _ Manbo es Rain drain,:ounectot City, -0--3A, t 41VI&A State:('p? "r_ .7 SarutAry scwcr(no.lin. t.) — Phone. 3//a - y 7f !lax: l?-malt: Storm sewer no.Un. . CCB no.; .a S 5- Plumb.bus.rag.no:311-Z 7. ater service no.lin.ft. CI /metm lie.no.: Fixture or item: Conttactot's ro resenudve al : �___. Absorption valve -J Back flow preventer Print items; �� Date: _ =o z Backwater valve �^ Basins/lavatory _ Name: C o ec washer _-__- ---— �. u L Dishwasher Ad_drers: n fount s, City: f, State:G 71P: 7 Z�. 9 Eieclors/sum Plwna; z 7 1. 0 rax:1 y( y' J E-mail: Expansion tank ixtutelsewer cap _ �dw7`` , Floordrains/floor st to None(print): �r , _ Garbage •'sposal-- Maillag address. Hose bilib'— City; State ZIP: Ice iMer u Fhone• +�;nx: &mail: tette tor/ ase crit Owner installation/residenb,t) maintenance only. The actual installation Prumet(s) will be made by me or the t taintenance and repair made by my regular Roof drain(commarcr ) employee on the property 11wn as per ORS Chapter 417. Sink(s),basin(s), ays(s) — Ownef's sl anus: Date: sump - — --�-_-- ` Tubs/shower/shower pan lhinal _ Name: -_ _ _-----_- itwl t luset Address,. - —...__ atcr heater Ci — 1 State. IP Other; Phone: Tax. I-` mail! oral — -- ---- Mlnimurr fee................S Na W lwlWkUow wap crwil cards jdeaw tali junl,ictloa for mon tnfr ioe. Notice:Phis permit application — - - )kMba U Mart*K'W yu L'/t expires ire permit is not obtained Plan review(at _. 'si) $ ---- --- Gt t c State surcharge(8%). ..$ rwdl, r+iter: L_— with: 180 days after it has been j'1i0 _� , ex/Ms accer•ted as complete. TOTAL ................... ...$ -�It�e t Y Or'11 •a C 1 - \ i AT6en1 44&Ad 16(6mGrom) to; 1 h'l5ra-ooa--00007/�� G�7 9' fIle '.4'.) r cTsTr�tJ 49i ry ti -1 4 w" i-A yS y r, 51 r �,,,.1�' Ct N ar S P✓ ,W wT s--a r rwT.,✓� 7 t/ !" /.r ?' •o Ae y3.7 r s z 8*� �i,►� T.,,,/ OR, r 41J CITY OF TIGARD 13125 S.W. FALL 3LVD. TIGARD, OR 97223 Q IMPORTANT PERMIT NOTICE s FRANKLIN ELECTRIC INC 28.$9-SE-4-8T-H-CtRCL�E rj Cf— GRESHAM, OR 97080 fo �I Electrical Signature Form RECEIVED Permit #: MST2002-00235 I(in� Date Issued: 615102 ' !12 Parcel: 2S109AA-05700 CI11'UFY�I Site Address 14330 SW 128TH PL ( '/ �NNIIV GARD Subdivision: ELK HORN RIDGE ESTATES G/ENGINEER(Nf3 Block: Lot: 023 Jurisdiction: TIG Zoning: R-7 Remarks: New SF detached, 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 your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed forrn is received OWNER. ELECTRICAL CONTRACTOR: PAUL CARNEY INC FRANKLIN ELECTRIC INC 1480 NW 102ND AVE 2889 SE 18TH CIRCLE PORI LAND, OR 97224 GRESHAM, OR 97080 Phone- #: 503-297-9406 Phone #: 492-4651 Req #: LIC 140170 ELE 26 'uvi: SUP 2260S AN INK SIGNATURE IS REQUIRED ON THIS FORM x4(z- ;�� Signatureofto ;rvising Electrician If you hove any questions, please call (503) 639-4171, ext. # 310 AAAAAA®,, .,AA ► t AAAAAA,eAAA AAAAA tAAAAAAAAAAAAA AF r� r 1 alt b CD n Uq �Hy �Hy ' � -q � 0 ��p CD ---� N rD G ; CD P6� N F�1 . 44 .44 44 44 y 44 /♦vvvvvvr«♦v7vvvvvvvVVVVV' vvvvvvvvvvvvvvvvY '11 5 r, Z 27� o J G 1[3�! � El- f) m . a. F t ► f1 < � s C CITY OF TIGARD 1312'�,,S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE p ' L.if MALMEDAL PLUMBING INC 111 S 18TH AVE 1UN 1 o 2007 CORNELIUS, OR 97113 ,x; Y U" Plumbing Signature Form Permit #: MST2002-00235 Date Issued: 6/5/02 Parcel: 2S109AA-05700 l ��y Site Address: 143315 SW 128TH PL Subdivision: ELK HORN RIDGE ESTATES Block- Lot: 023 Jurisdiction: TIG Zoning: R-7 Remarks: New SF detached, 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 beiow and P'-wrn this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized 1-ntil this completed form is received OWNER: PLUMBING CONTRACTOR: PAUL CARNEY INC MALMEDAL PLUMBING INC 1480 NW 102ND AVE 111 S 18TH AVE PORTLAND, ORM 97224 CORNELIUS, OR 97l1 Phone #: 503-297-9406 Phone #: 503-310-91-95 Reg #: I IC 102535 PI M 34-276PB AN INK SIGNATURE iS REQUIRED ON THIS FORM Signature of Authorized Plumber If you hav- any questions, please call (503) 639.4171, ext. # 310