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13757 SW FERNRIDGE TERRACE '�110.a!\S.,JJ4AiiYwVWA�JYMMNaJN4�d ea�n'rl�.:�..'��'nM..;.;lrl�'n'� 19 1 7 1 w� AWA •I C i s m L3757 SW j?'h, NI f DGE, 'PGF. .--- _ MECHANICAL. CITY OF TIGARD DEVELOPMENT SERVICES PERMIT#: IOEC1999-00145 = 13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-411 i DATE ISSUED: 4/G/99PARCEL: ;S104DC-06900 SITE ADDREbC: 13757 SW FERNPIDGE TERR SUBDIVISION: M�-)RNINGSTAR ZONING: P45 BLOCK: LOT:010 JURISDICTION: TIG CLASS OF WORK: ALT FL JOP FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENI•S W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL.TYPES 0 '1 HP: � � � DOMES. INCIN: 11 F 3 15 HP: COMML INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: OD GAS PRESSURE: 50 + HP: CLO DRYERS: : FURN < 100K BTU: _AIR_HANDLING UNITS FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: > GAS OUTLETS: 10000 cfm: Remarks: Exterior A/C unit. Umt must not encroach into 5' side or rear yard setbacks. Owner: FEES �------------`_ JANIE SIMPSON Type By [late Amount Receipt 13757 SW FERNRIDGE TERR — PRMT BON 416199 $25.00 99-314297 TIGARD, OR 97223 5PCT BON 4/6/99 $1.25 99-3142.97 Total $26.25 Phone: 579-3831 - -- ---- -- Contractor: _ ��Fca.a9.�t.�Flea�t ~I �(CI � O12 7213 REQUIRED INSPECTIONS Mechanical Insp shone: Final Insnection Reg #: EXPIREDd / qle , This permit is issued subject to the regulations contained in ifie Figard Municipal Code :Mate of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not sti,rted within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notifica' :n Center. Those ruies are set forth in OAR 952-001-0010 thro il-, OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by ':alling (503)'4 9118/[9. ` Issue By: r.{ ' l.L y �__ Permittee Signature: / —� Call (503) 6394175 by 7:00 P.M. for inspections needed the next business day Plan Chad CIT`.' OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P E (503) 639-4171, x304 Date to DST Print or Type Permit Incomplete or illegible_applications will not be accepted called -- Name of Develcriment/Piotect Description Table 1A Mr ianical Code _ Qt Price _Amt Job Street Address Suns# A Permit Fee _;'f' 10.00 Address /3lSN l"(//S/�/ ^=� 1) Furnace to 100,000 BTU including ducts 8 vents see footnote 1,2 6.00 Bldg# cnyrstats zip 2) Furnace 100,000 BTU+ including ducts&vents see footnote 1,2 7.50 Name(or name of business) 3) Floor Furnace P A Iddrett includingvent sae footn,,te 1,2 6.00 Moiling Owner `n ss —)l ',I SSC ti I 4) Suspended heater,wall heater _ Q or floor mounted heater see footnote 1,2 6.00 l 7 5�� / (�/ /QIIK� t"// 5) Vent not included in appliance permit CRY/State Zip Phone 3.00 — C a I 'Boiler Heat Air • o f r� Check all that?� - I�•� � PPY --- --- For Items 6.10,see or Pump Cond Qty Price Amt ,4a (or name of business) footnotes 1,2 Com ___ •• 6)<3HN;absorb unit to Occupant Mailing Address t00KBTU 6.00 7)3-15 HP;sbsorb unit Cny/State Zip Phone 100k to 500k BTU 11.00 8)15-30 HP;absorb unit.5-1 mil BTU _ _ 15.00 Contractor Name 9)30-50 HP;absorb c'i a unit 1-1.75 mil BTU 22.50 Prior to permh Waiting Address if 10)>50HP;absorb unit issuance,a copy ` S `a Q-1 >1.75 mil BTU 1 _ 37.50 of all licenses cicyfstne Zip Phone 11)Air handling unit to 10,000 CFM are required it 7 a �'� 9 7��3 / 4-so 4.50 expired in COT orniton Const.Con Board Lk# Exq Dal 12)Air handling unit 10,000 CFM+ database :> _4 �� _ 7.50 Architect Name 13)Non-portable evaporate cooler 4.60 Halling Address 1.4)Vent fan connected to a single duct or l , y;> :�.. 3.00 15)Ventilation system riot Included in Engineer Cny/State Zip Phone appliance permit 4.50 16)Hood served by mechanical exhaust 4.50 Describe work to be done 17)Domestic incinerators New O Repair G Replace with like kind Yes O No O 7.50 ResidentiaQ0 Commercial O 18)Commercial or Industrial type Incinerator 30.00 Additional Information or description of work/ 19)Repair unit all4111t-VO 1 r�F /t C— 4.50 _ / - I / 20)Wood stove NOTE: For Commercial projects only;Units over 400 lbs.require 4.50 structural gas calcs. 21)Clothes dryer,etc. Type of fuel oil O natural gas O LPG OO electricAl 4.50 22)Other units I hereby acknowledge that I have read this application,that the Imormation 4.50 given Is correct,that I am the owner or authorized agent of 23)Gas piping one to four outlets the owner,that plans submitted are In compliance with Oregon State laws. See footnote I --200 24)More than 4-per outlet(each) Signature cf Owner/Agent VDate _ 0 " / Minimum Permit Fee$26.00 SUBTOTAL Contact Person Name Phone SURCHARGE PLAN REVIEW 2586%OF SUBTOTAL Foonotes for comraerci al projects only: Regvlred for ALL commercial permits only _ 1. Provide full schematic of existing and proposed gas line and pressure. TOTAL 2. Provide drawings to scale showing exietiny and proposed mechanical units._ 'State Contractor Boiler Certification required —Residential A1C requires site plan show,ng placernrint W PW 1 vnechperm.doc rev WAIPd 4 i i 1 P i I i �z I I �_ � � �;�,� � �I � ��-� � _ CITY OF TIGARD BUILDING INSPECTION DIVISION 24-flour Inspection Linc: 639-4175 Business Phone 639-4171 Date Requested: _ vv� 0 _�_ nM. _ P.M.___— MST:�J�""�� Location: \31S 1 `3r_p1✓ �/ RR, —_ - - --- - -- ---- [BUY: _ Tenant: ~lite: Bldg. MEC, Contractor- Phone PLM--r Owner:_ ELC: _ ELK: SIT: BUILDING n't) PLUMBING MECHANICAL ELECTRICAL SITE Site s 3etun Post/Beam Post/Beam Cover/Service Sewer/Storm Footing Roof UndFI/Slah Rough-In Ceiling Water Line Slab Framing Top Out Gas lire Rough-In UG SprinU—r Foundation Insulr-'iou Sewer IIood/Duct Reconnect Vault Bsntt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/A1 n Crawl/Found Dr Heat Pump Low Volt _ Approved Approved App'oved Approved Approved Appr/SdM,K :No mry Not Approved No.Approved Not Approved Not Approved FINAL FINAL F'NAL FINAL FINAL Idly 1c 1 —�111 x 3 Lo 2. C Csy oda- .rL e 0 Call fwmimApestion O Reinspection 1'ec of S_ required before next inspection Q I Mahle to inspect Inspector: `// � --- ---- fate:_ � Page --- CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - - / BUP Date Requested �� r -AM----PM _ _ BLit ^� - �elkpYl t 1�" Suite r,1EC _—`-- ----- Location •�'S� --_ -- - - - ___ — G'L 1 L19- Q ' .� Ph /P 2& PLM Contact Person ._ Contractor Ph _ SWR BUILDING Tenant/OwnerELC Retaining Wall _— — EI_R `7 ! e '`Jn J?,_ Footing Access ` FPS Foundation Ftg Drain SGN Crawl Drain Inspection Notes: - Slab __.._—_.__._ SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing r— Firewall q 6) Fire Sprinkler � --_ _S��_ - Fire Alarm / Susp'd Ceiling -- --- Roof Misc: — Final PASS_ PART FAIL PLUMBING Post& Beam -- Under Slab IJ Top Out Water Service _ Sanitary Sewer Rain Drains Final I PASS PART FAIL MECHANICAL Post&Beam - - -- --- — -- _ Rough In Gas Li;ie ------ Smoke Dampers Final -------�------ — ----- PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm _-_-- —. .,PAS 1 PART FAIL. Backfill/Grading -- — Sanitary Sewer Storm Drain ( ]Reinspection fee of$—__. required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply ( ] Please call for reinspection RE: __ ( J Unable to inspect-no access ADA Approach/Sidewalk J4 Other Date L _1_� lrrspesanr_ _ Ext Final PASS PARs FAIL DO NO'T REMOVE this inspection record from the job site. n FL ECTRICAL PERMIT- CITYOF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES _ PERMIT#: ELR1999-00072 13125 SW Hail Blvd.,Tipard, OR 97223 (503) 639-1171 DATE ISSUED: 4/6/99 SITE ADDRESS: 13757 SW FERNRIDGE TERR PARCEL: 2S104DC-06900 SUBDIVISION: MORNINGSTAR ZONING: R-4.5 BLOCK: LOT: 010 JURISDICTION: TIG Proiect Description: Electrical alteration to connect HVAC system A.RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: — AUDIO & STEREO: INTERrOM & PAGING: BURGLAR AL-ARM: BOILER: LANDSCAPE/IRRIGAT. GARAGE OPENER: CLOCK: MEDICAL: HVAC: X DATA/TELE COMM: NURSE CALLS: VACUUM SYST,'EM: FIRE ALARW OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL. # OF SYSTEMS: 1 Owner: Contractor: JAIJIE SIMPSON =�PeaA 13757 SW FERNRIDGE TERR AIS ZSS 'xW TIGARD, OR 97223 l �gOuL� I oYt 7Z Z , Phone: Phone:(oZb -6('43 IZeg #: b&S-N FEES Required Inspectlons _ Type By Date Amount Receipt I Flect'I Final F(-AA- (!J G�X-wcc PRMT BON 4/6/99 $40.00 99-314297 5PCT BON 4/6/99 $200 99-314297 Total $42.00 This Permit is issued subject to the regulations contained in the Tigard Municipa� Code, State of CR. Specialty Codes and all other applicable laws. 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. ATTENTION: Oregon law requires you to fo!Iow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-OU1U through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. �(,��Y-.;rl Permittee Signature Issued by OWNER INSTALLATION ONLY The installation Is Lc!^g made on properi.y I own which is not intended for sale. lease, or lent. OWNER'S SIGNATURE: __— CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N - " DATE:_.LICENSE N O: --- __._—.— ---_--_-- - — Call 6394175 by 7:00 P.M.for an inspection needed the next business day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd hy: 13125 SW HALT_ BLVDDate Recd: TIGARD OR 97223 PRINT OR TYPE E( 1 14)_0t) V- 503-639-4171 X304 Permit F-503-684-7297 INCOMPI ETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:__ WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee........................................ $40.00 (FOR ALL SYSTEMS) JOB Street Addressto# Check Type of Work Involved ADDRE:S I 751560 F.✓IU'�� 811✓ CAU/State Z' Phone Phone# [:] Audio and Stereo Systems _ _76a.r6L 1 _104 Na ❑ Burglar Alarm OWNER ailing Adds _ � � ❑ Garage Door Opener' r /State i ,� Qq Ne Phone� v Heating,Ventilation and Air Conditioning System* / "1 — F-1vacuum systems* 1,0 U Other CONTRACTOR rjddre TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to Issuance a -Pty/State Phono# Fee for each system........ ...............................� $40.00 copy of all licenses f r' 'n (SEE OAR 918-260-260) are required If gnn Contr rd Lic # Ex, e expired in C.O T. r �' /( '!r: Check Type of Work Involved data base) F 4ical Otr1Lj� xp a l l-K. ❑ Audio and Stereo Systems C To� . !��J.jc.# Ex a `�� ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER- Mailing Address APPLICANT I ❑ Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit is Issued under OAE 918-?' .70.This applicant agrees to make only restricted energy installer a(100 volt amps or less)under this ❑ HVAC permit and to do the following: ❑ Instrumentation 1 Only^se electrical licensed, arsons to do Installations where required. Car o t residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems Tf. have asterisks(*) All others need licensing; 2. Cell for inspecfons when installation under this permit are ready for ❑ Landscape Irrigation Control' Inspection at 068-839-4176; ❑ Medical 3. Purchase separate permits for all installations that are not ready for an Nurse Cells Inspection when the Insoector Is out to inspect under Inis permit; 4. Assume responsibility for assuring that s!l rinractions required by the ❑ Outdoor Landscape Lighting' Inspector are done,and; ❑ P. 'active Signaling 5. Assume responsibility for calling for a final Inspection when all of the corrections are completed. ❑ Other Permits are non-transferable and non-refundable and expire If work is not started within 180 days of Issuance or if work Is suspended for 180 days. Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other mstallattons authorized to bind the applicant. FEE$. : ih Vu*.., �Z��s�lJ.t/� _ ENTER FEES f Signature A r•1 5%SURCHARGE(,05 X TOTAL ABOVE) Authority if other than Applicant _ TOTAL s_ i Wstsvesele doe 7/97 CITY OF TIGARD BUILDING INSPECTION DIVISION MST ine: W-4171 BUP 24-Hour Inspection Line: 639-4175 Business L ------ BL PM _l' D Gate Requested-__–____ _�� `/�� _AM_ -- — Suite MEC Location-_� 7<`7 '`tet'.-'�� ( PLM Ph — -- ------- — -----— Contact Person --- — Ph _ SWR ------ Contractor -- ELC ---------- UILDi�f J Tenant/Owner --- - ELR Ro a`iiiing Wall FPS Footing Access. Foundation SGN Ftg Drain SIT Crawl Drain Inspection Notes: Slab Post&Beam Ext Sheath/Shear Int Sheath/Shear - — Framing Insulation r �� Drywall Nailing _ - Firewall < Fire Sprinkler - Fire Alarm --- ,Q Susp'd Ceiling ,cy,i►_�,,✓1L�-- ----- Root -•�'�4 rAisc: 7r- ------ -i • PAS. PART rFAIL - PLUMBING ----- post&Beam _ Under Slab --------- Top Top Out -- Water Service i�- Sanitary Sewer _ ......... ---- Rain Drains - PASS PART FAIL MCGHANICAL_ - - _-, Post& Beam - Rough In Gas Line Smoke Dampers ------- Final PASS PARI FAIL - - ELECTRICA�_ Service Rough In - UG/Slab I,ow Voltage Fire Alarm - Final PASS PART FAIL - SITE ._._ -------- Backfill/Grading Sanitary SewPr I Reinspection fee of$ required before next inspection. Pay at City Nall, 13125 541 r fall Blvd Storm Drain [ ]Unable to Inspect-no access Catch Basin Please call for reinspection RE: Fire Supply I-ine ADACI Ll Ext Approach/Sidewalk pate ��'___i_ InapectOr- -- other P job site. Final DO NOT REMOVE this inspection rer_ord from the j PASS PART FAIL i C N D m 2 Z 0 O Q r DNz -42 C .� 'T. ' � ►r 0O00m � r .. n -n = m0 -< 7 mnimZ C .� r' cn C' � 0 � O W � n ODOM rCZMm �../ Lm07Ca Q wpm D ]7 = � Ci -ID = p 0-4 C 1 Q 0 m W p ' ' C� W-W "`1 z -n miZ z 0 zz 0 J O o x 5� o ►�� K0m0 M c. M( Y I/ YzN O k cn z F r ,ill rrl mr. mio ;ocy D D x l J ' I F m o '-f m3) > En 0 0 Iz ' m U) ERMIT CITE' OF TIGARD DATE ISSUED: 02/07/96 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL,., C1S104Dr---0V4V10 1 .13125 SW Hall Blvd.Tigard,Oregon 97223*8190 (50:)639-4171 .-rj r, JBDIVISION. . — ML .NGIZJAI .-Oci/N. . . . . . . LOT. . . . . . . . . , . . . ..010 ,oject Dc- iic:.,ip tioii : New retidence —RE'SIDENTIrn- tJNIT---- - ------TEMF' MI CGLLAN -0 7� .QAO GF OR LLSS. . . . z 1 0 200 amp. . . . . . . : 0 PUMP/I RR 1 GAT 1014. i0i ADP L 500aF'. C, .,Z1 400 Limp. . . . . . . : 0 SIGN/GUT LINE LTG. . (I"11TED ENERGY. . . IZI -liol 600 amp. . . . . . . . 0 G1GNt--1L/PHNL1.. . . . . . . i)NF. HM/ SVC/rDP. . . 0 bel *'Amps-1000 volts. : 0 MINOR L1'4BE(, ( 10. . . . -,5ERVICC/FEEDF-R-- -'.....—BRANLH CIRCUITS— --- -----ADD' L INSPECTIOM", "00 0 W/SERVICE OP FEEDER: 0 PER *j1 NSPEC T I ON, . 400 ami-. -- 0 1st W/O SP'JC OR FDR. : 0 PER HOUR. . . . . . . . . . . '..11 6-015 :imp. . . . . . . V1 EA AMD' [- DRNCH CIRRI : 0 IN PLANT. . . . . . . . . . 11 1000 amp. . . V, REVILW SEL I 1Cjl\i- 0 el 4 amp/valt. . .. . . V1 /4 RE`' UPI 1-1 G. . . . . . . . 1 6Vjq) yol _T 0 Gvc/r,DR > ~ 225 AMP'S,. . : CLAr':5 AREA/SPEC UCL-.. QGHANC.3 1AVAKOLIAN type amount by date t-ec.'p CI-DAV' BLVD. 60. 0el jSJU od/o /9C PRMT i. 5PCT b 13. LAO J S 1) V, /05/96 9 L, b E, )PTLAND OR 97f;-'2'!'5 urie #: 464-0250 7 Jr '21- 3. 00 TOTAL 41L ELECT1"*(- INC I BOX 12J9211", REQUIREDMS;PLCTIL)Nc:; UI -11-4 UP e CiiifiW Le ov )- mer vi Wal I kover- t OLut ' I Final is permit is issued subject to the regilations contained in the hard -e. Specialty Codes and all other Municipal Code, State of Ch � t t e e 5 j.yn E:,t C Aicabit laws. All work will be done in accordance with ,-aroved plans. This permit will expire if work is not startea '111n lb? Days of issuance, or If wore, ii 5.ispenjea f'� 111TE an 160 days. L(C,U by 0Wr1-;1-.P 1115TAI-LOTION ONL't -- ''a, 111stailatiurl is being made Or) propet'tv awri wMir_:h is not lily i L-? '.i U , U1' 'CUI 7 t . lot W b tj 1.--.d'4f 1 i Ljl-,I:. DAT L I I ONLY L -'11 1ov. ivil -41 15 t MS Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. �� C--/, Tigard, OR 97223 Permit # CY (/C✓ Date Issued Phone (503) 639-4171 CITY OF TIGARD FAX (503) 684-72.97 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Jots Address: 14. Complete Fee Schedule Below: Name of Development �,Ze�'/�iNLY- �5� Number of Inspec` yrs per permit allowed Address :7�7Jr y .0 jERAIRaiE rt-ER Service included Items rost(ea) Sum :ity/Stater'Ziprr!�'�,c�RD, 4',V 2__, 4a. Residential -per unit I 1000 sq It or less $11000 Name (or name of business) Each additional 500 sq It or portion thereof $25.00 _ Commercial n Rosi,'^ntial Limited Energy 325.00 Each Manurd Horne or Modular Dwelling Service or Feeder $6800 2a. Contractor installation only: 4b. Services or Feeders installation,aNerallon,or relocation Electrical Contractor r�- 200 amps or less $6000 _ Address 7:->t`5- L12 __ 201 amps to 400 amps $8000 2 city. State ZI ^ 401 amps to 600 amps `� $12000 2 y p 601 amps to 1000 amps _ $180 00 2 Phone No. Over 1000 amps or volts �_ $34000 Job NO. Reconnect only $5000 contractor's license NO. - 4c. Temporary Services or Feeders Contractor's Board Reg. N _ Installation alteration,or relocstion Signature of Supr. Elec'n / 200 amps or less __ License No. " 'r hon No._• 201 amps to 400 amps $50 00 401 amps to 600 amps $7500 Over 600 amps to 100')volts $100 00 -- 2b. For owner installations: see"b"above i � ` 4d. Branch Circuits Print Owner's Name He c, �/it,9 A1`.� `�� V � d� New,alteration or extension per pans Address :)3e-1i& •ter. )R k'MtLLS,.3t a)The fee for branch circuits with L purchase or service or feeder res. Cit )e_ b2j�n Stats 1i Zip i- - Each branch circuit $500 Phone No{5e)(,•4 L. ��Gt _ b)The fee for branch circuits without The Installation Is being made on property I own which is purchase of service o►heder res. z Firsnot intenders for sale, lease or rent. Each branchcircuit $$500 +T LEach eddltlonel branch circuit 35 00 Owner's Signature y "�` X 14191 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (if required): Each pump or irrigation circle $4000 Each sign or outllne lighting S4000 Signal eireult(s)or a limft-A energy Please cheek appropriate Item and enter fee in section 5B panel,alteration or extension $4000 4 or more residential units In one structure Minor Labels 1101 $10000 Service and feeder 225 amps or more System over 600 volts nominal 4f. Eachadditional Inspection over Classified at a or structure containing special occupancy the allowable in any of the above as described in NTC Chapter 5 Per Inspection $3500 _ Per Hour __ 5.55 00 In Plant _ $5500 9uhmit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: so. Enter total of above fees $ NOTICE 5%Surcharge 1.05 X total fees) $ PFRM(TS BECOME VOID Ir WORK OR CONSTRUCTION Subtotal AUTHORIZED IS NOT COMMENCED WITHIN 180 DAY R, OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. Trust Account M pm•VC BB,Al1CB Qlle $ (— CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tiqard,Oregon 67223.8199 (563)639-4171 1 I 14 c, Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. PERMIT# _ �.LR 9� - 1 igard,OR 97223 Phone(503)6394171 DATE ISSUED FAX(503)684-7297 ------ TDD No. (503)684-2772 CITY OF TIOARD Inspection (503) 639.4175 ISSUED BY — PLEASE. COMPLETE ALL SECTIONS 1, LOCATION OF INSTALLATION 4. TYPE OF WUM � RESIDENTIAL---Restricted Energgyy Fee. . . . . . . . . S40.00 At dres (FOR ALL SYSTETvIS) -1.. _ _— �� 0. City State Zip ('heck Type of PC-1I dLA V%x tii1= �,,,�,�f PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK Audio and Stereo Systems* "'"•" IS NOT STARTED W11 HIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 31""Ormae Fir Alarm 100 DAYS. Door Opener' 2. CONTRACTOR APPLICATION Ili ng,Ventilation and Air Conditioning System* Contractor 7c'pv_.___. cilVl Systems* OIher — _-- — Address (3A1t1 ' S VACUi'l.O , INC . 775-•204 COMMERCIAL--F eforeEE OAR each system 260) . . . . . . . 140.00 9015 S1✓ FLAVE.L. .qq OR 9716fi 1)A'TE: !Cileb 'I '!—� Lhs'skUR of W irk Involved: OWNED : ►IAr_ 41n1 ❑ Audio and Stereo Systems' 267 JLL• 85 , C('H: 611147 _ ❑ Boiler Controls Phone. # ❑ C:Iock Systems ❑ Data Telecommunication Installations 3. OWNER APPLICATION ❑ Eire Alarm Installation ❑ IAVAC Print Owner's Name Phone No ❑ Instrumentation ❑ Intercom and Paging Systems Address ❑ Landscape Irrigation Control* City State Zip ❑ Medical ❑ Nurse Calls This pennll Is issued umier OAR 918.320.370.This applicant agrees to make only ❑ Outdoor Landscape Lighting* restricted energy Imialknlons 000 vnh amp'nr less)under this Ixvmit and to do the following: ❑ Protective Signaling 1. Oniv use electrical k vnsed persons to do Installatinns where required.(Certain ❑ Other residential and other Transactions are exempt from licensing.Three have asterisks)•).All others need licensing). 2. Call for an inspection when all of the installations ander this permit are ready for inspection at 50:1.639-4175. ❑ Number of Systems 3. Purchase separate permits for all installations That are not ready for inspection when the inspector Is out to inspect under 11115 permit. •No licenses„m requinsl. Urenses are required for all other installations. 4 Assume responsihllily for assuring that all corrections requireri by the inspector are done,and 5. Arsome responsibility for calling fora final inspertion when all of the corrvolons g• FEES are completed. (fes The person signing for this permit must he the applicant ora person a. Fnter Fees $_ authorized to hind the applicant. ^ Q� 8 Ak-- 00 I). T .05 (Ihtlte) $Signature 1( $—7 Authority if other than applicant ENERGAP.CHP i CTRIC FAX N0. 503 642 1412 5+ P. FEB-26-96 MON 8.46 AM DETAIL E.E DETAILAloP.O. Box 5928 Aloha, OR 97006 ELECTRIC 503-642-1412 INC. Contractors Board Uc :used - Bonded - Insured No: 71298 city of Tigard February 22, 1996 community Development 13125 S.W. Hall Bled. Tigard, or 97223 Attention: city electrical inspector r3: permit number 960075 There was no concrete-encased electrode available that we could find to comply with article 250--81 . Therefore, two ground rods where driven to comply with 250-83 (c) . It appears that The concrete-encased electrode must have been cut off by another Sub Contractor. Thank--you TErry lveJks Detail Electric CITY OF TIGARD 11A1--_TC-.R PERMIT PERMIT #. . . . . . . I tyi�:'Vq`-; 0_'_ r.OMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)539-4171 P A r7 C 1.7--L Tr7 At'',D R- ESS. - - - 131'.57 SW fEf',NRIDUL: TERR ZONING; R--4. 5 PV !3D I V 19 1 ON. . . . - MORN I NGS)TAR . . . . . . . . . . . . . . . . . . . . . . . . . BUTLDING UNIT5: 1, T7 r.ASEMCENT. . s qSS Or WORK. :NEW BrIDRMO.3 BATHS:3 GARAGE. . . . . . . . . . :943 s f';'E OF USE. . . .'-')F FLOOR AREAS - -, -- --- - '--- PEOUTRCD ';ETbPCK'72----- - - /PF CF CONST. 5N FIRST. . . . - 1-740 S f LEFT. . - IO ft R'I'GI-IT. L' f t; 'cur-'ANCY GRP. P.-7, SECOND. . . : I 00 f FRONT. :L10 ft R"Y'A R. . ' ORIES. . . . . . . . FINSSMENT:0 r REQUI RED----- ,-- -IG 14T. . . . . . . . 27 4 r) ft TOTnL G100KC DETECTOWa. .00IR 1_0AD. . . :40 P S f W-LUE. 1971,09 PARKING SPAC'17r�- - I I FLOOR DRAINS. . . -.0 SAr_KFL.0W . . . . . .�5 WATER HEATERES. 0 . . . . ..1 71 L ()UNDRY TPAYS. . . : 1 r,ATCH nri!;TNS. . . .f�,REASC TRAPS !0 IT'[-.R C L 0 0 T'S J. OEWER LINE (ft ) :0 OT I 4E P F I X Turc-720 L4 0 T L'r. L T t,,!r- I f t j IRBAGC DISP. RAIN DRAIN (ft ) . :0 ISHING MAC' -t. GF PPIN DRnTl\15- MEC HAN I(:AL. T 147_': UNIT 11TR77. . 0 t Ye e A El/ / VCNTS . . . . . 0 T I P 11 15121. 0,." 04/1c! 9S X U7 :171 nTU V'E'NT l"ANU. -.4 GWm t 1810. 00 4 C)IJ , 1 JRN 1001" :O HOODS. 1x10. 00 W 114/1J - 'JPNw n 0 D 17 T 0 1)E 0 P" 04 1 5 1.00", :' ,, -.00P 'rURN. . . . :Vr CLO DRYERS. f, 434. 20 (74P 0 71 IJTJ jr"' -7. OTH7_!1 T UNTC",. I P. r"C. $ 14 12) :1 S, Gpc.;, cun_ET�', I PCIPK $ 5@iZ,. 00 W 1414/1 1A,"' -1ru-,r r i, 4S. 00 W 0 14/ 1 e/ mrl .c s S W 04/18/ 3W-'�W)NG TFiVAK01.,IAN 7,W 0 4.,'11: 3121171 !7)W C17_Dnr� 5W 0 4/ 1 f3 OR '372,i_5 P 17"91 GW 1214/In hone E R(J 64. 0111 SW 04-' 1.13 r,R t.,c s .''0. 60 SW 014 113 LRr.,C c'O. 00 SW 04/18/9 q his per,0i is isslied lubjert to the rq,latioris contai-Od in the REQUIRED INSPECT 107,1.i.�mb Top 0 ut 'igard Municipal Code, State of No. Spe:ijlty Codes and all other Footing Insp aplicable laws. All work will be done in ;,-cordapcp with approved r'oundatian IIsp Framing lr�sP .- lans. This pervit will expire if work is not !tarted within IN stvct r- i Ve Pn S r. sys of issuance, or if work is sispendtd for r than 180 days. Mech,,in Gas L-irip Insj 1,111 11)SP 1001- 4_3 C4 it.1 7 5 CITY OF TIOARD `'EWER CPEROM I TNNECIION COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. : 1jWP95--1211ti: ` 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171 DATE' ISSUED: 04/18/95 PARCEL: Rr,104DC-06900 !.TE rMADRESE.. . . . j3757 5W FE'RNRIDGE TEPP JBDIVISION. . . . MORNING9TnP ZONING: R--4. 5 FT) .00V_ . . . . . .I . . . LOT. . . . . . . . . . . . . :010 ]NANT NA11E. . . . . . 3A NO. . . . . . . . . . . FIXTURE UNITS— t ..ASS) OF WOPk. . . '.NEW DWELLING UNITG. . -; l YPE OF' USE. . . . . :SP NO. OF BUILDINGS: 1 "ITALL. TYPE. . . ;MASWP IMPERV SURFACL. f PATH I .......... 1105HANG Tf)VOKOLTON typF CAlll 0 UrIt by dit e T-E-�:Pt .,@5 SW r,E'r)nR HILL , BLVD. PRMT 1; 21:20121. 1210 SW 04/18/95 I t1l 7;17, b 'j. 00 17DW 011 /1f!/rK5 )RTLAND OR ')7225 ,one �%rrrOCTnk ,;or ON FILE 410 I-OTnl. �IC4 PCOUIRED TNGj-T-(,TTCW'-* ,s Applicant agrees to comply with all the rules and regulations Sewer, Irispect ivti the Unified SeWA;F Agency. The permit expires 180 days from L, date issued. The tctal amount paid will to forfeited if the .)-sit e>pires. The Agency does not gj6rantee the accuracy J the ;e P sewer laterals. If the sewer is not located at tnt, measurement Yen, the installer shall prospect 3 feet in all directions from e distance giver. If �Ict so located, the installer shall purchase 'Tap aid Side Serer" Permit aid the Agency 011 instar'" a lateral. ........... ............... `5 Residential Buildinn Permit ADDitcation City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 f !/z 1/3 L - Jobsite Address: 1� I�' , ry t=�� Ir� J Subdivision: Lot� �) �� Office Use Only Valuation: / C Planck/Rec # �/,' _ Corner Lot? Y N Permit # Flag Lott Y N Reissue of -N Map & TL # �wner. �C tds.N.e!✓CT 7i9 /.%��, Approvals Required Address: �Ir7 r 5 Gv: �Jf��,�l� (' I j S� 1 �d Planning _ Engineering Phone: Lt S C/ w �.�' -- Other Contractor: �"��ms`s � _ Items Required Address. Subcontractors (j& ------ -------- Truss Details Phone: Other Contractor's License # (attach copy of current Oregon license) ,�y Contact Name & Fhone Sub ntradtors: Arch itectlEngineer'AllAX 1U' tr ng: L L�-G� --- - Address: I i.anlcal: s� (attac cop of current OR Contractor's Licen Phone. ,JOB DESCRIPTION C-t-� d �' L- I�F-t� y IC -�-, Ge Applicant Signature & Phone number Received by: L Date Received: Permit # Account Description Amount Amt. Pd. Bat. Dv.) Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) G, y° _ _ _�G y 6 Bldg: Plumb: L " i Mech: Z'Z Plan Check (PLANCK) Bldg: q, Za' Plumb: Mech: Sewer Connection (SWUSA) Z 2 Se%vcr Inspection (SWINSP) Parks Dev Charge (PKSDC) _5� S"�� ✓ Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) 1 Zd Commercial TIF (TIF-C) Industrial TIF (TIF-1) _ Institutional TIF (TIF-IS) Office TIF (TIF-0) _ Water Quality (WQUAL) Water Quantity (WQUANTI Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRM•T) Erosion Planck/USA (ERPLAN) _�?y Ty _ o FV Erosion Planck/COT (EROSN) 0s `�yS� TOTALS: Permit #: �7DateAddress: � . Issued by: ��i Statement: Information Notice to Property Owners About Construction Responsibilities Nate: Oregon Law, ORS 701.055(4), requires reside tialconst Contractors tion permit appl sign ie cants who are not registered with the Constructionrequired .following statement before a building permit can be issued. ist p err ent i5 Licensed far residential building, electrical, mechanical, plumbing architect and engineer applicants, exempt frurnregistration rwith the nder per►n01.010(7), need not submit this statement. This statement r Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: 1. I (iwn, reside in, or will reside in the completed structure. ?, l understand that 1 must register as a construction contractor if the structure is sold or offered for sale before or upon completion, ❑ 3A. My general contractor is____---- Contractor regis. #(Name) I will instruct my general contractor that all subcontractors who work on the structure must he registered with the Construction Contractors Board. OR k 3B I will be my own general contractor. ` , subcontractors, I will hire only subcontractors registered with the w thsi contor.n or tai tis ors if 1 hire subco contractor, I will contra Board. if I change my mind and hire a general permit of the registered with the CCB and will immediately notify the office issuing this bt dding name of the contractor. jljj 1 hereby c rlify that the.►hove inform:rUon is c•orrec►.an(1 that 1 have r hElr� ii�,r(tiiKl�loflthisl form 1lorma�ion Notice to Property Owners about ('onslruclion Itespontiihilihes un 1 ( c ,14-el -- - (Date - (Signature of permit applicant) (White cap.; to issuing agency permit file, pink copy to applicant) information Noti ,e to Property Owners About Construction Responsibilities Nate: Thi+ IrtJni nation Notice to Property Ox,n` u�lnin �:rr• t c�orrlunc�� Willi non sOhS+701 Ue55(S). xvt,� dr+. •iuped by I;,(' Constriction Cnnlr�rrtnrs f 3i)t 11 anlia ov e actin you.tt g its your own contractor to construct a new home or make a subtand arimpr erne t to an existing structure, you can prevent many problems by being aware of the following responsibilities EMPLOYER RESPONSIBILITIES. ill the persons UOt registered with the Construction Cont Board to tilct,c+nticd to he an employer andructing or bpeople It you hire p you will, in uu,st instances,construction or impruvcntent of a residential structure, tn+ rrn►st comply with the following: you hire will be en+ployees. As the employer,y yLe Oregon's withholding tax law: As an emptr,yer,y(Illeve must withheld income � wages withhold the taxfmm yo your empat the loyees. }oc rmo re art, paid. Yc,u will he liable. for the tax payments even if you don't actua ly in!'urmation,call the Oregon Dept of Revenue at 945-R0191. Pa. Unem loyment insurance tax: As an employer, y"u are required'�o stent I)ivisior at theoDepartment,ufcHuman Resources P it tax FOr I Ile, "ages of all employees. I�or+Wore►nfo[mation,call the OteKon .m1 y at 379- 524. st workers'rnmpensatiun insur€�nce: A,an c mpinycr,you art- sr►ot+fail to tile obtainwn r,�ers�con�teonsat+unlinsurance,and y�,+nu Y obtain workers'colupensati,n, insurance fur your cnrployces. if y he subject to,piWallies and will he liable ti,r all claim casts if one CFcrosumerr+ndcHusiness Srrvn ohcatr945'178gH.rc information, call the Workers'Compensation I)iv►si„tt at the Department Ol will U.S.Internal Revenue Seri ice: Asan employer,y"u must w►thho1\d federal formation, all the Internal Revemtc`+Service hu liable for the tax Payment even if you didn't actually withhold the at 1.8(0-92(11-104(1. OTHEv4 RESPONSIBILIVES AND AREAS Or CONCERN: (' the permit holder for this project,you are responsible It it ►, s„Ici►+r �> ""'tire to meet code requirements ode cnntpliance: As +hat may he brought to your attention t!n„ugh Inspections. to 4ee 11, ate ce or I.iabilil and property damage insurance: Contact your insurance agent �e from pipe jI tpu taave r 11 fire- work that mfistf he Y paint overt to ,water 6 accidents and urnissiuns such its falling tools, p p Y re-done. Time to supervise employees! Make sure you have sufficient titne t,)supervise your employees. 1'+ni5h rdinate the work of Expertise- Make sure you have the expertise to act as yourow sgeneral thevcontractor,to can porform thelrequi+rd m sect n,;. r5 tough-in and p trncics, and to nr•tify huilcling officials at the appropriate tint if you have additional questions, write or call the Constructiot3tll)°n Salem(PC) Box 14140,Salem,OR!771(19-5(152, y 511:�/i78-4h211. The Berard ►s located at 71N1 Summer St. N Suite pn,p•own.pm4 1/94 LOT SCHEMATIC 13757 S.W. FERNRIDGE TERRACE LOT 10, MORNINGSTAR, PHASE 1 7,800 S.F. Tigard, Oregon S L LT Washington County Ely . LP A - � SLE 1" C - 20� A� Aj CA; CP ' •'"" �V/ moi. 1 C-1 ---4411. r L 4c I � S W. FERNRIDGE TERRAC E NCON T��T�C L 0C) PUE3I.1 C uYI 11 TV E A SF M(t NT Note: A ` ( Information deemed accurate but not guaranteed. CASCADE COMMUNITIES, ll information City contained herein must be verified INC.� with the City Building Department prior to conelruclion 700 N Hayden Island Drive, Suite 340 Portland, Oregon 97217 1-1 (503) 299-9011 -• Fax (503) 289-7656 .��. C\JOBS`.CC i\w.ORN\1151-PI PN. 0e/22/9I AT 0726 January 6. 1997 CITY OF TIG tARD OREGON 75 - 13 7,5-7 (541 Our records indicate that either no inspections have been conducted on the project authorized by the above noted permit OR inspecuon(s) tw%e been conducted but we have no record of any subsequent or final inspections within the past 15 days. Oregon Adnunistrative Rule(OAR)918-260.270 requires initial ingwdons be requested within 24 hours of completion of installation and inspections for corrections to be made within 15 days. Permits and inspections required by the Tigard Municipal Cwe are an important part of your project Perttuts help to ensure that work is done in compliance with minimum code requirements. Inspections are intenders to protect the occupants of buildings and building owners. As the electrical contractor,you are responsible for obtaining the required inspections. The City would like to work with you to close out this projca will,steps takes to assure that at least mjrtimum code compliance has been achieved. If yore are ready to schedule the next inspection please call our 24-tour Inspection Recorder at 639.4175 witbin 15 days. Be prepared to provide the following information: Permit number,address of propr...ty,your name,your phone number,and the date you are requesting the inspection(inspection times cannot be guaranteed,but you may request a.m.or p.m.). If you need additional dme to complete your project please respond.IN WRITING.within 15 days You may request an additional 15 days. Please provide the following information: Permit number, address of property,your name,a day time phone number,and an e-xphmuon for the request.. IF YOU ARE UNSURE ABOUT WHAT PROJECT THIS LETTER IS REGARDING,OR HAVE ANY QUESTIONS, please contact the Building Division at 6394171 ext 610(voice mail). To better serve yott, please have be following information: Permit number,address of property,your name and a day time phone number. Thank you for your cooperation in this matter. Please note that the City may pursue,civil enforcement, !ocally and at the state level, if work has proceeded without inspections or if an unfinished project is outstanding. Your prompt attention will resolve this matter and enable us to proNide yuu with the rrxltured inspections. Jeanne Temple Building Division i knadivew4ec Q.p O&x 13125 SW Will Blvd., Tigard OR 97223 (503) 639-4171 TDD (503)684-2772 ---- CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: YJ .;2-`� > > _ A.M. P.M. _ MST: j T- l.ocation: PUP: : Tenant _ _ Suite: Bldg: MFC. Contractor: Phone ✓ _ PI,M: Owner:_ -- _Phone: �/ �1/ 7 / EM LLR. BUILDING BLDPtcon'o - PLUMBING _ Aly1CAL ELECTRICAL SITE Site PosUlicanr l c'rSUflwm --�Cover/Service Sewer/Storm Footing Ralf Undl,l/Slah Rough-In Ceiling Water Line Slab Framing 'fop Out Gtrs bine Rough-In UG Sprinkles Foundation Insulation Sewer IIml/Duct Reconnect Vau11 Bsmt Damp Drywall Slorm furnace 'I'Lrrtp Service MISC. Masonry Ceiling Rain Dfam A/C I1G Slab Shear/Sheath fire Spklr/Alyn Ctawl/Found Ih I leal ' 11111 law Vol; ppruv Approved Approvc Approved Approved Appy/Sdwlk sect Not Approved :Jl�prt�c.l Not Approve) Not Approved Fi1�Ai, FINA1. FINAT: FINAL FINAL 0 Call for reins on O Reinspection fee of S "required before next inspection n Unable to inspect Inspector:_ �� Date:�. `� _ Page__. of_.»__ CITY CSF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,Ok 97223(503)639.4171 CERTU ICr1TE". C1F OCGEJPANC'V PERMIT fl. . . . . . . : M> 'T95-0.13 DAI"F 1 7UF.D: 07/24/98 ;'f'1'E: AL1f3f7tr .`•:� . . : 13757 :7W FERNPI GE:: TE P F+. 1CINING: ft. 4. 5 PD 11:%DIVIOION. . . . : hior 1,NGf:'fNI? 0C:K. . . . . . . .. . . i_OT , . . . . . . . . . -010 J1.I17 f rirl I C T I ON:7.1("I .ASS OF WORI, :N[--'W ADE: OF-' USE. . . :Sl" iPiz Or C:;ONGT f•{2 5N CC;UPANCY GRF'. :P3 •t'C.^-UPANCY I_.C1AD.-,7- rr r^k PATH I i)CJOIJANG TAVnK0L..'f r4N o 41 .t �:W a r,'T H r4 V L C11*11"L.HND 01? ')7,: 19 h 1:k T1P *-- ,,ON SE:C.K IAF:A T I NG 6 11`: NE. 15 f H AVE:. i'IRI-LAND CJ 17 9711;'19 h,t�rl a �1: ��CIH-•i:`.ttQ►E'� I�irz i;!°rt.if'lc t.e yvatnts occupancy (if tht? _kbr)vci ,~efier N,,ce�::l t�,,i lciirr� car par t ir. r hAr ecri and c:r�rti firms that the t�o_kildir,r� hdk� tartLill illsper.terl fns r.um�l i arise Irrp C�of a OF Lo-l'i ryt;y Codes fns^ the ur^r.,.,tr, rrr_.cLil,�nc:v, Anel tItie ,.,ncte�.. al� ich thrN reterenr:eci POV'mit was i+ s"er" UJIL_IDI-N- 744":PE:r:..TUCr POST IN CONS0 I CLIOUS PLACE