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12959 SW MORNINGSTAR DRIVE a0 NV1SONINSOW MS 696ZI, 1 r: Q oc i cn i i i i 12959 SW MORNINGSTAR DR CITY OF TiGARD MASTER PERMIT PERMIT S: MST2003-00201 DEVELOPMENT SERVICES DATE ISSUED: 6/5/2003 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 SITE ADDRESS: 12959 SW MORNINGSTAR DR PARCEL: 2S104DO.00300 SUBDIVISION: N10UNTAIN t'IGHLANDS ZONING: R-4.5 BLOCK: LOT: 002 JURISDICTION: TIG REMARKS: Add interior staircase to basAment.7-23-03 gas piping added to free standing gas stove. 11/23/04: REINSTATED for purpose of final insepections for a period of 30 days. BUILDING REISSJE: STORIES: FI.00R AREAE REQUIRED SET^ACKS REQUIRED CLASS OF WOF 4: ALT HEIGHT. FIRST: of BASEMENT. of LEFT: SMOKE DETECTORS TYPE 0'JSE: SF FLOOR LOAD: SECOND: of GARAGE of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS. THRD of RIGHT: 000 n0: OCCUPANCY GRP: N.? BDRM: BATH: TOTAL: Cal VALUE2. BEAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: OISHW,SHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TIIBISHOWERS GARBA',E OISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL".'ES URN<TOOK: BOIL/CMP-'3HP: VENT FANS: CLOTHES DRYER: FURN—100K: UNIT HEATERS- HOODS: OTHER UNITS: MAX INP: btu OR FURNANCF.S: VENTS: WOODSTUVES: GAS OUTLETS: T ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS _BRANCH CIRCUITS MISCELLANEOUS _ A001 INSPECTIONS 1000 SF OR LESS: 0 ZOORMP 0 - 200 amp: WISViC OR FDR: m PUMPARRIGATION: PER INSPECTION: EA ADTYL 500SF: 101 400 amp' 201 -400 4mp: lot VMO SVCIFOR: on SIGNIOUT LIN L T: PER HOUR: LIMITED EJERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: I Ia SIGNALtPANEL: IN PLANT: MANU HM/SVC/FDR: 601 - 1000 a9:p: 601+ampo•100nv: MINOR LABEL: :000-amolvolt: PLAN REVIEW SECTION Reconnect only: ` —4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENFROY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO A STEREO: VACUUM SYSTEM: AUDIO A STEREC: FIRE ALARM: INTERCONVPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILLR: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER.: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELF COMM NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 369.21 This permit is subject to the regulations contained in the WAYNE WALDNL OWNER Tigard Municipal Code,State of OR Specialty Codes 1959 SW MORNINGSTAR DR and all other applicable laws. All work will be done in T:GARD,OR 97223 :zonrdancewith approved plans. This permit will expire 4. if work is not started within 180 days of issuance,or If the work is suspended for mere than 180 days. NPhone: 503-538-6826 Phone ATTENTIONOregon law requires you to follow rule adopted by the Ofegon Utility Notification Center Those Rao 0: rules are set forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or m direct questions to DUNG Dy calling(5 03) 16.1987 1(� REQUIRED INSPECTIONS —+ Electrical Kough In Fram!ng Insp Gas Line Insp Electrical Final Building Final Issued By : e <-le!� Permittee Signature Call (503) 6394175 by 7:00 p.m.for an Inspection needed the next business day Eleftdeal TermitApplication Received Flactrical Uatc/By:Jam-16-C& �%�-- Permit No.• _d' City of Tigard Planning Approval Sign ` 'e. L7'llte/By: Permit No.: 13125 SV,'Hall Blvd. Plan Review —— -- Oder Tigard,Oregon (0 Tigard, Date/B_y__ Permit No.: Phone: 503-634-4171 Fax:?'N� 598-196 Post-Review land Ilse Date/By: c asc No.: �l Internet: www.ci.tigard.or.us ��� Contact ^� Jtuis: See Pate 2 for \U 24-hour inspection Request: 503-63�d175`,�� v1S`O Narrr-/Method: _ Supplt�menfal Information. GO a�l.�Ca TYPE O 4�r-- — PLAN REVIEW_ Mean checlr hilt New construct' Demolition Service twer 225 maps- Health-care facility � - commercial ❑fla.ardwis location ld�Jdill 781tCfatiUn/ )lacemetlt Other: �� []Service over 320 amps-rating of ❑nuilding ever 10,1x10 square feet, 1 TORY OF CONS_TIIUCTIO_N ^�_ I &2 family dwellings four or mote residential units in I R,2-Fami�dw dwelling Commercial/Industrial 1]Systern ever 600 volts nominal one structure []Building over three stories ❑Feeders,400 amps or more Accessory Building Multi-Family 0 Occupant load over 99 persons []Manufactured structures or RV park Master Builder Other: ❑Egress/lighting plan ❑Other-.___,_ __ JQ Fi ItOR1VlATIOIY AM l ATIO Submit_--_sets of plans with any of the above The above are not a Ilcable to temporar construction service. Job site address: ,j' o rW IM(s t f�- , t s F Suite#: f— Bld ./Apt.#: _ Number of Ions ermill allowed Proect Name: __ ueacr ptioe _ Qty Pee(em.) Total Cross StTCCt/Directions to job site: residential-dngLe or multi-family per dwelling unit.Includes attached prnge. 1 3 O q /\t'1 N t M C S h- service Included: , 1000 sq..ft.or less _ 145.15 _ 4 Each additional 500sq.ff.or portion thereof _ 33.40 1 SUbd1VlSlOn Lot#: Limited en�t residential _ 75.00 2 Limited en ryy,non residential _ -75.00 1 Tax map parcel #: T Each manufactured home or modular dwelling nESCRIPTION 0I±W _ 1s: service and/or feeder 90.90 2 ' ---------- Services or feeders-Installation, _53' I R- l�=��l. alteration or relocation: 200 s Lts or Leas 80.3n 201 amps to 400 amps 106.85 2 401 amps to 610 amps 160.60 2 ` 1000 amps 240.60 -- 2 .E et — -- E Over 1000 amps or Vohs 454.65 _ _ 2 Name: q I,D/k t– Reconnect only 66.85 2 Address: 3C_- C A <_ ler Ale k t-- 4- r Temporary services or feeders-Installation, alteration,or relocation: City/State/Zip_�_lt cv p,l (�i't !3 zlm_ps�r Leas _ 66.85 1 Phone�SUA S_3,� 4 kjk I Fax:S 0:J 201 amps to 400am�s – ��- — 100.30 2 APPLICANT _ ONTACI P 401 to 600 am 133.73 2 - Branch circuits-new,alteration,or Name: A M i•t. a`tAVi= extension per panel: q�" A.Fee for branch circuits with purchase of Address: C:.I=L - 0 3 .7.9fQ ��.1�— servitt or feeder fx,each branch circuit 6.65 2 Clt /StatelZlp: _ _ B.Fee for branch circuits without purchase of service or feeder fee,first branch circuit 46.15 2 Phone -— ax: Each additional branch circuit ' i5 2 E-mail: Misc.(Servire or feeder not included): Each pump or irrigation circle _ 0 2 Each sign or outline lighting 3 2 C Job No: O - Signal circuit(s)or a limited energy panel, 1 —"��-`___..-____-_ ___ alteration,or extension F 2 2 Business Name: - -_--_- - Description: -- - Address: - - -� - - --- _--- Each additional_Inspection over the nllrwable Ind of the above: _ 3 City/State/Zip: Per inspection per hour(min. I law) 62.50 0 Phone: Fax' _ nvestigation fee: CCB Lie. M _ Lic. #: Other: .Ji Supervising electrician _ _ Subtotal $ signature rehired: _ Pian Review(25%of Permit Fee) $ Print Name: Lic.M Mate surcharge J8 of Permit Fee $ TOTAL PERMIT FEE S _ Authorized1 _ Notice: This permit application expires If a perp 7t Is not obtained within Signature: V l�R� Date: Jr-� sL.3t i"days after It has been accepted as complete. 'Fee methodology set by Tri-County Building industry Service Board. W A LLA _ (Please print name) i:\Dsts\Permit Forms\ElcPermitApp.doc 01/03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMI'T'ED ENERGY PERMITFEES. RESIDENTIAL WORK ONLY: Feefor tMll systems ........................................................... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* 1)urglai Alarm Garage boor Opcncr* l� Ilea�ng,Ventilation and Air Conditioning System* ❑ Vacut Systems* El Other 1111- - .-_. .. - ----- - COMMERCIAL _ WORK ONLY: _ _ _ Feefor each systetm ............................................ ... . $75.00 (SEE OAR 91g-200- ) Check Type of Work In Ived: F] Audio and Stere Systems (toiler Controls L� Clock Systems 1,\\ ❑ Uats Tciccommunicatidp Installation ❑ Fire Alarm Installation HVAC Instrumentation Intercom and Paging Systems ❑ landscape Irrigation Control* Medical IL ❑ Nurse Calls ❑ Outdoor I-andscapc Lighting* N ❑ Protective Signaling 'J ❑ Other __-. 0 Number of Systems W J * No licenses are required. Licenses are required for all other installations is\psts\Permit Forms\ElcPermitAppPg2.doc 01/03 l3uildin permit tion Received Building I)etc/Hy: p PermitNoAg-, lOD3 GkoaO! City of Tigard \' "1 Planning Approval — PermOthe — - 1\'�L j Uele�ny: Permit No.: 1312: SW Hall Blvd. RE V Plvn Review Other Tigan',Oregon 972.23Datd9 : - A V Permit No: Phone: 503-639-4171 Fa 3 Post-Review land lyse Dote%y: Case No. Internet: wevw.ci.tigard or.0D Contact lu S; See Page 2 for 24-hour Inspection RequesGJ'J93QT d RNana/Method Supplemental Information Rl31LDINU NV SinN --- -- ___ _TYPE OF WORK REQUIRED DATA: New construction _Demolition 1&I FAMILY AWELLtfit�` Additi alteration/r lacemen _t Other: _— CiRY OF CONSTRUCTION Note: I'ennit fees*are based on the total value of the work performed. Indicate I &2-Family dwellingCommercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, __ _— overhead and profit for the work indicated on this application. Accesso Buildi� Multi-Family Master Builder Other: Valuation... . . .............. ................................ S -12fl--- JOB'S ;INFORMATION and OCATIO No.of bedrooms: No.of baths:__ Job site address: Jr �S fig - Total number of floors.............................:....... 1yU � New dwelling area(sq.ft.).............................. --_— - Suite M 1 Bldg/Apt.#� ---- Garage/carport area(sq. ft.)............................ porch area(sq.ft.)............................. Project Name: Coveted p ---- - Cross street/Directions to job site: Deck area(sq.ft.)............................................ - '�Q Q30> N1 MN 1,0e s r AR- Other structure area(sq.ft.)............................ p i i REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivisionf' Tax map/parcel M P -00.32 059 Notei Pemrit fees•are based on the total value of the work performed Indicate DESCRIPTION OF WORK the value;rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. —JNSTA, LLXr/Q7,_ OF STA ItLLk2� r, )y X// Valuation......................................................... Existing building area 1t New building area(sq.R.)............................... Numberof stories.......................................... — TENANT _ Type of construction............................ Name: = f ,l� `—� Occupancy group(s): Existing: New: Address: 13 _3_L0 C)Ak KNO►,t^ -_ — Cit /State/Zi : o 1 Fax: IS,3 Sf '�9 NOTICE: All contractors and subcontractors are required to tic Phone: G 3. licensed with the Oregon Construction Contractors Hoard under PPLICANT C ,AONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: 1or� &, A?-,0 UE _ jurisdiction whet work is being performed If the applicant is exempt Contact Name: '- -3b'C S 3 Q�_ from licensing,the following reason applies: IL Address: -_-- Ci /State/Zi Fax: m Phone: BUILDING PERMIAE�S« E-mail: Please refer to tee sthttiile. CONTRACTOR Business Name: Pees due upon application.............................. 1; _ � Address: _ v_ Ci /State/Zi Amount received........... ................................. S _ Phone: Fax: Date received:--- CCB eceived: _CCB Lic. – Authorized Notice: This permit application expires If a permit Is not obtained within Signature: Date: `/S - 180 days after It has been accepted as complete. J,Q-A "Fee methodology act by Tri-County Building Industry Service Board. (Please print name) is\Dsts\Permit Farms\BldgPermitApp.doc 01103 One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: Associated permits: Ciryn(Tigard City of Tigard o Electrical U Plumbing U Mechanical Address: 13125 SW Ifall Blvd,Tigard,OR 97223 U Other _ Phone: (503) 639-4171 Fax: (503) 598-1960 1110 IMMMU Kim ti I 1 fond aae Ions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.Hood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verificationf approved plotilot. 4 Fire district '+ approval required. 5 Septic system Or-rmlt or authorization for remodel. Existing system capacity 6 Sewer rci mit. 7 Water district aperoval. _ 8 Soils report. Must arty original applicable stamp and signature on file or with ap;)lication. 9 Erosion control U an U permit required.Include drainage-way protection,silt fence design and location of catch-hasin protection,etc. 10 3 Complete sets oflegible plans.Must be drawn(,r scale,showing confo7mance to applicable local and state building codes. Lateral ksign details and connecami%must be incorporated into the plans or on a separate full-size sheet attached to the plan: with Cry z,nofetences between plan location and details. Plan review cannot be completed if copyright violations cxis I I Site/plot plan drawn to seal The plan must show lot and building setback dimensions;property corner elevations(if there is more than a 4-tt.eleva on differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure eluding decks);locition of wells/septic systems;utility itx:ations;direction indicator;lot area;huilding coverage area;pert nage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensi( s,anchor bolls,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions,rohLn identifiration,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixLkes,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all fra 'ng-member sizes and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof construction. More tt one cross section may be required to clearly portray construction.Show , f slope,ceiling height,siding material,footings:md foundation,stairs, details ofall wall and roofshealhing,roofin;Freplace construction, thermal insulation,ale. 15 EleTation views.Provide elevations for new cons%ction,minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade inge in grade is greater Shan four foot at building envelope. Full-size sheet addendums showing foundation elwith cross references at,acceptable. 16 Wall bracing(prescriptive path)and/or lateral analys. tans.Must indicate details had locations;for nun-prescriptive path analysis provide specifications and caNylations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/roof assemhli indicating member sizing,spacing,and bearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and details Zle ng placement of rebar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculatioons.Provide twsets of calculations using current es values for all beams and multiple.joists D. over 10 feet long and/or any beam/joist carrying a non-uniform load. _ 20 Manufactured floor/roof truss design details. _ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A ga. iping schematic is required for four or more.appliances. 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall be sta d by an engineer or J architect licensed in Oregon and shall be shown to be applicable to the project under review. W 23 Five(5)site plans are required for Item I 1 above. Si!c plans must be 8-1/2"x I I"or I1"x 17'. J 24 Two(2)sets each are required for Items 16, 19,20&22 above. _ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will be not accepted. 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440-4614(6rtlalCOM) Permit #: Ll tsr 1 Cacj 3_.,. ooL)Oj _ Address: _I13T--ft)A2i 06Z L& Issued by: L4t1 zt4&& Date: !o - -0�---- Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who ure not registered with the Construction Contractors Board to sign the following st•itement before a building pear,.-f can he issued. Thisstatertis requires! for residential building, electrical, mec•hanicul, and plumbing perm;.;. Licensed architect and engineer applicants, exempt.from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 313: 1. 1 own, reside in, or will reside in the completed structure. 2. 1 understand that 1 must register as a construction contractor if the structure is sold or offered for sale before or upon completion. a 3A. My general contractor '.s _— (Name) Contractor regis. # i will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. 1 will be my own general contractor. 0. if I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If i change my mind and hire a general contractor, i will contract with a contractor who is U) registered with the CCB and will immediately notify the office issuing this building permit of the 1 name of the contractor. m w 1 hereby certify that the ab,)ve information is correct and that i have read and do understand the information Notice to Pr perty Owne hot t Construction Responsibilities on the reverse side of this form. (S' nature ofpermit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) Information Notice to Property Owners About Construction Responsibilities Nota: T/ri.v lnforrnation Nolicc to Properly Owners uhoul('unstruction R(,�l,()tuibilities was developed by the Construction Contractors Poard in accordance with OK5'701.055(5). If you are acting as your own contractor to construct anew home or make a substantial improvement to an existing structure, you can preves• ny problem,by being:aware of the following responsibilities and ares;of concern. EMPLOYER RESPONSIBILITIES: If,you hire persons no egistered with the Construction ( ontractors Board to do labor in constructing or assisting in the construction err improve ent of a residcntial structure:,you will,inmost instances,be ruled to be an employer and the people you hire will be employees As the employer,you must comply with the following: Oregon'swithholding taxIn As an employer,you must withhold income taxes from'ertmployeewages atthe time employees are paid. You will he liable for t , tax payments even if you don't actually withhold the tax from your employees. For more hil"ormation,call the Oregon Dept. f Revenue at 945-8091. Unemployment insurance tax: As ar inployer,you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more infix tion,call the Oregon Employment Department at 378-3524. Workers'compensation insurance: As an plover,you are subject to the Oregon Workers'Compensation Law,and must obtain w-orkers'compensation insurance f'oryo employees. If you fail to obtain workers'compensation insurance,you may be subjectto penaltiesand will be liable fnrall clai costs ifone ofyour employees is injured on the job. For more information, call the Workers'Compensation Division at the De meat of Consumer and Business Services at 945-7888. U.S.Internal Revenue Service: As an employer,you in -t withhold federal income tax from employees'wages. You will be liable for the tax payment even ifyoudidn't actually withho thetax. For more information.call the lnternalRevenneServIice at 1-800-829-1040. OTHER RESPONSIBILITIES AN AREAS OF CONCERN: Codecompliance: Asthepermit holder for this projeciou are responsib f'orresolving any failuretoineetcoderequirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see 'oil have adequate insurance coverage for accidents and omissions such as falling tools,paint ovcrspray,water damage from a punctures,fire,or work that must be re-done. r Time to supervise employees: Make sure you have sufficient time to supervise your employe Expertise: Make sure N ou ha%ethc expertise to act as your oNk'n general contractor,to coordinate the wo t'iough-in and finish trades,and to notify building officials at the a0propriate times so they can perfo ti the required inspectio If you have additional questions,write or call the Construction Contractors Board(PO Box 14140,Salem.OR 97309-5052, 503/378-4621). The Board is located at 700 Summer St.NE Suite 300, in Salem, prop-o«n.pm4 1/94 1. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)631""75 is INSPECTION DIVISION Business Line: 03)636-4171 MST -- - ���a� BUP — Received ____—----Date Requested_�_. _ AM PM ! 81 IP Location ------- _ Suite — MEC Contact PersonVh PLMContractor -, ) SWR BUILDING TenanUOw — - --2,33(e _ ELC _— Footing Foundation ELC Ftg Drain Access:�.�� ESN(t rpt�_ ^ �� ELR Crawl Drain U Slab Inspection Notes: SIT — Post&Beam -_--__---- _ �— - Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear Framing — Insulation Drywall Nailing ---- - -- Firewall Fire Spnnkler — --- Fire Aiarm Susp'd Ceiling - -- - — Roof Ot .-- , l PART FAIL20A PLUMBING Post&Beam Under Slab Rough-In Water Service — — — Sanitary Sewer Rain Drains - --- -- - Catch Basin/Manhole Storm Drain -- Shower Pan Other: - --- - -- ----- Final PASS PART FAIL -- _—_- MECHANICAL -- Post&Beam --------- ------_ Rough-In - -- ----- - --__�--_- Gas Line Smoke Dampers - --------------- - Final PASS PART FAIL __�----- _-- ELECTRICAL Service Rough-In - UG/Slab Low Voltage _— Fire Alarm L_J PART FAIL Reinspection fee of$_ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE:—_-.--_ Unable to Inspect-no access Fire Supply LineADA �7 _ Approach/Sidewalk Dab��� �; - -- - � -u Other: Final T DO NOT REMOVE this Inapecitlon So job oft. PASS PART FAIL a n 4Y . {� N3 z a /LV C W o � ° �► oc d � °� � r4 \T _> a > d � 4 2 H A Q V Q 0 V) A � .s: .4 Qr61 �9 � � n3a�� � � � M I .J _L ► �� D U r � a C' C) CL Q U C- 8 dl Q � C O0 4- yy © U •- -1 •Q "� v O. CL Ic � 1 N E- 0 cz Z7 C > eJ JCL W LV 40 F ,,. J ° � c� � ° cog 4t 0) 4W IMi P 3 z 0 ) 14 M > 0 �t L f to- 412 .c �r 3 r u1 �`^ - -- - lw ' L------ .� u o 9 ALI 4 i Q r4 IA ^ Y ti C4 ol IT ',�kc, G- v ----------- �C3 L 0 0; a - ' p ci C%i —_— I I d71i L t ,l A 3 r U do4Q A 3 M 'LLI Ll In I '' AA KI i i- � A 4 � 01- . ..y I 1 IL t'� C'ITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _Date Requested� �AM PM BLD LocationY I ��� Y-4 V 1 ,0Suite MEC Contact Person ?.{ )I A,,,_, _ Ph 3 S 9_S_3CDD PLM Contractor Ph SWR BUILDING FenanUOwner ELC Retaining Wall ELR Footing Access: — Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: - Slab _ _ — _ SIT Post&Beam Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler --- Fire Alarm 5usp'd Ceiling — Roof Misc: ►-inai ------ PASS PART FAIL — - — PLUMBING Post&Beam - -- -� r Under Slab Top Out — — Water Service600 OR Sanitary Sewer — — Rain Drains '� Final � — ---- - -- - PASI.___EART FAIL -— --`— ---� - -- ---- CHANICA Post&Beem — Rough In Gas Line - -- Smoke Da . rs PART FAIL _ TRICAL - -- -- _ -------- — d `Service � Rough In — W UG/Slab Low Voltage �— -- — --� Fire Alarm Final PASS PART FAIL J SITE Backfill/Grading .-- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ —required before nex,.,tspection. Pay at City Ha!,I, 13125 SW Hall Blvd Catch Basin [ J Please call for reinspection RE: — [ J Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Othei Inapector� —� Ext Final PASS PART FAIL O N0 REMOVE this Inspection record from the job site. Ztd� CITY OF 1'IGARd MASTER PERMIT PERMIT 0: MST1999-00247 DEVELOPMENT SERVICES DATE ISSUED: 7/29/99 13125 SW Hail Blvd.,Tigard,OR 97223 (503)639-4171 SITE ADDRESS: 12959 SW MORNINGSTAR DR PARCEL: 2SI04DD-00300 SUBDIVISION: MOUNTAIN HIGHLANDS ZONING: R4.5 BLOCK: LOT:002 JURISDICTION: TIG REMARKS: interior remodel of basement BUILDING) REISSUE: STORIES: FLOOR AREAS REQUIRED riLTW1CKa REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: of BASEMENT: 909.00 of LEFT: SMOKE DETECTORS: Y TYPE OF USE: 9F FLOOR LOAD: 40 SECOND: of GARAGE: of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: FINDOMENT: o/ RIGHT: VALUE: 153,809 00 OCCUPANCY ORP: R3 BORM: I BATH: t TOTAL: of REM: PLUMBING _ SINKS: 1 WATER CLOSETS: I WASHING MACH: I LAUNDRY TRAYS: KAIN DRAIN: TRAPS: LAVATORIES: I DISHWASHERS: I FLOOR DRAINS: SEWER LINES: OF RAIN DRAINS: CATCH BASINS: TUBISHOWERS: 1 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: SOIL/CMP<lHP: VENT FANS: 2 CLOTHES DRYER: 1 FURN 3-100K: UNIT HEATERS: HOODS: OTHER UNITS: I MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS_ BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS I 1000 SF OR LE39: t 0 • 200 amp: 0 300 amp: WISVC OR FOR: PUMPARRIOATLON: PER INSPECTION: EA ADWL 5009F: 201 • 400 amp: 201 •400 amp: 1st W/O SVCIFDII: SKINIOUT LIN LT: PER HOW. LIMITED ENERGY: 401 • 500 amp: 401 -3(10 amp: EA ADDL OR CIR: SIGNALIPANEL: IN PIAW: MANU HMIMIFOR: $01 10008"V: 9014inva•1000v: MINOR LABEL: I000.amp/vott PLAN REVIEW SECTION - Roconnsct only: a-4 RFS UNITS: SVC/FDR>•-429 A.: n 500 V NOMINAL: &A MtAIfIPC OCOt ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL _ a•COMMERCUIL AUDIO S STEREO: VACUUM SYSTEM: AUDIO S STEREO: / .RM: INTERCOMIPAGING: OUTDOOR LNOSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIONL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL f SYSTEMS: Owner: Contractor: TOTAL FEES: $ 1,055.70 ELENA SMITH MY HOME SERVICE This permit is subject to the regulations contained In the KING GEORGE 12535 SE MARKET Tigard Municipal Code,State of OR. Specialty Codes and 12020 SW K KING CITY, IN 97 PORTLAND, RK 97237 ag other applicable laws. Ag work% ,done in accordance with approved plans. Thle aelmk wgl expire N work Is not started within 180 days of issuance,or if the awork is suspended for more then 180 days. ATTENTION: H Phone: Phone- Oregon low requires you to follow rules adopted by the N Oregon Utility Notification Center. Those rules are set Req f: LIC 133500 forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to :3 OUNC by caging(503)246-1987. m REQUIRED INSPECTIONS Mechanical Insp Low Voltage Mechanical Final Plumb Top Out Gas Line Insp Plumb Final Electrical Service Gas Fireplace Final Inspection ORIGINAL Electrical Rough In Insulation Insp Building Final Framing Insp Electrical Final Issued By : ,"-' bVXd' Permitte)Signature Call(503)639.4175 by 7:00 p.m.for an Inspection needed the next ness day CITY OF TIGARD Residential Building Permit Application Plan C 13.125 SW HALL BLVD. Alteration - Interior Remodel Only Recd Dote iecd 7-9-9 TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Daft to P.E. 7 503-639-4171 Daae to 0ST 7- 1-1 - 14 503-684-7297 Pam*t g1111 f f fuG Z Print or Type cati.d_ �_ 4 Incomplete or Illegible applications will not be accepted `�•` �A'"► Name of Project Name Job — —Le Address Site Addrps Architect Mailing Address Zr1 � SW wt oRkn t„c��'l� City/State Zip Phone Name &(ern >rn � Owner Meiling Address o Name 1202V 5 W K�� Ropy.e y/St Engineer Mailing Address CR e o Zip Phone g iN 750'b City/state Zip Phone General Name Contractor rn U 4V 04 5'e/Lo l C-C Describe work New O Addition O Alteration O Repair O Mailing Address to be done: Prior to permit --53 5 5C M 4 R.rkT Additional Description of Work: r,t issuance,a copy C /StateZip Phone __ � VD of all licenses 0/� L3) 25S9 5- ) 80& are required If Oregon Const.Cont.Board Exp.DatePROJECT expired COT Llc.rK databaa se 13 3 5 Y(, p?_-`�- / VALUATION ' Mechanical Name s NEW CONSTRUC IO ONLY: ss.s.; Sub- "� Sq. Ft.House: a Sq.Ft.Ciarege Contractor Mailing Address ' fL. Prior to permitIndicate the restricted energy installation by the electrical Issuance,a copy City/Stateip Phone subcontractor in the following areas of all licenses Restricted Audio/Stereo are required If Oregon Cy t.Cont.Board Exp. ado Energy System Alarms expired In COT Llc j/ \ Installations Vacuum Irrigation database System S stem Plumbing Name o (check all that Other: Sub- ' apply) Contractor Mailing Address Comer Lot YES NO Flag Lot YES NO check one check one g LLL- 11111,` Has the Subdivision Plat recorded? We YES NO Prior to permitby/S to Zip Phone Issuance,a ropy p or, 7L 35(jt(,o Solar Compliance of all licenses are Oregon Const_Cont.Board Exp.Date Calculation Attached required H Lic* yeC --Q1 I hearby acknowledge that I have read this application,that the expired in COT i Z (_ (5 information given is correct,that I am the owner or authorized a a database Plumbing Lic.A Exp.Date 9 9 J of the owner,and that pians submitted are in compliance with Oregon State laws. N NameSignat=qOwn /Ag 'Date Electrical QTZ Z t� CY Contact Person N17 Phone . -� Sub- Mailing Address S to Contractor (� I I 1\ N1 ir-k4r, SCA 0161V 3SI FOR OFFICE USE ONLY: _ W City/State Zip Phone Plat#: Map/TL#: �^,� Prior to permit '%0 O e�� issuance,a copy � w A it- At s Setbacks: .r Zone: a ,1 np ' SO lar: of all licenses are Jregon Const.Cont.Board Exp.Date R r 5 r J required if Lic.s / I,--- expired in COT _,S oZ 9 / FnginAPrinq Approval: Plnnninq Approval F 1_______ database Electrics Lic.A Exp Dale 3 7—gkG C' /0-/_f I�PPc►J 31 - -�� t:a I.Doc(nST)E/t Im CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GRIZZLY ELECTRIC 4114 SE 164TH AVE VANCOUVER, WA 986134 Electrical Signature Form Permit#: MST1999-00247 Date Issued: 7/29199 Parcel: 2 S 104DD-00300 Site Address: 12959 SW MORNINGSTAR DR Subdivision: MOUNTAIN HIGHLANDS Block: Lot: 002 Jurisdiction: TIG Zoning: R-4.5 Remarks: Interior remodel of basement 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 form Is received OWNER: ELECTRICAL CONTRACTOR: ELENA SMITH GRIZZLY ELECTRIC 12020 SW KING GEORGE 4114 SE 164TH AVE KING CITY, OR 97 VANCOUVER, WA e•�w Phone #: 503-598-7500 Phone #: 360-896-6155 Req #: LIC 66129 d. $uP 17635 ELE 37."6c 'a AN INK SIGNATURE IS REQUIRED ON THIS FORM a� u0, X el'i Signature of Supe isiry ng Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GABE'S PLUMBING 4838 SE 111TH PORTLAND, OR 97266 Plumbing Signature Form Permit#: MST1999-00247 Date Issued: 7129199 Parcel: 28104DD-00300 Site Address: 12959 SW MORNINGSTAR DR Subdivision: MOUNTAIN HIGHLANDS Block: Lot: 002 Jurisdiction: TIG Zoning: R-4.5 Remarks: Interior remodel of basement 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 until this completed form Is received OWNER: PLUMBING CONTRACTOR: ELENA SMITH GABE'S PLUMBING 12020 SW KING GEORGE 4838 SE 111TH KING CITY, OR 97 PORTLAND, OR 97266 Phone #: 503-598-7500 Phone #: 503-351-5160 Reg #: uc 121158 a. PI M 5905-JP OC H N AN INK SIGNATURE IS REQUIRED ON THIS FORM as w X Signature of Authorized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 OUP Date Requested_ ��' 2S IAM PM - BLD L,-cation OWN Suite MEC Contact Person nesi 11 Ph PLM Contractor Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall ELR _ Footing Access: Foundation FPS Flg Drain SGN Slab Crawl Drain Inspection Notes: �d(��� ,.�Y SIT Post&Beam Ext Sheath/Shear 4/V-00��] Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler -— Fire Alarm Susp'd Ceiling -- Roof 0111 Misc: — Final PASS PART FAIL PLUMBING Post&Beam Under Slab Top Out Y Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL _ MECHANICAL — Post&Beam — Rough In Gas Line Smoke Dampers Final PASS PART FAIL IL W Service _ 11-- Rough In N UG/Slab Low Voltage J Fir Alarm t9A RASS '-PART FAIL W JSIM Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ A required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE: _ [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date! ;— `�% 2 Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST �g9g_ J 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 OUP _ Date Requested ':j PM BLD Location / �S ��� YL h� Suite MEC Contact Person_��C��'�-� Ph PLM _ Contractor Ph SWR BUILDINGTenant/OwnerELC Retaining Wall ELR Footing Access: Foundation PPS Ftg Drain SON Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fi,-e Sprinkler Fire Alarm Su,;p'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer R rains F � AS PART FAIL _ HANICAL Post&Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL a ELECTRICAL Service Rough In UG/Slab Low Voltage J Fire Alarm m Final j PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: _. [ ]Unable to inspect-no access Fire Supply Line ADA Inspector 1. 1W _ Approach/Sidewalk Date Ext Other �'-- Final PASS PART FAIL DO NOT REMOVE this Inspection rell Ir�0111 "W job oft. CITY OF TMECHANICAL DEVELOPMENT SERVICES PERMIT 19126 SW Hill Blvd.,llpad,OR 9T228 (60.1)6U1171 PERMIT #. . . . . . . a MEC98-0302 DATE ISSUEDs 07/31/98 PARCELa 28104DD-00300 SITE ADDRESS. . . : 12959 SW MORNINGSTAR DR SUBDIVISION. . . . : MOUNTAIN HIGHLANDS ZONINGS R-4. 5 PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . a002 JURISDICTIONa TIO -------------------------------------------------------------------------------- CLASS OF WORK. . :OTR FLOOR FURN. . . . s 0 EVAP COOLERS: 0 TYPE OF USE. . . . aSF UNIT HEATERS. . a 0 VENT FANS. . . a 0 OCCUPANCY GRP. . :R3 VENTS W/0 APPL: 0 VENT SYSTEMSa 0 STORIES. . . . . . . . 1 0 BOILERS/COMPRESSORS HOODS. . . . . . . 1 0 FUEL TYPES------------- 0-3 HP. . . . s 0 DOMES. I NC I N a 0 3-15 HP. . . . s 1 COMML. INCINs 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITSs 0 FIRE DAMPERS?. . : 30-50 HP. . . . 1 0 WOODSTOVES. . a 0 GAS PRESSURE. . . a 50+ HP. . . . a 0 CLO DRYERS. . : 0 NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. s 0 FURN ( 100K kiTUa 0 (= 10000 cfm: 0 GAS OUTLETS. a 0 FO RN )a100K BTUs 0 ) 10000 cfass 0 Remarks: Installation of a/c unit, suit comply with standard setbacks. Owners ----------------------------------------------------- FEES ------------- SHARON SMITH type amount by date recpt 12959 SW MORNINGSTAR DR PRMT f 15. 55 DEB 07/31/98 98—•307884 TIGARD OR 97223 SPCT $ 1. 25 DEB 07/31/98 98-307884 PRMT 6 9. 45 DEB 07/31/98 98-307884 Phone #: Contractor: ------------ ----------------- SKY HEATING & AIR CONDITIONING 16:37 SE NEHALEM ----------------------------------- • 26. 25 TOTAL PORTLAND OR 97202 Phone #s 235-9083 Reg #. . : 000502 ------- REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Mechanical I n s p Tigard Municipal Code, State of Ore. Specialty Codes and all other Cooling Unt Insp applicable laws. All work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started IL within 10 days of issuance, or if work is suspended for more W than 186 days. ATTENTION: Oregon law requires you to follow rules N adopted by the Oregon Utility Notification Center. (hose rules are set forth in OAR 952-01-018 through OAA 952-l11-M You ay J obtain copies of these rules or direct questions to OiK by calling _ m 1563)24"167. Iss a Iay: Permittee Signature: ++++++++++i.++++++++++++++++++.+++++++++++++++++++++++i++++++++++++++++++++++++. Call 639-4175 by 7:00 p. m. for inspections needed the next business day ++++•f++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ JU1,-30-99 THU 10 : 19 AM 759 4328464 263 2 2 303 235 0434 P. 02 . Plan CN CITY OF TIGARD Mechanical Permit Application Ftec'd 731 25 SW HALL BLVD. Commercial and Residential osteaea-d 7 46-11 TIOARP, OR 97223 Date to _ (603) 639-4171. x304 Date to Date Print or Type Pam*a Incomplete or Illegible a plications will not be accepted cats arrr at m00 '- Tabta 1A Mednsrnloal Code CITY PRICE AW Job s `�"" W PGMA FM 4 :57- 10.00 Address 1 p1 S en•a cw»• ZIP 1.) Furnace to 10o,wo a 6.00 Wvdudft dum a vers Neer(•r norma of buarwsa) 2.) Fum =100,000 8 7.60 Owner Sk 01 f v'N S kckd"duds a vents mall"� q L� �' f d�t 3.) Floc F�wnt 6.00 cwrwn. 7O 4.) Suspended Meter,wall heatar 6.00 �, O R °► SAO q b at floor mounted heater a buarwaa) 6.) Vont not included nos permit 3.00 ar 0 Occupant Me"Aftam 6. Bohr or corm,haat pump.air Gond. 6.00 to 3 H",,ab"M UrA Is,100K BUT" r.0 t+Irorw Boyer or cav%Mat pump,sk pond, t q.00 3.16 M absorb ON BTU" Contractor ""^' y 6.) DOW oroomp,hod .air f5. r, ✓J c� SF- �'►n i /�� 111,40 HP; sor absorb unk..6-�mY BTU- Prior to pmnil.. `,, .-- 6.) Boder or corm.Mat pump,a aond. 2:t.60 bauana,a CM S( � ��`�►"` 3pd0 HP:absorb vA 1.1.76mp M- ot all licensee n► PrraM .) Bohrer obrrp,Ned punm,sir Mind. 37.80 are mquked M ♦fir ��� pR gr1�+p IV)-k,144 s 6n HP;abeob ter*1,75 mil M- expired in COT Lice • 11.) Air hwxftg wA to 10,000 CFM 4.80 database i Architect 12-) Ab hand6rrA un 7,50 10 000 CTM* or 4W-16-g 13.) wapofMa=QW 4.50 Engineer ► prMe14.) Vent ton connected to a aftle duct 3. Describe work New O Addition O Alteration O Repair O .) iventimon aystam not Winded 4.80 to be dome Reeidendel O Nonresidential O in appNanOa peme Additional O"cripW of work; 16.) Hood hewed by rr*0mkft I exhaust 4.30 Domaslie tore -�' 7.50 Fiisling use of 6. CarnwrcW or linchoblail 30.00 building or propertytAwkKkwfelor Ig.) R"Ir Units 4.50 Proposed use of woad stow 410 0. building w propeRy 21.) Clothes*r W,eta 4.50 f�V) Typa of fuel-0 O natumi gas O LPt3 O olad e O ) Other W* 4.50 J I heroby admowledge that 1 have nod this appl ,that .) an pipkq one to &AM 2.00 given Is correct,that I am the owner or authorised agent of La the owner.Gnat plans submSed an in compliance with Oregon Stele laws. 24.) MAN titan 41ar oubst 1"ch) .50 �- 0 W Slgn&bAm of OwrredAprit Oats / 'SUOTO�dA 5-A SUM F Conti[! teen ane one REVilw 2504 OF S 709-- .� , T 'M1nMnum permit fee S 6 Surd w" "WaklentlalAPO:apuin"ngvm w1 w v owcaffIent of WK Ulmschp"ll.doe rev N1SM6 •Yi V O Cl ''I M/ V 40 Vt_ O L 3 r� Qa ac m t� W ..I CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour inspection Line: 639-4176 Business Line: 6394171 p /^ BUP Date Requested g AM) PM ^ BLD Location 1235 Suite MEC Contact Person _ Ph _ S PLM _ Contractor Ph StNR ELC BUILDING Tenant/Owner — Retaining Wall R FootingAccess: Q p TT��"f CP— Foundation err Foundation Ckw 0 �-�' FPS PS Drain SON Crawl Drain Inspection Notes: - Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler , CCU y ::z 1!�l ge knz-An!ft)- Fire Alarm Susp'd Ceiling Roof Misc:_ ----- Final PASS PART FAIL — — PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer — Rain Drair. _ Final n — PASS PART FAIL 19- C /cif 11CJ MECHANICAL Post&Beam Rough In Gas Line - Smoke Dampers F inal —— PASS P6RT FAIL ,AWCTRICAL - — i1 Service R Rough In 11�' UG/Slab U) ow olta @ ie.,9 J C� r l ir@ arm mPART FAIL e W -� Backfill/Grading Sanitary Sewer Storm Drain [ j Reinspection fee of$—� required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE: _ ( ]Unable to insperi-no access Fire Supply Line ADA y Approach/Sidewalk Other pate F ZQ�- L Inspector Ext Final PASS PART FAIL DO NOT REMOVE this Inspection eecoi Iron the fob site. CITY OF TIGARD BUILDING INSPECTION DIVISIONMST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 F BUP "�. Date Requested ` ;L-5 – 9 J AM�PM BLD Location Suite ME 58-U30_-�— Contact Person Ph 57 PLM Contractor Ph 3� SMR _ BUILDING Tenant/Owner ELC Retaining Wall ELF! Fooling Access: Foundation No T7M SPOUliCD FPS Fig Drain SGN Crawl Drain Inspection Notes: Slab I J SIT Post&Beam p q—� /�Z- Ext Sheath/Shear _I Q -1 '`U � y� Int Sheath/Shear Framing 645 ay_I /b�'f� Insulation Drywall Nailing .I Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- Roof Misc: — Final PASS PART FAIL PLUMBING Post&Beam Under Slab Top Out Water Service — Sanitary Sewer Rain Drains Final PAS FAIL �— C Post&Beam -- — — Rough In Gas Line Smo e Dampers n8 AS PART FAIL LECTRICAL a Service _ p� Rough In UG/Slab — Low Voltage EFire Alarm J Final _m PASS PART FAIL V' SITE J Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection ..Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE: _ ( ]Unable to Inspect-no access Fire Supply Line ADA c Approach/Sidewalk Date l .l r�� Inspector Ext Other — Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job alto. CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #a ELC98-0438 191Z5SWHog Blvd.,TW4ORM (601)6*4171 DATE ISSUED: 07/30/98 PARCEL : 2S104DD-00300 SITE ADDRESS. . . e12959 SW MORNINGSTAR DR SUBDIVISION. . . . sMOUNTAIN HIGHLANDS ZONINGaR-4.5 PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :002 JURISDICTIONS TIG Project Descriptions Smith ------------------------------------------------------------------------------- ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . 1 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . a 0 201 — 400 amp. . . . . . . s 0 SIGN/OUT LINE LTO. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . s 0 SIGNAL/PANEL. . . . . . . 1 0 MANF. HM/ SVC/FDR. . S 0 601+amps-1000 volts. : 0 MINOR LABEL (10) . . . 1 0 ----SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ---ADD'L INSPECTIONS--- 0 — 200 asp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . a 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . S 0 401 — 600 asp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 — 1000 asp. . . . 5 0 --------------------PLAN REVIEW SECTION---------------- 1000+ asp/volt. . . . . : 0 )-4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR )- 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -------------------------------------------------- FEES ---------------- SHARON SMITH stype amount by date recpt 12959 SW MORNINGSTAR DR PRMT f 35. 00 JSD 07/30/98 98-307853 TIGARD OR 97223 5PCT $ 1. 75 JSD 07/30/98 98-307853 Phone #a Contractor: ---------------------------- GRF ELECTRIC f 36. 75 TOTAL 15460 SE PARADISE LN ------- REQUIRED INSPECTIONS ------ MULINO OR 97042 Rough--in Elect' l Final Phone #a 503-829-4146 Elect' l Service Reg #. . : 001015 This permit is issued subject to the regulations contained in the Tigard Nmnicipal Code, State of Oregon Specialty Codes and all other applicable laws. All Mork will be done in accordance with approved plans. This permit will expire if work is net Pd within IN days of issuance, or if work is suspended for more than IN days. ION: Oregon I& requires you to fell(W t rules adopted by the Oregon Utility Notification Center. Those rules are se fort : OIM! 960-/1116 through OAR 911- om may obtain a copy of these rules or direct questions to OUNC by ca ling Permittee Signature: G' Issued Byl --------- -------------------OWNER INSTALLATION ONLY--------------------I----------- The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: --------------------------CONTRACTOR INSTALLATION ONLY---------------------------- SIGNATURE OF SUPR. ELEC' Ns DATE: LICENSE NO: ++++++++++++...4..+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++i++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 07/30/1998 13:39 5038195747 GW ELECTRIC PACE 01 WY OF TIGARD Electrical Permit Application ►ten Choir 13123 SW HALL BLVD. Rood By TIGARD OR M23 Dara Phone(503)839-4171,x304 Dow Is P.N. InaPrint or T Dale to DW Fax(5 3) 4.7 63A-41�s Incomplete or Illegible will not be accepted Pef"Ift Fax(503)W4-7297 C011101111- 1. aaod1. Job Addrwa: 4 conplefUllfr Fir Shcledulle Belolw: Nemo of Development✓ CC Number of Nrs1111.etfelw pr Pwn*aftwed Name(or name of busineoe)- J,4 i43n •S h,r1r'L service Included: Menta coat ion Address I Zq 5?t S IJ MQ3•3�s+�. ate` 4s. fteddrt".ptorloasper unit City/Sfate/Zip 1 i 6 a i1� ej'j�Zt _` E i�i�A+"6600Bq.n.or $1 W00 Commercial❑ �en1W Q/ POW IMM W.00 1 (J «ienow i2sm Each Manutd Homo or Modular ?a. conf efor InstalWon only. OWW"arvloe or Fosdor WAO _� ! (Aftch a" of all A 9ardoaa or Few" ENKMoal Contractor AV. Wrotdalla►,atlaraaon,or nlaoaMon Address IM sn"or luso 201 amps to 400 ampa x.00 Y� sun P_ 401 amps to am amps $120.00 t Phone No. 41-A r*I �*-i. cow amps to 1000 ampe $180.00 2 Job No, over loon ernps or vans $W.00 ! Elec.Cont. Lios.No. Dao Aom"Wal WAY --- 111110.00 _ OR State CCB Rp.No. Exp.D@U aa.Twepererp earvloae er Faodrs COT Business Tax or M No. Exp Date Wwtsaabon,ahratlon,or relocatlon 200 arroo or Moo Signature of Supr.Else.n 201 amp.a too amps $76.00 2 401 amps a 000 amps $100.00 ! Over am arrrpe to 1000 vols, I-low"No. 3 3- Exp.Date an•M'avevs. Phone No. __ 44116 Brerreh CbVtft Noor,aWoradon or rmsnslon Par firm ?b. For Owner InstollaHom: a)the be for°rand,oWould wo PWWMM Pf1f1t Owner's Name . res or Addles Eve,°snore Croon KIM � ! CITY State Dp °)��Manch oWcxrNa of Phone No. _ owuko or�ow FWM branch eraroUt � S..0o The IrWalladon is being made on property I own which Is not EaM&dditfW bftnch dmuW--_- 80.80 : Inlended for sale,lease or rent. Ownses Signature_ (eorow or lour mer kdudad) Each pump or It Vaft circle $b.0o 2 Eaah sign or ou*w r4f a 3. Plan Review section(l/mqulrfllfd):" 0"droAs)or a III LAtad onto purl at r edonMr► SO= Pines check appropriate Mom and enter feta In ndlen SS. &*W Cambo(10) 0100.00 _. a or more rooldandd units In ono stnuck,rs N.faeh additional a two-11-n ever Service and}calor 225 amps or rrrere t alloof"Many of to shea 8"W"over o00 vols nornW+d Pr Wnpaarbn 66Ao ClossUad area or structure conWnkrp spocial oxuponcy Por hour $56.00 as doterbed In N.E.C.Crv**w 5 In Plant 11155AO "Submh 2 vela of plans with applldnlon who any of Own above apply. S Fess: 3,5-' Not rewired for Mnpersry eonatrue"on aorveeva, Is.Enter total of SIX"fee $ 5%S u sharp(.05 X total loos) $ _ 60.Enlr 115%d Iles Be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED 18 Plan Ravlstw rMW (Sac.3) $ NOT COMMENCED WITHN 150 DAYS,OR IF CONSTRUCTION OR WORK lWrbarl $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF leo DAYS AT ANY /l000rxtl a ,.., TINE AFTER WOO 18 � D. , � ebwballar"Due � I/�_ L • CITY OF TIGARD DEVELOPMENT SERVICES Al L 19125 SWHag Blvd.,'Rand,OREi W (dot)0*4171 RUSTRRICAL ENERGY RC�TRICTrI) E=tJE;'RC; t PERMIT #. ELR97- 0232 DATE: ISSUED: 0EI/08/97 PARCC:L: 2S 104DD--00300 ITE ADDRESS. . . : 129") OW MONNINOGTAR DR UBDIVISION. . . . :MOUNTAIN HIGHLANDS (PHASE" 1 ) ZONING:R••-4. 5 PD I_OCK. . . . . . . . . . : L.01. . . . . . . . . . . . . :00c JURI ST)ICTN: TIG 'roJ ect De scv i pt i on: Add burglar slim is existing SFD. n. RESIDENTIAL------------ B. COMMERCIAL-------------._.__---_--_--___—__—______._ AUDTO 8 STEREO. . . : AUDIO 8 STEREO. . a INTERCOM R PAGING. . : BURGl...AR ALnRM. . . . iX BOILER. . . . . . . . . . a LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . CLUCK. . .. . . . . . . . . .. MI,D I rnt. . . . . . . . . . . . 0 : HVAC. . . r 0 . . . . . . . . : DATA/TELE COMM. . s NURSE CALLS. . . . . . .. . a r!ACUUM SYSTEM. . . . s FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: ss HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. OTHER. . . TOTAL # OF SYSTEMS: 0 lrin►» _. .. _.....__...._ _»_ ____. ... �_..___ _.__ .. ..__ FLEES •_._ ___._ ...w___ Li'lROLYN CAINFS type amount by date recpt IL7,957 SW MORNINGSTAR DRIVE: PRMT $ 40. 00 CICO 0810r)107 97-2098092 Trf;rlRb OR 97223 SPOT $ TO fIFO 08/08/97 9'7--P-9809P Ffi,Me #: WrGTAR OEf:URITY f 4 . 00 TOTAL. 14EST I NGHOUSE SECURITY SYSTEMS ,'�-,55 nW OUNSHINF CT #1100 ----- - REQUIRED INSPECTIONS -----_- AVFf2TON OR 97005 Ceiling Cover Eler_t;' I Sol-vir_e one #: 350—cF'700 Wall Cover Elect' 1 Final =g #. . : 1187342' permit is issued subject to t`re regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other ,pl•,cable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 ayi of issuance, or if work is suspended for more than 180 days, ATTENTION: Oregon law requires you to follow rule adopted by the qcn Utility Notification Center. Those rules are set forth in CAR 952.-eel-0010 through GAA r2-N; @880. You aay obtain rgies of Pse rul es or at (583)246-1987. try TNOTALLATION ONLY 'rc, installation is being made on property I own which is not intended for- ale, oral.re, lea e, or rent;. ANER' S SIGNATURE: DATE: _.. . _._ ..... ...._. _CONTRACTOR TNSTAi..I_.ATTON 'GNATURF` DF SIJPR. FL!:C' N: DATE:s r rFN SE N(f: r+•++-4++++++t++++- ..4-+++*4+•I.++++++i++++t-++++++4++4+++.....i'++++4-++-}++4-+4+++4 t44+ Call E,39- 1r 175 by C.:00 F'. M. far•• an inspect: ion needed tt;e ne>(t bl.rsines.5 day 4 4 f-++++++++++f+4•+++++++++•1++++4-+4•+.++++++4.++++++++++++++++..4..++++++4 t-+4+++++4.4- ! CITY OF TICARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13129 SW HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR TYPE V-FJ3-639-4171 X304 Permit F -503.584-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:� WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL Restricted Energy Fee........................................ -00 (FOR ALL SYSTEMS) SOB Street Address to N Check Type of work Involved: ADDRESS I U. I rX Vnv_ City/State ]M13- 5go Phone N ❑ Audio and Stereo Systems � - 011 Norris Burglar Alarm I ✓ ❑ Garage Door Opener* OWNER aging Address C ❑ Heating,Ventilation and Air Conditioning System' City/State Zip Phone N ❑ Vacuum Systems' Name �� ❑ Other _ CONTRACTOR mailingAddS%Aj n� Lrc l TYPE OF WORK INVOLVED-COMMERCIAL JI Phone N Fee for each system.............................................. .00 22 copy off all licenses (Prior issuance a City/Stale _2700 (SEE OAR 918-280-280) aro required If Oregon Contr.Brd Lic.N Exp.Onto Check Type of Work Involved: expired In C.0 T. 2_ 2 data base). Electrical Contr.LIC.N Exp. ate E]G� i 3i } Audi- end Stereo Systema C.O.T.or Metro Lic.N xp.Date } ❑ Bolter Controls Owner's Name ❑ Clock Systems OWNER- Mailing Address APPLICANT ❑ Data Telecommunication Installation City/State Zip Phone N ❑ Fire Alarm Installation This permit Is issued under OAF_918-320-370.This applicant agrees to ❑ HVAC make only restricted energy Installations(100 volt amps or less)under this permit and to do the following: ❑ Instrumentation 1. Only use electrical wensad persons to do installations where required. Certain residential and other transactions aro exempt from licensing. ❑ Intercom and Paging Systems These have asterisks('). All others need licensing; ❑ Landscspa Irrigation Control" 2. Call for Inspections when installation under this permit aro ready for inspection at 503-6394176; ❑ Modical CL 3. Purchase separate permits for all installations that aro not ready for an ❑ Nurse Calls inspection when the Inspector is out to Irspect under this permit; (1) 4 Assume responsibility for assuring that all corrections requiPed by the ❑ Outdoar Landscape Lighting* inspector aro done,and, ❑ Protective Signaling _ 5. Assume responsibility for calling for a final inspection when all of the CD corrections aro completed. ❑ Other W Permits are non-transferable and non-refundable and expire If work is not started within 180 days of Issuance or N work is suspended for 180 days. Number of Systems The person signing for this permit must be the applicant or a person No Ikxnses are ragrdrod. Licenses aro required for ON other InstaNallons authorized to bind the applicant. EM: ENTER FEES = 1' � signature ` <� �� � 5%SURCHARGE(.06 X TOTAL ABOVE) III � � f ` ` TOTAL 1 ��r Authority if other tl 3n Applicant _ tlreseie doc 12M