The URL can be used to link to this page

8795 SW MAPLE COURT :pnoo oldeW MS 96L8 t m 0 U o. �v i 3 cn W) 8795 SW MAPLE CT CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Ihspection Line: 639-4176 Business Line: 636-4171 BUP Date Requested ? / AM PM BLD Location_ y[ _� Suite MEC Ad Contact Person AJl� Ph 06 7S_ PLM Contractor Ph SWR BUILDING _ Tenant/Owner ELC Retaining Wall ELR onds Access: Fw oundatOn 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 Susp'd Ceiling _ _ -- Zoof _�� Misc: — Final PASS PART FAIL - - -- PLUMBIN+G Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam Rough In Gas Line Smoke Dampers Final P %T FAIL CTRIC a Service OC Rough In F" UG/Slab N Low Voltage Fire rrr. — - J_ m ASS RT FAIL W -j Backfill/Grading _ Sanitary Sewer Storm Drain [ 1 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE:_ [ J Unable to inspect-no access ADA Approach/Sidewalk Date z -Inspector Ext Other _ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 6) x--000 8� 24.-Hour Inspection Line: 6394175 Business Line: 639-4171 BUP —) Jg Date Requested '�_ AM PM _ BLD Location �S �l C; ��Gam_ (jam- Suite MEC Contact Person _ Ph (q PLM Contractor Ph SWR BUILDING TenanVOwner 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 C_ Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling _ Roof Misc: Final PASS PA;'?' FAIL PLUMBING Post&Beam Under Slab Top Out -- ` ---- — Water Service :sanitary Sewer � — Rain-Drains Di-ASS PART FAIL ANICAL - Post& Beam ---- - — — �_—� Rough In Gas Line — Smoke Dampers Final — — — PASS PART FAIL ELECTRICAL --v -` rd. Service _ W Rough In I" UG/Slab Low Voltage — Fire Alarm Final m PASS PART FAIL W 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 Fire Supply Line [ ]Please call for reinspection RE:-- _—__ — [ ]Unable to Inspect no access ADA r''7 Approach/Sidewalk Other DateD/ _ InspectorExt Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - � BUP —Date Requested �"(G AM PM BLD Location t> -7 5 C Suite MEC _ Contact Person LL)a4 Ph SS l CI —deo 7S—PLM Contractor Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall ELR _ Footing Access: Foundation L -- � 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 r_ — Fire Alarm Susp'd Ceiling Roof Misc: S PART FAIL GING Post&Beam M- Under Slab Top Out — "— Water Service _ SaMary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam -- — — —-- Rough In Gas Line -- Smoke Dampers ASS PART FAIL ftECTRICAL --- — — — IL Service Rough In N UG/Slab Low Voltage Fire Alarm —� Final m PASS PART FAIL W SITE —� 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 Line [ ]Please call for reinspection RE:_�— _ [ ]Unable to Inspect- no access ADA A roach/Sidewalk Other [late 91� Q Inspector Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site. ,C Q v � o V o V o O O � w U 0 o � u L •� \ C C� I 0 C b O IL «7 O U U 0 FRON, : OWENLJEI-'r ELECTR 1 C FAX NO. : 5032976375 Mar. 28 2001 10:19AM P2 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE OWEN WEST ELECTRIC 8310 NW REED DR PORTLAND, OR 97229 Electrical Signature Form Permit #: MST2001-00086 Date Issued: 3123/_01 - Parcel: 15135AA-0380th Site Address: 08795 SW MAPLE CT Subdivision: MAPLE RIDGE ESTATE3 Block: Lot: 013 Jurisdiction: TIO Toning: R-12 Remarks: New SF detached dwelling- 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 havo the appropriate Individual from your company sign below and return this Electrical Signature ForTn 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 OWNERS ELECTRICAL. CONTRACTOR: WINDWOOD HOMES INC. OWEN WEST ELECTRIC 12666 SW NORTH DAKOTA 9310 NW REED OR TIGARD, OR 97223 PORTLAND, OR 97229 Phone #: 503-625-6526 Phone#: 297-6375 Req #: %& � eu �-sssa IL OWNER: ELECTRICAL CONTRACTOR: WINDWOOD HOMES INC. OWEN WEST ELECTRIC 12656 -"',W NORTH DAKOTA 13,310 NW REED DR TIGARD, OR 97223 PORTLAND, OR 97229 Phone #: 503-625-6526 Phone #: 297-6375 ® Rep # SUP 29422 22SMS SLE 2619Ac W J AN INK SIGNATURE IS REQUIRED ON THIS FORM zz Signature of Supervising Elgctrlcian If you have any questions, please call (503) 639-4171, ext. 0 31C CITY OF TIGARD 13126 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE JIM'S PLUMBING PO BOX 7160 ALOHA, OR 97007 Plumbing Signature Form Permit #: MST2001-00086 Date Issued: 3/23/01 Parcel: 1 S135AA-05800 Site Address: 08795 SW MAPLE CT Subdivision: MAPLE RIDGE ESTATES Block: Lot: 013 Jurisdiction: TIG Zoning: R-12 Remarks: New SF detached dwelling. 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: WINDWOOD HOMES INC. JIM'S PLUMBING 12656 SW NORTH DAKOTA PO BOX 7160 TIGARD, OR 97223 ALOHA, OR 97007 Phone #: 503-625-6526 Phone #: 649-4034 Reg #: I IC 71860 PI M 34-186pb i j AN INK SIGNATURE IS REQUIRED ON THIS FORM i X Signature of AuffiOKzed PI ber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD MASTER PERMIT I01-00086 DEVELOPMENT SERVICES DATE ISSUED: 3123101 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 SITE ADDRESS: 08795 SW MAPLE CT PARCEL: 1S135AA-05800 SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12 BLOCK: LOT:013 JURISDICTION: TIG REMARKS: New SF detached dwelling. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED _ CLASS OF WORK: NEW HEIGHT: 20 FIRST: 608 or BASEMENT: 0.00 of LEFT: 0 SMOKE DETECTORS. Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 648 of GARAGE: 260 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: i FINBSMENT: of RIGHT: 5 VALUE: S 121.204 00 OCCUPANCY GRP: R3 BDRM: 2 BATH: 3 TOTAL: 1,33600 of REAR: 10 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: IDO TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISH.)WERS: GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PR£YYTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: 1 BOIL/CMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN>•100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLE-rs: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD•L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W.'SVC OR FOR: 1 PUMPARR1OATION: PER INSPECTION: EA ADIYL SOOSF: 2 201 400 amp: 201 - 400 amp: tot WIC SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY. 401 600 amp: 401 -600 amp: EA ADDL BR(AW SIGNALIPANEL: IN PLANT: MANU HMISVCtrDR: 601 • 1000 unp: 1101•ompo-100al MINOR LABEL: 10004 ampNnit: PLAN REVIEW SECTION reconnect only: >•1 RES UNITS: 9VCIFDR>•223 A.: >600 V NOMINAL: CLS AREA/SPC OCC: _ ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL _ B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE sIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA(TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS- Owner: Contractor: TOTAL FEES: $ 6,023.58 This oermit is subject to the regulations contained ir,the WINDWOOD HOMES INC. WINDWOOD HOMES INC Tigard Municipal Code,State of OR. Specialty Codes and 12655 SW NORTH DAKOTA 12655 SW NORTH DAKOTA all other applicable laws. All Work will be done in TIGARD,OR 97223 TIGARD OR 97223 accordence with approved plans. This permit will expire if work is not started within 180 days of issuance,or if the IL work is suspended for more than 180 days ATTENTION: h Phone: Phone 780-4375IM) Oregon law requires you to full rules adopted by the Oregon Utility Notification Center. Those rules are set Rog#: LIC 501516 forth in OAR 952-001-0010 through P52-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSP CTIONS WErosion Control Insp 8, Post/Beam Mechanical Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Sewer Inspection Underfloor insulation Plumb Tap Out Exterior Sheathing Insl Gyp Board Insp IltlectricA Final Footing Insp Crawl Drain/Backwater Electrical Service low Voyage Flrewall Insp Me ani not Foundation Insp Footing/Foundation Dr; Electrical Rough in Gas Line Insp Raln drat Insp mb I Post/Beam SirustlJral PLMlUnderfloor Framing Insp Gas Fireplace Wa er Lie Ins anal o_ Issued B 1 Permittee Signature Call(503) 61-9'4175 by 7:00 p.m.for an Inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-0001,3 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 3/23/01 SITE ADDRESS; 08795 SNS MAPLE CT PARCEL: 1 S 135AA-05800 SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12 BLOCK. LOT: 013 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE C,* USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached dwelling. Owner: FEES WINDWOOD HOMES INC. 12655 SW NORTH DAKOTA Type By Date Amount Receipt TIGAPD, OR 97223 PRMT CTR 3/23/01 $2,300.00 27200100000 INSP CTR 3/23/01 $35.00 27200100000 Phone: 503-625-6526 _ Total $2,335.00 - Contractor: Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and mgu;at:ons 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 i n,tin Aler shall prospect 3 feet in all direcfons from the distance given. If not so located, the installer shall r a" ap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires o of r s adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 t o O ,9 01-0080. You m obtain pies of these rules or direct questions to OUNC by calling(503) 2 -1 Issue Permittee Signature: Call(5031 9-4175 by 7:00 P.M. for an Inspection needed the next business day 10'09'00 MOV 08:53 FAX 503 598 1960 CITY OF TIGARD _ :2-0�� IM 003 0D/- 0053 Building Permit Application City of Tigard t�atetecw%.2 eiv«i: /_- t� Permirno.: Ci o Ti and Address: 13125 SW Hall Blvd.Tigard.OR 97223 Prolat/appl.ao.: Expire date: m City r 8 Rime• (5J3)6394171 Dateissucti: By•J Receiptno.: �1 Fax: (503) 598-1960 Case fit w.: Payment type: Land ltsc approval: _ lar2 family:Simple complex: O ,01&2 family dwelling or accessory ❑Commcrci&Vmdustrial Q Multi-farttily lew consttuctioo ❑Denwlidon ❑Addition/alterationfreplacement .J Tenant improvement U Fire sprinkledalarm ❑Other; Job addnm: /r ( BI .no., Suite no.: Lot Block: subdivision: Tax mapha:t lot/account no.: /S/ SAS name: 2o ; r� Desczipdon and location of work on.premises/srecial conditions:- / l�r�eG byn O� Name: Lv,;y() a Mailing address: :. /L '' D� t I!2 hmmily dwtwng: City: ,I}-2 State:.! r)IIJ Valuation of work.............................. Phone:i Fan:' Frmail: 2 /L �_ No.of bedrttoms/baths....�..,..............�.......... Owrret's ntative: r Total number of floors Phone: r" ax: C E-mail: New dwelling area(sq.IL) Q.!E......... Off'/carport am(sq.R)....�t',.�....... Name: ;7 Covered porch arra(sq.R) .`''.............. Mailing address: Deck area(sq.ft.).............. ,l'�............. City: rT�/�1 Lam- State: 7.II': Other structtut area(sq.R).....r''........... Phone: /,nLr Fax: E-mail: conuerebukdaswaum m-fattdly: Valuation of work.................................... .. $ Business name: .SR�t ; - Existing bldg.area(sq.R) .............:.... ...... Address: j[1 M G New bldg.area(sq.ft).................... .......... City: ZIP: Number of stories.._..................... ...... ...... t Type of construction................ ............. Phone: rax: �E-mail: ..._ CCB no.: Occup = ,5 ancy group(s): lic.no-7 New: Notice:All contractors ani subcontractors ate required to be licensed with the Oregon Construction Contractors Board under Nam:_1 i�2—f r}S� l provisions of ORS 701 and may be required to be Iicensed in dm Address: . jurisdiction where work is bei,,tg performed.If the applicant is Ci Stater!' Zlf' d� exempt from licensing,the following rsason applies: CottMct eon: Plan no.: ;• (5 - Phone. Fax: /V E-mail: — — -- F- fn Name: a�, - Contact person: Fees dueh R application....... .......... ......S J Address: Date received: — �' City: VTI L State:! ZIP: y")�,.//� Amount r•-ceived .......S� m ['ttorte: / � Fax'1 �)/ E-mail: _ Please refer to fee schedule. — [hereby certify I have read and examined this application and the No all rrhdicdam ameF ereat estdo•14easm can iwn&cdoa ra arose tetam�lua attached checklist.All provisions of laws and ordinances governing this ❑visa ❑murercard work will be complied with,whether specified herein or not. CM(fil Card ember Authonzrd signature: = Date: A 1/ —�1� Nsa d r--ho."" "card Print name:� _.� s Nm— Assumed Nntim:Thin permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 44":3*%Kor0 10'09'00 MON 08:54 FAX 503 598 1960 CITY OF TIGARD Q004 Plumbing Permit Application Datereceived: Permit no iJ City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tiganl,OR 97223 Gryof 7-1gard phone: (503)639-4171 Projectlappl.no._,— r F►niredato: Fax:(503) 598-1960 Dateiasued: By: Receipt no.: Land use approval: Payment type: gf&2 family dwelling or accessory 0 Commerciallinduatrial O Multi-family a Tenant improvement 19" ew construction u Addidon/alteration/replac ement 0 Food service u Othw. MEMMIMIM11001i 11�111111uzl 11M MM Job address.: Fen ea. Toll eA IFaatr r Bads.no.: suite me.: (Ice hasstoft.sores&dikycorrrraatiw) Tax map/wt lot/somttnt no.: /S/ 3 /�,Q SAO S"fi� �rY;p SFR(1)bath Lot: Block: Subdivision: R ba0r — PtoJect name: /10��`,tZ �. ( )bath City/ccamty: Each additional -When Description and location of work on premises: Sketatiodw.. Catch buin/atea drain Ea.date of completion/inspection: - Dr h drain - ao. :ti► ) — Buxhw a name: home utilities - - Address: N�7 Gn drain connector - City: 4 Stag/L, zip: Sanitary sewer no,lin.fL) Phone: ( Fax: Al E-mail: Storm sewer o.lin.ft.) CCB no.: 77 i Plumb.bua.reg.no: P62 ater service City/metro lic.no.: O u o O /(' 6T' Fktwe or 0m Ceattacroc's representative sigaattme: v _ Aboogdou valve Back 110W Mm Print name: ,-}y /l Date:!r / ac e Da ter — Basw/la� -�— Name / r �j7[ j)N r _ Addreu: �- d t7/ - winter Qty: state:cn I ztP: U O G fotmdin(s) am Phone: / -Lzfj3 Wax: E-mail' L$ xpansion tank xwer cap _ Name(print): / !fir G.LJ O .lL� �3vC_ Flomdainsirtoor h die Mailing address:a,�-S' .5 ra /I x9 ,f0Rm -- iFb Ctty I StMC r[,I ZIl' -Toe maker -- Phone: .24. Fax:' /A5ZE-mail: Intenyptodgresse trap (hurter installation/residential maintenance only: The ached installation inter(s) -will be made by me or the maintenance and repair trade by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. ink(s),basin(s),lays(s) — Owaces s° - — Late: Stun Tubs/showerlshower ELm Urinal ater close( — Address: water ate tet City: State: IP: V Phone: Fax: &mail: dal Nor an*talk*=WWO mat ar6.PbW as*rW*Xd a ft WMM tem.mr lm. Minimum fee................$ _ ❑VIu 0?AutaCard Notice:Thin permit application Plan review(at —%) $ _ expires ire permit is not obtained credh r=d w0j".-- — — within 180 days after it has been State sutWhacge(8%)....$ Name of cwdbn w r clown one at&carte--- accepted as complete. TOTAL.......................$Cailmida _ S dywum _ A�raat 11D�616(d0000Mt 10 '09 '00 MON 08:55 FAX 503 598 1990 CITY OF TIGARO IM005 Mechanical Permit Application - nate received: Permit no.: /-/J� City of Tigard RojccJappt.o t,: 6xvhedatc: CiryofTtgard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone:(503)639-4171 Date issued: By: Receipt no.: Fou: (503)548-1960 Case filen.: Nymentlype: Land use approval: _ Be,iwintpamhno.: 01&2 family dwelling or accessory O Comme c:iallindustrial 0 Multi-tway G T,,oant improvement ,P-New construction O Addition/alteration/replacentent O Other. Job address: btficaoe equipment quantities in boxes below.Lrdicam the dollar BWB.no.: Suit_au.: value of all medumical materials,equipment,labor,overbead, Tar m Int/scoount no.: /,51 13.y jf-1 "C�C / 4 Value$ Lot Block: I Subdivision:/P, 90LLrlI.dDGb 'See checklist for important application information and Project name: 4! L 1 ,' juriadletion's fbe schedule for residential permit fee City/county: ZIP: q" X2-3 Description and location of work on premises: Est.date of letiWinspectian: yea,sa.) Tenant improvement or change of use: t L ex4ft space heated or conditioned? ,P Yea U IJoAir lath �* CF1N 1s existing spas inwlated7 O Yea A No 1111131"ISINUILI VENOM 10 'n AN `A a 'tete' Busiooss name; (,V�-),y ,,CSO P ,14dA� rAIr— . State Jo no.: Address; iL4 �� ,TL,- ir1iL ��ttJrrt tlP TOM sTv/11 q-410 _ Sate:-Q. Zif' 7:rte. S 11W pimp(M PDA"1141011rem Phone:( Fax: S' ^cZ trail: ddwvVveatr User 0 Yea 0 No CCB no.: /Q S _ City/metroUc.no.. waD. tuoor Name(please print): .# ,e do eat a . �salla RP/H Nsm: „t � Os- Address: /_L/Yl L.."' HP —==AM=TeeifillsWosu CKy: S fi L State: ZIP Applancevent Phorre: S/�'rn6. Fu: E-mail: tm — --— Name: s`vQ tai u JC) _/_7`n 1n5Z ,fit cxtWmthn don is=) Mailing address;:_lam 4 Outlets) City: E L G �S _L� �Le rY Z remassa op on L.P(3NG Oil Phone: e� _- Fu:' E-mail: over Natne�` Number of outlets R Address: Decorative lace City: State: MI. - Phone: Fax: I E-mail: amve Applicant's signature: Dee: Name(print): i 'Na ser irrt.ii.,i m anew alar code.Ph WV air*Wkbm r.mm itdbnwuan. Permit fee.....................$ 0� 0 Maw Card Notice:This Cecile nam obtained Minimum fee................S expires if a Permit is wN olttaioed ceedle and�: ,.L1Plan review(at_9b) $ g per, within Ito days after it has been Staff (g%)....$ ..Ame ere �____ s accepted as owWlete. TOTAL.......................S _ .; .._ 440-4617 talomaoht► 10'09'00 NON 08:56 FAX 503 598 1960 CITY OF TIGARD Q006 Electrical Permit Application 1D@tTercceivctd; _ Pexmitao.:/j r�;Q - City of Tigard ftjeWappl.no.: Expiredaee: CUyaf7"rgan! Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Phone: (503)a.,�,-4171 R7 Reaiptno.: Fu: (503) 598-1960 Case filen.: Par-at rA * Land ase approval: all 2 family dwelling or accessory 0 Commercial/industrial a Multi-family a Tenant imptovemeoc 1(JeW construction O Addition/alteratitRdreplacement O Other: O partial Mddress: Bldg.no.: SnUe no.: Tu MW- tax lot/accotmt cep.:4g"Wd- 1 tx Blot9c: Subdivision: Pmject wore: !3—!21-UDescription and location of wort on ises: FAtimamd daft of Ietioem on: Jobim 'Aces �11rs Busintxa name: /1"._!%X.S <%5'► /�,! au TOW aw Address: 6 t /t.'*..6 °'" M► City: Stsuc.�' ZiP q7!lanla4ci6iab Rarer: Fax: E-mail:--_-__ 1000 Rorloa 4 CCB no.: ; _ ] Elm bus.lic.no: - City/metro lic,no.: Undad 2 aoe�reaidet6dal 2 Brbarean " I areoa(ulsrdwdW* S of suPetvising eMmicgn red Dale rp Servioeeadfarindu 2 Sep.elect.asas a(pilar}. "" l icere ooh Sssrio M w a.AaraW arrelssadss 200 arina 2 Name(print): / L 201WEcord► 2 Marlin address: / uO NQS.-• 1 toGOD aw 2 Cit . state; 2a': r dol b IOOo 2 f��. Ovar 1000 aat�a err bin q Rase: G 1t: Eu: E-mail: -------- Reoa..tet l Owner installatiorr The installation is being made on property I own Taas/orar�ttatttloecartleHeas. which Is not Intended for tale,lease,rent,or exchange accotding to dN6+atln,Knlaa6ysar ORS 447,455,479,670,701. or lew 1 sot i 4W— 2 Owner's Date: H01 to Warup 2 ■rnKi alndta-sew,hwtlaa, Name: ar asaaal.a tw po" A.I'm for Match cim"ia Ohl;pa dwa,of A service or heeler tbe.each branch circuit 2 state: B. Nes bol r Nvach mrib wWxm pmchaas p600e: Fax: E-mail: of aervirx or feeder fes,first branch ilnvit: 2 Excfiaddidonalbraach circuit tidac. ass O Servi m over 225 raps--onwercial O Health-are fx ity Each pump of=circle 2 O Service ma320amps-+sftol ldd ❑Haurdowbrariae Eacb aostHwIlihtifig q family dwdlinp 0 Buildingover=00"am.hn four ar Signal circuit(s)or a limited env"panelFF , ± O Syaerm over 600 Valu eorubw reore rnammdal arab i n ane snacmra altaradan,or exaesioW 2 0 RaMngovertlaeestories 0 FeaUm400"aamts *Dara( 0 Oewpane load ever 99 persons 0 MaaufCKured"Mmma er RV park Caps,"k...rr M�f 0 F4ressn1jhdr68p1sn a Other. Pleri o0 9tti�lt sda of plirar with aq of the above InvmfRrtlan the T11601111101 are rat appika6te tO tewpeary casntroetlos►sorrice Osler - Na of PW6&'tam,nowt eredr ea+ia.plena raft I fire Dara lrasaradaa. Notioe:Tbls permit application F'"mit fee.....................lj 0 VEaa 4 MaawCard expim If a permh is not obtalued Ran review(at_%) $ fire'cera ewer _ Ll_ widda Iso days titer It has been State Wmhuge(11%)....S — acne> a .rat d r ewnoiera ca --- ted as complete. TOTAL.......................f d Areaw— 4"15 tbA0lCOlt) j,.aJOD I t5.� ,r,,j / , g Al /r►9 a ,cra µ�3,79,E 95' 6y l/ 5#j 51j-s-,4 Q �v Lv J r H L 13 I �' o � M n b D �0 i tAA u 11, L._ o S•K r --�--- too rail n,")b S��/�paL�/lID6E fL11AR�� SEWER CONNECTION PERMIT CITY O TIGI�RD DEVELOPMENT SERVICES PERMIT 0: s -0005, 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 3/223/013/01 PARCEL: 1 S 135AA-05600 SITE ADDRESS; 08753 SW MAPLE CT SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12 BLOCK: LOT: 011 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE LNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYKE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached dwelling. Owner: FEES WINDWOOD HOMES INC. Type By Date Amount Receipt 12655 SW NORTH DAKOTA - — TIGARD, OR 97223 PRMT CTR 3/23/0`1 $2,300.00 27200100000 INSP CTR 3/23/01 $35.00 27200100000 Phone: 503-625-6526. Total $2,335.00 Contractor: _ Phone: Reg - Required Inspections Sewer Inspectior a a to This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires W 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 riot located a.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" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these r irect questions to OUNC by calling(503) 246-1987. Issue Permittee Signature: all(503)639 175 by 7:00 P.M.for an Inspection needed the next business day