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8800 SW MAPLE COURT }inoo eldeW MS 0088 0 v 0 BL co IL oc 3 N cn O 0 0 o m LU 8800 SW MAPLE CT c o� n 0 C O a O v � d o a � U a c .ti a U N V, o � J � •r a a � � c N L Uo cc 1U C N p;, ��wiSJy tn l"'� CITY'bF TIGARD BUILDING INSPECTION DIVISION T `L 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 � �.3 BUP' Data Requested AM PM _ BLD Location g/��G� �� �- [ , -- Suite _ MEC Contact Person Ph , L" 75 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Waal ELR Fnoting CC SS. Foundation Z C�/ �j FPS Ftg Drain SGN Crawl Drain Inspection Notes: - Slab — SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear 1 Q Framing \ Insulation Drywall Nailing � �f -•� C'�. FirewallJz `- Fire Sprinkler Fire Alarm Susp'd Ceiling w`- �_ Roof Misc: _ _ — ---_ Final PASS PART FAIL_ - - - PLUMBING Post&Beam Under Slab Top Out Water Service _ Sanitary Sewer Rain Drains 7PXFm C PART FAIT_ MEZANICAL Post&Beam -- — Rough In Gas Line Smoke Dampers Final PASS PAR r FAIL IL ELECTRICAL — --� Service N Rough In UG/Slab Low Voltage J Fire Alarm 0 Final PASS PART FAIL - J SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ,7 ire Supply Line [ ]Please call for reinspection RE: — [ ]Unable to inspect-no access ADA Approach/Sidewalk c--� 0 1 Other Date Inspector Final PASS PART FAIL I DO NOT REMOVE this Inspection record from the job site. CITY OF T,"GARD BUILDING INSPECTION DIVISIONMST 14.,22 - Dd -7324-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested "3 AM PM BLD Location 0 FU - Suite _ :MEC Contact Person �� Ph — PLM _ Contractor _ Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR _— Footing Ices ;� FPS Foundation — Fig 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 -- — Roof Final PASS PART FAIL — - — — --- PLUMBING Post&Beam Under Slab _ _— Top Out _ Water Service Sanitary Sewer Rain Drains — Final PASS PART FAIT_ MECHANICAL Post&Beare — -- — Rough In Gas Line — �- Smoke Dampers Final -- — PASS PART FAIL ELECTRICAL — IL Service Rough In t`- UG/Slab — -- v� Low Voltage Fir !arm -- --- -- — J _� _ ASS PART FAIL :71 3 J Backfill/Grading -- — — Sanitary Sewer Stone Drain [ )Reinspection fee of$ _required before ne t inspection. Pay at City Hall, 13125 SW Hal!Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RF: [ J Unable to inspect-no access ADA / Approach/Sidewalk Other Date rL Inspector Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the JoL site. I _ CITY OF TIGARD BUILDING INSPECTION DIVISIONx 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST _ BLIP Date Requested LZ X.: PM BLD _ Location Y-n f L Suite MEC Contact Person (� )( i1 _ Ph 45 PLM Contractor Ph SWR _ BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation �_ -Z_ �� FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framingcal �oG , Insulation Drywall Nailing .t/EGr> ZE,^zAL —CedAzQ lAV-1.2 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - R oof Mis ISaC;-- - - PASS PART - PLUMBING Post&Beam Under Slab Top Out _ Water Service Sanitary S(--or �- Rain Drains Final - PASS PART FAIL MECHANICAL Post& Beam ---- Rough In Gas Line - - Smoke Dampers S PART FAIL ELEMICAL '-- Service (L Rough In UG/Slab F- Low Voltage U) Fire Alarm Final J PASS PART FAIL _m SITE Backfill/GradingLu -- -- Sanitary Sewer Storm Drain [ 1 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: Fire 1'vpply Line [ ]Unable to inspect no access ADA Approa,-,h/Sidewalk Date 9-1-7— e-14 Inspector Ext Other _ Final PASS FART FAIL DO NOT REMOVE this Inspection record from the Job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST - 73 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �7BUP Date Requested d ' Z -2- 4M PM BUD _ Location �'�Z — Suite _ _ MEC Contact Person ( , 7nc Ph 0 1 q ��o -7S PLM Contractor Ph SWR BUILDING 1'enanUOwner ELC Retaining Wall ELR Footing Access: Foundation � � —z— FPS Fig Drain SGN Crawl Drain Inspection Notes: Slab _ SIT Post &Beam Ext Sheath/Shear Int Sheath/Shear Framing t 'i-Al= S7—.- ti 0 sr Insulation Drywall Nai,4ng Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: -- inal PART FAIL --- —-- ING 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 ASS ( PAT FAIL ELECTRICAL — — �— p, Service __- 0e Rough In F'- UG/Slab N Low Voltage Fire Alarm _ J Final _m PASS PART FAIL SITE a Backfill/Gram g -- — -� 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 Approach!Sfdewalk Date Other _ — Z-�� t;L_Inspector w Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE JIM'S PLUMBING PO BOX 7160 ALOHA, OR 97007 Plumbing Signature Form Permit#: MST2001-00073 Date Issued: 3/9/01 Parcel: 1 S135AA-06500 Site Address: 08800 SW MAPLE CT Subdivision: MAPLE RIDGE ESTATES Block: Lot: 020 Jurisdiction: TIG Zoning: R-12 Remarks: SF/A Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plLImb+ng 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 fort" is received OWNER: PLUMBING CONTRACTOR: WINDWOOD HOMES INC. JIM'S PLUMBING 12665 SW NORTH DAKOTA PO BOX 7160 TIGARD, OR 97223 ALOHA, OR 97007 Phone #: 503-625-6526 Phone #: 649-4034 Reg #: I_IG 71860 PI M 34-186nb a AN INK SIGNATURE IS REQUIRED ON THIS FORM i X Signature of Auth zed P tuber If you have any questions, plPs-se call (503) 639-4171, ext. # 310 CITY i0 F TIGARD MASTER PERMIT PERMIT#: MST2001-00073 DEVELOPMENT SERVICES DATE ISSUED: 3/9/01 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 SITE ADDRESS: 08800 SW MAPLE CT PARCEL: 1S135AA-06500 SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12 BLOCK: LOT:020 JURISDICTION: TIG REMARKS: SF/A Path 1 BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRFO CLASS OF WORK: NEW HEIGHT: 12 FIRST: 956 of BASEMENT: of LEFT: 3 SMOKE DETECTORS: V TYPE OF(ISE: SF FLOOR LOAD: 40 SECOND: of GARAGE: 220 of FRONT: 10 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: at RIGHT: n VALUE; $87,67900 OCCUPANCY GRP: R3 BORM: 2 BATH: 2 TOTAL: 95600 at REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH:. 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 1 GARBAGE DISP: 1 WATER HEATERS 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS- OTHER FIXTUPFS: MECHANICAL FUEL TYPES FURN<100K: 1 BOIL/CMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN>-100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX IMP: htu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS _ ADWL INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: WISVC OR FOR: 1 PIIMPnRRIGATION: PER INSPECTION: EA ADD'L 5005IF: 1 201 400 amp: 201 - 400 amp: 1st W/O SVrfFDR: 00 SIGN/OUT LIN LT- PER HOUR: LIMITED ENERGY: 401 600 amp: 401 -600 amp: EA ADDL BR CIR- SIGNALIPANEL: IN PLANT: MANU HM/SVC/FDR: 601 - 1000 amp: 601-amps-1000v: MINOR LABEL: 1000•amplvolt PLAN REVIEW SECT.ON Reconnect enlV: '- -4 RES UNITS: SVCIFDR>*225 A.: >60n V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPFIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA7TELE COMM: NURSE CALLS: TOTAL f SYSTEMS: TOTAL FEES: $ 5,603,28 I owner: C^ntrector: This permit is subject to the regulations contained in the WINDWOOD HOMES INC WINDWOOD HOMES INC Tigard Municipal Code,State of OR. Specialty Codas and 12655 SW NORTH DAKOTA 12655 SW NORTH DAKOTA all other applicable laws. All work will he done in TIGARD,OR 97223 TIGARD,OR 97223 accordance with approved plans. This permit will expire K d work is not started within 180 days of issuance,or if the work is suspended for more than 160 days. ATTENTION: F. Phone: Phone: 700-4375(M) Oregon law requires you to follow rules adopted by the UD Oregon Utility Notification Center. Those rules are set } Reg 0: LIC 50196 forth in OAR 952-001-0010 through 952-001-0080. You LL may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. m REQUIRED INSPECTIONS W Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Gyp Board Insp Electrical Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Ins[ Firewall Insp Mechanical Final Fooling Insp Crawl Drain/Backwater Electrical Service Low Voltage Rain drain Insp Plumb Final Foundation Insp Footing/Foundation Dr. Electrical Rough In Gas Line Insp '."later Line Insp Final inspection Post/Beam Structural PI-M/Underfloor Framing Insp Insulation Insp Appr/Sdwlk Insp Building Final Issued By A.,)-I'k1 1 '' Permittee SignatureCall (5 3) 639-4175 by 7:00 p.m.for an Inspection needed the next business day CITY OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00040 L, 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 3/9/01 SITE ADDRESS; 08800 SW MAPLE CT PARCEL: 1S135AA-06500 SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12 BLOCK: LOT: 020 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection fcr new SFA dwelling. Owner: FEES WINDWOOD HOMES INC. Type By Date Amount Receipt 12655 SW NORTH DAKOTA TIGARD, OR 97223 PRMT CTR 3/9/01 $2,300.00 27200100000 INSP CTR 3/9/01 $35.00 27200100000 Phone: 503-625-6526 Total $2,335.00 Contractor: Phone: Reg#: Required Inspections a M rrn t J m This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires J 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow ru!es 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 rules or direct questions to OUNC by calling(503) 246-1987. Issued by: Permittee signature: Call ( 03) 639-4175 by 7:00 P.M.for an Inspection needed the next business day 10/09'00 1101 I38:.53 KIA 503 598 1960 CITY OF T(G,tRDr j-007'zg Q003 O -OGfO/d Building Permit Application REMENOM City of Tigard Datereceived: Permitno.:,q /.-Q City oJTignrd Address: 13125 SW Nall Blvd,Tigard,OR 97223 Prolectlappl.no.: Expire date: Phone: (503)6394171 Date issued: By: Rcccipt no.: Fax:(503)598-1960 Case file no., Payment type: Land use approva' _ ldc2family simple Complex: &2 family dwelling or accessory ❑Commerciallutdustrial Q Multi-family Et 1�ew construction ❑Demolition C1 Addition/alteration/re:placement U Tenant improvement U Fite yuinkkr/alarm U Other. f` Job addmas: Fild1j.no.: Suite Lot:_ Co Block: Subdivision: �J, !�.,G 2 j;Ck lgTax tM lot/accoerat no.: /S 3 SAH Description and location of wodc onhes/rpecial conditions: S: / q SSG fin `4 / G Name: Mailing address: / 5 :� r,.2, y�Ja,�. 1&2&8*dwdbr. City: r` /f./L Slate." 7P: n, '. Valuation of work................... S 1 Phone: i .6 S Fax:' E-mall: No.of bedrocnu/baths..:'........ :....... Owner's n tative: Total member of floors............. Phone: 'CLt az;,. C 1: New dwelling area(sq.It.)...9*'.......... Garagelcarport area(sq,ft.).... -t.......... � Name: rch overed C _ger► Po area(sq.ft)....r............... r- Mailte address: n-i.rz Deck area(sq.ft.)....................:................... City: j'y/y1 L,- '- State: ap: Other structure area(sq.ft)....,r ........... Phone: 5/ znLy- Fax: Email: Consexelttlfl:.dtraMaUtesltl-tulle: Valuation of work........................................ $ 7Adsr ame: S�Q,n�' Existing bldg.area(sq.ft.) ............... ......... New bldg.acv(sq.ft.)....�. ...... ` G.<�4m Stere:_ 7JP: Number of sttxira.................... ................. Phone: Fax: E-mail: Type of canslntction.......... ....... ............. CCB no.: .��<' Occupancy group(s): , ting; 1• City/roetrtr sic.no-: Notkc All contractors and subcontractorsare required to be licensed with the Oregon Construction Contractors Boars under Name: - ���z -/ ��� pmvisiora of ORS 701 r, 1 may be squired to he licensed in the Jurisdiction where work is being performed.If the appliLant is Ci �� / Smt , exempt from.licensing,the following reason applies: Contact person: Cult Plan no.: [/ --- Phone:. Fax: / - E mau: — Name: ,C�$ ( Contact oetson: bc ir Fees due ulym application............ .....$ .......... Address: 'a,2 _ Date received: City: State• , ZIP: Amount rtccived ...........S a - E-mail: j Phone: xz� . Please refer to fee schedule. I hereby certify l have read and ex.rained this application and the Na Ni IuitAc- reept M-arch,pe*,as j.,„,s,,M fa MM iw m d attached checklist.All provisions of taws and ordinances governing this o wt■ 0 Mut rCard work will be complied with,whethff_specified herein or not. CrFaf andtrwba _ 64 � Authorized signature: �`- Darr: l^ 1/' rC -- N. of .. ,—annea�e Print name: _ $ -� waoair.e _— Agorrl Notice.:This permit application expires if a per-cit is not ohmined within 180 days after it has been accepted as complete. 441,46113 MMX-0M1 10/09/00 MON 08:55 FAX 503 598 1.960 CITY OF TIGARD 6m 005 Mechanical Permit Application Date received: Permit no.: City of Tigard ProJecdappl.ao.: i3xpirta.te: •� Cifyo;�gard Address: 13125 SW Hall Blvd,Tigard,OR 97213 Phone:(503)639-4171 Date issued: By: Receipt no.: Fax: (503)598-1960 Case fileno.: Payment type: Land use approval: permit no.: Q't 17 tutnily dwelling or accLAmwy 0 Comax2vio induatrW 0 Multi-hmily 0 Tenant improvement w construction ❑Addition/alteradoohepixanent 0 Other. Job addmss: ItdicaW Nulpmtmt quantities in boxes below.Indian the dollar Bldg.no.: Suite no.: _ ndue of all medunical mgcdllt,aWdPmmk WIN,ovedwad, Tax lothconunt no.: /,5 s3 /�(� ! , J„e 59110ft Value$ Lot Black: SuMiviaitm: PLLT/L py "See checklist for important application information and Pio' °alt>c_ A 44, "'S-6 f!> +t-J'tf3 1udodkSm's the schedule for tssidential permit fes. City/county:T '.44Z LR zfl'' Description and location of work on penises:(~ Fsa(•.) Taw Ek date of cr,!&tiodmspection. p4L 144a. swy Tenant improvement or change of use: t le existing space heattd or conditiomed7 Q Yta Q K0 Air unit t77M Is existing space insulated?0 Yes Ja Na A.s stem Br�sinUts name: (,V �,d __ G State boiler paink no.: EQ' Toes BMIH Adtineas: sal-!. HP 'Y2 r State:.-4A ZIP: Heat punip(IM pin requW drrctwwVvtat Wren O Yes Q No CCB no.: �••�L p�^ Cit ylnwtm lic.no.: _ wall,oa floor m xmted Name(please print): D#zWX tart or an ftw4ce Abwrpdoa uWta BTWH Nary: ✓lam ���;slf� r{}S Chalkn„ _ HP Address: r.1y A1' L., HP Ck '' Sn, L State: Zlp: Applianaevent K; Phone' /�-�r1d�•- Fax: S-mail• Hooft Type t Isood f1m suppression system Name: , / T.A= A-Alit,. Bxh"fanduc (bath fans) Mailing address: !'151 Z., ,yt O A.Crp' ust systm som ftm mating a t. _ City: — L/✓' State^ ZIP up to 4 outlets) Phone: ,;,;I- �t Fax: � Email: mna own LPG odMIland ovaon - C regrt Name` r4twber oroutlen _ Address: MAW ff" a�►�suce ar Dtrcontiv,,iueplace City: State: 7.1P Phone: Fax: E-mui1: ry etatov`e Applicant's signature: Dime: Name(pint): Na an jris4,►ms wcw«mu CMIC pkw dl jou sefim for mat infF>r w"L Permit fee.....................$ Notice:This permit application ❑Mw O MasterCard Notice: if a permit is not obtained Plan ni fee..,---—**.'.'- Ce.. .... .....S cnr cadPlan nevievi�w(at g, , within 110 der after it has been . ..b u m raid'— accephed w complete. State suchfirge(896)....$ s 'fMAY........................S r Amorrot +4o417(hoar MO 10/09 '00 MON 08:56 FAX 503 598 1960 CITY OF TIGARD Q006 Electrical Permit Application Dateteuived: Permit no.: City sof Tigard Projcct/appt.no.: Expiredate: coyafTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Phone: (503)639-4171 OY- Re=rtgtno.: Fax: (503)598-1960 Cafe hie no.: payment type: Land use approval. $1&2 family dwelbng or accessory 0 Commereial/industrial 0 Multi-family O Tenant improvement Ja-Vew construction O Addition/alteration/replacement 0 Other.` U Partin) Job addrms: no.: Tan mapitax lot/account aio.:/ Lot: Bloa: subdivision: Roje-x name: /),[LOC e�`11,1 f)L E' Description and location of war as premises: Estimated date ofIetiWins 'on: Job tm _ Fw NOR Business name: �'�� w5 ,, ; :y.-^ D.rer/.yea s T'.asl aw Address: (j /I^ A''v C NswnaYaalii-tttttalaertaallt4albpr sl4wtltlgtatttt.tirishe aalneariorttp. City- Ec _ State_"' ZIP:g7,1-Z, 9er�keitlair� Phone: _ / Fax:�- E-mail: --_ 1000 I .R or len 4 CCB no.: �.q 1�Elec.txu.tic.no: 13 y- lmr a"dmd 500 R or dwror ,raaidtrtdal 2 Ctty/mrxrolit'rao.; ;+P rc7!c-y 3F Limited ,nodwe 2 tiarb saaadelatat114otaaeraoeater dwd4tq s _erre of SUM!ising electrician(required) Dun cv swots adfafbtttter 2 sop.elect ebbe(plag: pay Uceetaeml9 � � - • rliraltatt w rebea6ea: 2 NatdC(print): /, r L/ wrt r 111 .rrJt�L- 401 ria 600 amps 2 2H Mario 400 an" Mailing address: / N4 601 to 1000 2 Ci : 7- . Slate ZIP: r' � �- Ovr 1000 cr vats 2 Pbom:,/,,- it"oendonly 1 Owner installation:The installation is being mark on property 10" Teas�Maeradrtnsor " which is not inttanded for sale,lean,rent,or exchange amortling to 6w atlwlsat,ttttseetatl.R K^ ORS 447,435.479,670,701. 200 a et isaa 2 20l b 400 2 Owner`s a IJate: 401 to 600 amp2 tinrri elrNN16-aaw►,allevaWa, f aaa4arfaa l4r paasi Name: It Fal fer beach eirmim wlm pr olms of A _ serrice or hadsr Pee,each btmch cb=k 2 State: `dlP�.. _ B. Fee a r brrayt ei cults woat pwdum Phone: Fax: _ E-mail: of taxvice abor feeds fen fire 11 d,oau: 2 Faeh obstloew httnm d suit morlull mwe.001 Wb0d rtrat d 0 service ow 225 smpa-eoe»orercial 0 Health-ore recaity Esch or kdpdon chete 2 0 Service,-w 320 sngm r ing of 1 a:2 0 Haznbas location Eseb smear oudift llandn g 2 familydwelliaas 0Budding over l(k=square Im'airas sirdCIeUR(s)tx.+imitedenagypsoel, — tA 0 symm aver 600 volts nornbW mote 4eddedal swift in am aaacimt+ alteration orestdtaionO 2 Building overtlrm oodes 0 Ferias,400 amp or mots *Dwrl : 0 Ot aVm load aver 99 persons 0 Mmufaetsmd struchm or RV park FA&„ J 0 F-p-tffigWingpim 0 Omer �T..._ m Per Soimlt—act.of}lane with awy of the ams av i6rbn fbe C7 The ailma l are oat a cable to tewoorary eaissttrw"M airvka. Othu Ul -.1 Net ser p hdicdms--”e-ft sir,pea-11 to sm-Por ataw W;T&Yaa Notice:'Ills permit r,rpiication Permit fec..................... O Visa 0 MatoCard eve"if a permit is not oksh�ed Plan review(at_•%) $ Creat ewd mamba __ ---L—L— within 110 drys after it has been State W- t W 0%)--•S _ i xpi ., accepted as complete. TOTAL $ —fid r d w�n as S t:114dmldsr siaaantnr AmoM— 440-611000OUX ) 10!09'00 MON 08:54 FAX 503 598 1960 CITY OF TIGARD Q004 Plumbing Permit Application I}ale received: Permit no.: City of Tigard --- Address: 13sewer permit no.: Auildingpemiltoo.•125 SW Hall Blvd,Tigard,OR 97223 — Ciryoj7igard Phone: (503)639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Dotelsaued: By: I Receiptno.: Land use approval: - -- -- Case ale no.: paymeru type: -- ILY f&2 family dwelling or accessory U Commercialrndustrial U Multi-family U Tenant improvement New woshcretion U Addition/alteration/replacement U Food service U Other: Job address: Fm ter, ToW Bldg.no.: Suite no.: ew�- r (ln•Jtt�iM d lbtrestehaxfllty ao�ation) Tax map✓tax lot/soommtno.: ! 3 ' / !� ?210 L- f'� / SFR(1)bath Lot Black: Subdivision: n , �- (2)bath Project mune: iE1 (3)bath City/county: Q cv& I ZIP: 7.,y 3Each additional bathikitchen Description and location of work on ptsrtrisee: S ^Q•J_ Catch Chet ba" sWarea dein Est.date of camel ed m oting drain no. 'a ft) Business name: L/ un ties Address: N /J""'1, Rain dritin connector - f3ty, J t. /l. Statov/L ZIP: -9-2—mawry sewer(no.lin.@.) - -Phone: 6`1Y_[ Fax: 'I, I E-mull: Storm$ewor o.lir[.ft.) _ CCB no. -7l 5 r-7 Plumb.bus.reg.no: 2C./�•/�° [tear trrviCe ao.Fbttwe or lttefa: — City/metro lie.no.: rJ o (n S.T` valve cootractor"s represeatative Signature: / _ - Buft flow venter Flint name: Date://.fl& Da Back- she Name: 97(. 1A A4n4 4 Clothes washer Address: 3 d X '7/ washer - Drinking fountain(s) , City: A state: ZIP92OC14 ton/ Phone: / L*j 3 ax: ` Fs-mail: tok . --- x sewer clip �— -- Name(print): uta ,U ht^A,15 jr;vC.. floor oornkslhwb Mailing address- —S r-.y -- City: ,+G 4troe�^;, ZIP �Hose�j tx mater Phone: jFax:' ,2n &rrsil: Interne tori cease trap owner installation/residentW maintenance only: The actual installation 'mer($) -will be made try me or the maintenance and rtx*►-r made by my regrtlar oof drain(commercial) IL entployne on the property I own as per ORS C►-, :r 447. ink(s),basin(s),lays(s) _ B' Owna's si Sum N Tubs/shower/shower pan Nam l - Iridal — .� Addrm: - _ ater cam_--- -� star treater m city: State: C7 Phone: Fax: Email: ZZI W W Minimum fee...............$ U��" e �`•�`A i ra"VM�!n*n Notioe:.Thus permit application Plan review(at _%) $ -- motercard expire if a permit is not been Cm� °d t card 0 "r-- within ISO days after ft has a$bbeen Sutte,suteltttrge(8%)....$Name of aadAddm r An an avO a -- accepted as complete. TOTAL.......................$ S C&*dd. jFW_w _^ Anew 140-616(6RIntJDM1 N dab,cry �� S �` � -L_ p►rn pew � � r Ax 4 160 a ac co _m W J