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9510 SW MOUNTAIN VIEW COURT NI M3IA NId1Nnow NQS 0 kS6 z J W_ Q 4 ~ oZ � O m cn W75 O J r J Lo ED 9510 sw MOUNTAIN VIEW LN tib• • CITY OF TI GA►RD ELECTRICAL RESTRICTED ENERGY PERMIT DEVELOPMENT SERVICES PERMIT#: ELR2005-00056 13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 GATE ISSUED: 3/15/2005 PARCEL: 2S111 BA-118 JO SITE ADDRESS: 09510 SW MOUNTAIN VIEW LN ZONING: R-4.5 SUBDIVISION: BINGHAM PARTITION LOT: 002 JURISDICTION: TIG Project Description: Low voltage all encompassing. Duplex 9510 ani.9530 A.RESIDENTIAL B.COMMERCIAL AUDIO& STEREO: X AUDIO&STEREO: INTERCOM &PAGING: BURGLAR ALARM: X BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: X CLOCK. MEDICAL: HVAC: X DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: X FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS M "l-ner: Contractor: SHAM, WAYNE &DORIS OWNER z)O SW MOUNTIAN VEIW LN IGARD, OR 97224 Phone: 503-646-7599 Phone: Reg#: FEES Description Date Amount _ REQUIRED ITEMS AND REPORTS ELPRMTj FLR Permit 3/15/2005 $75.00 f TAXA 9%State Surcharl 115/2005 $6.00 Total $01.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialiy Codes acid all other applicable laws. All work v4II be done in accordance with approved plans. This permit will expire if work is not started within 189 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rult.s adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR ri 5*Wl-0100. You may obtain copies of these rules or direct questi s to OUNCC M.503-246-6699. 4. Issued E!y: ^• J , ti,�, _ Permittee S!gnati re: _et _ H � CA OWNER INSTALLATION ONLY J The Installation is being madeperty I ownch is of int nded for sale, lease, or rent. OWNER'S SIGNATURE: on Irk 'P � DATE:_ �ti> /T zooy' W CONTRAGJOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE: LICENSE NO: Call 503-639-4175 by 7:00 a.m.for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each It:spection. Mect Tical Permit Apr IV ED 111 of Tigard- r, pt iyh,,,ti I]I2s SW 111..1 Dlvd.,"Tigard,oR 97223 �.�, , 1 �oo w..Ravi -- 'fiK/J� 1'hone: 501.639.4171 Fax: 303.398.1960 ` _ �Pe^TMt _ Inspection Line: 503 639.4175 �I I Y O F �I'I GA Dde a°"n'4'y 0 SW P"'3 Rr Internet www.oi.tigard.or.us FkAi6adtMetha: hal hdariowl" TYiltlt ❑New construction ❑Addition/alteration/replacement Pleme check an that aptly' ❑Demolition [3Other: ❑Service over 225 amini,comm'I ❑liarardoue location ❑Service over 320 amps-rating ❑Beiidng over 10,000 sq.ft., of I-and 2-family dwellings 4 or more new residential ❑ I-and 2-ftunily 1well ft E3 Comtel -JWAn&m&W AOmewy building []System over 600 volts norninal units in one structure El Multi-family Mester b1',i eJp : ❑Building over three stories ❑Feeders.400 amps or more �..T., 00ccupent load over 99 persons ❑Manufactured structures or ❑EBressllighting plan RV pack Job no.: Job site address: 11 S(D '7 1% SCJ , vim, bin ❑Health-are 6scifity ❑DMter: Submit,j•sets of plans with any of the above. City/Statelztp: '- �c y�r Q r� 7 z Z - The above are not applicable to temporary construction service. Suite/bidg./apt no.: Project nam 1, t~, v, i1P� —e�-- - �— a.vipwi __� �4. _area 1wr Cross street/directions to job site: Slit /�'I.t rs(atl: Ar r1t) �► New residential alegte-or cola-rashly dwelling malt. -- Includes attaebed garage _ 1,000 sq.ft.or lose 143.15 4 Subdivision: --�- Lot no.: Ea.add'1300 w ft or portion 33.40 -- 1 Limited energy,residential 73.00 2 Tax map/parcel no Limited ester yam,non-residential 73.00 2 Eu:h momSclured or modular dwellingLser vicc and/or feeder 90.90 2. / Services or f"tders h/ggatbY,alterodee,mod/or relocation 200 amps or less 80.30 2 201 anips to 400 art 106.83 2 401 nrlpa to 600 wnpa 160.60 2 Nam',: `,(����, (ti) i��.. _ 601 an s to 1,000 240.60 2 Ads};areas: !--0 cv. L � Over 1,000 am or volts 434.63 1 `fes l 5, Mak' cw (�1 Pw Reconnect only 66.83 _ 2 Cir!Stetdzip: T.",I-wal Orr -pit CT 7 Z Z-f Temporary servkes or hedere hatallatloo,alteration,and/or -r-- PI1oM1e:(SU 3 ) tt i/ -)6 Q Fax:(50y) 4 :10- (S 12 c) 2Mamps or leas 6+6.85 1 Owner installa6m:This installation is being made on property that 1 own which is not 201 anger to 400 am 100.30 2 imcnded for sale,lease rent,or exch ,a ding to ORS 447,449,670,and 701. 401 amps to 600 amps 133.75 2 Owner signature: !:' �C ! *t -� Date: / m SrnecB eireeits-Yew,aNeratlos,or as/eesloY, r Ebel © A AIS' ' A Fee for Iranch circuitswith service or feeder fee,each Bus:oem name: branch circuit 6.65 2 B.Fee for bran--%circuits Contac;name: - - -- wf-th-war ce or feeder fee. 16.85 2 ear :ircuit Addrew, Fac' -A circuit 6.65 2 City/StahlzlP: Mkt . saervke or feeder not leeWed) d. Phcxle:( ) - Fna;;( ) Pumpo.irrigation circle - 33.40 2 Sign or outline lightinj_ 33.40 2 Signal circuil(a)or limited- -- 1� CONTRACTOR , , energy panel,aftention,ow extension.Describe: Page 2 2 �w Business name: 'J rAddress: Flack additional les floe over allowabk In any of tae above CO Per inspection 62.30 0 City/Statelzip: Investigation per nour(I hr non) 62.30 J Industrial t hour 73.73 Phony( ) Fax:( ) CCB Lic.: Electrical Lic.: Suprv.Lic.: Subtotal -15,V 0 Suprv.Electrician signature,required: Plat review(25%ofpermit be) - -- -- - Print name: State surcharge(11%of permit fee) /'.00 Date: ------ TOTAL.PERMIT FFF. $ C) Lthclria d signature: 71Mperakaa11 eglrn 1r a Perak is■et obtdYN wM ik 104doweralter M has Owes aecgMd M complete nt name: �-A), rj t i l Date: 3— l S-OS- ' Fee methodolop sol by Tri-County Building Indoatry.%vine Beard T •"Mmber of inspeotimu per Berndt slowed. i 1lWk%mS\Pem;•.:'ZX44 mitApp dos 12/03 44&*I T IGWKOWNM Electrical Permit n:plication - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: 14A�L7i�I��.-wm yl w2 xti< 'r.. Fee for on residential systems combined........ :7/5.00 Check Type of Work Involved: MAudio and St weo Systems* [tl Burglar Alarm Garage Door Opener" [D Heating, Ventilation and Air Conditioning System* [� Vacuum Systems* other: i Fee fo each commercial system.......... ........... $75.00 (Sl'is R 918-260-260) Check Type Work Involved. ❑ Audie an tr,�m►Syst s Boiler Controls ❑ Clock Systems ❑ Data'Telecom ►nictation In lation ❑ Fire Alarm stallation 11"A C \ Instru ercation IL ❑ Int coin and Paging Systems MC1 I ndscape irrigation Control* eclical m [] Nurse Calls L7 Wr ❑ Out Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are regnired. Uc.emes are required for all other installation i\RuA&ny\Pe mib\R V-Pe hApp dm MTI WMR _"'k AAAAAAAAAAAAAAIMAAAAAAAAAAAAA A pop. o O '1 ► � o (24 A oA. . i p W ► 10 aj 41 6 IV ` w `~ Ln oil. o '� 2 op. � 3 Q pop. Lo ► iQ i ' ► � .� o ► ► W ► Q �+ U ► � � a as � ► �rvvvevvvvvvvvvvi��►e����vvvvvvvvvvvvvvvvvvvvvvva e- �Al I T CITY O F �'I G,�a D MASTER PERMIT PERMIT#: MST2004-00286 *� DEVELOPMENT SERVICES DATE ISSUED: 11/16/2004 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-41'1 SITE ADDRESS: 09510 SW MOUNTAIN VIEW LN PARCEL: 2S111BA-11800 SUBDIVISION: BINGHAM PARTITION ZONING: It-4 5 BLOCK: LOT: 002 JURISDICTION: TIG REMARKS: New SF. duplex for 9510 & 9530 SW Mountain View Ln. BUILDING _ REISSUE: QI910M STORIES: 2 _FLOOR AREAS _ REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1.890 of BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 060 of GARAGE: 002 of FRONT: 20 PARKING SPACES: 4 TYPE Or CONST: 5N DWELLING UNITS: 2 THRD of R:GHT: 5 OCCUPANCY CRP: R7 BDRM: 8 BATH: 4 TOTAL: 2,550 ofVALUE: 2,x7,451 00 REAR: 15 PLUMBING SINK 2 WATER CLOSETS: 4 WASHING MACH: 2 LAUNDRY TRAYS: 2 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 2 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 4 GARBAGE DISP: 2 WATER HEATFRS: 2 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MFCIIANICAL FUEL TYPES FURN<100K: 2 BOIL/CMP<3HP: VENT FINS: 4 CLOTHES DRYER: 2^ GAS FURN>-100K: UNIT HEATERS HOODS: 2 OTHER UNITS: MAX INP: bl•j FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL _ _RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERB _BRANCH CIRCUITS` MISCELLANEOUS_. ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200amp: 0 - 200amp: WISVC OR FDR: PUMPARRIGATION: PER INSPECTION: F.A ADn'L 500SFF 5 101 -400 amp: 201 -400 amp: tat W/OIWOFOR! SIGNIOUT L!N LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 -600 amp: EA ADOL it CIR: SIGNAL/PANEL: IN PLANT: MA.NU HM1SVCIFDR: 601 - 1000 amp: 601*amp-1000x. MINOR LABEL: 1000.amplvoll PLAN REVIEW SECTION Reconnect only: PES UNITS: SVCIFnR>-223 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL _ B.COMMERCIAL. AUDIO A STEREO: VACUUM SYSTEM: AUDIO Q STEREO: FIRE ALARM: INTERCOMIPAGING: nUTDOOR LNnSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL.: GARAGE OPENER: CLOCK: INSIRUMENTI',TION: MEDICAL.: OTHR: HVAC: DATAITFLE COMM: NURSE CALI.S: TOTAL 0 SYSTEMS: Contractor: TOTAL FEES: $ 8,529.12 Owner: This permit is subject to the regulations contained in the BINGHAM,WAYNE& DORIS HOME BUILDERS SERVICE CENT07`igard Municipal Cote,State of OR.Specialty Codes 9450 SW MOUNTIAN VEIW LN INC and all other applicable laws. All work will be done in TIGARD,OR 97224 8435 SE 17TH AVENUE accordance with approved plans. This permit will expire PORTLAND, OR 97202 if work is not started within 180 days of issuance,nr i(ihA C work is suspended for more than 180 days. Phone: 503-fi46-7899 Phone: 503-246 46()(1 ATTENTION: Oregon law requires you to follow rules r adopted by the Oregon Utility Notification Center. Those Reg 4: LI(_' 1599 rules are set forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS _ Ersr Cntrl 681-4444 Post/Beam Mechanica Plumb Top Out Low Voltage `Storm drain Insp Mechanical Final Sewer Inspection Underfloor Insulation Electrical Service Gas Line Insp Water Line Insp Plumb Final Footing insp Crawl Drain/Backwater Framing Insp Insulation Insp Water Service Insp Final Inspection Foundation Insp PLM/Underfloor Shear Wall Insp Firewall Insp Appr/Sdwlk Insp Post/Beam Structural Mechanical Insp Exterior Sheathing Inst Rain drain Insp Electrical Final Issued By: Permittee Signature : M.�f Call (503) 639-4175 by 7:00 p.m.for an inspection needed the ne t business di ry r CITY OF T I G A R D SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT 0: SWR2004-00276 13125 SW gall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 11/16/2004 SITE ADDRESS; 095'10 SW MOUNTAIN VIEW LN PARCEL: 23111BA-11800 SUBDIVISION: GINGHAM 1'ART TION ZONING: R-4.5 BLOCK_-i LOT: 002 JURISDICTION: TIG _ TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 2 TYPE OF USE: SF NO.OF BiJILDINGS: INSTALL TYPE: I-TPSWR IMPERV SURFACE: Remarks: New SF -duplex 9510&9530 SW Mountian View Ln (2)sewer connection. Owner: FEES BINGHAM, WAYNE &DORIS ---- 9450 SW MOUNTIAN VEIW LN De�acription Date Amount TIGARn. OR 97224 [SWUSA]Swr�Zonncctii 11/16/2004 $5,000.00 [SWIJSA]Swr Connectit 11/16/2004 $0.00 Phone: 503-646-7899 [SWINSP]Sewer Inspect 11/16/2004 $35,00 [SWINSP] Sewer inspect 11/16/2004 $0.00 Contractor: ---------- Total $5,035.00 Phone: Reg#: Required Inspections IL OC _m This licant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the ac-.,acy 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, tha 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 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-8699. Issued by: Permittee Signature: 14• rt,," Call (503)639-4175 by 700 P.M,for an inspection needed the next business diry 1 Building hermit AQplication J �J City of Tigard I Y ED Deceived _ Pcrmil No. C/ Ua1c/H _ _ ��j�7 1 1125 SW I tall Blvd.Tigard,OR 97223 Pian Review aa I'Irone: 503.6394)71 Fax: 503.-598.194(1• ,, c) + +' [tale/U : /lN �I-I�1 b� Other Perin IC� o brspcetion Line 503.639.4175 SL r f 7 200'1 Uare Ready/hy: lwu Ser Attached Checklist for Internet: www.ci.tigard.ocus CITY OF TIGARD Nolified/Melhat:// -0 supplemenrul Information b OR RE I11RED DATA:I-AND 2-FAMILY DWELLING New consirucv I ❑Ucmolition Permit fees*are based on the vnlue of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/altcr;Won/rcplacemcnl ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. I-and 2-family dwelling ❑Commercial/industrial Valuation: - S �*O,O(D C) Number of bedrooms: ❑Accessory building V:Multi-family ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION 'Total number of floors: Job site address:"10/10 S.b►3. e4N All V;eko L.A%gk New dwelling area: 127 5 square feet City/Slate/ZIP: T19A11• a Ove s,tK 17Z 7-4 Garage/carport area: ��.� square feet Stile/bldg./apt.no.: Proiect narne: y� w{,M O)v lelt Zftl Covered porch area: ZI� square feet Cross street/directions to job site: Sew, �At(a�D.6%41 1 D 1w* al area: ��0 square feet JUVr+ sOM.�'M• iILt1►1� rl�n.T M� rylOMa1 l�. Vit Other structure arca: O square feet - -- �_ _ REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees"'are based on the value of the work performed. Tax map/parcel no.: `13 A ��Q a Indicate the value(rounded to the nearest dollar)of all J equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: S eX.Tut tM.i R� trI a �t�t..l_-�Ier,: Y �h Existing building area: square feet New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: /, 4_ at DO7rr & J Type ofconstruction: Addre_s: Tfirip Sau /�1�k IIM LYQ- int _— Occupancy groups: City/Stc...'ZIP: `rr iwA. O 17 ZZ Existing: Phone:(for 4, 6•. Tj t Fax:( ) New: APPLICANT ❑ CONTACT PERSON NOTICE Business name_ ay,� All contractors and subcontractors are required to be Contact name: 0a �1 licensed with the Oregon Construction Contractors Board viunder ORS 701 and may be required to be licensed in the Address: q`+4367.0- /U�Ot+ek aim. tLa Last& jurisdiction in which work is being performed.If the Cit /State/ZIP: y 1 (�qRV� I e" �Z�f�— � applicant is exempt from licensing,the following reasons apply: Phone:(j'13 Of4 Fax: : --- E-mail: (Ai 61 v go ju,*%6 . CON,4111 �— CORACTOR - - —` - Business name: Ghat BUILDING PERMIT FEES* Address:$'4'35 5.t. I V4 — -- Please refer to fee schedule. Citi.State/ZIP: A0410"h 0eej-Pjj —— — / 97��et---- Fees due upon application Phone:(y'D?) 2 - 0 6 ax:(Sd ) 2,q6 T 9 JAmount received CCB he.: 42!>- -/7,-05 — -- -- -` Date received: Authorized signature: . This permit application expires If a permit is not obtainer) within 190 days after It has been accepted as complete. Print name: �u {K SNL Dater ' Fee mthodology set by Tri-County Building Industry No Service Board. i\auilding\Permat\RJP-PerrnilApp doe 12103 440-*61)T(i 1102+COMrWED) One- and Two-Family Dwelling Building Permit Application Checklist City of Tigard itccemed y ganWe/ny. Permit No 13125 SW Hall Blvd.,Tigud,OR 97223 Associated permits _ -- Phone 50.1.639,4171 Fax: 503.598.1960 24-I lour Inspection Line: 503.639.4175 U Electricul ❑ Plumbing ❑ Mechanical Interact, wwwxi.tigard.or.us ❑ 011wr: _ i Land use actions completed. Sec urisdiction criteria for concurrent reviews. 2 Zoning. Flood plain,solar balance points,,cismic soils designation,historic district,etc. _ 3 Verification of approved plat/lot. 4 Fire district approval required. Name of district: 5 Septic sstem permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with application 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- basin protection,etc. 10 3 CompI1** l"f legible plans. Must be drawn to scale,shp nfo to a $;!:able Iii and to ' building code's.'LAtcral design details and connections must be mco�A�ted nto t e p SbrtL��S�parfit; -sIQ* sheet attachidr ific plans with cross references between plan location an44IMJV'.Mn rei4gyK?1M"I%CnmP k1gAL/ 'j• copyright vtqJ#6ons exist. • . _ I I Sitelplot plAntrawn to scale. The pltn�r tust sho,v of aSd b I I Set ck > fii `operty comer elevations(if [3 there is mot?IAAF a 4-fl.elevation diffarL�al,plan'"OrthplatUbtow lkes Jt,4 Jjte4I!� )JAcat,*J[,Vasements and dnvewj�footprint of structure(including deeps);Inration.of*CIls/s"c sysiVros'- utility lo�atioas;3rrectioQ indicator;to rca;building coverage area;percentaedVtovtt;a�H'ifrl V, s arttt'e*xis ONstebeVsIbn Okk�M� "�'•r Jr, •I V11'r surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,baksiq es and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-mem sizes andspa ing such as floor I amr s,headers,joists,su floor,wall construction,roofconstruction. More tlitlrr ma),*wuired. 4gprly pq yw;•.N1.}- * t��,�raV construction. Show details of all wall and roof sheathing,roofing, f slope,ceiling height,siding materW,•footings �. and foundation,stairs,fireplace construction,thermal insulation,etc. _ i+^I »_>l1 -:t'A • 15 Elevation views. Provide elevations for new construction;minimum of twoations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater t four foot at building envetope. Full-size sheet addendums showing foundation elevations w!th cross references are ac able. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate ddams q 'ons;Tpi"n- prescriptive path analysis provide specific tions and calculations to en i ccr tandard t• , , 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicatr m ml I-sizir ,TWO n n ring' locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. Forengi co systems,see item 22,"Engineer's calculations." ' • `� 19 Beam calculations. Provide two sets of calculations us%;tg current cad esign values for all bepms and multiple joists Cl over 10 feet long and/or any bean/joist carrying a non-uniform load. i 1• • ' + to 20 Manufactured floor/roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or pro de c,',.ulations. bs�4tlheinatic•is quitkct! Ai for four or more appliances. .� r ! t ' t• ' ` `. , N 22 Englneer's calculations. When required or provided,(i.e., car wall,,rpflf ryjo shall be stamped y an engineFr or architect licensed in Oregon and shall be shown to be app able to the rd'ect udder review' J _ ED 23 Five 5 site plans ate requited for item I I above. S plans must be 8-1/2"x I 1"pf x 17" r r 24 Two(2)sets each are required for Items 16, 19,2 nd 22 above------"r� 25 Building plans shall not contain red lines or to ns. "Mirrored"buildin lans will not be aacccepted.•, 26 "Reversed"building plans must meet criteri utfined in the Permit&System De*ejeRr4i41 W4t tl9p a t.' 27 "Drawn to scale"indicates standard archi t or engineer scale. 28 Site plan to include tree size,type an cation per approved project street tree plan(if applicable),and City of Tigard Street Tree List. " ` 29 Site plan to include tree propdion measures as required by conditions of approvdl. _ 30 A Clean Water Services',ensitive Area Pre-Screening Site Assessment form is required for all building additions, including decks,,patio covers(over non-impervious surface)and accessory strictures to existing residential dwellings on a lot of r id approved prior to September 9 1995. ell i\B ' g\Perrnits\One-Two-FamilyChecklist.doe 12/03 ra►1.1i♦N1 c., . .1 •+►N�•` V RECEIVED Plumbing Permit Application Received ei City of Tigard A 1 r 2 4 RecReceve Permit No.:y1(r,_ ti 13125 SW Hall Blvd.,'Tigard,OR 97223 Plan Review ��Cl Phone: 503 639 4171 Fax: 503.598.1960 CITY OF Y1( D,te/By Other Permit No. 24-Hour Inspection Line. 503.639.4175 BUILDING i Date Ready/By: /""' ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: J Supplemental Information Mi- SCHMULE ❑New construction ❑Demolition For special Information use_rheckllfR - ---- - Description � Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-famlly dwellings(includes 100 R.far each utility connection) SFR(l)bath 249.20 ❑ 1-and 2-family dwelling Commercial/industrial SFR(2)bath 350.00 El Accessory building SFR(3)bath 399.00 ❑Multi-family --- - - Each additional bath/kitchen 45.00 []Master builder ❑Other: Fire sprinkler(_sq.R.) Page 2 ° 't 3ie cc .tom Site utilities lob site addrm: 9 5 I D f g U 5e'10, !91/14 N a 11,111 ()Ie"W LAK C, Catch basin or area drain 16.60 -- dWst"yZ1P; i• r 1„ q r- - 7 2/� Drywell,leach line,or trerich drain 16.60 Suite/bldg./apt.no.: L Pr(Acct name: L Footing drain(no linear R.:_) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: -__ - Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(no.linear f..: Page 2 Storm sewer(no.IineHr 11 _) Page 2 Subdivision: Lot no.: Water service(no.linear R.: Page 2. -- Fixture or item Tax map/parcel no.: -- v Absorption valve 16.60 ' • Page 1I rt " f Backwater valve 16.60 Clothes washer - 16.60 -- - Dishwasher 16.60 INKIn 11 Drinking fountain 16.60 Ejectors/sump 16.60 sx- L• W. Isa - 'La(-Ian Expinsion tank 16.60 Address: y��F 1 h1�u e;v Zt Fixture/sewer cap 16.60 City/State/ZIP: ^a r 4 -17?2 Floor drain/floor sink/hub 16.60 Phone:( Q� 7 Q y ax:( ) Garbage disposal MAO - Hose bib 16.60 rr: •- � Ice maker 16.60 Business name: Interceptor/grease trn^ 16.60 Contact name: Medical gas(value:S ) Page 2 Address: Primer 16.60 City/SuttdZlP: Roof dr,in(commercial) 16.60 F hone:( ) Fax: :( ) Sink/basin/lavatory 16.60 rub/shower/shower pan 16.60 E-mail: Urinal 16.60 FT" Water clo.of 16.60 .r w. „grF NO 41L'tiX a►�'r LJJ410 1,11151 � � Waterh.ater 16.60 Adikm: �.Q. Z 4-cl Other: a city/statidziP: yesa,w Q req o� 97030 Subtotal _ Minimum permit fee: 572.50 F'horte:(j�,'') 7 -- O Fax ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: ,2 7if c,,,, W.ft! 'a,� Plan review (25%of permit fee) ` --1_1L_L State surcharge(8%of permit fee) AutiMiLgld signattltMf -,Z - TOTAL PERMIT FEE r4m This permit application expires If a permit Is not obtained within - 180 days after It has been accepted ns complete. *Fee methodology set by Tri-County BuildinP Industry Service Board. i\Building\Permfu\PI.M-PermitAppdm 12/03 4404d16T(1"VCOM/wEB) Plumbing .Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: • � ;C6'�,i� a uir, ,,�� 'fit,. �I > p� ` � '� GtCi: Footing drain-1'100' 55.00 0 to 2,000 $115.00 Footing drain-each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,20 $220.00 Sewer-1st 100' SS.00 _ _ 7,201 and greater $309.00 J Sewer aach additional 100' 46.40 Water Service-1st 100' 55.00 Medical Gas S stems: Water Service-each additional 100' 46.40 -I Storm&Rain Thain-I st 100' 55.00 MALOROtoS 000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 46.40 $5,00L 00 to$10,000,00 $72.50 for the first 55,000.09 and$1.52 for each a additional$100.00 or fraction thereof,to and �.e a including$10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to S25,000.00 5148.50 for the Frst 510,000.00 and$1.54 for Residential Backflow Prevention Device each additional 1100.00 or fraction thereof,to minimum permit fee$36.25 27.55 and including 525,000.00 Rain Drain,single family dwelling 65.25 525,001.00 to 550,000.00 $379 50 for the first 525,000.00 and$1 45 for each additional S100.00 or fraction thereof,to Inspection of existing plumbing or .00 specially re uested inspections per hour 72.50 end including a first 50, Subtotal: $50,001.00 and up 5742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or fraction thereof. Fixture Work: Are you capping,moving or replacing existing fixtures? If "yes",please indicate work performed by fixture. Failure to accurately report fixtures could result in Increased sewer fees*. ,,. ., omments regarding fixture work: Ba tis /Font Rath -Tub/Shower -Jacuzzi/Whirl ool Car Wasll -Each Stall -Drive Thru -� Cuspidor/Water Aspirator Dishwasher -Commercial -Domestic �- Drinking Fountain Eye Wash Floor Drain/sink 2" 3„ 4" Car Wash Drain Garbage -Domestic Disposal -Commercial *Note: If the fixture work under this permit r.suits In an -Industrial increase of sewer EDUs,a sewer permit will be issued and Ice Mach./Refri .Drains Oil Separator Gas Station fees assessed for the sewer Increase must he paid before the Rec.vehicle Dump station plumbing permit can be issued. Shower -Gang -Stall Sink -Bar/Iav ory Quanfill Total -Bradle Isometric or riser dingvam Is required if fixture quantity -Co xtcial -Service total is>9. Swimming Pool Filter Washer-Clothes Water Extractor Plan Review Water Closet-Toilet _ Plan review is required If n•!dre quantity total is>9. Urinal Other Fixtures: i%jildinlTermiMPt.M-PermhApp doc V07 Mechanical Permit A . ik .. V E D Receiv-1 City of Tigard PemntNo ����_ Date/By: _ r'4'S 13125 SW liall Ilivd.,Tigard,OR 97223 ff Plan Review _ Phone: 503.639.4171 Fax: 503.598.1960 UC I j 2004 Date/By: Other Permit: Inspection Line: 503.639.4175 Date Resdy/by' Y 1un� la See Page 2 for Intemel: www.ci.tigard.ocus CITY OF TIUAI Nonfled/Method Supplemental Information MAI DINC DIVIG UI\I TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑New constnlction ❑Addition/alteration/replacement Mechanical permit fees'are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,Iabur,overhead and profit. CATEGORY OF CONSTRUCTION — i Value:S RESIDENTIAL EQUIPMENT/SYSTEMS FEES" ❑ 1-and 2.-family dwelling ❑Commercial/indu4trial ❑Accessory building For special lnfo)?rrarlon use checklist. ❑Multi-family ❑Master builder ❑Other: - _ _ Description Qty. Fa. Total JOB SITE INFORMATION AND LOCATION Heatin cooling Air conditioningor aite adtims; C1,5 0 3-o S.io. /M D u� ac l t*A �'c�. Lotpte, heat um p p uirerq s site plan showing placement _ 14.00 IStatcrl.IF: � Furnace 100,000 BTU ductsivents 14.00 ri,, � cq h �7;0�7� " Suite/bldg./apt.no.: - Project name: }� , Furnace 100,000+BTU ducts/vents17.90 vl Iu Gas heat pump 14.00 Cross street/directions to job site: Duct work d 14.00 - - H drone hot water system 14.00 Residential boiler(radiator or h dronic) 14.00 Unit heaters(fuel-type,not electric), in-wall,in-duct suVendcd,etc. 10.00 Subdivision: Lot no.: Flue/vent for any of above 10.00 Other: - _ 10.00 Tax map/parcel no.: Other fuel appliances _ DESCRIPTION OF WORK Water heater _ 10.00 Gas f lace _ 10.00 Flue vent for water heater or gas fireplace _ _ 10.00 ---- --- --- Log Ii tater as 10.00 Wood/pellet stove 10.00 — -- Wood firiTNce/insert `- - 10.00 I*efto"RTY OWNfw----L ❑ TENANT Chimney/liner/flue/vent - 10.00 {{ Other: 10.00 i^3� t�I K to (.h Environmental exhaust and ventilation p�� Range hood/other kitchen Address: 9 S• �. vfd 4 l fit_ (�W L''a k�. _equipment _ 10.00 City/State/ZIP: i k V i L;?4- Clothes dryer exhaust_ 10.00 Single-duct exhaust(bathrooms, Phone:( ) ax:( ) toilet compartments,utility rooms 6.80 ❑ APPLICANT _ ❑ CONTACT PERSON Attic/crawlspace fans _ 10.00 Business name: Other. 10.00 Fuel piping _ Contact name: $5.40 for tint four;51.00 for each additional Address: Fum tce,etc. Gas heat !!Tp City/State/ZIP: Wall/susp nded/unit heater—_ Phone:( ) Fax: :( ) Water heater _ Fireplace E-mail: _ Range____ Barbecue Clothes er as A � ate he . other: --yoQ. It?,k 2 66 MECHANICAL.PERMIT FEES* /St&te/zIP: T « Qr c yet, subtotal Minimum permit fee($72.50) Phone:(jr, )s'j''1I � I Fa':( ) -- - ------- Plan review(25%of permit fee) Iic.: � _ State surcharge(8°/s of permit fee) -_- - TOTAL PERMIT FEE Autlmrltc t1 silCnnhtre T61s permit application expires Ira permit Is not obtained within Igo days after It has been accepted as complete. Pril tittme: I71a1K • Fee methodology set by Tri-County Building Industry Service Board Mechanical PermitAp liI► cation - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to$2,000.00 Minimum fee$72.50 $2,001.00 to$5,000.00 $72.50 for the first$2,000.00 and$2.30 for each additional$100.00 or fraction thereof,to and including$5,000.00. $5,001.00 to$10,000.00 $141.50 for the first$5,000.00 airJ $1.80 for each addition?.$100.00 or fraction thereof,to and including $10,000.00. _ $10,001.00 to$50,000.00 $231.50 for the first$10,000.00 and $1.35 for each additional$100.00 or fraction thereof,to and including $50000.00. $50,001.00 to$100,000.00 I $771.50 for the first$50,000.00 and i $1.25 for each additional$100.00 or I fraction thereof,to and including $100,000.00. $100,000.01 and up $1,396.50 for the first$100,000.00 and $1.10 for each additional$100.00 or ction thereof. Note: All new commer al buildi require 2 sets of plans. ti i:\Building\Permits\MEC-PermitApp.doc 12/03 2 i Electrical Permit Awl' (�/en T_ VGQ Received City of Tigard P ermit No Date/ft � 13125 SA'Hall Blvd,Tigard,OR 97223 Plan Review Phone 503.639.4171 Fax: 503.598.196001,,i 5 2004 Dater ther Permit Inspection Line: 503.639.4175 Datc Ready/By: nrie ® See Page 2 for Internet www.ci.tigard.or.us GITY OF TIGAH Nourted/Method: °upplemental Information — _ PLAN REVIEW — -- (J iew construction ❑Addition/alteration/replacement Please check all that apply: ❑Demoliti,,n ❑Other: ❑Service o•rer 225 amps,cotmn'I []Hazardous loca!ion -- ❑Service over 320 amps-rating ❑B,tildng over 10,000 sq.ft., CATEGORY OF CONSTRUCTION of I-and 2-family dwellings q or more new residential ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building L1System over 600 volts nominal units in one stnicture ❑Multi-family ❑Master builder ❑Other: ❑Building over three stories ❑Feedcre,400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egressilighting plan RV park job no.: LMMMME-- � rFti6: q5 iOl30 s'o 0. 24-w ta4i a 01ealth-care facility ❑Other: Submit_Lsets of plans with any of the above i 1w6ft t/ZW: Tv 11 7 Z Z,+ The above are not applicable to temporary construction servic, Suite bldg./apt.no.: Project name:' FEE* SCHEDULE Description — qty. Pee. loin Cross street/directions to job site: New residential single-or multi-family dwelll%anit. — - — Includes attached garage. 1,000 sq.ft.or less _ 14.5.!i 1 4 Subdivision: _ — Lvt no.: Ea.add'I 500 sq.ft.or portion 33.40 _ i Tax map/parcel no.: L:mited energy,residential 75.00 2 Limited energy,non-residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling,service and/or feeder 1 90.90 2 Services or feeders Installation,alteration,and/or relocation 200 amps or less _80.30 2 (` ERTY OWNER-—__ ❑ TENANT 201 amps to 400 amps A_ 106.85 2 401 amps to 600 amps 160.60 2 W•_ 1 U-►•`'t _ 601 amps to 1,000 amps 240.60 2 Address: CJtfSU 5-.tJ,. /1aq.►nat,i.. tCl� LQ s t.i2 Over nett amps or volts 454_65 2 l Reconnect only 66.85 2 City/State/ZIP: T1 IdrI-d vV (7tti 2 L`�- Temporary services or feeders Installation,alteration,and/or 64.6relocation _ Phone:(j43) , 79 q F qax:(�fJ• ) _ 200 amps or less 66.85 __ I Owner Installation:This installation is being made on property that I own which is not 201 amps to 400 amps 100.?0 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Bunch circuits-new,alteration,or extension,per psqel ❑ APPLICANT —� ❑ CONTACT PFRSON _ A.Fee for branch circuits with service or feeder fee,each 6.65 2 Business name: branch eimuit - B.Fee for branch circuits Contact name: — without service or feeder fee, g6.85 2 Address: each brans circuit Each 6dd'1 branch circuit 6.65 2 City/State/ZIP: Miscellaneous(service or feeder not Included)_ Phone:( ) Fax ( ) — Pump or irrigation circle 53.40 — 2. Sign or outline lighting 53.40 2 E-mail: Signal circuit(s)or lintited- "` energy panel,alteration,or extension.Describe: Page 2 2 � : G�ec�►,�.r y �l�c rbc Gewa ltu _ Address �!/� Each additional inspection over allowable In any of the above __ —ft o Sev 71169144 'S7- `97 - Per inspection 62.50 City/State/M. Tir,a.t,� Dv Ot., Z Investigation per hour(I hr min) 62.50 Phone' ! d Far: Industrial plant per hour 73.75 _-- --(S01) t! ZQ - (�d,Z O_ ) _! ELECTRICAL PERMIT FEES* CCB Lic.: 1534-Z Eleatrteal Lie.:Sf—0/7�± Suprvr 5 S Subtotal Snhri+ ft-ctrician signature,require: Plan review(25%of permit fee) State surcharge(R%of permit fee) Print name: — — TOTAL PERMIT FEE NN"M alpature: This permit application expires If a permit Is not obtained within 180 days after it hue been accepted as complete Pr*now: '. • Fee methodology set by Tri-County Building Industry Serv,ce Board ----- - — •e Number of inspections per permit allowed. i,Buildintt,t'.-.Au\ELC-PonnitApp.doc 12/03 uo-4615rc10102/C0M(WEe ti Electrical Permit Application - City of Tigard a Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL,WORK ONLY: Fee for all residential systems combined........ $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: _COMMERCIAL WORK ONLY: Fee for each com,nerclal system....................... 75.00 (SEE OAR 918-260-260) ('heck Type \of Work Involved: ❑ Audio bpd Stereo Systems ❑ Boiler ConttrIF ❑ Clock Systems ❑ Data Telec municat Installation r] Fi larm Installation HVAC ❑ Instrumentation 4. ❑ Intercom and Paging Systems OC ❑ Landscape Irrigation Control* ❑ Medical m ❑ Nurse Calls t9 ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations is\BaildinrPertnitbLLU'•PemiitApp.doc 04103 fit n r+rc. btu .�tsA.,. � t , +`,��,bt ►i�..� O G. a �r�uRi �Itd ' »..- .,') A %It)! � Jtalx+ r Awls% on cc it 9NI,V:)IVW W � LLJ 0 CL CL Eli LUUJ LIU, � r' W 0. tui a; Y ." ", i o ui co z 1 � i In40 AS CD IL Ir r � p I ci _. I ° _; IfuI rim ILI Via - �j N I oY - ry D!� -U. � ( I I r I 0) L I I m ° w i I I J r - - b � o n j, zmx e— Al ul - - � - - - - - - -_- - - - - - - -- - � I I ' , s 4. CITY OF TIGARD-SITE PLAN REVIEW BUILDING PERMIT NO.: PLANNING DIVISION: F2 L4 .S D Required Setbacks- Approved [3Not Approved m Side- ,_ Stfeet Side: _ .-E- I rom '_ Garage Q Rear: I w V;su:il Clearanw: 0 Approved C3 Not Approved Maximum Building Height- -at teet MS Sv vicr Provider Lctwr Required: Q Ves Of No ❑ Received 09 is Date: 9 —.28—Q FMANFE10K, DEPARIMENI :'actual Slope:1—% M Approved ❑ Not Approved i Site Plary Approved (� of raved B ll' Dat Z 2 Notab:NO eerit,"errfs 0,- K. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GREENWAY ELECTRIC COMPANY 9460 SW TIGARD STE. 104 TIGARD, Or: 97223 Electrical Signature Form Permit#: MST2004-00286 Date Issued: Parcel: 25111 BA-11300 Site Address: 09510 SW MOUNTAIN VIEW LN Subdivision: BINGHAM PARTITION Block: Lot: 002 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF, duplex for 9510 & 9530 SW Mountain View Ln. 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 Division. No electrical inspections vrill be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: BINGHAM, WAYNE & DORIS GREENWAY ELECTRIC COMPANY 9450 SW MOUNTIAN VEIW LN 9460 SW TIGARD STE. 104 TIGARD, OR 97224 TIGARD, OR 97223 Phone #: 503-646-7899 Phone #: 503-62)-6020 Reg #: LIC .'53421 CL ELE 34-617C p; SUP 50255 F- AN INK SIGNATURE IS REQUIRED ON THIS FORM L13 , w X c3wx� Sldp6ture of SupervisiridPlectrician If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. - RECEIVED TIGARD, OR 97223 IMPORTANT PERMIT NOTICE MAR 10 1005 CITY Or TIGARD PEGASUS ELECTRIC INC BUILDING DIVISION 17057 SW 123RD AVE TIGARD, OR 97224 Electrical Signature Form Permit#: MST2004-00286 Date Issued: 11/16/2004 Parcel: 2S111 BA-11800 Site Address: 09510 SW MOUNTAIN VIEW LN Subdivision: BINGHAM PARTITION Block: Lot: 002 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF, duplex for 9510 S 9530 SW Mountain View Ln. 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 Division. No electrical inspections will be au�horized until this completed form Is received OWNER: ELECTRICAL CONTRACTOR: BINGHAM, WAYNE & DORIS PEGASUS ELECTRIC INC 9450 SW MOUNTIAN VEIW LN 17057 SW 123RD AVE TIGARD, OR 97224 TIGARD, OR 97224 Phone #: 503-646-7899 Phone #: 503-502-0340 Reg #: LIC 14"06 ELE 34-574( IL SUP 47545 AN INK SIGNATURE IS REQUIRED IS FORM m X °U SignatA of Supervising Electrician If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. C TIGARD, OR 97223 RECEIVED IMPORTANT PERMIT NOTICE AUG 14 2005 IGARD TROUT PLUMBING CITY of BorvISIUII DING DNISION 2095 NW 160TH BEAVERTON, OR 97006 Plumbing Signature Form Permit#: MST2004-00286 Date Issued: 11/16/2004 Parcel. 25111 BA-11800 Site Address: 09510 SW MOUNTAIN VIEW LN Subdivision: BINGHAM PARTITION Block: Lot: 002 .Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF, duplex for 9510 S 9530 SW Mountain View Ln. 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 Division. No plumbing Inspections will be authorized until this completed form Is received OWNER: PLI. `ABING CONTRACTOR: BINGHAM, WAYNE & DORIS TROUT PLUMBING 9450 SW MOUNTIAN VEIW LN 2095 NW 160TH TIGARD, OR 97224 BEAVERTON, OR 97006 Phone #: 503-646-7899 Phone#: 503-645-4993 Reg #: LIC 153065 a PLM 34-291 PS ac F- AN INK SIGNATURE IS REQUIRED ON THIS FORM m I ILLLIi X C' -j Signdturg of Authorized Plumber If you have any questions, please call 503.718.2433. CITY OF TIGARD BUILDING DIVISION PERMIT#: MST2004.Q0296 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 1 i/16lZ004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 !NSPECTION WORKSHEET FOR DATE: 9/16/2005 TIME: 7:01AM PAGE: 12 SITE ADDRESS: 09510 SW MOUNTMN VIEW LN CLASS OF WORK: SUBDIVISION: BINGHAM PARTITION LOT#: 002 TYPE OF USE: PROJECT NAME: BINGHAM DESCRIPTION: New Sr-, duplex for 9610&9530 SW Mountain View Ln. OWNER: BINGHAM,WAYNE&DORIS. PHONE#: 503.646.7899 CONTRACTOR: HOME BUILDERS:SERVICE CENTER INC PHONE#: 60323'3.4841 Inspection Request Scheduled For: Date: 9116/2005 Pour Time: Code # In spection Description Confirm # Contact # Message 699 Mechanical final 0159302 603,2b&6128 N Correct' iCo enter t tion _ q/�.j IL rz r ao w ..i ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: k K�om #: (603) 718- , OF TIGARD e ILDING DIVISION PERMIT#: MS'TM04.0028E 13125 SW Hall Blvd.,Tigard, OR 97223 DATE 1°GUED: 11/1ly-IM Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 859-4175 INSPECTION WORKSHEET FOR DATE: 11V11/20()r TIME: TWAM PAGE: 16 SITE ADDRESS: 09510 SW MCUNTAIN VIEW LN CLASS OF WORK: SUBDIVISION: BINGHAM PARTITION LOT#: 002 TYPE OF USE: PROJECT NAME: BINGHAM DESCRIPTION: New SF, duplex for 9510&9530 SW Mrwntain View Ln. OWNER: BINGHAM,WAYNE&DORIS, PHONE#: 50364&7899 CONTRACTOR: HOME BUILDERS SERVICE CENTER INC PHONE#: 5032334841 Inspection Request Scheduled For: Date: 8/11/2005 Pour Time: Code # Description Confirm # Contact # Message 199 Electrical final 01335&01 503-502-0340 Y Corrections/_ ons: o r=�` 1M `d1oNa I g 3 I L4 5 7 a V1 - m W PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS [] FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A ��� K Date: Phone #: (503) 718- 1� _ CITY OF TIGARD BUILDING DIVISION PERMIT#: h�; 4. ; 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 11/16/2004 Phone: (503) 6'9-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8/16/2005 TIME: 7:05W PAGE: 2 SITE ADDRESS: 09610 SYN MOUNTAIN VIEW LN CLASS OF WORK: SUBDIVISION: BINGHAM PARTITION LOT#: Q02 TYPE OF USE: PROJECT NAME: BINGHAM DESCRIPTION: New$F, duplex fa 9510&9530 SW Mountain View Ln. OWNER: BINGHAM,WAYNF_&DORIS, PHONE#: 6a646.7899 CONTRACTOR: HOME BUILDERS SERVICE CENTER INC PHONE #: ;032334841 Inspection Request Scheduled For: Date: 8/16/20()5 Pour Time: Code # Inspection Description Confirrn# Contact # Message 1"t5 Low voltage ' 01363302 503260.6128 Y C'4rec ions/Comments/Instructions: a ac M ry C _J — W� A J PASS ❑ PARTIAL APPROVAL (] CANCEL ❑ NO ACCESS ❑ FAIL [] CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: <5-AQ. AALE" Date: o"�'6 ` �� Phone N: (503) 718- Z• �' CITY OF TIGARD lb 0 BUILDING DIVISION PERMIT#: MST20p4-002% 13125 SW Hall Blvd.,Tigard, OR 97223 GATE ISSUED: 11/16/2004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9/20/2005 TIME: 7:07AM PAGE: 37 SITE ADDRESS: 09510 SW MOUNTAIN VIEW LN CLASS,OF WORK: SUBDIVISION: BINGHAM PARTITION LOT#: 002 TYPE OF USE: PROJECT NAME: BINGHAM DESCRIPTION: New SF, duplex for 9!510&9530 SW Mountain Yew Ln. OWNER: BINGHAM,WAYNE&DORIS, PHONE #: 503-646.7895 CONTRACTOR: HOME BUILDERS SERVICE CENTER INC PHONE #: 603.233.4841 Inspection Request Scheduled For: Cute: 9/2012005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 016155.02 503260.6128 Y Corrections/Comments/Instructions: IL — — ac f- rn -- — roo a ` /A P ) PASS PARTIAL APPROVAL ❑ CANCEI- ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 03) 718-.Inspector: Date: Vu--I—KPhone #: (5 _ --� G f V oj wr 5 3 � � I 0 u v o fff +V .r V L `� es .r-0) � o h N I