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11067 SW SUMMER LAKE DRIVE-1 tJb'�MMA�!MdAe�' nslh h OWDRESS: i i` f f I I i i �r t i:\records\microfilm\targets\building.doc ,- .. ,MW ..a.. —," .f r p CITY OF TIGARD BGILIANG INSPECTION DIVISION 24-Noor Inspection Line. 639A 175 L'mmess Phone: 639-4171 A.M. P.M. MS-i`• q Mte Requested: -- ocation: BUR Tenant: _-- -- Snite: Bldg: �y MEC:46Z T • Phored / rT PLM:Contnwtou --- Owner _ _ Phone. — ELC: ELR: SIT: BUiLDINv PLBIP!G �MECNANICAL LECTRICAL SITE IJM Site Pol/Beam Post/Bcam Cover/Service Suver/Storm Footing Roof Unui'I/Slab Rough-In Ceiling Water Line Slab Framing Top l h Cies Linc Rough-In ►K;Sprinkler Foundation Insuiation Sewer II(xxm)uct Reconnect Vault Ilsmt llamp D"ll Storm Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C [JG Slab Shear/Sheath Fire Spk►rlAlm Crawl/Found lh Ileat Pump Low Volt ` �r�i— rovftt Approved NnM' Approved Mf Approved Approved 1 Ajyi/.tirh,rlk of oved Not Approve! Not Approved Not Approv Not Approved AL�'�'"� FINAL y t }(� FINAL ✓ FINAL FINAL ti r--J_�•�'--tom- ��^-�T ..� �-c?.,,�'�—�-. r .r� d Call for reinspection O Reinspection fee of Srequired before next inspection Cl Unable to inspect a Inspector: (e Date: ( �� G Pa c_---._---of A .r I CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection. Line: 6394175 Business Phone: 639-4171 Date Requested: ` - �1 _ A.M. L_ P.M.- MST: c?7-6,2,�l , I,ocation:+ /I —, BUP:_ Tenant:_ --r Suite: Bldg: NEC. j ContractorPhonePLM: Owner: _ Phone: _3�I ao�CZdr , EI,C: ELR: �► SIT: _ BUILDING BLDG(ron't) PL[JMB G MECHANICAL ELECTRICAL SITE Site Poat/Beam Post/Beam Post/Beam Cover/Scrvice Sewer/Storni Footing Roof Undrl/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/Nct Recormu.t Vault Rant Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C IJG Slab Shear/Sheath Fire Spklr/AIm Crawl/Found Dr heat Pump Low Volt _ Approved Approved ApprovedApprov Approved Appr/Sdwlk Not Approved Not Approved Not Approved vecl Not Approved FINAL FINAL FINAL FINAL FINAL — ------------------------- n Call for reinspection inspection fee of S required before next inspection O ilnable to inspect Inspector----- - — Ihte: `C.� O ` page _of �IIR i CITY OF TIGARD BUILDING INSPECTION DIVISION 7.4-Hour Inspection Line: 639-4175 Business Phone: 639-4171 Date Requested: /� _ A.M. P.M._— MST: ,�_ Q 3(Q/ I ovation: 0 60 ? I�AL_ _— BUR Tenant:,I Suite: Bldg: MEC: _ Contractor: ` � � .( p i --Phone: „� PLM: owns-r: Phone: 35 — ELC: /Yy► y ELR __ SIT: BUILDING BLDG(coe'y PLUMBIN9 (AUWAAMCAL3 ELECTRICAL SITE Site Post/Beam P&—MTC--m Post/Beam Cover/Service Sewer/Storm Footing Roof UndFUSlab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulatiun Sewer I food/Duct Reconnect Vault Rant Uarnp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C UG Slab Shear/Sheath Fire Spklr/Alm CrawUFound Ih ].Ica(Pump Low Volt Approved ov Approved Approved ^ Appr/Sdw1k Not Approval NaLAmoved wed Not Approved Not Approved FINAL 'INAL F1NAL FINAL FINAL D Call for reinspection O Reinspection fee,)f S_ _required before next inspection O Unable to inspect Inspector: Date: v` Page of - CITY OF TIGARD MASTER PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST97-03F : DATE ISSUED: 09/08/97 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 PARCEL : 1S133DA-01700 � SITE ADDRESS. . . : 11067 SW SUMMER LANE DR SUBDIVISION. . , . :AMART SUMMERLAKE ZONING: R-7 BLOCK. . . . . . . . . LOT. . . . . . . . . . . . . :39 JURISDICTION: TIO w Remarks: remodel easter bath in existing single family dwelling. — ---- ----- BUILDING -__-- REISSUE: STORIES.......: 2 FLOOR AREAS--------- BASEIENT...: 0 sf REOIJIRED SEIBACKS--- REQUIRED-----------__ CLASS OF 9ORK.:FLT HEIGHT........: 0 FIRST....: a sf GARAGE.....: 0 sf LEFT.........,: B SMOKE DETECTRS: y TYPE OF USE...:EF FLOOR LOAD....: 40 SECOND...: 8 sf FRONT.........: B PARKING 9WIS: 0 TYPE OF COMST.:°N DWELLING UNITS: 1 FINBSW..NT: R sf RIGHT.........: 0 OCCUPANCY W.:FI BDRM: 0 BATH: 1 TOTAL-----: 0 sf VALUE..{: 20000 REAR.......... 0 ---- - —------------ --_—_------------ PUW IN6 ------- ------ ------ -- --_ ------ SINI(5.........: 1 HATER CLOSETS.: 1 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: A TRAPS.........: 1 LAVATORIES....: 2 D1S1#i{E'IERS...: 8 FLOOR DRAINS..; 0 SEWER LINE ft: % SF RAIN DRAINS: 0 CATCH BASINS..: 1 TUB/SHOWERS...: 1 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 1 DIIER FIXTURES: 1 ------__ __.___—_. ___ ----------_-- MECHIANICAL FUEL. TYPES — FURN ( ION ..: 1 BOIL/CMP ( 3- F: 6 VENT FANS.....: 1 CLOTHES DRYERS: 0 (QRS FUAN 1 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0 IIAX IMP.: B BTU FLOOR FURNACES: 1 VENTS.........: 1 WOODSTOVES....: 0 GAS OUTLETS...: 1 _--- ------------ -- ------ ELECTRICAL -RESIDENTIAL UNIT— ----SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS- ----MISCELLANEOUS---- --ADD'L INSPECTIQI5- 1000 5f OR LESS: 0 1 - 211 amp..: 1 0 - 200 amp..: 0 N/SVC OR FDR..: 0 PIMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'1, 5N)ISF.: 0 20: - 911 amp..: 1 201 - 100 amp..: 0 1st W/O SVC/FDR: 1 SIGN/OUT LIN LT: 0 PER HOA......: 1 i_INITED ENERGY.: 0 401 - 601 amp..: 0 401 - 600 amp..: 0 EA ADDL OR CIR: 0 SIGNAL/PANEL...: 0 IN PUINT....... 1 MANE HM/SVC/FDR: 1 601 - 1111 amp.: 1 601+81ps-1111 v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: 6 PLAN REVIEW SECTI011 Reconnect only.: 0 )m4 RES UNITS..: SVC/FDR)-M A.: ! 600 V NOMINAL.: CLS AREA/SPC OCC: ---- --------- --- -- ELECTRICAL - RESTRICTED ENERGY -- ------------------_-- --.-----_ A. SF RESIDENTIAL.---- B. COMMERCIAL- -------------------- -------------------------- --' AUDIG t STEREO.: VACLAM SYSTEM..: AUDIO 1 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: OTN: :: BOILER.........: HVAC...........: LAWDSC,APE/IRRIG: PROTECTIVE SIKi GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........; OTHR: :s HVAC...........: DATA/TELE COMM.: KIRSE CALLS....: TOTAL 11 SYSTEMS: 1 r Omer: _...-----.___.____—_---------------Contractor: --------------- ------ --- TOTAL. FEES:$ 339.66 DALE/KIM DAMIER FORCE BUILDING CO This permit is subject to the regulations contained in the 11067 SW. SIMM A LAME DRIVE PO BOX 11% Tigard Municipal Code, State of Ore. Specialty Codes and all 11GM DR 97?23 TUALATIN OR 91062 other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is Phone is Phone tr not started within 180 days of issuance, or if the work is Reg L.: 011040 suspended for more than 180 days. ATTENTION: Oregon law --------- -------- requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-01-018 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OINC by calling (513)246-1987. REOUIREP INSPECTIONS ----------------------- PLM/Underfloor Framing Insp Plumb Final Mechanical Insp Insulation Insp Final inspection } Plueh Top Out Gyp Board Insp Electrical Servi Electrical Final _. Electrical Rough ��UKt al Fi I Issued B_" Ppt-mittee Signature _ ++ ++++++++++t++_t+ .++++++++++++++++4+4+++ • ++++++++++.+ Call 639-4175 by 9K00 p. n. fcr An inspection needed the next business day I e 7 Plan Check# CITY OF TIGARD Residential Building Permit Application Recd By (J-i7- 13125 13125 SW HALL BLVD. New Construction Ad iitions or Alterations Date Recd 111,1IR —J;' OGARD, OR 97223 Single f=amily Detached or Attached (Duplex) Datero P.E, �--2 7- V 503-1639-4171 Date to DST F 503-684-7297 C/i- Permit#/_� _'4, (i/ • Print or Type CalledA - L - 'fi 7 _ Incomplete or illegible applications will not a accepted Name of Oroject NameJob -M r�UMINC=�'�/Iilt'E� ���1L13.rl/,/(� 1 Address site Address Are�tite ailing Address -- ,Ci Ci tate Zip Phone Name Name Owner Mailing Address LSP Eit inaer ddre Cit /Stale Zip Phone g �- Name �u ; `/ City/State r Phone General hl L rQle-eC AgmMIZ Describe work New O Addition O AlteratiorX Repair O Contractor Mailing Address // to be dopa: ,` 7 P7 Additional Description of Work: �/ 'Cityl tate Zip Phone /�L�� 'n � /�lA S7� /� A47 I � ��66 z r19 y�..�,y Oregon Con t.Cont.Board Lic# Exp.Date Attach Copy of -�— 1 - - -2'1-� Current COT usiness Tax or Metro# Exp. Date PROJECT n �� Licenses VALUATION $ „�© t✓ � - - i Name Mechanical NEVIS CONSTRUCTION ONLY: Sub- Mai ing Address Z Sq. F House Sq. Ft. Garage Contractor P6 d� ��Q� Cornerof YES NO Flag LotS NO t I Ci /State Zip Phone 1 (check on (check on Oregon on t.Co t. Board Lic# Ex .Date Restricted Audio/Stereo Burglar Attach Copy of Q — Q -Z -9 Energy System Alarm _ Current COT F3,jsiness Tax nr Metro# Exp.Date InstallationGarage Do HVAC Licenses Opener _ Systems Name N (check all thatOther: Plumbing ((�r,Sj2�(,' f L�!�{p.�/�> - apply) Sub- Mailing Address Will the electrical subcont for wire for all YES NO Contractor M-0 54t)77k)W ,ST&17 restricted energy installa n ? City/State zip h9 a Has the Subdivision PI recorNed� N/A YES NO Oregon Const.Cont. Board Lia# Exp Date Reissue of MS T#: So Compliance Attach Copy of (Calc 'ation Attached; _ Current Plumbing Lic.# Exp. Date I hereby ackno edge that I have read this plication,that lhl Licenses information en is correct, that I am the ow r or authorized COT Business Tax or Metro# Exp. Date! agent of the caner, and that plans submitted acompliance Name with OrVdn State I ws. Electrical Zt'AIP ZZ.S tt? re"If owa A t to Mailin Address OqY / 7 1 Sub- 6 ontact Person Name Phore# Contractor 421 , _ 46 tQ13e� TS-) CirylS. e Zip Phone FOR OFFICE USE ONLY: _ X16 y 3 Plat#: MapfTv. Oregon Const.Cont.Board I_ic 4 Exp.Date _ , 1-1 -01,20c, Attach Copy of Setbacks Y Zone: Solar: Current Electncar Lic.# Exp Date Licenses Engineering Approval: Planning Approval: TIF: �L— COT Business Tax or Metro# Exp Date 1:3FAPP.00C (DST) 4197 Parmit# Acct. Descrit:pion COT WACO Amount Amt. Pd. Bal. Due MST. Permit (BUILD) (UBUILD) Plumb. Permit (PLUMB) (UPLUMB) Mech. Permit (MECH) (UMECH) Yy�� J; �� o� , ELC/ELR Permit (ELPRMT) (UELPAAT) State Tax (TAX) (UTAX) BLDG: _ ()-,7 PLUMB: MECH: ELC/ELR. Plan Check MST. (BUPPLN) (UBUPLN) *O&X,§-- Plumb: (PLUMB) (UPLUMB) Mech: (MECPLN) (UMEPLN) CDC Review(BUILD) (CDCBLD) (UCDC) CDC Review (PLN) (CDCPLN) N/A Sewer Connon (SWUSA) (USWUSA) Reimbur District ( ) ( ) Sewer Inspection (SWINSP) (USWIN S) Parks Dev Charge (PKSDC) N/A Residential TIF (TIF-R) (L)TIF-R) Mass Transit TIF (TIF-MT) (UTIF-M) Water Quality (WDUAL) (UWQUAL) Water Quantity (WQUANT) (UWQANT) Erosion Control Prmt (ERPRMT) (UERPMT) Erasion Planck/USA (ERPL N) (UERPLN) Erosion Planrk/COT (EROSN) (UEROSN) Fire Life zafety (FLS) (UFLS) TO*rALS: --- 3 — I: P 8FAP DOC 4197 .M�/, �.� � .�,.y� .. • ... p:1.21. `!.w VRA. .wN. .r.pry•..�.r ... M1 •YEA ��'P CITY CF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT - 13125 SW Hall Blvd., Tigard,OR 97,123 (503)639.4171 RESTRICTED ENERGY PERMIT #: EL.R97-O211, DATE ISSUED: 07/31 /9" PiIRCEL.: i S 133DA-01 700 SITE ADDRESS. . . : .11067 SW SLIMMER LAKE DR SUDD T V I S T ON. . . . :AMART SIJMMFRLAE;E 7.ON I NG:R--7 SLOCI... . . . . . . . . . . I.OT. . . . . . . . . . . . . .39 TURTSDTCTtd: TIG Project Description : Install burglar alarm. A. RESIDENTInt_ S. CODIO & RI AL- nUDIO R STEREO. . . STEREO. . . __._.._INTERCOM &'F'AGIN3��� ,. : DIJRGL.AR ALARM. . . . : X OO'TL.ER. . . . . . . . . . : L.ANDSCAPC/IRRIGAT. . : GARAGEOPENER. . . . . CL.00K. . . . . . . . . , . . MF DICAL.. . . . . . . . . . . . }irJnC. . . . . . . . . . . . . .I DnTA.'TF_t E COMM. . : NURGE CALLS. . . . . . . . VnCUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OLITDOOR LANDSC LITE: x OTHER. 11VAC. . . . . . . . . . . . . f ROTECT I VE SIGNAL.. . INESTRUMENTA'rTDN. : OTHER. . : TOTn1_ # OF SYSTEMS: •0 FEES DALE/KIM DANNER type 80101.01t by date recpt + 110E-7 514 SUMMCR '_..AVr DRIVE PRMT $ 40. 00 GEO 4.x7/.3,1/97 97 ;'978 t 8 � TIGARD OR 97223 5PCT $ 2. 00 GCO 07131/97 97-297818 phone #: Contractor: nVT 9ECURIrY ALARMS g 4,-,'. 00 TOTAL. 70' NE HANCOCK RE OUTRED INSPECTIONS --- - _- PORTLAND OR 77;' 1::: Cei. l i n g Cover C lett' 1. ^ervice Phone #: 12'84-3,211,5 Wall Lover Elect' 1 Final ` Reg #. 000599 S ' This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of ire. Specialty Codes aid all other f' applicable laws. All work will t:e done in accordance wit!; approved plans. This permit will expire if work is not Axted within iB0 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law -equires you to Follow rule adopted by the � egon Utility Notificatior Center. Those -,les are set forth in OAR 352-111-0010 through OAR 952-001-0080. You may obtain copies of these rules or dirqu i s a OK at (5031246-1987, w Is4s;+.trsd bx PPrmii tee Gign?.t1.rre _ WNER. INSTAL.LATTON ONLY The installation is; being made on property i own which is not intended For M., sale, lease, or rent. OWNER' S SIGNATURE: DnTEs ✓ ._.__.._._.__.__CONTRACTOP INST1LLATION ONLY.- .-........•-- -.---._.______...__-_.._-__-__..._. i SIGNATURE OF SUPR. E LEC' N: _ OnTE : LICENSE NO: ++++4+++4+++++++++++++++++++++++++4•+++++++++++i•+-4++++++++++++++++++++++++ ++ +++-i+ Call 6.313--417 by E:O0 P. M. for an inspection needed thr next bi.rsi.ne!ss day +++-F++++++-+++V4 .-++++++-!-44.+4+-4 4+++++++-F+-+-+++++++++++.h+++++4.+++++.+-4 4-++-++-F++++++++++ t ,, �..- rym -•.... •-. r ,:, a,.r...,•. .,, ,.....,r. �. ., .• .r ... ..- .. - •. .��.,. p.,. ., .,+nat""..y •r� rr`^M� �.� .w,.�.,yta•a.,.r ...... .........-•w...i�...w.-.�-.r-:,.N...,..n.�.•,u,.. .»,:y�ryrjn.np , CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: -- 13115 SW HALL BLVD Date Rec'd:TnARD OR _ X304 2PRINT OR TYPE V-503-639-4171 Permit Mr- 62l(e F-503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED t Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL _ Restricted Energy Fee.... ......................... $40.00 1r (FOR ALL SYSTEMS) ,JOB Street Address St N 9 ADDRESS Check type of Work Involved: Q /StateZI, Pho 0 ❑ Audio and Stereo Systems a ywv Burglar Alarm rry ) ❑ O WNER Mailing Addros Garage Dour Opener- OWNER ) ❑ Heating,Ventilation and Air Conditioning System' Cl Statb ne N a — ❑ Vacuum Systems' Nam ADI SEtX1R111'!MRw, 703"AWO ❑ Other CONTRACTOR Mailing Address (031 2 3M TYPE OF WORK INVOLVED-COMMERCIAL (Prior to issuance a Cfty/SlateZip _ Phone 8 Fee for each system............................................. $40.00 copy of all licenses (SEE OAR 918-260-260) are required If Oregon Contr.Ord Lic.N Exp Date expired in C.O.T. Check Type of Work Involved. data base). Electrical Conte^.0 Exp.Date C" �Q ❑ Audio and Stereo Systems C O.T or Metro Llc.* Exp.Date — _ ❑ Boiler Controls Owner's Name ❑ Cluck Systems OWNER- Mailing Address APPLICANT ❑ Data 1"elecommunication Installation City/State Zip Phone 0 ❑ Fire Alarm Installation This permit is issued under OAE 918-320-370.This applicant sprees to make only restricted energy Installations(100 volt amps or less)under this ❑ HVAC permit and to do the following: ❑ Instrumentation 1. Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have esterlsks('). All others need licensing; 2. Call for inspections when installation under this permit are ready for F-1 Landscape Irrigation Control' inspection at 503-639.4175; ❑ Medical 3. Purchase separate permits for all installations that are not ready for an EJ Nurse Calls Inspection when the inspector is out to inspect under this permit; 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting* Inspector are done,and; ` F-] Protective Signaling 5. Assume responsibility for calling for a final inspection when all of the corrections are completed. ❑ Other _y_ Permits are non-transferable and non-retundable and expire If work is not started within 180 days of issuan r If work is suspended for 1e0 days _Number of Systems The person signing for must be the applicant or a person No licenses ere required Licenses arp required for all other Installations horized to bind t ppli - 7 g 3 TZ F � SignatU a ENTER FEES : 5%SURCHARGE(.05 X TOTAL ABOVE) 91 Authority it other than Applicant TOTAL = 2 ____ i Vesele clot 12/9e ry r , 717 �e Y • • 1 f IY op r�1 9 F I r •1 1 �X 1' I Y. •L j �1 1 1A 'v •r ' 1 RECEIVED JUL 3 .. COMMUNITY DEVELOPMENT 1 1 n , , I