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9625 SW LEWIS LANE-1 �n a m N Cit Cl) r m j. i i I r I I I 9625 SW LEWES LN Y 'ITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Eu:iiness Line: 639-4171 BUP Date Requested _ - 1r`I AM ;�_ PMA BLD ----- __-_—_- Location_ Gr(C 1`7 (�?�vl �j _ Suite ^ _— _ MEC Contact Person ` (�( �1�' > - � �l l _ Ph PLM - --_ Contractor_ _ Ph 9WR Tenant/Owner _ _ ELC Retaining Wall ELR — Footing — -_-- Foundation Access : rPS Ftg Drain --- Crawl Drain Inspection Notes: SGN Slab - SIT Post& Beam -- -_ Ext Sheath/Shear Int Sheath/Shear Flaming Insulation - -- - - Drywall Nailing Firewall ��J Fire S^rinkler _ ` �- Fire/ arrn — ----- � --- Susn a Ceiling Roof --- CF' - PASS PART FAILPttVB ING - _-- Post& Beam ------ - ----- ---- --__-_---- -- Under Slab Top Out - - -- -----_---- -- ---- -- -- - Water Service Saoitary Sewer -- - -- _ --_-. _- ------�_� ------ - Rain Drains FHal PASS PART FAIL - - MECHANICAL —_-- Post& Beam Rough --- --—• -- --------- _�.--- -- ------- Rough In Gas Line Smoke Dampers Final -- ----- PASS PART _FAIL -^---------�.-'------- -_ - ELECTRICAI_ -- - - - - - - - -- -- ---- -- _ r Service Rough In --- -- IJG/Slab Low Voltage -- -- - ---- --. Fire alarm PASS PART FAIL SITE �. --- ------- Bac.kfrll/f;radinq -- -- -- - -- _-. - Sanitary Sewer Storm Drain I j Reinspection fee of$_ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Watch Basin Fire Supply Line ( ) Please call for reinspection RE _ _— T ( ] Unable to insnect no access ADA Approach/Sidewalk r Other _ Date --- /--,�— Inspector _,\ � _---- —...—_Ext ----- Final PASS PART_ FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD EJILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BUH — -- Date Rea lested� - - AM BLD Location ` LL'L�> ( >/ �-/-� { ��- _ Suite MEC _ Contact Person Ph (Oe 70 '� 7Y PLM Con`,rac;ur Ph _ SWR BUILDING— Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS FPS _ Ftg Drain SGN Growl Drain Inspection Notes: ----- — Slab ------ -- - - - ---- SI Post& Beam E-xt Sheath/Shear Int Sheath/Shear �- Framing ---- - ---� ----- -- ------ - - ------ Insulation - (Drywall Nailing Firewall -- - --- ---- - --__ -._--- Fire Sprinkler _- ----_—__--.- ---------..-._ Fire Alarm _ Susp'd Ceiling -- Roof Misc: -- - - - - cz Final - - - ----- ___-. PASS PART FAIL -- --- --- --- --- -- -- - ----- - PLUMBING — Post& Bean: -- ---- ---- —-- ---- - Under Slab TopOut -_----------- --..._...--------- Water Service Sanitary Sewer Rain Drains Final --------- ------- --- ----------- -- r "iS PART FAIL. 11r1ECHANICAL Post✓i Beam - - ---- ----- - ---- --- — - ------ Rough In Gi,6 line _...--------------- —__ .-..---- Smoke Dampers Fina! ----- ---- - - - - PASS PART FAIL ELECTR — ._ervice� Rough In UG/Slab ---- — - ---- - - -------- -- Low V•)Itage Fl-e Alarm ---------- ------ -- Fin i!rASS ) PART ml- __....__.__--____-- _- Backfill/Grading --- --------- -------- - ---- _.__ -- Sanitary Sewer Storm Drain [ )Reinspection fee of$ —_. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch basin Fire Supply Line I J Please call for reinspection RE �_ __- —_ [ J Unable to inspect no access ADA -1 Approach/Sidewalk / �� f' Other Date _ --Inspector — Ext -- 'nal PASS PART FAIL DO NOT REMOVE this Inspection record trorn the job site. CITY OF TIGARD EL-ECTR'CAL.. PERMIT 17/4 DEVELOPMENT SERVICES PERMIT #: E'I_C DATE: ISSUED: 0�?,03//17i 99 adJUM 13125 SW Hall Blvd., i i y Mrd.OR 97223(503)639-4171 i'ARCEI_: 1 5 1;a5CD-03601 SITE ADDRESS. . . :O` 625 SW LEWIS LN SUBDJVISION. . . . : RUTH ZONING: R 4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..001 JURISDICTION: TIC; Project De scar i pt i on: New 2N9 AME' service and 13 brar-h circuits. --RESID "N'rIAL. IJNIT-----. ---TEMP SRVC/FEEDER£-1-.----. --•-- --MISC:EL_I.ANEOUS__---.._ 1.000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 FUME /I RR I GAT I ON. . . . : 0 EACH ODD' L 500SF, . . : 0 201 - 400 amp. . . . . . . : k: G 1 GN/OUT LINE L..TG. . a 0 LIMI'T'ED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE . HM/ SV(-./FDR. . : 0 601+amps-1.000 vols. - 0 MINOR LAPEL ( 1sT) . . . : 0 -SERVICE/FEEDER--..---- -----.BRANCH CIRCUITS--•----- -_._._ADD' L INSPECTIONS.......• 0 - x='00 amp. . 1 W/SERVICE OR FEEDER: 13 FIER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 F'ER HOUR. . . . . . . . . . . : 0 401 600 am p. . . . . . . 0 EA ADD' L SRNCH CIRC- 0 1 N PI....NNI . . . . . . . . . . . : 0 601. - 1000 amp. . . . . : 0 - -- --______________.FLAN REVIEW SECTION- 1000+ amp/volt. . . . . . 0 ) =-4 RES UN1rS. . . . . . . . . ; 600 VC._T NOMINn.L . . : Reconnect only. . . . . : 0 SVC/FDR 1 = 225 AMr•S. . : CLASS AREA/SPEC Owner: -________________..__.._.___...__......__._...__...._._._____.._--- -.....___. .____._____ FEES ---- --- -- RICHARD F rf)TON, LINDA L. type amol_int by date r••Pcp', 9625, SW LEWIS LANE PRMT $ 1 'S. O0 GEO 03/17/99 99-313760 TIGARD OR 97223 5F'CT t 6. 225 GF_O 03/17/99 99--313760 Phone #: 620-2043 Contractor: DICK EATON, I_I NDA $ 131. 25 TOTAL.. 9625 SW LEWIS LANE ----- REPU I RE:D INSPECTIONS TIGORD OR 97223 E1.ect' 1 F inra I Phone #: Elect' 1 Service Req #. . This pernit is Issued subject to the regulations contained in the Tigard Muniripal Code, State o' Oregon specialty Codes and all other applicable ] ,os. All work will be done in accordance with approved plans. This pewit will ,xpire if work is not sterted within 180 days of issuance, or if work is suspended for Bore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR W.-001-1981. Yo,!,oay obtain a copy of these rules or direct questions by calling (503)246-1987. �' Permittee r_ q 'teles i n a t �„c I.s s'.i e d B Y __._�.._._._:_.._.__ .. 'i_ __-----.---__------.---._--__-_-__._OWNER INSTALLATION The installation is being made on prnperty I. own which i9 reit intended for sale, lease, or rent. C OWNcR' S SIGNATURE. - -"c`-� DATE: �� ��_.,_..___. TN9Tf!1_L_ATION ONLY--___-----____.-_-----.-_ SIGNATURE OF SUER. ELEC' N: ---..____....__..._.._ DATE: LICENSE NO: ++++++++--'-++++++++++++++•++++++++++4+++++++++++++++4-++++.++++++++++++I•+i++++++++i Call 639- 4175 by 7:00 p. m. for- an insper_tion needed the next bu,iiness day +++++++++-,'++++,--+++++•1•+-1•++++++++++++++++++++++++•4+++++++++++.I.+++++++4 4-.++++-1-++++. 1 CITY JF TIGARD Electrical Permit Application Plan(;heck#_ 13125 SW HALL BLVD. Recd By__ Date Poc'd TIGARD OR 97223 Date l"P.E. Phone (503)639-4171, x304 Date to DST -� Print or Type permit#�� Inspection (503) 639-4175 ;ncom lete or illegible will not be accepted F•ix (50:3) 684-7297 - p � g 1. Job Address: F4. Complete Fee Schedule Below! Name of Development_ Number of Inspections per permit allowed Name(or name of business)`� ��^�Y,k = Service included: Items Cast Sum \ _ Adr'resS �� u% �`� `. `� 4s. sq.ft.or lel-per unit ---- - � 1000 aq.ft.or hSe 3,__ 1;110 ort __ q City/State/Zip --S \,s, ��' -- Each additional 500 sq.ft.or portion thereof Commercial❑ Residential Limited Energy $2500 Each Manut'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation; Only: 4b.Services or Feeders � (Attach copy of all current licenses) Installation,alteration,ur relocation Electrical Contractor_____---- --- 200 amps or less $6o.00 62 a' 2 Address _ --_ _ ----- 201 amps to 400 amps $8n o0 -_ 2 City_ State -Zip -_ 401 amps to 600 amr-s � _ $120.00 2 601 amps to 1000 amps _ $180.00 2 Phot le No. Over 1000 amps or vo to $340.00 __ 2 Job No. Reconnect only $50.00 Elec.Cont. Lice. No. _Exp.Date_ OR State CC8 Reg. No.___-Exp.Date___.. 4c.Temporary Services or Feeders COT Business Tax or Metro No,_ -Exp.Date Installation,alteration,or relocation 200 amps or less $50 00 -. 201 amps to 400 amps $75.00 ? Signature of Supr. Elec'n `__ - ____ _- 401 amps to 600 amps $10000 Over 600 amps to 1000 volts, License N(,.Y_____- .._Exp Date_____,_,,- see"b"above. Phone No. ---- 4d.Branch Circu clow,aireralion or extension per panel 21). For owner installations: a)The fee for branch circuits with purchase of service or 1 r C Print Owner's Name �� � �'� c- y v leader leo. Each branch circuit � $5.00 � 2 Address r ` �- \wN �"� h)The fee for branch circuits City StateCv Zip 'A`)Z �-3 -_ without purchase of Phone No. Lv-" service or feeder fee. First branch circuit __ $35 00 _ The Installation is being made on property I own which is not Each additional branch circuit $5.00 intended for sale,least or rent. �^ 4e.Miscellaneous / l ` (Service or feeder not Included) Owner's Signature_,,��,_ rrc,� ��cL� Each pump or Irrigation circle $40.00 Each sign or outline lighting $40.00 2 * $40.00 Signal circuit(s)or a limited energy 3. Plan Review section (if required): panel,alteration or extension - - Minor Labels(10) ___ $100.00 Please check appropriate item and enter fee In section 58. 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of thhee above _ $35.00 System over 600 volts nominal Per inspection - Pr.r hour $55.00 Classified area or structure contalti ng special occupancy ,r I lar t $55.00 as described In N.E.C.Chapter 5 Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction serv;ces. 5a.Enter tote)of above fees $ 5°%Surcharge(.05 X total tees) $ NOTIU Subtotal $ 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If required(Sec.3) $ - ---- NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Account a_ TIME AFTEP WORK IS COMMENCED. $ Total balance Due 11DSTMELC96 Ar'" nev 9196 CITY OF TIGARD t,n ;TL=R FIERMIT DEVELOPMENT SERVICES -F RM I T * . . . . . " . : MST 98-0397 13125 SIN Hall Blvd., Tigard,OR 97223(5031)639-4171 DATF TSSUEh: 10/06/98 F,ARCEL-: 1 S 135CD-03601 SITE ADDRESS. . . :09625 SW L-EW 1 C I .hl SLJND 1'J I S I ON. . . . :RUTH ZONING: R--4. 5 LALOCM. . . . . . . . . . LOT. . . . . . . . . . . . . .001 TURISDICTION- TIG Remarks: Add new garage to an existing single family dwelling. ------------------------------------..----------------..---------- BUILDING -------------------_------------------------------------•-------- RE?SPT; STORIES.......: 1 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------- CLASS OF WCRK.:ADD HEIGHT........: 10 FIRST....: 0 sf GARAGE.....: 412 sf LEFT..........: 0 SMOKE DETECTRS: TYPE OF UK...:Sc FLOOR LOAD....: 50 SECOND...: 0 sf FRONT.........: 20 PARK746 SPACES: 0 TYPE OF CONS".:5N DWELLING UNITS; 0 FINBSMENT: 0 sf RIGHT.........: 5 OCCUPANCY FRP.:R3 BDRN: 0 BATH: A TOTAL---- 0 sf VALUE..1: 7560 REAR..........: 0 -------------------------------------------------------------— PLUMBING ------------------------ SINKS. .......: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TR(4YS.: 0 PAIN DRAIN it: 0 TRAPS.........: 0 LAVA'rORICS....: 0 DISHWASHERS...: 0 FLOOR DRAIN ..: 0 SE)ER LINE ft: 0 SF RAIN DRAINS: I CATCH BASINS..: 0 TUB/SHOW.RS...: 0 GARBAGE DISP..: 0 WATER HEATE!5.: 0 WATER LINE ft: 0 BCKF1_W PREVNTR: 0 GREASE TRAPS..: 0 OTHER Fix URES: 0 --•-------------- --------------- MECHANICAL ----------------------------—------------•-------------------- FUEL TYPES------------ FURN ( INA ..: 0 BOIL/CMP ( 314: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0 FURN )=180K ..: 0 UNIT HEATERS.. 0 HOODS.........: 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVE5....: 0 GAS OUTLETS...: 0 ---------------------------------•----------------------------- ELECTRICAL --------------------------------------------------------------- --RESIDENTIAL. UNIT--- ---SERVICC!FEEDER----- --TEMP SRVC/FEEDERS- ---BRANCH CIRCUITS--- --MISTELLANEOUS-- - --ADD'L INSPECTIONS-- 1000 SF OR LESS: 0 0 C..00 amp..: 0 0 200 amp.. : 0 W/SVC OR FDR..: e, P114P/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'I. 500SF.: P 201 400 alp..: 0 11 400 amp..: 0 1st W/O SVC/FDR: 1 SIGN!VUT LIN L1: 0 PER HOUR......; 0 LIMITED ENERGY.: 0 401 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 1 SIGNAL 'Ttkt...: 0 IN PLANT......: 0 MANE 41/SVC/FDR: 0 601 - 1800 amp.: 0 601+amps-1000 v: 0 MINOR LAIEI. -10: 0 10004- amp/volt.: 0 ------------------------------------ PLAN REVIEW SE.CTION ------------------------------_ Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 N.: ) 600 V NOMINAL_: CLS AREA/SPC OCC: ------------------------------------------------ ELECTRICAL - RESTRICTED ENERGY ---------------------------------------------------- A. 5F RESIDENTIAL----------- ----...-- ----- B. COMMERCIAL----------------------------------------------------------------------------------- AUDIO 1 STEREO.: VACUUM SYSTEM..: AUDIO 8 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: :: BOILER.........: HVAC...........: LANDSCAPE/1RRIG: PROTECTIVE SILK: GARAGE OPENER... CLOCK........... INSTRUMENTATION: MEDICAL......... OTHR: HVAC........:..: DATA/TELE COW.: NURSE CALLS..... TOTAL. 0 SYSTEMS: 0 Owner: ------------------------------- - ----Contractor: - ---------------------------- TOTAL FEES:1 22'1.% RICHARD B EATON, LINDA L OWNER this permit is subject to the regulations contai-ied in the 9625 SW LEWIS LANE Tigard Mlmicipal Code, State of Ore. Specialty Codes and all TICARD OP 97223 other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is Phone N: Phone N: not started within 18e days of issuance, or if the work i� Reg N..: 888888 suspended for more than 180 days. ATTENTION: Oregon law -------------------.___.__.__....------------—------—-------..._--._--- requires you to follow rules adoptea by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-001-0010 through JAR 952001-0080. You may obtain copies of these rules Or direct questions to DUNG by calling (503)246-1987. --..-..----------------------------------------- - --- ----- REQUIRED INSPECTIONS ------------------------------------------ Erosion ---------------------------------------Erosion 844-8444 Rain dram Insp Footing Tnsp Pudding Final Foundation Insp - Framing InsUnsp -- — _ - —— -- Shear Wal] _1 Ss'.red , F,ermittee Si gnatura +++++ #++++++++++++#-•f++++++++++4-+++++++-1 ++4++++f+++++. ...++++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bi-isiness day Plan Check CITY OF TIGARD Residential Building Permit Application Recd By � 13115 Sw`IALL BLVD. New Construction Additions or Alterations Date Recd , O > TIGARD,OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. Y-9•--1*- �-- V 503-639-4171 Date to DST/,0'G QP' F 503--684-7297 Permit#Ay `9 Print or Type c.,Iledz0•&{ — ��� Incomplete or illegib a applications will not be accepted I. Name of Project i,FAX ZV T—i Name Job Wil, ,CICAW ep y Address its Address Architect Mailing Address City/State Zip Phone Name Owner M fling Address C' \t'� En sneer Mailing Address CATate Zip Phone g J City/State Zip Phone General Name Contractor > •\w..`r. V r •.._ Describe work New O Addition C Alteration O Repair O Mailing Address to be done. Prior to permit Additional Description of Work: issuance,a copy City/State Lip Phone _ of all licenses are required if Oregon Const.Cont.Board Exp. Date PROJECT expired in COT Lic.# VALUATION , r database Mechanical Name NEW CONSTRUCTION ONLY: Sub- Sq. Ft. House: Sq. Ft. PqLaje Contractor Mailing Address Prior to permit Corner Lot YES NO Flag Lot YES NO issuance,a copy City/Smote Zip Phone (check one) (check one of all licenses Restricted Audio/Stereo—� Burglar are required it Oregon Const.Cont.Board Exp. Date Energy System Alarm expired in COT Lia# database Installation Garage Door t HVAC Plumbing Name _ Opener Systems Sub- (check all that Other: Contractor Mailing Address apply) Will the electrical subcontractur wire for all YEIS NO restricted energy installations? Prior to permit city/state zip Phone Has the Subdivision Plat recorded? N/A YES NO issuance,a copy of all licenses are Oregon Const.Cont.Board Exp. Date required if Lic.# Solar Compliance expired in COT (Colculation Attached) database Plumbing Lic.# Exp. Date I hearby acknowledge that I I ave read this application,that the information given is correct,that I am the owner or authorized Name agent of the owner, and that plans submitted are in compliance with Oregon State laws. Electrical ,k nlsture of Owner/Agent Dots Sub- Mailing Address , Contractor Conct Perspn Name Phone# City/State i Zip Phone 1 Prior to permit FOR OFFICE USE ONLY: issuance. a copy Plat N: Map/TL#: of all licenses are Oregon Const.Cont.Board Exp.Date reiuired if Lic.# Setbacks: Zone; Solar: expire+.i i COT . 5 v� Solar- database Electrical Lie.# -xp. Date Engineering g' g A pp-oval: Planning Approval: TIF: I:SFREM.DOC (DST) 4/97 � � �Y�� - `��s Permit #: /yIS ��*6---o-3 'F_ 7 o F t7 "`'..."-ate.,��^ Address: A"' r z issued by: Date: _ Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), require:residential construction permit appli- cants who at-r not registered with the Construction Contractors Boaul to sign the following statement before a building permit can be tssued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration wide • ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: `g 1. I own, reside in,or will reside in the completed structure. 2. 1 understand that i must register as a construction contractor if the structure is sold or offered for sale before or up,n completion. ;A. My general contractor is (Name) Contractor regis. # i will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contractor. If 1 hire subcontractors, I will hire my subcontractors registered with the Construction Contractors Board, If I change my mind and hire a general contractor, i will contract with a contrach r who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do►inderstand the in(ormati:►n Notice to Property Owners about U►nstruction Responsihilitics on the reverse side of this form. (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) t•niormation NAce to Property Owners About CLn tructllon Responsibilities 1 0'; ,.. .,.�,a`NO .»MlPLOYF.R [-'IESPIC)NSFBI ITIES: 'i; .,)• )r,l:'.f'A 1. 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