Permit CITY Of T I GARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMI S" . ' ' " ° ° ° 1"3',-
57
131256.V/
, 14a Tigard, Oregon 97223.8 (50 6 D ATTE ISSUED: 39 4171 D 7/16/93
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PARCEL: 1fi133DD- 13300
SITE ADDRESS... 2 11834 SW 127TH PL
SURD I V I S I ON.... 2 VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4.5
BLOC............ LOT........ , ... ,, 2 170
----------- --------- BUILDING -------
REISSUE: DWELLING UNITS 2 1 BASEMENT........ 20 sf
• CLASS OF WORK.2NEW BEDRMS25 BATHS23 GARAGE..........2425 sf
TYPE OP USE ... 2 SF FLOOR AREAS--- REQUIRED SETBACKS--•---- - -- ---
TYPE OF CONST. 2 5N FIRST .... 2 1560 sf LEFT-25 ft RIGHT. 2 5 ft
OCCUPANCY GRIP. 2R3 SECOND... °1532 sf FRONT. 220 ft REAR.. 24121 ft
STORIES.......22 THIRD....20 sf REQUIRED----
HEIGHT. • ....... 2 24 ft TOTAL 23092 sf SMOKE DETECTORS. 2 Y
FLOOR LOAD.... 240 psf VALUE..... $2 149882 PARKING SPACES.. 21
Remarks: PATH I
--------- _ - PLUMBING ._- _._-- ._._ -_.._ •
SINKS .......... 2 1 FLOOR DRA I NS.... 2 1 BACKFLOW PREVNTRS.. 2 0
LAVATORIES.....23 WATER HEATERS...'1 TRAPS ..............20
TUB /SHOWERS....23 LAUNDRY TRAYS... 20 CATCH BASINS....... 212
WATER CLOSETS-23 SEWER LINE ft) . 2 0 GREASE TRAPS....... 2 0 .
DISHWASHERS.... 2 1 WATER LINE (ft) . 2 1iZZlIZi OTHER FIXTURES ..... 2lzl
GARBAGE DISP...21 RAIN DRAIN (ft).20
WASHING MACH... 21 SF RAIN DRAINS.. 21
----- MECHANICAL __._ _._ _._____. FEES -----
FUEL TYPES- ._--- __. - -_- UNIT HTRS.. 2111 type amount by date recpt
/GAS/ / / VENTS .....20 TIF $ 1460.00 VRG 06/29/93 93-241789
MAX INPUT20 BTU VENT FANS, 24 BPRT $ 558.00 Jb 07/16/93
FURN < 100K —20 HOODS...... 2 1 BPLC . $ 362.70 JLH 05/04/93 93--
FURN > =100K .. 21 WOODSTOVES. 20 B5PC $ 27.90 JH 07/16/93 -
FLOOR FURN.... 2iii CLO DRYERS. 2 1 SSDC $ 280.00 JH 07/16/93 —
BOIL_ /CMP ( 3HP20 OTHER UNITS21 PARK $ 250.00 JH 07/16/93 -
GAS OUTLETS: 1 MPRT $ 45.00 JH 07/16/93 -
Ov.+ner, - - -- -°-- _ •-- • - -MPLC $ 11.25 51 -1 07/16/93 -
DON MORISSETTE HOMES MSPC $ 2.25 JH 07/16/93 -
15555 SW 8ANGY RD #201 PPRT $ 14121.00 JH 07/16/93 _.
P5PC $ 7.00 JH 07/16/93 -
LAKE OSWEGO DR 97035
Phone #2 620 -7538
Contractor. -------------------
DON MORISSETTE BUILDERS, INC.
15555 SW BANGY RD.
*201
LAKE OSWEGO OR 97035
Phone #2 62120 -7538
Reg #.. . 35533 -- --------
$ 3144.10 TOTAL
This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS -----
Tigard filunicipal Code, State of Ore. Specialty Codes and all other Foot /found Insp Fireplace Insp
applicable laws. All work will by , _+nne in accordance with approved Post /Beam Struct Gas Line Insp
plans. This permit will expir:- if work is not started within 180 Post /Beam Meehan Insulation Insp
days of issuance, or if work i - suspende i for mar than 180 days. P l m /un d s 1 a b Insp Gyp Board Ins p
PLM /Underfloor Rain drain Insp
Permittee Signature: Mechanical Insp Water Line Insp
Plumb Top Out Appr /Sdwlk Insp
Issued Bye _ _._ Framing Insp Mechanical Final
Call for inspection - 639-4175
PLNCK/RECT — 312—
CITY OF TIGARD 131 P25 O sw B°" i39 BMd PERMIT : 05/47—e) e) 5 7
COMMUNITY DEVELOPMENT DEPARTMENT T' OregO° 97223
(503) 639-4171 DATE ISSUED
JOB ADDRESS: // 5 c- 0 ( ' 7 P i _ - TAX MAP /LOT / s / 33bb 1330a
SUB: /,. a _.� -s 9- LOT: /70 LAND USE:
VALUATION: /(79
9/,
OWNER SPECIAL NOTES
NAME: REISSUE OF:
ADDRESS: P5S 5)(1) R'7 Y ' L( # " LAST REISSUE:
i �A ,^ _ FLOOD PLAIN/
PHONE: LO w SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: - PLANNING: ,Y1r3xreS /_SDGf9- lf '
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: OTHER: F Y
CONTR. BOARD 0: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS:
MECH: 601 UL -Fit mlynyurs TAX:
ARCH /ENGINEER ® 7:61/7140 CALCULATIONS:
NAME: P _ , " - • I I TRUSS DETAILS:
ADDRESS: R 0. 'Box 1 e , OTHER:
• 1. el 9 t 0 s
PHONE: A_ 34
PROPOSED BLDG. USE:
COMMENTS:
k fi l ta
APPL T ITEETURE ----
Received By: # Date Received:
yr► • t °•
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.1
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND 5 NORTH FIRST, HILLSBORO, OR 97124
.; COUNTY, INSPECTION REQUESTS: 503/640- 3561/693 -4415
„
OREGON PHONE: 503/648 -8761
` •1
Page : 1 of 1
Date : 01/19/94
Time : 15:53
Permit Type : Residential Electrical Permit Permit # : 05048944
Permit Status : APPROVED Applied : 01/19/94
Situs Address : 11834 SW 127TH PL TI Issued : 01/19/94
Permit Title : SFR - LOW VOLT /SECURITY SYSTEM Completed :
Permit Descr. To Expire : 07/18/94
Project Title : SFR - LOW VOLT/SECURITY SYSTEM Project # : P0037423
Project Descr. : * EROSION *
•
Parcel Number : 2S1TI - Land Use District :
Valuation 0
•
Legal Descr. •
Owner : KNIGHT, RICHARD Construction : OTH
Applicant Name : RICHARD B. KNIGHT Classification : 900
Applicant Addr.: 11834 SW 127TH PL. Occupancy
TIGARD, OR 97223 Validated by : PM
Applicant Phone: 524 -1104 Inspector Area :
CONTRACTOR : BRINKS HOME SECURITY Lic. C 34 -166C 641 -0196
Fee description Units Fee /Unit Ext fee Data
Limited Entegy /Alter. /Extension 1 40.00 40.00
Subtotal Electrical Fees: 40.00
State Surcharge of 5% 2.00
Total Electrical Fees: 42.00
* ** Fees Required * ** * ** Fees Collected & Credits * **
Method Check # Receipt No. Date Payment
CK 2403 01/19/94 42.00
TOTAL THIS DATE * * * * * * * ** 42.00
Fees: 42.00
Adjustments: .00 Total Credits: .00
Total Fees: 42.00 Total Payments: 42.00
Balance Due: .00
NOTICE: This permit becomes null and void If the work or construction for which it is issued is not commenced within 180 days. Once construction has started,
the permit becomes null and void if construction is Interrupted for a period of 180 days. I certify that the information presented by the applicant and
his agent or agents in support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading information may invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for inspections at various times during the process of construction and the building
inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy is revocable until all inspection requirements are satisfied and
approval is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit is issued
specifying that the use or occupancy of the building or structure is provisional and revocable until the satisfaction of all inspection requirements.
APPLICANT'S SIGNATURE
.S.I :TI
olp% WASHINGTON COUNTY RESTRICTED
Department of Land Use & Transportation
M .155 North Inspection , #350-12 ELECTRICAL ENERGY
155 North First Avenue, #3550 -12
Hillsboro, Oregon 97124 APPLICATION
Information: (503) 640 -3470 Fax: (503) 693-4412
PLEASE PRINT �/1,� —1 - .g 9 1 44
Please complete all sections, 1 through 5. Project No[� / / Z4ermit No `� I
1. Location pf nataljation Label No. Date
Address 118 - °S 1 I d a�l P�M GC' -L Issued By Office
Cityda f/ Zip Code 4. Type of work:
Tax Map Map No.
RESIDENTIAL Restricted Energy Fee $40.00
Thomas Map Book: Page i_- Section (for all systems)
Directions Check type of work involved:
Audio and Stereo Systems*
Commercial n Residential Burglar Alarm
Tenant Name V elephone Systems*
(if commercial) Garage Door Opener*
This permit becomes null and void if the work authorized by the Fire Alarm
permit is not commenced within 180 days from date of issuance Heating, Ventilation and Air Conditioning Systems*
of such permit or if the work authorized is suspended or abandoned
at any time after work is commenced for a period of 180 days. Vacuum Systems*
Electrical Permits are non - refundable and non - transferable. Other
2. Contractor a plication: _ _
Electrical Contracto 1 ce- ( $ (-- COMMERCIAL Fee for each system $40.00
Address lit `% . ` ira_C, . '5t=4ixaera�t( 47(c6"- (see OAR 918 -260 -260)
Date / - / 4 /.-.74 - Job Number 45C)17(46,1/ Check type of work involved:
Property Owner Al i c: 4.J -7G ? -n di-iv itty ?
Contractor's License No. .41---1 (c%(c, (1 ^ Boiler Controls
r
Contractor's B and Rea. No Clock Systems
o f k) 1 7 _ Data Telecommunications Installations
Phone No. "'-�` JJ _ Fire Alarm Installation
3. Owner application: = HVAC
' �1 t b z j_ Instrumentation
Print Owner's Name Phone No. 1 Intercom and Paging System
Landscape Irrigation Control*
Address ^ Medical
r _ Nurse Calls
City State Zip Outdoor Landscape Lighting*
This permit is issued under OAR 918-320-370. The applicant agrees Protective Signaling —
to make only restricted energy Installations (100 volt amps or less) Other
under this permit and to do the following:
1. Only use electrical licensed persons to do installations where
required. (Certain residential and other transactions are exempt Number of Systems
from licensing. These have asterisks f"). All others need licens-
2. Call for an inspection when all the Installations under this permit * No licenses are required. Licenses are required for all other installations.
are ready for inspection.
3. Purchase separate permits for all installations that are not ready 5. Fees
for inspection when the inspector is out to inspect under this qv 0a
permit. Enter fees $
4. Assume responsibility for assuming that all corrections required
by the inspector are done, and 5% Surcharge (.05 X total above) $ ' O
5. Assume responsibility for calling fora final inspection when all of
the corrections are completed. // 6.-. 6.-. The person signing this permit must be the applicant or a person Total $ =// �
authorized to bind the applicant.
Signature .. efktle Space below reserved for validation.
Authority if other than applicant
For inspections call
640 -3561 or 693 -4415
24 -hour recorder, one working day In advance of need 11192
INSPECTION NOTICE
City tf Tigard Building Department
1
( i l i v
3125 SW Hall Blvd. Tigard, Oregon 97223
Inspec�yLine (Rec- O- Phone): 639-4175 Business Phone: 639 -4171
Inspection: , e -- L <- -
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach. - 3 4,
Date Requested: v 6 ^ 7 3 Time: �� 2 AM PM
Address: Z / V-34 ) ?7 T � t L, Permit #: / y" 3° C.D.-S
7
Builder: C. r 1, avi /
THE FOLLOWING CORRECTIONS ARE REQUIRED: 8
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Inspector: Date: /0 '4 ` `_3
APPROVED ■ DISAPPROVED APPROVED SUBJECT TO ABOVE
" Call For Reinsp.