Permit Ir s i CITY OF TIGARD + MASTER PERMIT
COMMUNITY DEVELOPMENT Permit #: MST93 -00597
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/20/1993
TiGAR• , Parcel: 2S110BB02200
Jurisdiction: TIG
Site address: 14340 SW HAZELHILL DR
Subdivision: Lot:
Project: AMES ORCHARD
Project Description: ADDITION ADDING 5FT ONTO KITCHEN MAIN FLOOR 9/2/09, PERMIT REINSTATED FOR
30 DAYS FOR FINAL INSPECTIONS. Electrical permit pulled thru Wash Co, they inspected and
passed rough -in but never called for final. (3 branch circuits, paid for 1 hour of inspection time.)
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 0 First: 65 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 10 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 1 Third: 0 sf Right: 0 Detectors:
Total: sf Value: $4,600.00 Rear: 0
PLUMBING
Sinks: 2 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Catch Basins: 0
Lavatories: 0 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0
Tubs /Showers: 0 Garbage Disp: 1 Water Heaters: 0 Water Lines: 0
Drains: 0
Bckflw Prevntr.
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
/GA Heat Pump: N Hoods: 0 Other Units: 0
Furn <100K: 0 Vents: 1 Woodstoves: 0 Gas Outlets: 0
Furn > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 0 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add'I 500 sf: 0 20 1 -400 amp: 0 201 -400 amp: 1st W/O Svc/Fdr:
Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add'I Br Cir:
601 -1000 amp: 0 601 +amp- 1000v: 0
1000 +amp /volt:
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
asin
Other: N Other Description: Ecom p g- N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
Owner: Contractor: Required Items and Reports (Conditions)
JIM WELCH BETTER BUILT HOMES
14340 SW HAZELHILL DR 1488 NE STILES DR
TIGARD, OR 97224 Hillsboro, OR 97123
PHONE: PHONE: 503- 640 -1913
FAX:
Total Fees: $350.11
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 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 -00 roug .:R 952-.11-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 5 3.246.6699 or 1.800.332.2344.
/ 5 , c
Issued 10.4 By: , 4' . f I _ Permittee Signature: Y / .L I\ -`