Permit -- '
CI1YOFTIRD MASTER PERMIT
Y DEVELOPMENT DEPAnnnmmENo PERMIT It • MST93-0107
1��oWme��P�m���n��o�m������� ~� _�
—~
639-417i u*/t ibbuhu: m,5/16,1,5
SITE ADDRESS...: 14097 SW LIDEN DR PARCEL: 2S104BB-04300
SUBDIVISION ^ CASTLE HILL ZONING:
BLOCK ^ LOT -024
— BUILDING
REISSUE: DWELLING UNITS:1 BASEMENT .0 sf
CLASS OF WORK.:NEW BEDR`S:3 BATHS:2 GARAGE ^460 sf
TYPE OF USE...:SF FLOOR AREAS REQUIRED SETBACKS
TYPE OF CONST.:5N FIRST ^1549 sf LEFT..:7 ft RIGHT.:25 ft
OCCUPANCY GRP. :R3 SECOND... :0 sf FRONT. :20 ft REAR.. :22 ft
STORIES -1 THIRD -0 sf REQUIRED
HEIGHT ...... —.:16 ft TOTAL :1549 sf SMOKE DETECTORS.:Y
FLOOR LOAD ^40 psf VALUE $^ 79534 PARKING SPACES..:1
Remarks: PATH I
PLUMBING
SINKS ~1 FLOOR DRAINS ^0 BACKFLOW PREVNTRS..:0
LAVATORIES ^3 WATER HEATERS. .1 TRAPS :0
TUB/SHOWERS ^2 LAUNDRY TRAYS. .0 CATCH BASINS ^0
WATER CLOSETS..:2 SEWER LINE (ft).:0 GREASE TRAPS ^69
DISHWASHERS -1 WATER LINE (ft) -100 OTHER FIXTURES :0
GARBAGE DISP...:1 RAIN DRAIN (ft).:0
WASHING MACH...:1 SF RAIN DRAINS..:1
MECHANICAL FEES
FUEL TYPES UNIT HTRS..:0 type amount by date recpt
/GAS/ / / VENTS ^0 TIF $ 1460.00 JH 03/03/93
MAX INPUT:0 BTU VENT FANS..:3 BPRT $ 373.00 JH 03/03/93 —
FURN ( 100K ..:1 HOODS -1 BPLC $ 242.45 JLH 02/22/93 93-236955
FURN >=100K ..:0 WOODSTOVES.:0 B5PC $ 18.65 JH 03/03/93 —
FLOOR FURN ^0 CLO DRYERS.: 1 SSDC $ 280.00 JH 03/03/93 —
BOIL/CMP < 3HP:0 OTHER UNITS:1 PARK $ 500.00 JH 03/03/93—
GAS OUTLETS:1 MPRT $ 40.50 JH 03/03/93 —
Owner: MPLC $ 10.13 JH 03/03/93 —
MLADEH BAR ICEVIC M5PC $ 2.03 JH 03/03/93 —
10480 EASTRIDGE #106 PPRT $ 125.00 JH 03/03/93 —
P5PC $ 6.25 JH 03/03/93 —
PORTLAND OR 97225'
Phone #: 292-5915
Contractor:
TRI—COUNTY TEMP CONTROL
13651 SE AMBLER RD
CLACKAMAS OR 97015
Phone #: 777-3874 OR
Reg #..: 72623
$ 3058.01 TOTAL
This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This permit will expire if work is not started within 180 Post/Beam Meehan Insulat ion Insp
days of issuance, or if work is sus 180 days. Plm/undslab Insp Gyp Board Insp
Permittee Signature: PLM/Underfloor Rain drain Insp
Mechanical Insp Water Line Insp
' — 0a1/6
Plumb lop Out Appr/SdWrW
Issued 8y: ___ Framing Insp Mechanical Final
/�' Call for inspection — 639-4175
i.
13 175 SW Hall 13
NC K/RECT # lode 9,
CITYOF TIGARD PERMIT # it/5f -0 e 0 7
COMMUNITY DEVELOPMENT DEPARTMENT Tigard, Oregon 97223
(503) 639 -4171 DATE ISSUED
JOB ADDRESS: RIO -5 cc/ L'dfr Dr TAX MAP /LOT 2S/0 %/ 513 - ( 1300
SUB: C4srLE s,' /C C LOT: 2 4' LAND USE:
VALUATION: / 3 'r• c9`'
OWNER SPECIAL NOTES
NAME: l`IG42 E:4/ 0r9-2 icevic REISSUE OF:
ADDRESS: /0 CO-' E4 /aw - .4`Ao G LAST REISSUE:
rc.9 j L4 - sIje, ° i2 / 2J FLOOD PLAIN/
- PHONE: Z `, L — S -- 1 /.S SENSITIVE LAND: _
CONTRACTOR APPROVALS REQUIRED st■1 4? -000 --
NAME: )7• a, 1('E ' Ic eh s4- 42 E O h'•FS PLANNING: di
ADDRESS: /‘ 5 c9c9 sc.✓ 6-,4.'7 '4` iC3C• ENGINEERING:
To j / 4¢,t)Z 0 2 ' 7Z2 J FIRE DEPT:
PHONE: 29 J /S OTHER: 1/P
CONTR. BOARD #: ?g 6 S EXP DATE: /
",, c-f4. --
"AI ,-.^ ITEMS REQUIRED
Y� r.
SUBCONTRACTORS: PLUMB: 0 6Ga` LIST /SUBCONTRACTORS: /ii�/'rd " 'ii,,4.
MECH: PLUMB:
_A — j�iYn BUS TAX:
ARCH /ENGINEER CALCULATIONS:
NAME: LAPS y --- T4 T TRUSS DETAILS:
ADDRESS: 2- 7 D o )K/tiv /3s '" , OTHER:
PHONE: 6 3 - d 2 d 2
PROPOSED BLDG. USE: 2 f3 / 6 F35 ,4"(.
COMMENTS:
112)-(1-,-- J fr nm .
APPLICANT SIGNATUP
Received By- Date Received: ci/T-4���
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
M5/93 -o /01 10 -432 00 Building Permit Fees 373• / 37.5rc'
10 -431 00 Plumbing Permit Fees /25. / /25
10 -431 01 Mechanical Permit Fees •fie • ° / .y o• SZ
10 -230 01 State Building Tax (5 %) 2.6.93 / oZ<i• 93
Building /�•(vs
Plumbing Cr2 s
Mechanical 07.o3
10 -433 00 Plans Check Fee -5 o?•s r
Z.51, � a � — U
Building 2y2•4
Plumbing
Mechanical /0. Y 3
10 -230 06 Fire j
SW/43 -0o97 30 -202 00 Sewer Connection . /uo
30 -444 00 Sewer Inspection
25- 448 -02 Commercial TIF Fees
25- 448 -04 Industrial TIF Fees
25- 448 -06 Institutional TIF Fees
25- 448 -03 Office TIF Fees
25- 448 -01 Residential Traffic Fees /350 -' /350
25- 448 -05 Mass Transit TIF Fees /10 //0
52 -449 00 Parks System Dev Charge (POC) Soo 5790
•
31 -450 00 Storm Drainage Syst Dev Chrg
(SSDC) cP-CrtJ
24- 445 -01 Water Quality (Fee in lieu of)
24- 445 -02 Water Quantity (Fee in lieu of)
TOTAL 5/93‘v1 _25 a 6 I
nm /3587P.WPF
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST, HILLSBORO, OR 97124
®. / COUNTY, INSPECTION REQUESTS: 503 /640- 3561/693 -4415
PHONE: 503/648 -8761
OREGON Page : 1 of 1
Date : 04/19/93
Time : 08:41
Permit Type : Residential Electrical Permit Permit # : 05039526
Permit Status : APPROVED Applied : 04/19/93
Situs Address : 14097 SW LIDEN DR TI Issued : 04/19/93
Permit Title : SFR - ELEC /NEW HOUSE Completed :
Permit Descr. To Expire : 10/16/93
Project Title : SFR - ELEC /NEW HOUSE Project # : P0030536
Project Descr. : * EROSION *
Parcel Number : 2S1TI - Land Use District :
Valuation 0
•
Legal Descr.
Owner : INSPECTION - TIGARD Construction : OTH
Applicant Name : CHANDLER ELECTRIC Classification : 900
Applicant Addr.: 3521 SW CARSON DR Occupancy : R3
PORTLAND, OR Validated by : KF
Applicant Phone: 245 -7774 Inspector Area :
•
CONTRACTOR : D.W. CHANDLER Lic. C 26 -524C 245 -7774
Fee description Units Fee /Unit Ext fee Data
Square Footage [Enter Sq. Ft.] 2500 130.00
Subtotal Electrical Fees: 0 130.00
State Surcharge of 5% 0 6.50
Total Electrical Fees: 0 136.50
* ** Fees Required * ** * ** Fees Collected & Credits * **
Receipt No. Date Payment
04/19/93 136.50
TOTAL THIS DATE * * * * * * * ** 136.50
Fees: 136.50
Adjustments: .00 Total Credits: .00
Total Fees: 136.50 Total Payments: 136.50
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.
APPUCANT'S SIGNATURE
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
• W e Electrical Inspection Section APPLICATION
155 North First Avenue, #350 -12
Hillsboro Oregon 97124 /
Information: (503) 640-3470 Fax: (503) 693 -4412 Project/Permit �5l J 14-0 /,2
Number Date -`� J
PLEASE PRINT
Please complete all sections, 1 through 5. 4. Complete Fee Schedule bolow
Number of inspections per permit allowed 4
1. Location of installation Service included: Items Cost(ea.) Sum
Address / 4O q ) Ste-' L/ bE) 62.
A. Residential -per unit
q�/ Building
City 7 t-7 �.4 Suite No. 1000 sq. ft. or less $85.00 4
Tenant Name Each additional 500 sq. ft
or portion thereof S $15.00
(if commercial) Limited Energy $20.00 1
Each Manurd Home or Modular
Directions Dwelling Service or Feeder $40.00 2
B. Services or Feeders
Installation, alterations or relocation
200 amps or less $50.00 2
Commercial pi Residential in 201 amps to 400 amps $60.00 2
401 amps to 600 amps $100.00 2
601 amps to 1000 amps $130.00 2
2a. Contractor installation onl Over 1000 amps or volts $300.00 2
�� L i e. Y E .Lee f ele Reconnect only $40.00 2
Electrical Contractor r' �f-I�
Address ) S - ' St.-' @ #9' J ' sue/ - C. Temporary Services or Feeders
Date Job Number Installation, alteration or relocation
Property Owner v7/ Ade 34-2r ce c 200 amps or less $40.00 2
2 6.1"Z 4r G 201 amps to 400 amps $55.00 2
Contractor's License No. 401 amps to 600 amps $80.00 2
Contractor's Board Reg. No. 3 0 6.1 Over 600 amps to 1000 volts see 'B' above
Signature of Supr. Elec'n IS Cam-- D: Branch Circuits
License No. Phone No. New, alteration or extension per panel
a) The fee for branch circuits with
purchase of service or feeder fee.
213. For owner installations: Each branch circuit $2.00 2
b) The fee for branch circuits without
purchase of service or feeder fee.
Print Owner's Name Phone No. First branch circuit $35.00 2
Each add'nl branch circuit $2.00 2
Address E. Miscellaneous (Service or Feeder not included)
City State Zip Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
The installation is being made on e I own
Signal y panel, or a limited
g property P � energy panel, , alteration
which is not intended for sale, lease or rent, or extension $40.00 2
Owner s Signature F. Each additional inspection over the allowable
in any of the above, per inspection
3. Plan Review section (if required) 00
5. Fees
• A. Enter total of above fees $
5% Surcharge (.05 X total fees) $
Subtotal $
B. Enter 25% of line A for
For inspections call Plan Review if required (Section 3) $
6401-_3561 _or 693 -4415 Subtotal $
24 -hour recorder, • Less Bulk Label Fee $
one working day in advance of need Balance Due $ ■
This permit becomes null and void If the work authorized by the permit is not commenced within 180 days from date of Issuance
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.
Electrical Permits are non - refundable and non - transferable. 10/91
•
Page No. 1 CASE HISTORY FOR CASE NO.: MST93 -0107
MLADEH BARICEVIC
• 14097 SW LIDEN DR
12/29/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update
Code - Sent Done • Done Date By
MSTA007 Application received / / / / 02/22/93 PASS JLH 02/25/93 BLT
• MSTA010 Plan check deposit paid / / / / 02/22/93 PASS JLH 02/25/93 BLT
MSTA020 Plan check by .02/25/93 / / 02/25/93 PASS RT 02/25/93 BLT
MSTA030 Check for prcl. restrict. / / 02/25/93 02/25/93 PASS RT 02/25/93 BLT
MSTA092 (F) Issue combination permit / / / / 03/03/93 -PASS JLH 03/03/93 JH
MSTA097 Issue plumbing signature form / / / / 03/03/93 • 03/03/93 JH
MSTA705 Foot /found Insp / / / / 03/05/93 - N/R GS 03/08/93 GES •
MSTA705 Foot /found Insp / / / / 03/08/93 • APP GS 03/08/93 GES
MSTA705 Foot /found Insp / 1 / / 03/09/93 changed ftg due to bad dig APP GS 03/09/93 GES
MSTA710 Post /Beam Structural / / / / 03/18/93 PASS MS 03/18/93 MRS
MSTA711 Post /Beam Mechanical / / / / 03/18/93 • PASS MS 03/18/93 MRS
MSTA717 PLM /Underfloor / / / / 03/18/93 need nail plates where you npenetrate PASS MS 03/18/93 MRS
mud seal
•
MSTA720 Mechanical Insp / / / / '04/20/93 APP GS 04/26/93 GES
MSTA722 Plumb Top Out / / / / 04/06/93 - PASS MS 04/07/93 MRS
MSTA725 Framing Insp -/ / / / 04/20/93 DIS GS 04/20/93 GES
MSTA726 Framing <REINSP> / / / / 04/23/93 • APP TLP. 12/10/93 TLP .
MSTA735 Gas Line Insp / / / / • 04/20/93 APP GS 12/10/93 GES
MSTA740 Insulation Insp / /• / / 04/23/93 - - PASS TLP 04/27/93 TLP
MSTA745 Gyp Board Insp / / / / 04/27/93 - APP - GS 04/27/93 GES
• MSTA755 Rain drain Insp. / / / / 04/01/93 at house only PART GS 04/01/93 GES
MSTA755 Rain drain Insp - / / /- / 04/26/93 rain drain complete PASS MS 04/26/93 MRS
MSTA755 Rain drain Insp / / / / 05/17/93 PASS MS 05/18/93 MRS
MSTA760 Water - Line Insp / / / / 04/26/93- PASS MS 05/18/93 MRS
MSTA795 Mechanical Final / / / / 08/25/93 SEE REPORT - PEND RB 12/10/93 GES,
MSTA795 Mechanical Final / / / / 12/15/93 PASS RB 12/14/93 RB
MSTA797 Plumb Final / / / / 08/25/93 PASS MS 08/26/93 MRS
MSTA799 Building Final / / / / 08/25/93 SEE REPORT ' - PEND RB 12/10/93 GES
•
MSTA799 Building Final / / / I. 12/15/93 PASS RB 12/14/93 RB
MSTA960 (F) Issue Cert. of Occupancy / / / / 08/25/93 JF 09/14/93 JF
MSTA960 (F) Issue Cert. of Occupancy / / / / 12/15/93 PASS RB 12/14/93 RB
, MSTA970 Case Finaled / / / / 12/15/93 PASS RB 12/14/93 RB
MSTB706 Erosion Control / / / / 01/11/94 SILT BARRIER NEEDED FAIL RB 01/12/94 RB
•
•
•
•
INSPECTION NOTICE
City of Tigard Building Department 4)
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Plbg. Underalab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FIN
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
Date Requested: ■ 2- \ - ci� Time: � AM 1 PM
Address: \40.--) 1 c i V --, ] Permit #: ' 0 \ O - 1
Builders e c) C' --T� (�/1G 1� 1 YV\ L C�
-& ?JA---
THE FOLLOWING CORRECTIONS ARE REQUIRED:
A VA C.4 f' i--t f S C--fr1 t .
,t,,kN 3 21 1) i .. fii-- )" ,--
i>/- v
� v
i
Inspector:// Dates \ 2 - \ S ---5- 5 5
✓ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
\e ) , Call For Reinep.