Permit I. CITY OF TIGARD = • _ '- , MASTER PERMIT i
1 •
Gel frrl i ASTS3-D1.t _
' .. :COMMUNITY DEVELOPMENT DEPARTMENT . ' . - - -
r. 1 3125 SW Hall Blvd. Tigard, Orog`on� X97223.81999 ;839 -4171 , • ' D ATE I•SSL•ED : 06 / 29 / 9 3
S1'Tc' ADDFE.pS... s 4.4883 SJt '1647TH 'PL ' ' -, . - PARCEL: ISi33Da? - l i
SUED I VISION. ':'. ; r, VILl AT.,SUMMER LAKE Pr 14 4 . ZONING: 'R=-4. 5 • • -
BLOCK; ° - .: ' s a . -
• LOT. ... r ' - ' .6E79' -
- . r ._ • - - -_'- BUILDING' , - -- - -- -' - - - -- --
NEI= • UE: . DWELLIN uNIT S;:1 ,. 'BA:SEi1ENT ' :0 sf „'• , „
.LASS OF WORK.: NEW BEDRMS e 4• BATHS : 3 . • - GARAGE' ^ 430 - sf ' •
- i !c= 4 OF USE. ..:3F. - - :FLOOR A� Ef4S - - - - -- . " : Fi1�ui.S I RED. SETBACKS----- - - - -- " s
TYPE OF CONS T..:5N FIRST -.1100 sf ' •LEFT...•'.•7 ft RIGHT.: 13 ft '
.CCCUPAKCY I3RP.: R3 SECOND...:9 ira sf FRONT. : 20 ft REAR. .•: ti,3 -. - f t .
�: -: DR 1 ES ^ 2 THI :0 • " . sf REQU I RED••- •• - - - -. ;
, 44::::I G:-,T . '25. ft TOTAL- ---- --- :;2wl0 s f. • SMOKE DETECTORS. t i' ,
'. -FLOOR LOAD, °40 psf . VALUE.'. :,.: 4S - 21 . - PARKING SPACES:. 11 . ' •
' -R'- - - -_ -- PLUMBING -7.--,- -- .- ... ._- - - - - -. , ,
, SINKS_ 7 " -1: - FLOOR DRAINS... : 0 _ • 6ACi'.F LOW - PRE' /NTRS.. 0 • .
' 'LAVA,TOi IES'..•... :3 ': ' WATER' HEATERS... 1 -'. TRAPS • :tai
"i'UB /SHOWERS. : ':.3 L' ' - LAUNDt Y - I'RA,(S..._e0 CATC.•: BASINS" ° 0". • ,
;WATER ' CLOSETS,. 1-: 3 •• : ' SEWER LINE . < f t . :0 - • GREASE TRAPS ^ + - • ,
.DISHWASHERS. .: ',1. - - - WATER LI'NE' ' ( f t ) - . . ; ,x.00 OTHER ' - PI X TUt S.•'.... a 0 -
' GAr- DACE. DI S,P. .1 RAIN DRAIN (ft ) . :0 . ,' ' '. , , , , • ,
' 4ASI-iING MACH.' ...: 1 SF RAIN DRAINS..: 1 - • . '
FUEL "i -- . - - - - -- -..- UNIT H 1 RS..:0 v vpe • amount • by . da; e' - ecpt - - r
/taAS/ -/ /• VENTS °0 THE $ - 1460. : Q;0 'JH 06/.29/94.'; '
- .:AAX ' INT-UT:0 . - 'S T U • GENT FANS. .:4 bPRT .$ 435.50 JH 06/29/93 .
• MAN < 100K ..:0 HOODS ' ^ 1 BPLC $ ' . 283'.08 JLE°i'03%:1.61.93 9.3=237839 -
FUF v ) = 2 0 0 K . . :1- • W 1ODSThQES. , :0 - 'B5PC $ 21.78 JH '06/29/93 : -
FLOOR FURN °0 ' - CLO DRYERS.: 1 • ' •SSDC $ 280. 00 JH . +67.29/93 -.
BO I1: /CMP < 3HP g 0 .2 _ OTHER UNI i•S: I PARK $ 250. 00 ,.iH 06/29/ 5 . ,
• • GAS OUTLET`S a 1 BPLC $ 15. 00 JH .06 / 9S/93 . '
' Ol ner-{ - --' -. -r ...._..- ,MF'R't $ 45. 00 J:-1 06,/a /.93 . . • -
- .1.4N-.' NOR I SSE.T T E, "i-IOMES t *1PLC $ ' 1 I . c ^.5 JH 06 /2919;3
i 5 3J' SO D]AitifGY . RD _ - - MSPC $ E. 25 ,JH 04'/1129 /93 . - '
SETT TE, , $ 201 - -• . . _ ', . . , ,. . - PPR-T $ - 140. 00 JH 06.129 /93 . . '
. .1_,A ri OSWEGO' b13 9 7''0;3:5• . - • ' , • . • . ' PSPC, $ •7. JH .Zl6 /E 9 . - "
Phone * . 620- -7538 ' • • ' • ,
Lo n- tract or: = - - -- . - -- {--- ••--- - - - - -- -. - -- - .
:DON MURISSI-,ITT :- BUILDERS, .INC'. , ' • ' '
15.555 SW B'ANGY. _RU'. ., ,
•
LAKE OSWEGO OR 97035 _ . • ' ^
-hone ifs c - C. ! -•75 ;8 - -,
Reg k,... .353:3 . - • __ - - - - -- - - - - -- ' - -- •
• . • ' • 2950. 86 TOTAL • . , • . •
This perzit' is issuer subject i'-o- the rerc:ations 'contained in the - - ' - REQUIRED INSPECTIONS - ,
Ti.nard iuriiripaI Code., Stahl of•? Cedes aryl ail other Foci /found Insp Fir- ep1ace Insp
applicable fans. "1D1I' *silt.ail1 be +deoe - Ia accordance rv:th approtied ` _ Post /Beam St ruct Gas Line Insp - -
piars. This, peat - rig .,e>ipiie if •..r :h `a liot 'startee within 12•t:'• - Post /Beam Mechan Insulatiion Insp "
days of issdance 'or ,ii work: is 5 ,'or corn= "la lao days. , • PI101and'S1ab Insp G`yp Board Insp' ' - ' '
• . - r • PLM Under fl cram 7m,sp ' ,
eir pfi.tt -ee Si g ettirre., ., _ • ..' Mechanical insp WatenLine' IEr %p - .
- - _ P='l'umb~ "Pop'. Out Appr /Sdwrit-c_ Insp _
'' I'S:_te E'. • - F_rari:rig Irsp . . ilecf :=A'n'a 1 ,
,: • ,,: " ' ' La1i :F rrr' ,inspection - •639' -4175 ,' ' ru' •
. a r, , , . 4. /
OF TI G �� Ha° � PLNCI(/RECT 0
C� poe�zuv� PERMIT I /9'!5¢y.3 - 0/ 7 2 _
COMMUNITY DEVELOPMENT DEPARTMENT TsSard. Oraa^9T/
($01) DATE ISSUED
JOB ADDRESS: / r a I3 SL) (a 7 1 :- 1 - 1 TAX MAP /LOT /5/ 33 DD —42.ao
SUB: i4l ro S. ' LOT: / 79 LAND USE:
VALUATION: /DU Z uo , l
�NER SPECIAL NOTES
NAME::_ tJr YY)(S REISSUE OF:
ADDRESS: )SS S' 5&) Rio Y (' Li 41201 LAST REISSUE:
0 Ow. ._ r r ° 1I FLOOD PLAIN/
PHONE: [0 3' SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: PLANNING: (0 /("�"V�-
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: OTHER: 1'1
CONTR. BOARD 1: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS:
MECH: Nil i 0t+1 TY ?I U)LYfl f US TAX:
ARCH /ENGINEER CALCULATIONS:
NAME:
----- 0 / - A ■ - I I TRUSS DETAILS:
ADDRESS: h (fie R c X 1 F 3 • • OTHER:
gi. .r l_ ._
i U' a 0
PHONE: 1...P73
PROPOSED BLDG. USE: 6
COMMENTS:
o
I L�Z�ANT 6?dtl
U RF `"
Received By: Date Received:' 3 - j 43
•..
7 Od.• (.3 6-6
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON 155 NORTH FIRST, DEVELOPMENT LSBORO, OR 97124
COUNTY INSPECTION REQUESTS: 503 /640- 3561/693 -4415
PHONE: 503/648 -8761
1
*0;44 OREGON Pa g e 1 of 1
Date : 07/09/93
Time : 16:47
Permit Type : Residential Electrical Permit Permit # : 05042353
Permit Status : APPROVED Applied : 07/09/93
Situs Address : 11883 SW 127TH PL TI Issued : 07/09/93
Permit Title : SFR - LIMITED ENERGY Completed :
Permit Descr. To Expire : 01/05/94
Project Title : SFR - LIMITED ENERGY Project # : P0032771
Project Descr. : * EROSION *
Parcel Number : 2S1TI - Land Use District :
Valuation 0
Legal Descr. .
Owner : INSPECTION - TIGARD Construction : OTH
Applicant Name : LAM, JAMES P Classification : 900
Applicant Addr.: 11883 SW 127TH PL Occupancy .
TIGARD OR 97223 Validated by : EB
Applicant Phone: 693 -4251 Inspector Area :
Fee description Units Fee /Unit Ext fee Data
Limited Entegy /Alter. /Extension 1 40.00 40.00
Subtotal Electrical Fees: 0 40.00
State Surcharge of 5% 0 2.00
Total Electrical Fees: 0 42.00
* ** Fees Required * ** * ** Fees Collected & Credits * **
Receipt No. Date Payment
000 07/09/93 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 inspect! n requlfttments.
1 1-77
A P ANA SIGNATU E
Al Ni oWASHINGTON COUNTY RESTRICTED
Department of Land Use & Transportation
Electrical Inspection Section
155 North ELECTRICAL ENERGY
155 North First Avenue, #350 -12
Hillsboro, Oregon 97124 APPLICATION
Information: (503) 640-3470 Fax: (503) 693 -4412
PLEASE PRINT
Please complete all sections, 1 through 5. Project No. Permit No. — `
1. Location of installation Label No. Date — 9 - 3
Address // 5 5 LA/ 1 2 el Issued By f'' Office
•
city / 1 9oLre' Zip Code 9 7 2 2 3 4. Type of work:
Tax Map Map No.
RESIDENTIAL Restricted Energy Fee $40.00
Thomas Map Book: Page Section (for all systems)
Directions Check type of work involved:
•
Audio and Stereo Systems*
Commercial n Residential ® Burglar Alain,
Tenant Name Telephone 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 application:
COMMERCIAL Fee for each system $40.00
Electrical Contractor (see OAR 918 -260 -260)
Address Check type of work involved:
Date Job Number
Property Owner — Contractor's License No. Boiler Controls
Contractor's Board Reg. No. - Clock Systems
Phone No. Data Telecommunications Installations
Fire Alarm Installation
3. Owner A U �� application: / -
4 HVAC
Ail it P. _ _ 12T/ _ Instrumentation
Intercom and Paging System
Print Owner's Ne 3 s ! jai one No. = Landscape Irrigation Control'
Address — Medical
_
I/ 9 Cv7e4 D 2 7 22 3 Nurse Calls
City State ip ^ 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 I*). All others need licens-
ing.)
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 Li' 0. t�v
permit. Enter fees $
4. Assume responsibility for assuming that all corrections required
by the inspector are done, and 5% Surcharge (.05 X total above) $ i Ci
5. Assume responsibility for calling fora final Inspection when all of
the corrections are completed. `
The person signing this permit must be the applicant or a person Total $ �I eel
authorized to bind the applicant.
Signature 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 11/92
INSPECTION NOTICE
• 'City of Tigard Building Department
• 13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: _ l V1 -5i
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line ` FINAL :)
Post /Beam Struct. San. Sewer Framing
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor I Water Line Gyp. Bd. \ / -Mech.
Date Requested: /0 - - / Time: X AM PM
Address: 11 12-1 1. ,, �-- 2- 1- I 3 Permit is / 3 � 7 2 _-
Builder: " ` 1 5 ( 15155 `" lit� 2- ' 7 D
THE FOLLOWING CORRECTIONS ARE REQUIRED:
. ..
ff il -4.4"--1-41-("4.4 e41-.1114.4.'t":11-.).3.g. 426.°.‘
e
Inspector: Date: /C) - -/ - Z
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
• • City of Tigard Building Department �.
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line
Poet /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: (0- -6 .� 1 � I 1 3 Time: AM PM
Address: I( cE5 �, - f �/� Permit is I O( Z
Builder:)c Y� 1" UI W«- Z /
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
/::::)
Inepecto 7 Date: --L
APPROVED DISAPPROVED �� APPROVED SUBJECT TO ABOVE
Call For Reinap.