Permit . ,
. , .
. ,
' • _ , , . ' ' , . .
Cir .
, . .
, . . ,.
. ,
t r, OF.. mr. "GARD ,.., ' . ' . ' . .: ' . t;lASTER PERMIT ';,,:•.:-/. ' ',.. , ,
• '- • P 1...- R 11 I T 411'. . .
• ''rois, COMMUNITY DEVELOPMENT DEPARTMENT . , . .
- .' 13125 SW Hall:Blvd. Tigard, Oregon 97223■812,83,(503).99-11171 . ..
. .. .DATE ISSUED.: 05/03/93 :
., ., , . . , „ , , , .,.. •, . _ •_,: . ' ,
. .
' -•- ' • S11: ADDRESS, . - 2', 10568 3L . 1 I TAN ' LN • . ' - •-•PARcE_IL : , as 1 1 5(21i:4 - 07701z;
' :" t.i1-3pg y.,.1 ,,, .... BERKLEY EST TES • . ZONING g -. .. .. . . ,
."• - BLOCK.1`. . - . . . . . -, g LOT,.
. - _..
BUILDIN, ----------- .
.. -
•-„ RE I ssuE. ., , . ; DWEL1-I NG UNITS:1 . • . SASEMENT . . . . . . . g 0 • ' .• • s f
, .. •
CLASS OF - WORK. NEW BED RIYIS g 3 BATHS g 3 ' . GARAGE:, . - , . • .... . ': 44 f . i , .s. - i . '
T
TYPE OF USE. . f.' SF.. ' ,,,,. FLOOR A REPS - - ; , REQU I RED SETBACKS-Tr-n-7. ..
. ..
.ViPE OF, CONST. : 5N. : -• •-, FIRST - !.,- g'1234 •s E.F
f ' . , L.T._. g 6: ' ft . WISH T. :1 0 • ft
. .
OCCUPANCY:" t,3,RP-. 3 R3' .' . ' pEcoND. . .:41-31.0. . -' s fs: s . FRONT. '.' 20 ft - REAR. ..' g 46 ' ':ft
' STORIES... '''.,'. - . . g 2 ., TH 1 RD • r" g 0 " ' s f , - 14EQU I RE Ii:--,:":-.7- --"-- - ---.--------'-'; - r'-• - -7-'4 ,
HEIGHT. ,,. .,',.4. .. . g a ft _ TOTAL- --; - --.rr--rf, 2044 s f , -' "SMOKE DETEOTORS. g 'Y ' • .
. , .
. ' FLOOR LOAD. . . . :40 ps f VALUE. . . . . $ g . . :i. 019,62 :'*INC ,SPACES., . g 1
. .
, R e Mar 1< 4 P H H I
. • .
.., , . .•
•' `' •'..,S I NKS". - .: . - •; „ g 1 -- ' ' FLOOR .' DirZAT NS. . ., g 0' ' . - ,r ' , BACKFLOW PREVNTRS. .....: 0
•
. , .
.1 WATER 'HEAT ERS.':„ : g1 '.," ' ' . TRAP'S- .. .,' 3 0 ' • ' s
3 ' LAUNDRY 'T Rr NIS - r.,'"g1'..' ' : '- CATCH BAS I NS.: . ,.. .,:.;.' .,- g el: , ,. -. , o• ' .. '
WATER 'CLOSETS. . g 3 ; . . SEWER LINE ' ft) . g JD . ' - • GREASE' TRAPS. .'. ,•.`,., '.: •.. g 0
• .
DISHWASHERS ,-'. ' . g " • ' Wt•-:)TER LINE < fr) . 41210 OTHER Cr: I X TU R.E.S.; .:•' .••.;-.',.: 0 - - _ •
GARBAGE. D 'EP., :,•,,,;: g :I.:• •. " , RAIN DRAIN ( ft ) . g 0 . . , •
. .•. . • ' ". ' . "
WSH 1 NG MACH.";. g 1 1 -. ,` ';" • SF "R1-1:IN DRAINS. . g 1
- • -"----- • • -7 E CHAN IC L '''-.:'-----"; =---- - -=. - - - : - 7 --- ''' = LT F EE-S• F4 ----:- - - . - - -• - z -- -•= -- - -
• • -.. . . ,. .
• FUEL. TYPE-1-3--7---------"---.----- UN Il• 1-;iT RS. .- OD - , type pe 'amok.int r - by, • .E.iate. , ' r'ecpt
- • , ' '
. .
' • ' /Er';AS./' ' 1 / ' .';-. ' ' V E NT :::_; ', . .,'..• „ . g 0 1 I F s..-. ,146 0 . 007 , B / er,-.§.,'/: c'_') 3 '-.
iirlA X ' I,NPUT g 0 '' D'TU , VENT ' FANE.l.• '. : 4 -;.Bprrk : '438. BB -1•171 05 /<. /93 - „ „ , ,' ' •
', • 1- < 10r7..fir< . . g 0 ' HOODS.' "-.•.'• -. "-: -', . B1 ' '. :' ' ' ' 2 C4 71,41‘ 04/1,7/93 . '93.-238959
■ , -, -
TURN •>.F- . . 2 1 . WOODSTOVESY 0 l'i 05PC , , a i , 90 - ,Th . 05 /03/5, " •-, •
' FLOOR FURN. -.. . :0 , CLO • DRYERS. • g - I ' SSDC $ 280. 00. J1-1' • 05/03/93 - 2-
BOIL/M=1P < 31-IP :0 ' " ' ' OTHER UN i TS:-.4 Pcs,RK $ ' 500. 00 JH 05/0 -r, - ' :' :' . • ,"'
, • • -
- • . ., - .,SAS. OUTLETS, .L 1 I . 45. 00 JH -05/03' /93 - , ' -, . :', • :
• 0 V4,fi ' - , . -. 1. .I.. 25 ,SH . • . '05/ lif,I 3 /93 - . • - • ,
jAY . .KI i LIEF: - BL.DR.- • ' ; . - M5P.0 'I. • 2.'Er:5 ,:If, . ' 05/03/93 --:;“ ..• ., ,.
CJ L30 X. : ; . - . ,. , PPRt $ 155. 00 jH 05/0,3/93 -.
P5PC '3 - 7. 75 jl-1 •5/1'63/93 -
T I GA'ID OR 9743,1 ,: . . .
. , , _ , '' •
,
Ph one VI': g 684•-7543 . . . ,
' • , .....,
. . ,. .
' . . . . „
• Contract g -..-..---;----"--- ' --- - - - -•--- .,, . ,
,. , .
. . , .,.-
‘ . , . .
JAY. M I LLER;... '' - .
.
•
' , • , _ . ...• . .
PO' .00 X,
. .
' • .
• - '
. , .
. ,
- , • .;„ , • ,
' ' • `I'I GARD OR :: 97E81
, , •
-Phone 4*.g g,s4-754,3 , . , . . . ',
,•, Reg #. .- '.1.• 3109
, • .
,, .
. - • 3 3205. 85 TOTAL
, • „ ; . . .
, • ' This per-git is issued suoject t 6 .the, regulations contained in the ' . --:.-.--.,--- REOU I RED I NSPECTI ONS, ' -r':-; --r•--- :
ard i4unipipai Code. 'iStatb of , GKe. Specialty Codes :and other ,, Foot/Found " I n;s p Gas - L.. i :.' „ Insp • ,, „ ' '
applicable ' lais. ' 41 , ;(9,:rk ..igi if't!,E doile in accordancs '":,-Jith ',app oved ,,' Post /B e a m St ri_ict'. ,I. ns u 1 at i O'n ' In is
plans,, This perail7wi4;exPire if uork is not started within VA ' ' ', Po st /Beam Me cha n Gyp Boa- s d • Insp
days of issilance, oe"if:'wor i s suspended for pare than . 1 ' . , PLM /Lind es f ±o or - . R a i n i 9,. gr :1 n In :..-1 0
. ,
. ' : ' • Mechanical ' -_Water Line "Insp
. . . ,
, . Perm i t - •.e. a Si gnat 1..kr7e g . ,,_____...,./,„,,,,,__:._, Plumb Top Out . flp pr 7 Sch.'N 1 k 1,n5 p .
- , ,. Framin,q Insp - • Mechanical Final _
su.e.cit By ' '. ' ' '•- ' ' „..' . •,• 1•-:- r pl. a ca ; ITis p ,. P I u in b F i n a 1
. . . ,
, - - •'' i '"„ ' ". ,,, •-• ',. ' - ',. .. ',. :' . - ' 1 . . . . , -, -,
, .
. . „ . • . . . ., , - .. .,.
CA 1 .r o i ns'Pect i Oh''' -:-.. 63 -'' 1 75,
, ,,, •
, . .
. , .
. . . , •
, • .. , ' , .. .. - .• „ .. . - - - ' ' .
. . - .
•
13125 sw H a�a PLNCK/RECT # L i - 3
CITY OF TI GAI�D T o 97223
PERMIT # rms/93 00
COMMUNITY DEVELOPMENT DEPARTMENT
(SO3) 639 -1171 DATE ISSUED
•
/ C60 07 co
•
JOB ADDRESS: 5 111 - 771 - 61-0 LI) TAX MAP /LOT ,25/45 "
SUB: BA yk A-4 E t i LOT: BK 7 LAND USE:
VALUATION: /0/.50 '
OWNER SPECIAL NOTES
NAME: ✓0. /Y1i ILLY Bich— REISSUE OF:
ADDRESS: to f3 ax :3 a 9 i LAST REISSUE:
Cig 97a s.) FLOOD PLAIN/
PHONE: (08 7543 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED 5L. A49/-00/ 6
NAME: .) Cud m /'1 L Y PLANNING: it l ,`iz /.soda. OK-pee-
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: - OTHER: 77F
CONTR. BOARD #: EXP DATE:
.411k-iv ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: /f(of? Watt S LIST /SUBCONTRACTORS:
MECH: 8-11. —7 i-ec t (? c. • BUS TAX: • •
ARCH /ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: - OTHER:
•
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
APPLICANT SIGNATURE
Received By: c Date Received: V• /3 •93
•
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL.,,DUE
insf43 -0I(7 10 -432 00 Building Permit Fees 43e..• / 36/.---:L
10 -431 00 Plumbing Permit Fees 1SS•
10 -431 01 Mechanical Permit Fees
10 -230 01 State Building Tax (5 %) 3/. 90 3/.90
Building .2/, 90
Plumbing '1,75' 7 •
Mechanical 2 /
10 -433 00 Plans Check Fee / 9.5, 95 c -2,57) 4S -
Building ,Age/. 7o
Plumbing
•
•
Mechanical //, Zs'
10 -230 06 Fire
503 -0/97 30 -202 00 Sewer Connection a/0 U a /00
30 -444 00 Sewer Inspection 33 S
25- 448 -02 Commercial TIF Fees
25- 448 -04 Industrial TIF Fees
Y 25- 448 -06 Institutional TIF Fees
25- 448 -03 Office TIF Fees
25- 448 -01 Residential. Traffic Fees . /3SC' / /3S0
25-448-05 Mass ..Transit .TIF Fees I • / v
52 -449 00 Parks System Oev Charge (PDC).. _500 / 500
31 -450 00 Storm Drainage Syst Dev Chrg
(SSDC) a 80 / 0
24- 445 -01 Water Quality (Fee in lieu of)
24- 445 -02 Water Quantity (Fee in lieu of)
TOTAL s -5 )/ SD 74, 8s'
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
' ' '1' OREGON Page . 1 of 1
r.t ?G
Date : 05/10/93
Time : 14:53
Permit Type : Residential Electrical Permit Permit # : 05040203
Permit Status : APPROVED Applied : 05/10/93
Situs Address : 10568 SW TITAN LN TI Issued : 05/10/93
Permit Title : SFR - ELEC /NEW HOUSE & L.V. Completed :
Permit Descr. To Expire : 11/06/93
Project Title : SFR - ELEC /NEW HOUSE & L.V. Project # : P0031029
Project Descr. : * EROSION *
Parcel Number : 2S1'I'I - Land Use District :
Valuation 0
Legal Descr. •
Owner : INSPECTION - TIGARD Construction : OTH
Applicant Name : T & M ELECTRIC Classification : 900
Applicant Addr.: 833 NE BALDWIN ST Occupancy : R3
HILLSBORO, OR 97124 Validated by : KF
Applicant Phone: 250 -1596 Inspector Area :
CONTRACTOR : T & M ELECTRIC Lic. C 34 -148C 648 -6556
Fee description Units Fee /Unit Ext fee Data
Square Footage [Enter Sq. Ft.] 2500 130.00
Limited Energy 1 20.00 20.00
Subtotal Electrical Fees: 0 150.00
State Surcharge of 5% 0 7.50
Total Electrical Fees: 0 157.50
* ** Fees Required * ** * ** Fees Collected & Credits * **
Receipt No. Date Payment
05/10/93 157.50
TOTAL THIS DATE * * * * * * * ** 157.50
Fees: 157.50
Adjustments: .00 Total Credits: .00
Total Fees: 157.50 Total Payments: 157.50
Balance Due: .00
NOTICE: This permit becomes null and void if the work or construction for which H 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 compiled 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. 1 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
01 Iii WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
triVo Electrical Inspection Section APPLICATION
155 North First Avenue, #350 -12
Hillsboro, Oregon 97124
Information: (503) 640-3470 Fax: (503) 693 -4412 Project/Permit 1, _
PLEASE PRINT Number J �3 Date �3
Please complete all sections, 1 through 5. 4. Complete Fee Schedule below
1. Location of installation r Number of Inspections per permit allowed 4
Address ) 0 S (p pp g 5 (A) /S r ON 61/ Service included: Items Cost(ea.) Sum
City C' / at4 Suit Building . q A. Residential - per unit ,�
Q
Tenant Name 1000 sq. ft. or less $85.00 (1 4
(if commercial) Each additional t sq. ft _t5:-_____
or portion theereof eof $15.00
Limited Energy $20.00 1
Tax Lot Map No. Each Manufd Home or Modular
Dwelling Service or Feeder $40.00 2
Thomas Map Book: Page: Section:
Directions B. Services or Feeders
Installation, alterations or relocation
200 amps or less $50.00 2
Commercial 0 Residential 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 only: Over 1000 amps or volts $300.00 2
Reconnect only $40•00 2
Electrical Contractor T °l'Y rN E : . iv
Address S 3 - NE. B A MAA "1 S A 4 C. Temporary Services or Feeders
Date Job Number Installation, alteration or relocation
Property Owner S A 1 in i Lie.4 tAA;4144, 200 amps or less $40.00 2
Contractor's License No. 3 y - / 5f 201 amps to 400 amps $55.00 2 G 401 amps to 600 amps $80.00 2
Contractor's Board Reg. No. !ra 3 Hal Over 600 amps to 1000 volts see 'B' above
Signature of Supr. Elec'n D. Branch Circuits
License No. l a /S Phone No. New, alteration or extension per panel
a) The fee for branch circuits with
purchase of service or feeder fee.
2b. 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
made on roe I own
Signal r y panel, or a limited
ti
The installation is being property � energy panel, alteration n
which is not intended for sale, lease or rent. or extension $40.00 2
Owners 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 o
A. Enter total of above fees $ i 5"
5% Surcharge (.05 X total fees) $ 7
Subtotal $ /5 ) '--
B. Enter 25% of line A for
For inspections call Plan Review if required (Section 3) $
640 -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. 11/92
INSPECTION NOTICE
City of Tigard Building Department
' ► 13125 SR Ball Blvd. Tigard, Oregon 97223
" 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 (FINAL)
Post /Beam Struct. San. Sewer Framing Bld
Post /Beam Mech. Rain Drain Insulation ,Celb
Plbg. Underfloor Water Line Gyp. Bd.
lab
Date Requested: !7 -(0 -1 1 ,y�,,� Time: AM PM
Address: ` \" ,, I tc -D-tO' h k `-4u " Permit I: G� 3 02-1
J
Builder: ' is == 7z ' -4( s
'"l (S 1
THE FOLLOWING ARE REQUIRED:
/ (
if CAS f r," c cp �eAf a �, .. 7) cip e nN
Inspector: — // Date:
g767
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.