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Permit • MASTER PERMIT CITY -OF TI GAR PERMI T. # MS f95- 17i1 DATE ISSUED ": 04/06/y5 COMMUNITY DEVELOPMENT DEPARTMENT •• 13125 SW Hall Blvd. Tigard, dragon- 97223.8199 (503):839 -4171 ' • • PARCEL: 151 3.3CC- 013001 SfTE ADDRESS...: 11735 S.W. TALLWOOD DR, . ' SUBDIVISION , . PEBBLECREEN.' '. .ZONING: R - - • BLOCK...... ..... LOT .007 • , - -- _ - - -- BUILDING -• - RE I SSUE: MST94- 0389 DWELLING UNITS:1 BASEMENT.,„ a .... :0 sf ' , CLASS OF WORK. :NEW BEDRMS :3 BATHS :3 GARAGE ..... ..... :520 sf TYPE OF USE...: SF FLOOR AREAS REQUIRED SETBACKS - TYPE OF CONTT.: SN FIRST • 949 s f . LEFT. e : 17 : ft R I GHT.:8 ft , OCCUPANCY GRF.: R3 SECOND... •:883 sf FRONT :200 ft REAR.. :3121 ft STORIES.:.. - :2 :F I :O sf f ' REQUIRED - -- ---= . - -. - . HEIGHT........ :26 ft TOTAL :1332 ' 's 'F 'SMOKE DETECTORS..: Y FLOOR LOAD....:'4121 ps f VALUE $ ' 126917 :PARKING SPACES. a 1 Remarks: PATH I' .. - PLUMBING, . -- . . SINKS -1 • FLOOR DRAINS.... :0 BACKFLOW PREVNTRS..: 1 LAVATORIES .5. • WATER.HEATERS... :1 TRAPS ' -0 TUB /SHOWERS..... :3 LAUNDRY TRA.YS... :0 • CATCH BASINS ''0 WATER CLOSETS... :3 . SEWER LINE (ft) .::0 :0 GREASE TRAPS..... :,0 DI:SHWASHERS.... :1 -WATER LINE (ft). :100 OTHER FIXTURES..... :0 . • GARBAGE.DI :1 - - RAIN DRAIN (ft). :0 .. -. - WASH I N G 'MACH; ..: 1 SF RAIN DRAINS..: 1 • •- - •---- - - - -•- MECHANICAL -- FUEL. TYPES.-----:- ' UNIT HTRS.. :0 - type amount by . date recpt : . /GAS/ / / VENTS, :0 TIF *, 1550.00 B 04/06/95 - . MAX INPUT :0 BTU VENT FANS.. :9 BPRT $ 500.10 B. 04/06/95 - FURN •( 100K .. :1 HOODS • 1 'BPLC $ 50;00 B' , 04/06/95'- - . FURN ') = 100K .. :0 ' . WOODSTOVES. :'0 - B5PC $ '25.03 •B 04/06/95 - • FLOOR FURN..-.. :0 '.• CLO. DRYERS.: 1 PARK :. $ 500.00' 5 04/06/95' - - BO:I.L /CMP ( 3HP :0 'OTHER UNITS: 1 . - . MPRT fi 58.50 - -B. ' 04/06/95 - . .GAS OUTLETS :.1 . MPLC $ 14.6,3 B 1214'/1"16 '95 -- . Owner: Owner: - '•--- •--- I*15PC $ 2.93 B 1214/06/95 - COSTA PACIFIC HOMES' PPRT 225.00 _R 04/06/95 - . 1.4780 SW OSPREY DR, PSPC'$ 11.25 B • 04/06/95 - . SUITE # 275 EROS $ 64.00 B 04/06/95 - . • - BEAVERTON OR 97007, ERPC $ 20.80 B 04/06/95 - . Phone #: 646-8888 ERPC $ 20.80 R 04/06/95 - • Contractor: ------------- ' ----7-SWM M $ 180.00 B 04/06/95 •- . COSTA - PACIFIC HOMES . . SWM• $' 100.00 B 04/06/95 - • ' 14780 SW, OSPREY-TR. . - - .. . # `75 ' • BEAVERTON OR 97007 ' ' - • • . ' . ' . • Phone . # : 503 -6 4 7.8388 . . . Reg #... '65157., -- • • -- , • • . $ 3323.44 TOTAL This permit is issued subject to the regulations contained in the REQU I RED I NSPECT IONS - --- - --• -- • Tigard municipal Code, State of Ore. Specialty Codes and all - other • = Footing Insp P1 i_tm b Top Out• applicable laws. All work will be done in, accordance with approved . Foundat ion Insp Framing Insp . • plans This permit will. expire if work. is not started within 180 • Post /Beam' Struct. F ire p1 ace •'Insp. days of. issuance, or if work._is, uspended 'for more than 180 da s. Past /Beam Meehan Gas Line Insp v. Crawl Drain Insulation Ip ns Perm ittee Si. gnat ure: f... ._ _ ,' _ Film /undslab Insp' Gyp Board Insp . . - PLM /Underfloor Rain. drain Insp Issued By: _ . . ' Mechanical Insp Water Line Insp. • • • Call for inspection - 639 -4175 • • . ` . , � • ' � ''� • ` � '` ` � '� ' ` . � � pLUMBING PE MIT ..: MST95 �_=,� � l� OFT TI �' ' � � � PERMIT #..~ .-0145 ' ` DATE ISSUED: N4/06/95' COMMUNITY ~~E`ELO. DEVELOPMENT DEPARTMENT � • ' 13125 SW Hall Blvd Tigard, Oregon 9722398 199 (503) ' •, . • . ' ' � � � PARCEL: 1S133CC-013�@ SITE ADDRESS...: 11735 SW TALLWOOD DR ' � ' ' ` . SUBDIVISION • ~ PEBBLECREEK ' ZONING: R-25 BLOCK • : LOT ^00 . _ _ � _ . _ • ____ • CLASS OF WORK. . :NEW GARBAGE DISPOSALS-. � . 1 . TYPE OF USE. . . . :'SF WASHING MACH. . . . .,.'. : 1. OW PREVNTRS. . :1 ! OCCUPANCY GRP. �:R3_ FLOOR DRAINS -0. TR S. . . . . . . . . . . . . . :0 . ` STORIES ` " :2 WATER HEATERS ^1 . ' CATCH BASINS ^0 FIXTURES-- --- LAUNDRY TRAYS � :0 ' SF RAIN DRAINS . -1 . SINKS :1 :. . , ' / . GREASE TRAPS ' ^0 LAVATORIES ~5 :OTHER FIXTURES. . . . .: 0. ' ' `� , ' TUB/SHOWERS,., �� SEWER LINE (ft :0 '.:' • % ' . � . . - • '' ' ' WATER CLOSETS... :3 • WATER LINE (.ft) ^ 1' 0 .' • 'DISHWASHERS • ^ 1 RAIN DRAIN (ft) . . :0 ' ' • . ' . • Remarks: PATH I' ' ' ' • � • � • � ' • ." ` , � , �' . ` ' OWNER: -�--------- ' '. ' - ' FEES- : COSTA PACIFIC HOMES ' TIF $ 1550.00 B 04/06/95 ' 14780 SW OSPREY.-DR ' BPRT $ 500.50 B 04/06/95 - : ' SUITE #:275 BPLC $ 50. 00 B 04/0 - BEAVERTON OR 970 07 _ ' - _ _ _ $ . �5, B 04/06/95 - _ � Phone.#: '646-8888 � ~ .PARK $'' " 50@. 00,B .04/06/95 - • � ` : ' ` MPRT $' 58.50 B 04/06/95 - Plumbing Contrattor:-- ----- MPLC $ 14.63'B 04/06/95 - ' � M5PC $. 2,/93 B 04/06/95 -: ' Name: �- � PPRT .$ `225.0@ ,B 04/06>q5 � ' . - .� Addres�: . ' ~- ___�_ P5bC $ � 11� 25 B 04/06/95 ,- City� tat�: � `` ERO��.4" 64. 0 B .04/06/95 � • ' ' Zip: .� � 'Phone#: �_ - ERPr $ , ` 20. 80-B 04/06/95 - Reg 4 . � ___ ` Additional fees not shown here. . . . . . . . . . � • � � �' ` . • ' . . ------- REQUIRED INSPECTIONS - ' This per�it is iesued subject to the'reg- . , _ ' ' � ` ' , !/lati p dn� contained in the Tigard Municip�l • Footing Imsp � ` Insulation .Insp Code, State of Ore. Specialty : Codes and a,ll ' ' Fbundatibn Insp Gy Board' Inep . other 'applicable laws. All will be done Post/Beam Struct Rain drain Insp • in accordance with approved plans. This . Post/Beam Mechan Water Line Inep permit expire if work is not started Crawl` Drain Water Service In • within '180 days of issuance, or ifwork is Plm/undslab Insp Appr/Sdwlk Insp suspended for' more than 180 days. . PLM/Underfloor Mechanical Final ' � MechanidaI / ep Plumb, Fin a Plumb Top.-Out Building Final . ' Framing Insp Erosion Control. . . . ~' �. ' - Fireplace Insp • » ` . � _ ' / ^ � . Gas Line Insp ' �` ,_ �� I ____ __ � � ^ _ ' . Authorized Plumbing Cpntract • Signature . Call for inspection - 6.39-4175- . ' S . ' Contractor Notes: � � - � • -___. __- � ____- _-�-__- �______-_� __ • ___ • - _ . - . ._' ' ' _-- � ' / ' .` � . . ' ' • • � ` `� � ' • � . . � � � � • • . ' .� ' �=� ' ' � � . .` . ' � � . ' � � '� � ` `� • ' � � � � �` ' � � .' ` ` � • ,^ � .� � . .. ' �' �' ` `� ` ` � � ` � ' ` • � � • ' ' ~~. ` C Residential Building Permit Application C ity of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 ce i k �� 4 ��"° i (503) 639 -4171 - c (..._ /c ) ,. Q'� — /o g s ci a ra1 r r Jobsite Address: 11735 SW Tallwnnd nrive • Subdivision: Pebble Creek Lot # 7 Office Use Only Planck/Rec # 3 — (' Valuation: I eZ �P V 7 c✓ _ / Corner Lot? Permit # MO 9: ''O /c N Flag Lot? Y ii, � R' Reissue of / q3 Map & TL # /5/33 GG - O' 3 ° (q 9oJ4, /Z Owner: Costa Pacific Homes Approvals Required Address: 8625 SW Cascade Blvd. #606 Planning Beaverton, OR 97005 Engineering y Phone: (503) 646 -8888 Other Contractor Same. Items Required Address: Subcontractors Truss.Details Phone: Other Contractor's License # 65157 1'/— Z . L, (attach copy of c Oregon license) / Marc Weber 646 -8888 W " '�` � 6�/�I /S( Contact Name &Phone: " 0 Cl 4 e' Subcontractors: Architect/Engineer: Iverson Associates Plumbing: Woi (-att. Plumbing Address: 151 Kalmus Drive C. 140 Mechanical: Arco Installations Costa Mesa, CA 92626 (attach copy of current OR Contractors License) Phone: (714) 549 -3479 JOB DESCRIPTION: Re -issue of Permit MST -94 -9103 adigt / ad a -a ■ / O ■de ... _............___ A a & Phone number X Received by: Date Rec eived: V- /2-2-( / 9 5 A Permit # Account Description Amount Amt. Pd. Bal. DLa J 00.s- . s IJ1s1 D /5/) Bldg. Permit (BUILD) Soo 0 soo.rt . Plumb. Permit (PLUMB) 0 Zf L S v Mech. Permit (MECH) St 5 .5g CD State Tax (TAX) .3 1,z1 y- 2( Bldg: oZ�•D3 / Plumb: //. Mech: e1;9, Plan Check (PLANCK) C >l 6 Bldg: S!/ • / Plumb: Mech: / q. (o .3 . sw n Uf 3 Sewer Connection (SWUSA) 4-2-rrl 2 7...ti V Sewer Inspection (SWINSP) 3 ' 3J / Parks Dev Charge (PKSDC) So ° S"i) Residential TIF (TIF -R) / 5/3 U l (( 3 0 ;/ Mass Transit TIF (TIF -MT) / / 2,0 Commercial TIF (TIF -C) Industrial TIF (TIF-1) Institutional TIF (TIF -IS) Office TIF (TIF -O) Water Quality (WQUAL) l-0 f Water Quantity (WQUANT) / G`' Ice) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) li f v Erosion Planck/USA (ERPLAN) Y' ✓ Erosion Planck/COT (EROSN) Lc , ,Ce ✓ TOTALS: „SS Y,( 3 SSGY• y� • DEPARTMENT OF LAND USE & TRANSPORTATION "WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST, HILLSBORO, OR 97124 COUNT'', INSPECTION REQUESTS: 503/640- 3561/693 -4415 OREGON XxXXXxXXX - -> 640 -347e Page . 1 of 1 Date : 06/02/95 • Time : 10:30 Permit Type : Residential Electrical Permit Permit # : 05068271 Permit Status : APPROVED Applied : 05/30/95 Situs Address : 11735 SW 'TALLWOOD DR TI Issued . 05/30/95 Permit Title : SFR - ELEC/ALL ENCOMPASSING LV Completed : Permit Descr. To Expire : 11/27/95 Project Title : SFR - ELEC /NEW HOUSE Project # : P0049971 Project Descr. : * EROSION .ti Parcel Number : 2511.'1 - Land Use District : • Valuation 0 • Legal Descr. • Owner : INSPECTION - TIGARD Construction : OTH Applicant Name : GARY'S VACUFLO Classification : 900 Applicant Addr.: 9015 SE FLAVEL Occupancy : R3 PORTLAND, OR 97266 Validated by : KKP Applicant Phone: 775 -2042 Inspector Area : D Fee description. Units Fee /Unit Ext fee Data Limited Energy /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 k ** Method Check # Receipt No. Date Payment 'DEP' 05/30/95 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 ;� WASHINGTON COUNTY RESTRICTED . W I Department of Land Use & Transportation Electrical Inspection Section 155 North First Avenue, #350 -12 ELECTRICAL ENERGY . Hillsboro, 97124 APPLICATION Information: (503) 503) 644 0 -343470 0 Fax: (503) 693-4412 PLEASE PRINT Please complete all sections, 1 through 5. Permit No. (X S0- t 7/ 1. Location of installation Date 5 - 3 0 ..95 Address '/73 S : SLc) 7a/444 )ot' City aAVPr74-0 1/ Zip Code 97007' 4. Type of work: Map No. Tax Lot RESIDENTIAL Restricted Energy Fee $40.00 Thomas Map Book: Page Section (for all systems) Check type of work involved: Directions /JD „eivekrijoaxuwt r Audio an Systems Commercial ❑ Residential �. 5 Burglar Alarm �—" I Telephone Systems* Tenant Name 7 Garage Door Opener* (if commercial) ,A Fire Alarm ' Heating, Ventilation and Air Conditioning Systems* 2. Contractor application: ■7 Vacuum Systems* Other (.4(/L� earn_ Electrical Contractor — COMMERCIAL Fee for each system $40.00 GARY'S VACUFLO. INC. 775 -2042 — (seeOAR918- 260-260) • 9015 SE FLAVEL, PTLD, OR 97266 DATE: 5 /3o /2'5. JOB# — Check type of work involved: OWNER: tz- Si CLE 26728, JLE 985, CCB: 69047 — BoilerControls Phone No. — Clock Systems Data Telecommunications Installations - Fire Alarm Installation 3. Owner application: - HVAC - Instrumentation Print Owner's Name Phone No. = Intercom and Paging System Landscape Irrigation Control* Address Medical - 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 ("'). 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 �O permit. Enter fees $ 4. Assume responsibility for assuming that all corrections required by the inspector are done, and 5. Assume responsibility for calling for a final inspection when all of 5% Surcharge (.05 X total above) $ the corrections are completed. The person signing this permit must be the applicant or a person Trust Account $ ci4 de0 authorized to bind the applica t. D `� Total `�a Signature /�1�. $ Authority if other than applicant This permit becomes null and void tf the work authorized by the permit Is not commenced within 180 days from date of Issuance For inspections call of such permit or If the work authorized is suspended or abandoned 640 -3561 or 693 -4415 at any time after work is commenced for a period of 180 days. Electrical Permits are non - refundable and non - transferable. 24 -hour recorder, one working day in advance of need BL24 - 114 lip DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350 -12 155 NORTH FIRST, HILLSBORO, OR 97124 111 11110 COUNTY, PHONE: 503 /640 -3470 OREGON INSPECTION REQUESTS (24 hours): 503/640 -3561 or 693 -4415 Permit #: 05068271 Project is • P0049 Sta.1_uS' : APPROVED Page 1 of t. Applied 05/30/95 Issued 05/30/95 Expires 11/26/95 05/31/95 05 . 01 RESE C Permit Title 1 SFR - ELEC/ALL ENCOMPASSING LV ia`l'Fi Description Begui: • 0.5/1'x/95 , Job Address 11735 SW TALLWOOD DR TI • Owner - Name INSPECTION - TIGARD Reg, ion D App 1 icar t Nang. : GARY'S VACtfFLO Phone number : • 775 -2042 Valuation: 0 Approved__ Inspector c�omartenf_s : �'• -- _ , IVs,+• -RE ULT Plumbing ,. Mechanical . .._._._ _._..—_......._ . E l e c t r i c a l : ..._ - ---- -- ____.__,__...___._... __.. .____. _._._-__._- .______._.,_..._. S t. ru c t r. u a l _._ - - -_ ____ • General • , ji rr s p e c t t� d ]: y_ ----- ___..._ • , , g i t o - T Inspection 'Requested: * Low Voitaae Cover 0409 E AP DN I tjTz 05/31/95 . R? RIIVR 26 -7280 c'. •, . . • CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. Date Requested: 7^ - 75- Time: AM PM Address: f / 7) 5 Builder: Permit #0 Gj66 THE FOLLOWING CORRECTIONS ARE REQUIRED: r iro Cy/l/C9 Inspector,i/ c/Jci C( DateT7 / ', 5 APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE )1 _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 • Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post /Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. Date Requested: 7 73- Time: A •M r- Address:J J 7 s �) �� Jr+l Builder: - Permit #3'W _64e THE FOLLOWING CORRECTIONS ARE REQUIRED: • ca 0 ,7 Inspector: li c / / I . ) e ROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE �\ _Call For Reinsp. • CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post /Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. 41 Date Requested: ) // ' /9 S Time: AM PM Address:4 1 35 l Ic9---- Builder: _ 135 Permit #:03 4 7 70 1 THE FOLLOWING CORRECTIONS ARE REQUIRED: Q - 04 ' G"rn.;r / Ca/ R/1/1 . 2 , /l/ - e-ec� (, e c_.. I; c% r- __ , i i 3 f S'e a -P r 1 Li h -i / / 5 `c i re;. s 4 L I I 4t i? L ' « 57‘, d % r"' Ax l at) , , .97 ap Y1�7 - /A1ef3rk, Inspector: �W \c± 4 r ( t' /4 Q! `^ Date: / l APPROVED DISAPPROVED / APPROVED SUBJECT TO ABOVE Call For Reinsp. DEPARTMENT OF LAND USE & TRANSPORTATION t - WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST, HILLSBORO, OR 97124 C OU N TY INSPECTION REQUESTS: 503/640- 3561/693 -4415 OREGON xxxxxxxxx - -> 640 -3470 Page : 1 of 1 Date : 05/15/95 Time : 09:39 Permit 'Type : Residential Electrical Permit Permit # : 05067704 Permit Status : APPROVED Applied : 05/15/95 Situs Address : 11735 SW TALLWOOD DR TI Issued : 05/15/95 Permit Title : SFR - ELEC /NEW HOUSE Completed : • Permit Descr. To Expire : 11/11/95 Project Title : SFR - ELEC /NEW HOUSE Project # : P0049971 Project Descr. : * EROSION * • • Paicel Number : 2S1'1'1 - Land Use District : Valuation U Legal Descr. • • Owner : INSPECTION - 'TIGARD Construction : OTH Applicant Name : BEAR ELECTRIC Classification : 900 Applicant Addr. : PO BOX 389 Occupancy : R3 DONALD, OR 97020 Validated by : KKP Applicant Phone: b' /8 - 1355 Inspector Area : Fee description Units Fee /Unit Ext fee Data Square Footage [Enter Sq. Ft.] 2500 185.00 Subtotal Electrical Fees: 185.00 State Surcharge of 5% 9.25 Total Electrical Fees: 194.25 * ** Fees Required * ** * ** Fees Collected & Credits * ** Method Check # Receipt No. Date Payment CK 11879 05/15/95 194.25 TOTAL THIS DATE * * * * * * * ** 194.25 Fees: 194.25 Aujustments: .00 Total Credits: .00 Total Fees: 194.25 Total Payments: 194.25 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 1 w. �► WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use & Transportation U Electrical Inspection Section APPLICATION 155 North Fi rst t Avenue, #350 -12 Hillsboro, Oregon 97124 Inf (503) 640 -3470 Fax: (503) 693 -4412 PLEASE PRINT Permit J �� D / � � Please complete all sections, 1 through 5. Numbe (f ate - 1. Location of installation 4. Complete Fee Schedule below Address / 17 75 SW T u_tw oo0 D/1 Number of inspections per permit allowed Building City � G�20 Suite te No. Service included: Items Cost(ea.) ' Sum Tenant Name A. Residential - per unit / (if commercial) 1000 sq. ft. or less / $110.00 / 7 0, 00 4 Each additional 500 sq. ft Map No. Tax Lot or portion thereof $25.00 7 S °v Thomas Map Book: Page:' ' G sy Section: fl3 Limited Energy $25.00 1 P 9 Each Manuf'd Home or Modular Directions Dwelling Service or Feeder $68.00 2 Arid LE C/leVc Sv #'DeVoFe0n Commercial ❑ Residential B. Services or Feeders Installation, alterations or relocation 200 amps or less $60.00 2 2a. Contractor installation only: 201 amps to 400 amps $80.00 2 Electrical Contractor ae 61 c- 'tic- 401 amps to 1 00 amps $120.00 2 601 amps to 1000 amps $180.00 2 Address AO. to a 59 Over 1000 amps or volts $340.00 2 City DoaA6D State 04 ZIP rj' • Reconnect only $50.00 2 Date 5-9-9S Job Number Property Owner Goyfo- fri. cifsc f-4,inEr C. Temporary Services or Feeders Contractor's License No. / -fe 7C. Installation, alteration or relocation Contractor's Board Reg. N��jj�� . , . . 00 amps or less $50.00 2 201 amps to 400 amps $75.00 2 Signature of Su r. EI rT .)PrA / 401 amps to 600 amps $1 00.00 2 g p Over 600 amps to 1000 volts see "B" above License No. Phone o. - D. Branch Circuits 2b. For owner installations: New, alteration or extension per panel a) The fee for branch circuits with Print Owner's Name Phone No. purchase of service or feeder fee. Each branch circuit $5.00 2 Address b) The fee for branch circuits without purchase of service or feeder fee. City . State Zip First branch circuit $35.00 2 Each add'nl branch circuit $5.00 2 The installation is being made on property I own E. Miscellaneous (Service or Feeder not included) which is not intended for sale, lease or rent. Each pump or irrigation circle $40.00 2 Owner's Signature Each sign or outline lighting $40.00 2 g Signal circuit(s) or a limited energy panel, alteration 3. Plan Review section (if required) or extension $40.00 2 • Please check appropriate item and enter fee in section 5B. F. Each additional inspection over the allowable 4 or more residential units in one structure in anyof the above Per inspection $35.00 Service and feeder, 800 amps or more Per hour $55.00 System over 600 volts nominal In Plant $55.00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees Submit 2 sets of plans with application where any of the A. Enter total of above fees $ k 8 s. °o above apply. Not required for temporary construction 5% Surcharge (.05 X total fees) $ 9 . 2.5' services. Subtotal $ /9 2 This permit becomes null and void if the work authorized by the permit is B. Enter 25% of line A for not commenced within 180 days from date of Issuance of such permit or Plan Review if required (Section 3) $ Gr if the work authorized is suspended or abandoned at any time after work Subtotal $ f 9'f 24 is commenced for a period of 180 days. Electrical Permits are non- ❑ $ refundable and non - transferable. Trust Account is For inspections call Balance Due $ / 9Y .2-S 681 -3699 or 681 -3698 24-hour recorder, one working day in advance of need BL28 • 3i95 • WASHINGTON DEPARTMENT OF LAND USE & TRANSPORTATION LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 W COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 Permit it: 05067704 Project #: P0049971 Status : APPROVED - 1 Pa:le of 1 Applied • 05/15/95 Issued 05/1S/95 Expires : 11/11/95 05/26/9 0.5.01 RESELEC Permit Title : SFR - ELEC/NEW HOUSE OT} Description Begun :0/15/9E Job Address : 11735 EW TALLWOOD.DR TI Owner Name • INSPECTION - TIGARD Re-clior, 0 Applicant. Name BEAR ELECTRIC Phone number : 678-1355 Valivation• 0 Approved._ Inspector Comments: Rejected • IVR-RESULTC REQUEST ERROR? . , . ' • Plpmbing : Mechanical: Electrical: Structrual: General 0 2-6"- inspected,by: 1 Date: ,4 Inspection Requested: * Cover 6, Service . 0403 E G DM 05/26/95 RI • JUIVR 24-107C • C i • CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: ` Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulati• -Mech. Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: Time: AM PM 7 Address: 1 / / 3 5- £ GG) . /q //l. Dcs J) Builder: CeD5 Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: /` 15 l A17JC/97 7 Inspector: Date: to — - 9� APPROVED DISAPPROVED PPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: t - S _ -'S Time: AM PM Address: 1/ n 7a- L' GOODd J2r• / Builder: & & & / £ 5A fQ��, 2rmi 74,�O/ !7.5 THE FOLLOWING CORRECTIONS ARE REQUIRED: X90 F /2v 1 ) 6 1 4 - Y s. de,ie / allc aisoz Sv e -o' r V'-e %n 5 P, ii y a t 1 r r t I l WQ 4-D Q� co. tei r i l i e . p reee p 1ec' ? 1 i Inspector: Date: CO — S - 9 5 APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulatio -Mech. Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: - 7--9.5 / Time: AM M Address: 1 1 ?3 5 / CC./ e (wood c / . Builder: l 15 )a_ PQ C b G Permit #: M Q/ 4 /5 THE FOLLOWING CORRECTIONS ARE REQUIRED: 590_ ?/ = ,.„Q . — _ 4 /Ft / Inspector: ./4 Date: 4- Z' 9 S` APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 63 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling rink. Rough -in • ppr /SdWlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post /Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: 7 /1 /9,5 Time: AM PM Address: I I ' Builder: Permit #: s v I THE FOLLOWING CORRECTIONS ARE REQUIRED: r (LCD NJ/ c- el ✓G�. c'' -e vt ttl Lvf curb eR 15 r tarGe- a--/ /7 d 4. <- , Ay, r471/ h - e S a IV Lei - 1 — sr 4 01 JC ref 146.071.0ni' Yr-Fr r 4 5c. r r fated * Inspector: i , Date: 7 / APPROVED DISAPPROVED APPROVED SUBJECT TO ABOV _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall t Gyp. Bd. - Elect. CU Date Requested: � J Time: AM PM Address: / / 7 3 kgot Builder: Permit #: G t T5 THE FOLLOWING CORRECTIONS ARE REQUIRED: • I pector�'i�.� L Date: PPROVED DISAPPROVED APPROVED SUBJ CT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Rough -in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post/Beam Mech. San. Sewer Gas Line CCU.) ✓ -Bldg. Plbg. Underfloor Rain Drain - Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall >> Gyp. Bd. - Elect. Date Requested: E( J ) ( q5 Time: AM PM Address: / 1 73 5- d � Builder: Permit #: ,3 — d 1 LS THE FOLLOWING CORRECTIONS ARE REQUIRED: a l 0�,. �� /- /iii�S'L/G`S C0 C/'`X /a "/5�/9 -,.e Inspector: Date: 3/-- ,c--?<( _APPROVED _DISAPPROVED LAPP D SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post/Beam Mech. San. Sewer (Gas Linn -Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: S 2 ? Time: AM PM Address: // 73s Builder: Permit #: = 62/y5 / VS THE FOLLOWING CORRECTIONS ARE REQUIRED: ('�✓ APPZI ems a,-ce s, Si ore ��,s.-: � F; / Inspector: Date: 5" - Y-- 9j �tPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE ' 4:7z--. Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post /Beam Struct. ' bg. Top O ° . J Elec. Rough -in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: / q/ .c Time: )(AM PM Address: / ( 735- c� Builder: Permit #: < �- °/ {S THE FOLLOWING CORRECTIONS ARE REQUIRED: • In pector: Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE — Call For Reinsp. C, CITY OF TIGARD BUILDING INSPECTION NOTICE �•/ Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post/Beam Struct. ' •g. Top Out Elec. Rough -in FINAL: Post /Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: 57 2 - � - J ( Time: AM _ _PM . Address: ( l 35 Builder: Permit #: 9 S —6)( THE FOLLOWING CORRECTIONS ARE REQUIRED: OP/P / _ /�� Ar r 1 F / /,- - Inspecto . ;01 Date: /,'� _APPROVED - DISAPPROVED _APPROVED SUBJECT TO ABOVE �6all For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water -L' Insulation -Mech. Underflr. Insul. Shear W Gyp. Bd. - Elect. Date Requested: `5- ( - � 9 Time: AM PM Address: II11 ( BuilderO A 1li.t ,— tc J O - l2.. Permit #: MST e iCO(Lic THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: , Date: 5 95 "�CPPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639.4e#?`- Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post /Beam Mech. San. Sewer Gas Line -Bldg. Ibg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: l /Jz / S Time: AM K PM Address: // 73 S 7 `1 C` Builder: Permit #: 7 5 v / T THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: / 7 7 7/ - ,.../---- Dater €� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE r _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace igarSCIP. Plbg. Top Out Elec. Rough -in FINAL: `ostBeam Mec San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: Z (//6 7 1q5 Time: AM PM Address: /1 73,5 T Builder: Permit #: ' 5 7 / /S THE FOLLOWING CORRECTIONS ARE REQUIRED: 1.77 er s- / iQ'S7� C/�/AS2 /. e7 Od - c Li ✓C Ti Inspector. Date: - •-'� J APPROVED _ DISAPPROVEDPPROVED SUBJECT TO ABOVE Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: r Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post/Beam Mech. 4'r Gas Line -Bldg. Plbg. Underfloor 'ain Dr Framing - Plumb. Alarm a Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. / - Elect. Date Requested: • //d / 79 5 Time: ` 1 40 PM Address: Builder: Permit #: D l THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: Date: L r /O 1� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: ,(A /1. 3 in Susp. Ceiling Sprink. Rough -in Appr /Sdwlk undat Plbg. Underslab Mech. Rough -in Fireplace Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post /Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: Yh195— Time: If fiED PM Address: H7.35 Builder: Permit #: 95 - 0 / 7 THE FOLLOWING CORRECTIONS ARE REQUIRED: O /!i O .1 i/ e vS _ ,c,e�- , e.�.c - J . f7 i27-5 e S�•4�e. e Sb 5icu .✓ (,� 7" C. -<..e ct `WE.6 92, Inspector: Date: V mot,-' APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp.