Case File i vecordslmicroflm\targetslhu lding.doc
)saps tment of Land Use&Transportation ELECTRICAL
tbk l spelon SectionW155 Norlh First Avenue,#350-12 APPLICA ION
�
Hillsboro, Oregon 97124
fafcrmatlon: (503)640-3470 Fax: 503 693-4412
Permit
IFAMM• • • • Number f(( +` �1' (�l(f Dat F; _[2k_�
1. location of installation q. CompleteFee Schedule below
Ll
Address j ) �� Nu hor of Inspections per permit allowed
X12 `�._2l�.__.� 1Y1_ �.-- _ _
Buibiing Service rtcluded: Items Cost(ea.) Sum
C'*y Suite ► o — ---- -- —
A. Resident!al-per unit
Tenant Nance
(if commercial) - 1000 sq.tt or less ___ $11auO _- 4
Each additional 500 sq.fl
Man No. _�Tax Lilt or portion thereof - $25.00
L-irniterl Er-ergy $2500
Thomas Map Book: Page:-_-__-- Section: Each Manuf'd Home or Modular
Dwelling Service or Feeder _ $69.00
Commercial Residential& Installation,Alterations or relocation
200 amps or less - --- $50.00 2
2a. Contracfor installation only: 2.01 amps to eDO amps ___.__. $90.00 _ _—_ . 2
Electrical Contractor
401 amps to 600 amps ___ $120,00 7_
� �! L __ —_- 601 amps to 1000 amps _ $19aoo _ --__- 2
Address ,.2 2( -- Over 1000 amps or volts $34000 2
City A.i.6j __ state 0— LIP ReconneA only — $5200 _ 2
Date � Job Number
Property Owner C. Temporary Services or Feeders
Contractor's License No. r - i._ — Installation,arteratinn or relocation
Contractor's Board Reg. No, _4yZ,2 200 Amps or less __—_ 55200 ___
201 amps to 400 r.mps $75.00 2
G` `z 401 xto600amps 5100.00 2
Signature of Supr. Elec'n Ove' 600
� amps to 1000 volts see"0"above
License No,_7_S_Y_U1__
D. Branch Circults
2b. For owner installations: N",aRointon or extension per panel
W he fee for branch circuits with
Print Owner's Name —done No ourchase of service or feeder fee.
Each branch cirruit ___ $5.00 2
-
�ess bl The fee for branch circuits without
purchase of service or feeder fee.
state �- :�
�P First branch circuit $35.00 2
Each add'nl branch circuit-- $5.00 __ 2
The installation is being made on property 1 own E. Miscellaneous (Service or Feeder not includes)
which IS not intended for sale. lease or rent. Each pump or Irrigation circle - $40.00 2
Each sign or outline lighting $40.00 -_ 2
Owner's Sijnature -__— -- Signal circuits)i.r a limited
llm!rgy parcel,aht-0an
3. V la 3 Review sECtion (if required; or extension $41900
Please check appropriate Item and a-ter fee In section 5K F. Each additional Inspection over the allowable
4 or more residential units in one structure in any of the above
---- Per inspection $3500
_Service and feeder, 800 amps or more Per hour $55.00
__System over 6170 volts nominal In Plant $55.00
__—Classified area cr structure containing special
occlipancy as described in N.E.C. Chapter 5 5. Fees dcl
Submit 2 sets of plans with applicaticrt where any of the A. Enter total of above fees $
above apply. Not required for temporary construction 5% Surcharge (.05 X total fees) $
services. Subtotal $ _411�__ _
This permrr becomes null and void If the work authorized by the permit Is B. I=nter 25% of line A for
not commenced within I so days from date of Issusnci of such permit or Plan Review if required (Section 3) $
If the work authorized I-q suspended or abandoned at soy time after work Subtotal $
Is commenced for a period of 1190 days. Electric of Permits are non-
refundable and non-transferable. Tru9t Account
For Inspections call Balance Due $rJ�'
681-3699 or 681-3698
24-hour recorder, one working day In advance of need
BL219 3/95
L:I ? Y f IF T 1 fiARU - RECEIPT I PT OF PAYM 7.1`1T RECEIPT Nn. :95•-067.::6
f;'HEt.K AMOUNT K 36.
NAME s TCI. EL_FCTR'iX CASH AMOUNT : 0. 4bi1+
ADDRESS a P..714 WALNUT ST POYMF.NT DPTiF. a 0E"i c'7/9 5
NEWBE:RGa nR SLJBID IVIsIgPM e
9713r�--
i
PL.MPOSE OF PAYMENT > AMOUNT PAID PIJRPnS ' OF PAYMENT AMI'JONT PAID
EEL..FCTRICAL. PERMYT 35- 00 ST, BUILD PFR 1. 75
1 �
i
1p.159 SW ANTON Ufa
TOTAL. AMC UN7 PAID > 36. 75 I
CITY OF TIGARD PERMIT # MST93-060,,
COMMUNITY DEVELOPWNT DEPARTMENT
11123 SW llall Blvd.ligi d,Oregon 9722398199 (503)539-41,71 PARCEL.s IGI,34CB-143-00
SUBDIVISION. . . . i RNTON PARK I I InNI N13:R--7 PL
CLASS OF WORK. rNEW
( . ..E ^° "=~. . ~ "°°
/
OCCUPANCY QRP. 03
OCCUPANCY LOADxWe 4
TENANT NAME. . . o
Remarks: PATH I 24" STUD WALLS FOR BARABE
Dwnwrx
PINNACLE HOMES
HOMEG
12735 VW G3LAC%ER LILY ClR
| TtGARD OR 97223
' Phono #x 524-4711
�
Cont,�o�oro
PINNACLE HOMES
HOMES
12-735 SW 8LAC%ER LILY CIRCLE
�
TJEAR� 8R 972e.3
Phone #x 524-4711
Rng #, . o 16177
| OcLtApmnoV of the above referenced building is hereby tjiven, and certifies
� tho compliance with the State Of Oregon Gpecimlty Codes for the group,
occupAney, and use under, which the referenced permit wi% immued.
POST IN CONSPICUOUS PLACE
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|
}rl ECTION NOTICE
City of Tigard Building Depnrtawnt
13125 till hall Blvd. Tigard, 7-•egon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:__ ------ -- - _.-— —
Fcating Plbg. Unuersl.ab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL
Poet/Beate Struct. San. Sewer Framing -Bldg)
Poet/Fteam Mach. Rain Drain Insulation
Plbg. Underfloor Water Line 7 G Gyp. Bd.
Date Requested: , �` rime: ___7►H _ PN
Address: 12- �S CJ L—+ 1' r--- Permit #1 3
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
--- - _
\, 1
r�
-
inspector:` v ��W"� ��'��
Deter_
_,_—__APPROVEG DISAPPROVED APPROVED StIBJRCT TO ABOVE
f C� —Call For Reinep.
wsP!;c Off NOT_Lc6
City of Tigard Building Depart.awnt
13125 Bw Ball Blvd. Tigard, Oregon 9723
I:nepnction Line (Roc-O-Phone)= 639-4175 Business phono: 639._4 11
Inapect!on: -kfifi
Pooting Plbg. Underelab M"ch. Rough- in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line
Post/Beam Struct. Sai. Saver Framing
Post/Beam Mech. Rain Drain Insulation _p
Plbg. Underfloor Nater Line Gyp. Bel.
Data requested:: - _Tlme: _AM
Permit 1:. ^0( C)y
Builder:__ -2 T 711
1'OI.I/S IMCTIONS ARE RRQUIRRD:
,l�
vim- -�--
-_� ---- _ _- �
AP!
r
Nr
Inapeetor:_
Date: 1
APPROVRD _�GISAPPROV;D NPPROVRD BUSJeCT 1n A&WR
l --"C,-.11 Por Reinep.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O Phone): 639-4175 Business Phone: 639 4:71
Inspection:
Footing Susp. Ceiling Sprink. 'lough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. Sari, Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd, Eh!c
Date Requested:___ s '5 Time: AM _ PM
Address: - ,irrC 1
/ 7"i► 1
Builder.=mt__ JE'C-�ri Permit Uy���
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector•
XIPPROVED `DISAPPROVED __APPROVED SUBJECT TO ABOVE
_Call For Reinsp
lU(2-) T,
City of Tigard Building Deparf-aent
13125 811 Ball Blvd. Tigard, Or"gon 97223
Inspection Line (Rec-O-Phone): 639-41'/5 Rusinese Phone: 639-4171
Inspection:
Footing Plbg. Underslah r �h, Rough-in Appr/Sdw1k
Found. _-
Plbq. Top out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Meah. Rain Drain Insulation -ply
Plbg. Underfloor Neter Line Gyp. Bd. -Mech.
Date Reqs-estod:,� Times
� PH
Address: 1 Ypait =Q - ���p
BuildersCLJQ �l J
CY
T8i FOLIA)"ING CORRECTIONS ARE REQUIMEDs
74
IN
- 70C ;r
rnnpectors24' //
_�" v Data: `T_�_"/ 7�
APPROVED APPROVED SUBJECT TO AB0�,1!
G11 For Reinsp.
_.._.—+..r. .�M�w:Y M wk..m wwY-.�YegO'+M7�d•Ayr�'.
INS'QECTIO!i NOTICE
City of Tigard Building Departsent
13125 SN Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:---- ---------- -- - --- --
Footing Plbg. Underslab Mech. Rough-in ppr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam struct. San. Sewer Framing -Bldg.
Poet/Beam Gtech. Rain Drain Insulation -Plumb.
Plbg. Underfloor WaterLine Gyp. Bd. -Mach.
Date Requested:_ / q L ` qTime: AM PM
Addrean:-1_��SLl__.� 1—� Ori _ Permitst:_- oy
Builders /A C S. ----
TETE FOLLOWING CORRECTIONS ARE REQUIRED-
- — -----
JI
—
Inspector- Date:
-_.-_APPROVED _y DISAPPROVED APPROVED SUBJECT To ABOVE
For Reinap.
IlISPBCT�_NOT�Gg ' ��
City of Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phons): 639-4175 Buntness Phone: 639-4171
Inapfrct ion:_ --
rooting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Bean, Str::ct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfl )r Nater Lina Oyp. Bd. Ywrh.
Date Requestad:_ 9�, ��1 T?inial _FM PN
Addreess �. � LLz�ZLZ-/ "Permit!:�
Su-!der:—_
TBB FOLLOWiPO CORRECTIcINS AR3 REQUIREDf
1 Z1
LA
CL)
Inspector:�— natef-3
APPROVED DISAPPROVED "PROVED SUBJECT 7.0 ADOV!
v CCC Call For Rsinep.
S ECJON NOTICE
City of Tigard Huildi.ng Dwpartmont
13125 811 Bull Blvd. Tigard, Oregon 97223
Inapec-tion Linw (Rec-0-P no)# 639-4175 Bumlnoee Phones 639-4171
:nepections_
Footing P1 . Underalab
bg Ch. Rough-in^ Appr/Sdwsk _--
7ound. Plbg. Top Out Gas Linn FIPALs
Poet/Beam Struct. San. Bower irminq S -Bldg.
Post/Beam Mach. Rain Drain Insalati. -Plumb.
Pibq. Underfloor Nater Line gyp. Bd. -Meeh.
Date Requesteds -17� Z Tiae1 pB
Address s_ L ^^ Permit t t
Ruilders_ 1V1�C��L1 � � U-1CLI
T" FOLLOWING CORRECTIONS "It REQUIREDs
xk-
Inspectors _�. Data:
APPiaCVED DISAPPROVED APPROVED EUBJECI To ABOVE
�j Cail For Reinsp.
c
:ity of Tigard Building Ilepart�
13125 811 Hall Blvd. Tigard, C,*VXjan 9-1123
Inspection. Line (Roc-O-Phoneys 639-4176 Business (hones 639-4171
' V
Inspections _ �' ---------- —"
Footing Plbg. Underslab �,lGech�Rough in \iAppr/Sdwl1;
Pound. Plbg. Top Out Gas Line FINAL:
ti
Post/Beam Struct. sail.. Hewer Fraying --Bldg-
post/Beam Hoch, Ra.tn Drain naulation J -Plumb.
Plbg. Underfloor Mater Line Gyp. ad. -Nech.
Date Requesteds z �.r TLmes ?�
Addresses rL v '_-tt `Permit #8
Builders
THE FOLLOWING CORRtCT'IOHB ARE RSQUIRBDs
ILA
772
�... \
Inspectors _ Dater Z4-)4
AlPIIDVBD DIBAPPIIOM _! APPPOVlD SUBJECT TO ADM
/ 4- C (� all For Rainap.
City of Tigard Building DepartaI vy
1:3125 'M Hall Blvd. Tigard. Oregon 97223
j IhsPa'r' ' : Line (Rea-O-Phone)s 639-4175 Business Phone: 639-4171
P;.,!,Ung )-Ibg. Underslab Mach. Rough-in Appr/siwlk —^
Wand. Plbq. Top Out Gas Line
FINAL,
Pnit/30am Struat. San. Sower Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation
-Plumb.
Plbq. Underfloor Nater Line Gyp. Rd.
-Mec:h.
Data :legvesti:aa, �' �.. !. Cloe
- ----Time: _ { AM pM
Address c Permit f: 1 U 6A
Builders �liLti1� � = J
THE FOLLOWING CORRECTIONS ARE REQUIRED, ~1
w`cam.-�,. ��.._..• VZ--�
Data:
--._ASO `v OIBAPPROYED --- APPROVRD RUPJISCT Tn RWNg L
Call For Reinsp.
�NaPE,CTzoN1'IOTICE
CLty of Tigard Buildl09 Departaent
13125 810 Hall Sled_ Tigard. Dragon 91223
InsT,eation Lina (Rae• )-Phonet, 639-4 75 Businoss Phone: 639-4171
Inspection:
��1✓ ----
Tooting Plbg. Undocolab h. Rough-in Appr/Sdwlk
pound, Plbg. Top Out Gas L'i�n'e'� FINAL=
Post/Beam Struct. Ban. Bower lrs0!!nq -Bldg.
post/Beam Hoch. Rain Drain Insulation -Plumb.
Piby. Underfloor Nater Line Gyp. Sd. -Hoch.
Date Requested: ✓ -Timet -
h�5
Addreee: // Pareitr f 1`/
Bu i i tier:_
TH2 TOLLOMI2G ODiiR2CTIONS AM RSVIRSD:
cvA-
!K . " /I
�1,� G--
pro A —
`
\,j AAA
G oo V
kz nq 11
Insoeatort �-./v N.� Date:_-_-_..- _---
"PROVED -I"DISAPPROV21D APPROVED SUP,3FIC-f TO hMM
11
.� Call For Rainap_
VL-
k,�2 --
IlIB?9�1_ff�
City of Tigard Building L ipartm—t
11125 ON Ball Blvd. Tigard, Orayoo 97223
Inspection Line (Ric--O-Phones 639-4175 Business Phones 639-4171
Inspections
Footinc Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Top out Gas Linst FINAL}
Post/Beam Struct. San. sewer Framing -Bldg.
Prat/Beam Koch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Ed. -Neth.
Date Requestedt r Times AM —PM
&4dresss \ 1 j Permit fs— l PG
Builders
THE /OLLMING OORRECTIONS ARE REQUIRRDs
'T
V 11
vvA Z —
1 C_�Z Gies T-
s n
Inspectors �1 '�;" �--'�"� Dates , r el
_APPROIRD /DISAPPROVED APPROVED SU"E"T To ABOVE
f', Call For Reinsp.
�p��SON p�YfIc._B
cit? of Tigard Building Depa:twent
13125 Bw Ball Blvd. Tigard, crogop 97223
Iuarection Line (Rec-o-Phone" 639-4175 Business Phone: 6.39-4171
l uspect ion:_ ----
Footing
Plbg. Underelab Neoh. Rough-in Appr/S�Iwlk
Pound. Plbg• Tol Out �Oas LiM
FINAL:
Post/Beam Stxvct. San. Sower ltrY -Bldg.
q'
Post/Beam .tech. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Mater Line�j a"•
Md. -mech.
Date Requested:
Time: AK PN
Addreses1.l I�4 [�yjo" Permit Is M5T l IJIOy I
Builders�11/1ywC J�J� fyc"' L.�V1
THE POLLONINO CORRECTIONS ARM RMQUIRED1
Inspector: Date
i
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Rp)nnp.
INSPECTION NOTICE
City of Tigard Building Dapartm nt
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (ReC-O-Phnne)s 639-105 Business Phone: 634-4171
Inspect --
Pooping Plbg. Underslab Hech. Rough-in Appr/Sdwlk
Found. lbg. Top out Can Line FINAL:
Past/Beam Struct. San. Sewer Framing -Bldg.
Post/Baal" Meth. Rales Drain Insulation -Plumb.
Plbg. Underfloor hater Line Gyp. Bd. -Hoch.
Date Requeated: Time: AN PN
Address: SC� Permit
BuLlder l lY\v\4_&
THE FOLLOWING ODRRECTIONS ARE REQUIRED:
46
Inspector/: Date:_
-J PPROVBD _ DISAPPROVED v APPROVED SUBJECT To ABOVE
Call For Rainap.
INSPS MkQ Narlc,:A
City of Tigard Building Depart3wmt
1312S dw Hall Blvd. Tigard. Oregon 97223
Inspecti n Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection —_-
tooting Plbg. Underslab Nsoh. Rough-in Appr/Sdwlk
Pound. Plbq. Top Gut Gas Line FINAL:
st/Beam S•.ruct. San. Sewer Framing .-Bldg.
--..____----------
Post/Beam Hoch. Rain Drai.s Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Meeh.
Data Requested:- t r� GI --Timet �_AN
Address t 12\, LI :,: L� Feefit �,
Builder: `),yx�// C,LQ 5 I,, -Ut
TBE POLLOMINO CORRECTIONS ARE REQUIRED:
1
Inspector Drte: -
`APPROVED VISAPPROVND ^R� APPROVED SUBJECT TO AWWR
Call For Rwinop.
INBPECTIOM RO?ICM
City of Tigard EkO ldLog DepartMsnt.
13125 BN Nall Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-o-Phone)e 639-4175 business Phone: 639-4171
Inspections_
footing Plbg. Onderslab Mach. Rough-in nppr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Post/Ream 9truct. ban. Bower Framing -Bldg.
41)WI Beam Mach.' Rain Drain insulation -Plumb.
Plbq. Unde:.fluor water Line oyp. Bd. -Mech.
Dat" Requested: Z --Tim*: L� 7 A!1 PM
Address: F2 I r Permit ti r ? -6-o
TBS POLLONING CORRECTIONS ARM RMQOIRED:
'L —
I
Inspectors —,- -- Dote:__ _- G "
APPW MD A-1D'1'SAPPRf7VSD APPROVS9 SOB.7P._T To APWIP.
Call For Rainsp.
City of Tigard Dullding Department
13135 R Ball Blvd. Tigard, oregon 97223
Inspection Lina (Rea-O-Thone)s 639-4((17 Business Phones 639-4171
Inspect ions_ 4L-
looting Plbg. Underslab h. Rough-in Appr/Sdwl%
Found. Plbj. Top Out Gas Line FIMALs
Post/Scam Struct. San. Sewer Framing -Bldg.
Post/Nam Mach. Rain Drain Invulation -Plumb.
Plbq. Underfloor "star Line Gyp. Sd. -Meeh.
Date Requested: (� ---Times _ AM PM
Address: i ,
P.rm t I
1 ..
Buildore « At rI ` i.T.L
—
TRE FOLL40VIIN CORRECfIOMS ARE RIQUIREDs
- ILI ——
Inspectors ; nates_
-2�,APPRMRD DISAPPROV1111 APPROVED SUBJECT To ABOVE
_Call For Reinap.
jrlsracrloa� ncrri�u
City of Tigard Building Depertasnt
13125 all Baal Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections _- '
iout inq
plbg. Undorslab Mach. Rough-in Appr/Sdwlk
Found.
Plbg. Top Out Can Line FINAL:
—`�
Rldq.
Post/bees Etruct. San. Sewer / Framing
Post/Beam Koch. (,Rain Drain
Insulation -Plumb.
Bd. -Koch.
Plbq. Underfloor ter Lino CXP /
r- PM
Data Requsererd�:_ 1/�'L L- Time: AM
/Addreast. sT��Srm t
Builder: _YA . :e. ,
THE FOLLONINO CORRECTIONS ARE REQUIRED:
Inspector: _-.- -_----- Data:
APPROVED DIsAPVROVED APPROVED SURJE(:T TO ABOVR
call Por Reinep.
1NS1'ECT%ON MICE
City of Tigard Building Dvparteent
13125 SW Hall Blvd. Tigard. Oregon 97223
Inspection Line (Aec-O-Phon4)s 639-4175 Puniness Phones 639-4171
Inspections C 1 �` U�r� �•
Footing Pibg. Onderslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. TOp Out Gas Line FINALS
Poet/Beam Struc.-t. fan. /ewer Framing -Bldg.
Post/Beam Mach. Main Drain Insulation --Plumb.
Plbg. Underfloor Nater Line (( Gyp. Rd. -Hoch.
Date Requeste9 s_ I— 7 tl 'elI _Times A!1 PH
Address: Pecmlt L ` �y�y
i s
Builders
TAR FOLLOWING COMMONS ARS KNUIRRns
Inspectors_ __�_i
,_�_/ aT,PROVRD DJSAPPR(T7RD APPROVRD SUnJRCT TO AROVR
he11 For Rei imp.
3�lFiiQli� N� �
city or Tigard Badding Dope*+.+
13115 60 Ball Died. Tigard, Oregon 9722:1
Inspection Line (Ree-o-Phone): 639-4175 Business Phone: 639-4171
Inspection: (. �(l f
looting Plbg. Underslab Mech. Rough-in 1'ppr/Sdwlk
Found. /�� Plbg. Top Out Gas Line FIM11L:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbyl. Underfloor Nater Line Gyp. ad. -Hoch.
Date Requestedi__1 � C� I Times
1lddreas:,12.It,) /',h cryo ice( , Permit 11 tnS�C�j Ol�r�y
Builder:
THE FOLLONIMO ODRRECPIOMS ARE RiwinzD:
UVA
47
lu
S 47
5� Gam•-,i�. lcz-„�1 t o_
' CL- s
Inspector: r/_ Date:
AFPROv2D DIsAPPRovRn L XPPWWRD SUBJRC7 To ARM%
call For Reinsp.
INSPECTION NOTICE
City of. Tigard Building Deparfarut
17125 Bw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)t 639-4175 Business Phones 639-4171
Inspectiuns
Footinq Plbg. Underslab Mach. Rough--in Appr/Edwlk
Ed;)
Plbg. Top out Can Line FINALt
Post/Beam Struct. San. Bower Framing --Bldg.
Post/Roam Mach. Rain Drain Insulation -Plumb.
Plbg. Undertloor Mater Line
(/ gyp, Sd. -Mech.
Data Requestedt �/�-l�y'�7 J _Times —Q 7 AN PM
Address l X9 5' G lM�(¢+� Permit fs lsJ -y —
Builders_ _
THR FOLLONINO CORRECTIONS MM RRQUIRUDs
Inspeators- _�' /- '9
APPAOVEU DISAPPROVED APPROVED SJRim TO ADWR
Call For Reinep.
ZWSPiCTIQj� v
itY of TLgerd Building Depart sot
15 SW Hall Blvd. Tigard, Oreyoa 97223
rnspe,ti- Line (Roc-O-Phona)s 639-4175 Business Phones 639-4171
inspautlons
tin4 j Plbg. Underdlab Mach. Rough-in Appr/Sdwlk —
Pound. Plbg. Top out Gas Line FINAL:
Poet/seem Struct. San. Sower Framing -Bldg.
Post/seam Mech. Rein Drain Insulation -pleb.
Plb2. Underfloor Water Line Gyp. Bd.` �A A _Meeh.
Date Requestedt—�-L'/'. < / Tiiet pM
Addrosss2-16 l�
1 Permit W13
Builders_
T`ByE^yPOLLCWING ODRRRCTIons A" RRQUIRRDs
Inspectors_-- (, t •�----^�_`-�� Oates
APPROVED D1SAPPROYRD �� AppRc RU aunjRCP To ADMI
_Cell For Reinnp.
Litt of Tig,srd Huildiog Deparb"t
13125 8w Hall Blvd- Tigard, Oregon 97223
Inapac;tion Lina (Roc-O-Phona)s 639-4175 Business Phones 639-4171
;;;
ions') FIbq. Undoralab Koch. Rough•-in Appr/Sdwlk
end, Plbq. Top Out Gam Lire FINALs
Poet/9eam 8t n -Bld
srt. Ban. Sewer Framing q�
Poet/Beam Hoch. Rain Drain
Insulation -Plumb.
Plbq. Underfloor water Line Gyp. mid. -mach.
�j ' Tient IW PM
Date Requeateds
Address. -
Qv-�= permit fm
� � ' �Q�
Builders_L1V � CQ-
THM FOLLOWING OORR=cTIOW8 ARt RSQUIREDs
or
Inspectors __ Datet__1__
APPYAOM 4vDISAPPROVXD -- "ypOVED SUBJRCT TO ASO"
'r/roll For Nainsp.
CITY CSF TIGARD PE_RMIITS#ER- PERMIT
MSI'93-•Q 604
COMMUNITY DEVELOPMENT ClOXR1 WE 4T DATE ISSUED: 12/30/93
13186 MOW Hal!Blvd.TIS ard,Orugon 9.1223.1199 (603 1130-4171
PARCEL: "=134CE+--14300
SITE ADDRESS. . ,, : 121.59 SW ANTOiN DR
SUBD_VIGION. . . , : ANTON PkPK II ZONINGit R-7 PD
BLOCK. . . . . . . . , LUT„ . . . . . „ . . . . . . e070
----•---- --.----_--__..._..__-.-•----•___-- 9UILI)fNG REISSUE: DWE'_L I NL UNITS: :1 13PSEMENT. . . . . . . , s+0 s f
CLASS OF WORK. :NEW BEDRMS:4 BATHS-3 GPRAGE. . . . . . . . . :4430 sf
TYPE OF USE. . . :SF FLOUR ARI::FI i-_-- --- --- REQUIRED SE:TBACKS._._.--_------
TYPE OF CONST. :5N F I RST. . . . :924 5',f LEFT— -5 ft R 1 GIST i. :5 ft
OCCUPANCY GRP. :R3 SECOND. . „ 1882 s f F R(:)NT. :20 f t RUA 11. . :32 f t
STORIES. . . .• . . . 12 THTRD. . „ . :0 sf 121=CIUIR_D-----_---.-_.•----.------
HEIGHT. . ,. .— . . . :2c ft TOTAL_-- - --: 1808 s1' SMC1KE DETECTORS. eY
FLOOR LOAD. . . . -40 ps f VALUE'. . , . . $: 90818 PARKING SPAC:ES. . : 1
Remarks : PATH I 24” STUB WALLS FOR GARAGE
SINKS. . . . . . . . . . : 1 FLOOR DROINS. . • :0 BAC•(FI_OW PREVNTRS. . 10
LAVATORIES. . . . . ... WATER HEA1 ERG. ' 1 T RAPS. . . .. . . . . . . . . . . 0
TUB/SHOWERS. . . . 12 LAUNDPY 111F'Y'3. , . :0 CATCH 13ASniINS. . . . . . . :41
WATER CLOSETS. . :3 SEWER LINE (ft ! . :0 GREASE TRAPS. . . . . . . 20
DISHWASHERS. . . . : I WATER LINE (ft ) . : 100 OTHER F1 X 1'U HES. .
GARBAGE DISP. , - : 1. RAIN D3AIN (ft ) . :0
WAS3HING MACH. . : 1 SF RAIN DRA; NS. . : 1
MECHANICAL -- ____.,____.-_.__-.---______.___..,_.._....__... FEES,
FUEL TYPES----•- -- -- -- - -- UNIT HTRS. . .0 t)ipe amount by date •ecpt
/GAS/ / VENTS . . . . . -0 TIF' $ 1520. 021 JH 12/34 /93
MPX INPUT:O PTU VENT FANS. . :4 SPRT f +08„ 01Z, JH 1:'/30/93 -
FURN ( 100K HOODS . . . . . 1 ). DPLC f 283. r.Q JLH 1 1/05/93 93-243580
FURN ) =100K . . :0 WOODSTOVES. :'Q1 .s5prl E 20. JH 14/30/93 -
FL.00R FURN. . . . : 0 CLO DRYERS. : ! 13DC t 280.. Q10 JH 12/30/93 -
BOIL/CMP ( 31AP-0 OTHER UNIT13: 1 PORK f 5210. Q!0 JH 12/32!/9:3 -
GAS OUTLETG: .1 MPRT $ 43. 1°10 JH 12/30/93
Owner: f 10. 68 ,1H 12/30193
PINNACLE HOMES 1152E f 2. :8 JH 12/30/93 -
IJ!735 SW GLACIER LILY CIR PPIIT t 132. 1`,0 iti lc/30/93
P5FC: f 8. 63 JH 12/30/93
TIGARD OR 97223
Phone #: 524-4711
Contractor: -------__.___---•-- _-.__..__.---...-- -.
PINNACLE HOMES
12735 SW GLACIER LILY CIRCLE
TIGARD OR 97223
Phone 4: 524--4711
Reg #. . : 18177 ------- -_ _- --- __- ------- -----------
t 3185. 89 TOTAL.
This per@it is issued subject to the regulations contained in the ----- REQUIRED 1 NSDECT I ONS -------
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fit-eplar_e Insp
applicable laws- All Mork will be done in accordance with approved Post/Beam Strutt Ge,,.; Line Insp
plans. This per@it will expire if work is not started within 188 Post/Seam Mechan I n s u 1 at ion Insp
days of issuance, or if work is suspended for @ore than 188 days. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Pain drain Insp
Prr
Permittee Signatue: Mechanical Insp Water Line Insp
Plumb Top Out Appr-/Sdwlk Insp
Issued By : �_. sn. / s-� Framing Insp Mer-hanir_a1 Fina I
Call for inspection - 839-4175
y SEWER CONNECTION
CITY OF TIGARD PERMIT
F�EPM I T #. . . . . . . : SWR93-0520
COMMUNITY DEVELOPMENT DOAR`I7`&W DATE ISSUED: 12/30/93
131.25 SW Holl Blvd.Tigard,Oregon 972234199 (503)639-4171
PARCEL: ;S 134CB-11►:30a
SITE ADDRESS. . . : 1-:59 SW ANTON DR
SUBDIVISION. . . . : ANTON PARK I1 ZONING: R--7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :070
_ ___- --___ _-______...---- ----- _-__ ---------------- ------- ------------------------
TENANT
-•--------------- -----TENANT NAME. . . . . : l
USA NO. . . . . . . . . . . FIXTURE UNITS— :
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 I j
TYPE OF USE. . . . . :SF NO. OF' BUILDINGS: 1
IN STALL_ TYRE. . - . :BUSWR IMPERV SURFACE. . : asf
I
I
Remarks : PATH I 24" STUB WALLS FOR GARAGE
Owner: - -- -- -- _ _- __ ------------ ----- ------.._...----------- FEES -------------
PINNACLE HOMES type amount by date recpt
12735 SW GLACIER LILY CIR PRMT f 2200. 00 JH 12/30/93 - 1 �
INSP f 35. 00 JH 12/30/93 -
FIGARD OR 97223
Prone #: 524-4711
C13ntratrtor: -----------------------____—
CJNTRACTOR NOT ON FILE
i
-------------.-------_...
Phone #t t 2235. 00 TOTAL
Reg #. . : �
------- REOUIRED INSPECTIONS --------
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days froe
the date issued. The total asount paid will he forfeited if the —
permit expires. The Agency does not guarantee the accuracy „f the M
side sewer laterals. If the sewer is net located at the measurevent
given, the installer shall prospect 3 feet in all directions fr3e
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" pereit and the Agenc will install a lateral.
Permittee Signature :
Issued B y _—..� ------ -— --------- -—----- — - —_
Call inspection - 639-4175
I ,
l
���!? D
r., siA tial uj; in Permit Application
r4y.of Tigard
1312,5 SW Nall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobslte Address:. d/ 1(2 ,_ f
.i ' Offloo Useani_
Subdivlsk►n � I`J`, C ",, 6-" I� Lot # 2
Valuation:
,y; :,
Permit tl.��t��—C- f (Lo
Owner: _ C I`'_' J—n_-- Reissue of
Address: % ' � -3 S~ 5� ��//o• 4,1
�-. L_��. �` '�- U, �`r?� ► CxJ�
Approyats Fid ug lred
,___ �7 Phoning
Phone: `�
�ngir�t:erinS3.
Contractor: — Other_......
Address:
items R rsirea
Subcontraclors. _
Phone:
Tfuss Details
Contractor's License
s<
(attach copy of current Omgon Noense) `r
Subcontractors:
Plumbing. Pr 2
Mechanical: ��� � ti '7
(attach copy o/current OR Contractor's License)
Architect/Engineer:
Address:
Phone:
' � r
COMMENTS: Alp &ms,, C. f � _
i W!cant Signature b Phone number M
Received by:_ Date Received:_ z ��
Permit # Account Description Amount Amt. Pd. Bal. Due
msfy Bldg. Permit (BUILD) �t� U�
i
Plumb. Permit (PLUME) .)' _32,f7)
Mech. Permit (MECH) l ,;� _ 3 .3-0
State Tax (TAX)
Bldg: j U _/
Plumb:
Mech: 2.
Pian Cherie (PLANCK) ' a ��
Bldg:
Plumb:
� r
Mech:
Sewer Connection (SWUSA) ,.��-oU
Sewer Inspection (SWINSP) _ .3� 3a�
Parks Dev Charge (PKSDC) JOU D -SO U
Storm Drainage Chg (SDSDC)
Residi !fal TIF (TIF-R)
Mass Transit TIF (TIF-MT) __L/ 0 _ 1/o
Commercial TIF (TIF-C) _
hidustrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIr, (TIF-0) — _ --
Water Quality (WOUAL)
Water Quantity (WOUANT)
Fire District (FIRE)
TOTALS:
• CJ'Y GF1 113ARU — RECLIPT OF PAYMN'N I RE:t 70
GHEE.:K 1-111UI1N f a `j 1 10. H'i
AME HOMES CASH WMOUN f dl. SAN
4DDRESS a P(4VML,N1 SWTE: a Ii? 30/9.3
BlJr F)IV (HIUN a
URPOSE OF PAYMENT AMOUN 1' PAID PURP06E OF PAYMEN f Am0l'IN f PAID
AUILDINCa PERM 406. 00 PLUMBING V,F'RM 1 3�ct. `0
MECHANICAL PE 43. 50 S T. BUILT) PER :'9. 1 t
FLAN CHECK FE 24. 7A SEWER USA 2200. 00
6E WEA R I NSPF CT 35. 00 PARKS, SDC 1500. 00
t4TnRM DRAIN SDC 280. 00 REE IDENTIAL T'RAI=FII:: F=F:F.,3 t41VY. 00
AASS TRANS.] 1 TIF FF—FE 110. 00
._UT 70 ANTON PARK IT
,2159 SW ANTON DR
,UTAS_ AMOUNT PAID