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Case File 0 I+ 14 i, I . r I� I i I __ 12328 IV. N ta, '.r. _. DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO.OR 97124 INSPECTION REQUESTS: .503/640-3561/693-4415 COUNTY, PHONE: 503/60 076 OREGON 1(-.rclt'l Ira I't-ifilit 1-4 P 1 i F 0-1 i7H W fA N 1 1)N 0R I I I"' r.1 I\ il A,I III'; H 1- (.'1 1.,ri I I I I i Ir^te--I 4 i()44. Tu f.-. 'i I, (I k r'0 -'1 G t, P 0 Y r c, 1w, 01. /0 1: R 0 1.),.1 U 11 1. .1 IJ f2 El 'I r-t r- i c t o•3o•3t f ru1 t 0 0 9 1,1-4 1 1 1,11 N 1) '1c t 'toll t I 1:1I to 1. I,1: 1 0 1 j N 1 t'l P0 14 11 111 N 1) . i,k l ,i V la t 1.1 1 1 k) j ,a) 9 1 I!or, i !, '..I:,e c 1, o r Hrf., 111 k e I U 1"1 1 W 1- L.1 1111". L i c 1)"1, 4/ 1 Z Y '1 136 J11 I t 1.1 l0 1 u I. I I F 1(4?c t r I r:a 0 t G t N o L r C,Ij I 7 P10710E Title permit becomes null and void It the work or construction lot which It Is issued Is not commenced within Mo days. Once construction has started the plormit becomes null and void It 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 perm". All provisions of appllcorble 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 onsets. I acknowledge that the granting of a permit does not grant au.horlty to access private property or to use easements I further acknowledge that the use or occupancy of the struchirs of;julldlng permitted depends upon my calling for Inspections of verlouot limes during the process of construction and the building hirpeclion stall verifying compliance with the various codes Use or occupancy of the building or structure permitted prior to approval by the Building Depa1mant!*solely at the risk of the applicant and such use Of Occupancy Is tirovocable until all Inspection requirements are satisfied and Approval Is given oy the Building Official I further acknowledge that a lion may be placed on the title of the properly upon which the permit is issued specifying that the use or occupanc!,of the building or structure Is provisional and reVOCIIII'lle until the sAllsinction of all Inspection requirements APPLICANT'S SOONATURE �® WASHINGTON CC+UTET( RESTRICTED Department of Land Use & Transportation Electrical Inspection Section ELECTRICAL ENERGY 155 North First Avenue, #350-12 Hillsborc, Oregon 97124 APPLICATION Information: (503)640•3470 Fax (503)653-4412 %EASE se complete • -, 1 thro4h 5. Proier( No.- !&ff_ Permit No. - 1. Lccation of Installation Label No._ _ Date Address 12328 SW Anton DP - Issued By _ - Office City Tigard �_ Zip Code 97223 4. Type of work: Tax Map_ _...---- Map No. ---_- — - RESIDENTIAL Restricted Energy Fse $40.00 Ti somas Map Book: Page Section (for all systems) Directi^ns Check type of work involved- — --------- ----- -_. _-.__.__.-_-- -- — - Audio and Stereo Systems" Commercial [__I Residential 0 Burglar Alarm Tenant Name Telephone Systems' (if commercial) __ _------ __ Garage Door g Opener* This permit becomes null end 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 utter work is commenced for a per lod of 180 days. Vacuum Systems* Electrlcai Permits are nonrefundable and non-transferable. Other 2. Contractor application: Electrical Contractor HONEYWELL COMMERCIAL. Fee for each system $40.00 Address 810 SE BE LMONT PORTL,AI / AFF••-7M 14 (sea OAR 918-280-260) Date 1-1-30-93 ,lob Numbe2 _n 7D 4-3T Check type of work involved: Property Owner — DEENA PRFSNELL Contractor's License No. 2 6-2 0 7 C L E Boiler Controls Contractor's Board Re No_5 7 8 24 ._ Cr, k Systeme Phone No. 232-919.6 Data Telecommunications Installations --� — Fire Alarm Installation 3. Owner application: HVAC Instrumentation Print Owner's Name Phone No Intercom and Paging System Landscape Irrigation Control* Medical Nv rse Calls 7_ Outdoor Lands,dpe Lighting* This permit Is Issuer!under OAP 918-320-370. rhp appikant agree• Protective S;analing to make only restricted energy Instrilatlonn(IM volt amps or less) Other under this permit and to do the followinp: - --- -- --� I. Only use olertrical Ifcensod person to do Installations whore required. (Certain residential one uthor transacticns arc exempt ------- Number of Systems from llceneir; 1-hese hove asterisks(`). All others need llcens- Ing.) 2. Call for an Warm ction when rill the Installations under this perrroY 'N^licenses ere requirno'. Licenses are required for all other installations. ars ready for Irspoctlor,• 3. Purchase z4paretA permits for all Installations that ars riot ready 5. Fees for Inspection when the If is out to inspect under this4 permit. Enter fees $ 0 .00 4. Assume responsibility for assuming that all corrections required by the Inspector aro done,and L 0 p J. Assume rosponslbillfy for calling for a final Inspection when all of 5% Surcharge (.05 X total above) $ the corrections ars completed. The person signing thispermit east he the applicant or a person Total $ 42 .00 authorized tob,nd t 4arpNc Signature / c Space below reserved for validation. Authority it other than op rc t For Inspections fall 640-3561 or 693-4415 E24-hour recorder, one working day In advance of need tfl0! CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hell Blvd,Tigard,Oregon 97223.8199 (503)839-4171 l i r- (40111+.L-.` 'i. , . % ;�_`w:rc::l.i %>W HFi I !iIJ Lti :1)1.11 : '!t_410H. . , . i ANTON f'ORk f I Phvner i#4 E 3 + Pel'i nuc"(rancy f1f the above refFy k"w" b1..1AU:i:V the aumpl ianc.p with the Start - of orKNyun ':pocyia ty Code, for thp gr•e."p. ocr"vancy, and use r.rnrlp,,, which thrp referencgrt im-mill misvIlari. F I:?F Ilk_'h'1 rrT f MENT f itu I r►r h1Y.pd'f '•(..'!' suit CITYOFTIFARD WA1�D COMMUNITY DEVELOPMENT DEPARTMENT \\ Owoon 131 5 'M rldl Blvd. P.O.Bar 23397,Towd,Oregon 97223(503)630-4175 CITY OFTIFARD CMOFTM C COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hell Blvd. P.O.Box 23397,Tigard,Oregon 97223(SM) ERMi Z ON . 100 FIXTURL UNITS. . . DWELL I NG UN I T5". . . 1 NO. OF BUILDINGS- 1 I MME RV bURFACE. . : FEES type amount by date PH rl T 1i L100. 00 JH 03/23/x, INSP $ 00 j 1-4 '-)1 1 1 A- L)I L.-I.)i. `lone #- 639-674 1'.;ant raut ur,- (-'(j1sJTkPC,T0R NOT ON eg RLDUIRED I NbP LA,i I Uolb ims Appiicant •egrets to Cosply With all the luieS aro roluid4lovii sewer- lnspet:tiori of the unj jee Sewage Pgvncy. The p4rait expires IN days fros the date issued. The total asount paid will be forfeited if the pervit expires, The Agency does not guarantee the accuracy of the side sewer laterals. it the sewer is not located at the seasurtment ------- given, the installer shall 01-ospect 3 feet in 611 directions from t"�e distance giver. If not t� ,---Pr sUll purchase aa and S.Ce In I t t E,u ....... ju PLNCK RECT # y r J 1 13125 SW hall Ilhd. /(� Y OF i IGARD PO Nu V.397 PERMIT # COA11WUN1"Il' DINE-LOI MEINTDETARTNIENT 71gard,Oregon 971 - (503)639.4171 DATE ISSUED JOB ADDRESS: 1.2328 S.W. Anton Dr_ �-Iig.arllTAX MAP/LOT 151._ SUB: —_1A11Y-on irk r LOT: #100 LAND USE: VALUATION: OWNER SPECIAL NOTES NAME: Melvin G. Waymire, Jr. REISSUE OF: ADDRESS: P.O_ Box_ 7.31164 —__ LAST REISSUE: Tigard, OR 97281 ^_ FLOOD PLAIN/ PHONE: 639-6742 — — SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED Sit jj? crz-©0q NAME: Melvin G. Waymire, Jr. PLANNING: ADDRESS: P.O. Box 23.1164 —_ ENGINEERING: Tigard, 0R- 7281 ._ FIRE DEPT: PHONE: 639-6742 _ __ __ OTHER' _LS1—,.—__�-- CONTR. BOARD #: 35976 _ EXP DATE: 3/11/93 '3 - // - yq ITEMS_ RE UO IkED SUBCONTRACTORS: PLUMB: llarmany Plumbing LIST/SUBCONTRACTORS: MECH: Specialty :Ieating & .i"ab. BUS TAX: AkCH/ENGLNEER CALCULATIONS: �. NAME: Larry Taft pesigners _—_ TRUSS DETAILS: ._ ADDRESS: 1865 N.W. 169th Pl. _ _ OTHER: -- Bea-verton, OR 97006 �— PHONE: 645-0202 PROPOSED BLDG. USE: —Single-familti' .residence COMMENTS: APP ICA SIGNATURE Received By: ti Date Received: _ C PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE hjyf4� u1>>� 10-432 00 Building Permit Fees 3�Z �_ -- _ 3,Y Z, 10-431 00 Plumbing Permit Fees _ 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building Plumbing 7 l� Mechanical 0� 3 ✓ 10-433 00 Plans Check Fee �� s Building ,-2 ��' , Plumbing _—_— Mechanical /I 3 10-230 06 Fire — ---- �� 3 vl3y 30-202 ,,u Sewer Connection 30-444 00 Sewer Inspection - 25-448-02 Commercial TIF Fees _ ' — 25-448-04 Industrial TIF Fees — C -- 25-448-06 Institutional TIF Fees -- 2.5-448-03 Office TIF Fees -- -- 25--448-01 Residential Traffic Fees /35 v 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) l S G v u — 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) - 24- 445-01 Water Quality (Fee in lieu of) - 24-445-02 Water Quantity (Fee in lieu of) — TOTAL _ J nm/3587P.WPF