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Case File V ti N W W J I z a H r� I r I f t 12337 SW AN'I'C3N DRIVE DEPARTMENT OF LAND UEE 6 TRANSPORTATION WASHINGTON -AND DEVELOPMENT SERVICES 155 NORTH FIRST,HILLSBORO,ORDIVISION 2J COUNTY, f INSPECTION REQUEST : 3/640-3561/693-4415 PHONE: 563/644-8T61 � .1 -�,� ,Ci OREGON 1EGON Page 1 of 1 Date 12/10/93 'L'ime 11 : 0 3 E'c>rmit 'Type iieslGlent: ial Electrical } Emit Permit # ; 06047636 Permit. 3tat.us APPROVED Applied 12/06/9:3 bittis Audress 12337 SW AN'I'ON DH '1'1 ISL;Lied 12/10/93 Permit: 'Title bN'I:t - BURt2I.AR ALARM Completed Permit Descr . 108 824-01-:0429 '1'o Expire ; Ob/08/94 Project 'Title SI+'R - 8Uk'.LA:i ALARM Project # P003h49H project De ,cr . JOB 824-01-20429 EROSION L`riirt_el Number 2!6 1,1,.L - Land Use District Valuation I) Legal Descr . Owner construction O'.CH Applicant Name HUN'-YWELL SYSTEM Classification : 900 Al�)pl icant Ar1r.1r . : 810 SE BELMON'T Or^-.upancy PUR'PLAND, OR 97214 Validated by PH Applicant Phone : 232-9186 Inspector Are: C'UN'1.'RAC1'UR : HONEYWELL INC: . Lic . C 26-2U'/C 232-918b k'ee description Units r'ee/Unit Ext tee Data Limited Etlt..e0'f/Alter . /Extension 1 40 . 00 40 . 00 Subtotal Electrical Fees : U 40 . 00 State surcharge of 5't U 2 . 00 'Total Electrical tees : U 42 . 00 *** I'ees Required * *r< * * fees Collected & Credits *** kc -eipt- No . Date Payment. 12/10/93 42 . 00 'fOl'AL 'THIS DA'Z'E' 42 . UU Fees : 42 . 00 Ad justntents : , UU 'Total Credits : t10 'Total r'ees : 42 . 00 'Total Pdyments : 42 . 00 balance Due : . I)0 NOTICE This permit becomes null and void If the work or construction for which It Is Issueo 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 beef of our knnwledge. I acknowledge that the Building Departments 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 correr:tlon sheets. I acknowledge that the granting of a permit does not grant suthority to access private property or to use easements 1 further acknowledge that the use or occupancy of the stricture or building permitted depends upon my calling for Inspections at various times during the process of conslrur_tlon 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 1 further acknowledge that a lien may be placed on the title of Rte 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 Department of La &nd Use Tranaportrttion Electrical Inspection Section 155 North First Avenue, 11350-12 ELECTRICAL ENERGY Hillsboro, Oregon 97124 APPLICATION Information: (503) 640-3470 Fax: (503)693-4412 PLEASE plea . .• . _ Project No. JU'l Permit No. f 1. L.ocadon of Installation Label No. Date _ 7/0 Address 12337 SW Anton Dr - -_ Issued By_ ,:2 _ Off it's City_T i g a rd Zip Code- 97223 _ 4. Type of/work: Tax Map Map No. _ RESIDENTIAL Restricted Energy Fee $40.00 Thomas Map Book: Pagr, v` S,)ction _ (for all systems) Directions Check type of work Involved: — — Audio and Stereo Systems* Commercial I_-J Residential ❑x XBurglar Alarm Ti✓nant Name Telephone Systems" (It com-oarcial) _____--- _---, — _• oar age Door Opener* This permit becomes null and void N the work authorized by the Fire Alarm permit Is not commenced within 180 dayot from date of Issuance of such permit or If the work authorized Is suspended or abandoned Heating,Ventilation and Air Gondibonlnti Systema" 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: Electrical Contractor HONEYWELL SYSTEM COMMERCIAL FeefOAR918-2W2or each system $40,00 (oN OAR 918-280-280) Address 810 SE BELMONT PORTLAND OR 9721.4 Date -12- 1-93 Job Number 8 2 4-01-2 5-4—TT Check type of work Involved: Property Owner WAYNE GENTRY Contractor's License No. 2 6-2 0 7 C LE Boller Controls Contractor's Board Reg. No. 57824 clock Systems Phone No. 2 3 2-918 6 Data Telecommunications Installations —�-- Fire Alarm Installation 3. Owner application: HVAC Instrumentation Print Owner's Name Phone No, Intercom and Paging System I.andacapo Irrigation Controt" Address -- — --------- --- Medical Nurse Calle Outdoor Landscape lighting" This permit la Issued under OAR 918-320-370 The applicant ogroes Protective Signaling to make only restricted energy Installations(100 volt amps or less) Other undo,this permit and to do the following: t. --------- 1. Only use eMctrical licensed persons to do Installations where required. (Certain rssklential and other transactions are exempt Number of Systems from licensing. These have asterisks("). All others need llcens- --- Ing.) 2. Call for an Inspection when all the Installodons under Vila permit "No licenses are required. Licenses are required for all other installations. ars ready for Inspectloi. J Purchase separate permits for all Installations^hat are not ready 5. Fees for Inspection when ft a Inspector Is cut to Inspect under this permit. Enter fees $ 40.00 4. Assume responsihlltty for assuming that all corrections required by the Inspector are done,and2 ,0 0 5. Assume responslbUlty for calling for a final Inspection when all of 5% Surcharge (05 X total above) $ the corrections are completer!. The person signing this perynM must be the applicant or s person Total $ 42 .00 authorlred to bind the applicant. Signature / ' -- Space below reserved for validation. Authority if other than applicant —___--_�_ �_ For inspections call 644-3561 or 6934415 24-hour recorder, one working day In advance of need 11192 MECHANICAL CITY OF TIGARD PERMIT COMMUNITY DEVELOPMENT D PART INIT PERMIT #. . . . . . . : MEC94� 0176 13125 SW Hell Blvd, Tigard,Oregon 97223.819 t5O3)� 9'4171 DATE ISSUED. 06.12e/94 PARCEL: 1S134CB-15600 'SITE ADDRESS. . . : 12337 SW ANTON DR SUDDIVISION. . . . : ANTON PARK ZONING: R-7 PD BLOCK. . . . . . . . . . . L_OT. . . . . . . . . . . . . :83 CLASS OF WORK. . :AL.T FLOOR F URN. . . . : EVAP COOLERS: T YPE OF' USE. . . . :SF UNIT HEATERS. . : VEN-F FANS. . . : OCCUPANCY GRP. . : R:_, 11F"N'T S W/O APDL: VENT SYSTEMS: TORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . : FUEL. TYPES- - -- 0-3 HP. . . . : DOMES. I NC I N: : /ELE/ / / 3-15 HP. . . . : COMML.. INCIN: MAX INPUT : BTU 15-3 0 HP. . . . : REPAIR UNITS: FIRE. DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . : (SAS PRESSURE. . . : 50+- HP. . . . : CLO DRYERS. . : NO. OF UNITS--- ------ - AIR HANDLING UNIT 5 OTHER UNITS. : FURN ( 100K BTU: (-- 10000 cfm : l GAS OIJTLETS. : FURN ) =100K BTU: i 1.00011, cfm: Remarks : AIR C:ONDITIONE:R Ownet.: __.._---_-_____.__.------__.__________________._.___.._.______._ FEES -- WAYNE GENTRY t yl.ie art,aunt by date recpt 12337 SW ANTON DR PRMT $ 25. 00 SW 06/,:8/94 SPCT $ 1. E , SW 06/28/94 - f IGARD OR Phone #: Contr-actnr: GnROKEN ENERGY CO. 3975 SW 113TH BEAVERTON OR 97005 -------------------.------_._.______._. Phone #: 6,41--6410 $ 26. 25 TOTAL. Reg #. . : 43124 ____...-.._..._ REQUIRED INSPECTIONS - This permit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with _ -------- approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is susp-hded for more than 180 days. Permittee wigr►atlire : l,Q��J� _— - --__�� __ _ 15 s u a d B y . Elk Call for- inspection - 639--4175 City of Tigard �V1 ECHAN ICAL. PERMIT Planck/Rec. # _ 13125 SW ball Blvd. APPLICATION Permit # PO Box 23397 Tigard, OR 97223 (503) 639-4171 -- . TescrrpUon /� Table 3,1 Mechanical Code QTY PRICE AMT Job �1 33'� 5w !�, ( +r ,.�� 1) Pormit Fee -0 -0- 1000 Addi ess OIL 91 'a'a� 2) Supplemental Permit 3.00 aFurnace to 100, BTU 1) incl.ducts 6 vents 6.00 «� MOM Furnace 100,000 BTU + Owner 2) incl.ducts 8 vents 7.50 .rap umance 3) incl. vent 6.00 Susponclad heater, will heater 4) or floor mounted heater 6.00 •v — � 1,777— Vent not incl.in Occupant 5) appliancs permit 3.00 Repair of hiaaiing.rp(ng. 6) cooling,absorption unit 6.00 MBoiler or comp to 3 RP -- Il rr� v �ti h�i-v 7) absorp. ural to 100,1100 BTU 6 00 z - 82 ' r r 50-iler or comp to 3 H P- 1 Contractor 8) absorp.unit to 500,000 BTU 11.00 _ i er or comp to 9) absorp.unit.5- 1 million BTU 1500 swe ~M. aw ow lam Boiler or comp to 30- 50 HP I ,A 7�* 10) absorp.unit 1 - 1.75 million BTU 27.50 re y ac ow at I have read thIs appliclition that the ler or comp to 50 HP infomr•dion giver is correct,that I am the owner or authorized agent 11) absorp.unit 1,750,000 BTU 31.50 of the uwner,that plans submitted are in compliance with State Air handing urrt to laws,that I am registered with the Stare Builders'Board,that the 12) 10,000 CFM 450 nuviber given is ccxrect (If exempt from State registration, please Air hand5i unit give reason below.) 13) 10,1X)0 CTM+ 7.50 Ron porMle 14) evaporate coder 4.50 Vent tan connecie 15) to a single dud 3.00 enU hon system not \`��.� 16) included in appliance permit 450 .« sery 17) mechanical exhaust 4.50 Describe work n siddition alteration 0 repair Domestic type to be done residential -I nonresidential Q 18) incinerator 7.50 Existing use o mmercta or n stria building or property_ _ — — — 19) type incinerator 30.00 Other i a,w stove,water Proposed use of 20) heater, solar,clothes dryers,sic. 4.50 building or property 21) Gas piping one to fotx outlets 200 Type of fuel oil Q natural gas U LPG Q ekxtric Q 22) More than 4-per outlet NOTICE Minimum Foe$25.00 SUBTOTAL PERMITS BECOME NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED 5%SURCHARGE _ WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS l SUSPENDED OR ABANIOONED FOR A PERIOD OF 180 PLAN REVIEW 25%OF SUBTOTAL DAYS AT ANY TIME AFIER WORK IS COMMENCED �— TOTAL Special Conditions Date issued by h.srsnrrrn ..eewa« CITY CSF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Heli Blvd.Tigard,Oregon 97223.9199 (503)639.4171 fI I CITYOF TIGrARD f� COMMUNITY DEVELOPMENT laEPANTMENT \ �RD MASTER PERMIT 13195 SW HWI Blvd. P O Box 23397,Tlp M,Orspon 97223 (603)639-4175 oRe4oN PERMIT #. . . . . . . .. NS T9 3-0003 L39 -4171 DATE ISSUED: 01/06/93 S I T E ADDRESS. . . : 12.337 SW ANTON DR PARCEL: 1 S J :34CB--AP083 SUBDIVISION. . . . : ANTON PARK ZONING: BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :83 BUILDING REISSUE: DWELLINU UNITS: 1. BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :NEW L;EDRNS:3 BATHSa3 CiARAGE. . . . . . . . . . :400 sf TYPE OF USE:. . . :SF F=LOOR AREAS---------- REQUIRED TYPE OF CONST'. :5,N F I RS'l . . . . :708 sf LEF T'. . :7 ft R IGHT. : 7 -Ft OCCUPANCY GRP. :R3 SECOND. . . :C+3a? sf FRON1. :20 ft REAR. . -.38 ft STORIES. . . . . . . :2 7'H I RD. . . . :0 s f REQU I Rf D----- - ---- _- --- - ___ HEIGHT. . . . . . . . ..23 ft TOTAL------: 1:340 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . y : 68840 PARKING SPACES. . : 1 Remarks: PATH I PLUMBING SINKS. . . . . . . . . . : l FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRa. . :0 LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 'TUB/F3HOWE:RS. . . . :2 LAUNDRY TRAYS. . . :0 C;ATL::H BASINS. . . . . . . :0 WATER CLOSETS. . -.3 ',-$.WER LINE: (ft ) . :0 GREASE: TRAPS. . . . . . . ..0 D I SHWASHE RS. . . . : .l WA7 ER LINE (f t ) . : 100 OTHER F J X TURFS. . . . . :0 UARBAGE DIST'. . . : J. RAIN DRAIN (ft) - :0 WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 MEGHANl CAL _-- .___.________..___________.________ FEES FFUEL TYPES-___._._.____..__.__.... UNI r HT' S. . 30 type amol-tnt by date recpt /GAS/ t / VENTS . . . . . :0 TIF $ 1460. 00 JH Q11/K.6/93 - MAX INPUT :0 BTU VENT FANS. . :4 BPRT $ 340. 00 JH 01 ;06/93 - FURN < 100K . . : I HOODS. . . . . . : 1 BPLC; $ `21. 00 JLH ' ,x/24/92. 92-.67--350 1 FURN ) ~10011. . . :0 WOODSTOVES. :O B5PC $ 17. OV JH 01/06/93 - FLOOR FURN. . . . :0 CLL'! DRYERS. : 1 SSDC $ 280. 00 JF. LAI/06/913 - BOIL/CMP ( 3HP:0 OTHER UNITS: I PARK $ 500. 00 JH 01/06/93 GAS OUTLETS: 1 MPR7 $ 43. 50 JH 01/06/9,3 - Owner: ____._-------._.___---._. ____..___.__ __.._._..__)hp.LC $ 1.0. 88 JFI 01/06/93 _ MELVIN WAYMIRE JR. M5PC $ 2. 18 JH 01/06/93 - P O BOX 231164 PPRT $ L32:. 50 JH 01/06/93 - P5F'C1, $ 6. 63 Jli 01/06/93 - TIGARD OR 97281 Phone ##: 639-6742 Contractor: MELVIN WAYMIRE PO BOX 231164 TIGARD (7R 97223 Phone #: 639-6742 Reg #. . : 35976 ---- ---•---------_.___..-------._.__--------__._.._.__.__ $ 3013. 69 'TOTAL_ This permit is issued subject to the regulations contained in the ------- REQUIRED INSPEC7IUN5 - - -- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp plans. This permit will expire if worts is not to ted within 180 Post/Beam Mecl7an Insulation Insp days of issuance, or if work is sus for ore than 181 days. T'lm/undslappbO0lnsp Gyp board Insp Permittee Signati.tre : ---___-_-_ �IerfianicallInsp Wa erdL ne l is� Pli-1mb lop Ot.it Appr/Sdwlk lnsp Issi.ted By : __-- _._. framirl'4 IT)Sp Mechanical Final Gall for inspection - 639- 4175 CITY OF TIIFA RD L SEWER CONNECTION C 171 YT%0&F COMMUNrry nEVELOPMENT DEPARTMENTmnm� PERMIT 4W 13126 SW Holl Blvd. P.O.Banc 23397,TigaM,Orepn g7223(6o31&1"176 PERMIT #. . . . . . . : SWR'13-0002 639-41*71 DATE ISSUED: 01/06/93 SITE ADDRESS. . . : 12337 SW ANTON. DR PARCELa IS134CB–Anoa SUBDIVISION. . . . - ANTON PARK ZONING: BLOCK. . . . . . .. . . . : LOT. . . . . . . . . . . . . 183 TENANT NAME. . . . . : USA NO. . . . . . . . . . a FIXTURE UNITS. . . CLASS OF WORK. . . sNEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SFF NO. OF BUILDTNGS: l INSTALL TYPE. . . . :BUSWR IMPERV SURFALE— I Remarks: PATH I Owner: FEES MEL,VIN WAYMIRE JR. type amol-tylt by date rer-pt P 0 BOX 231164 PRIV 4, 2100. 00 JH 01/06/93 – INSP 35. 00 JH 01/06/93 – TIGARD OR 97281 Phone #r 639-6742 Contractor: ------------------------------- CONTRACT'OR NOT ON FILE ------------------------------------- Pl-lone $ 2135. 00 TOTAL Reg REUUIRED INSPECTIONS This Applicant agrees to comply with all the rules anti regulations Sewer Inspection of the Unified Sewage Agency. The Permit expires 180 days from the date isfiied. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and Agencywi I install a lateral. Permittee Siunati.tr– TS%Lted By : Call for inspection 639-4175 rV. 11125 SW IW1 BNd. PLNCK/RECT #CIIN OF 1. ARD 1'U Wx 13397 y� / U[;vEL01 MIS;N•T'1)1;1 AR'I'MI•;N'I' rPprd.Oregon97213 PERMIT # o/ IS �/� G UU 3 COMMUNITY (503)639-4171 DATE ISSUED JOB ADDRESS: _12337 S .W. Anton Dr. , Tigard ___ TAX MAP/LO1 /S ( 3 C C,3 U 3 SUB: Anton Park LOT: #83-Anton Pk. LAND USE: VALUATION: OWNER SPECIAL_ NOTES NAME. Melvin G. Waymire Jr. v_ REISSUE OF: ADDRESS: P.O. Box 231164 LAST REISSUE: _ Tigard, OR 9721 FLOOD PLAIN,/ PHONE: _ 639-6742 _ SENSITIVE LAND: _ CONTRACTOR APPROVALS RUU I RED Sl l3 ti -ovo8 NAME: Melvin G. Wa3zmi rf,.. ar - PLANNING: _56f,3,4006 OK- ADDRESS: same ENGINEERING: FIRE DEPT: PHONE: 639-6742 _ OTHER: l !' CONTR. BOARD #: 35976 EXP DATE: 3/11/93 ITEMS REQUIRED SUBCONTRACTORS: PLUMB: Harmony Plumbing Co. LIST/SUBCONTRACTORS: MECH: Sr)pcidlty lieat,�_rah BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: Larry Taft Designer TRUSS DETAILS: ADDRESS: 11369 N_W- 1 F,9th Pl #100 _ OTHER: Beaverton, OR 97006 PHONE: PROPOSED BLDG. USE: Single-family residence _ COMMENTS: AP ICAN SIGNATUpf - Received By: ,------___^ Date Race ived: I PERMIT N ACCI # DESCRIPTION AMOUNT AMOUNT P0. BAL. DUE ou 10-432 00 Building Permit Fees VV 0-431 00 Plumbing Permit Fees /��. '�? 13z. ; _ 10 31 01 Mechanical Permit Fees �`U _ .5 v 10-23 01 State Builc:ing Tax (5%) S,b BuiIdirig / 60 Iumoirig Me ianical /1S 10-433 OO Plans Ch k Fee �/ &� SSU' �� j Z Building Zi r" Plumbing Mechanical 10-230 06 Fire / – ,'Rs _ _._—Z. 30-202 00 Sewer Connection 30-444 00 Sewer Inspection _ IIS 25-448-02 Commercial TIF ees ---- 25-448-04 Industrial T Fees — 25-448-06 Institutio 1 TIF Fees - 25-448-03 Office TIe Fees — — 25-448-01 Residential Traffic Fees L,3 25-448-05 Mass ransit TIF Fees // .� V 52-449 00 Par System Dev Charge (PDC) - 31-450 00 S rm Drainage Syst Dev Chrg (SSDC) __ L 14-445-0 Water Quality (Fee in lieu of) —_- 24-44 -02 Water Quantity (Fee in lieu of) TOTAL nm/35871'.WN - --------- - --- INSPECTION NOTICE City of Tigard Building Department 13125 RN Ball Blvd. Tigard, Orngon 97223 Inspection Line (Rec-O-Phona):p)6,39n-4175 /Business Phone:: 6339-4,1711 Inspection:---- Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk / Pound. PLbg. Top Out Gas Line ( PINAL Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Ream Mach. Rain Drain *nsulatlon -Plumb. Plbg. Underfloor Nat r Line (� Gyp. Rd. -Koch. Date Requeeted:— 154, Tia1e: r' M /-16 PM S Address: P,=""" � / '73 Builder: �'�", — �� l —S r) �� CK � 61767, / 6j r THE FOLLOWING CORRECTIONS ARE REQUIRED: i Inspector:_ -.,-,,-APPROVED 1 -� DISAPPROVED APPROV19D SUBJECT To ABOVE ` -Call For Reinsp.