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Case File ADDRESS: A -L i:\records\microflm\targets\bui:d ng dcc CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection line (Rec-O-Phone): 639-4175 Business Phone: 639.4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in APP r/Sdwlk Fou,idation Plbg. Ur,&rslab Mech. Rough-in Fireplace Post/Roam Struct. Plbg, Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line Plbg, Underfloor Rain Drain Framing �,u Alarm Water Line Insulation Und9r11r. lnsul. Shaer Walt EYP Bd. Elect. Date Rec;uasied: ��('/7 > Time: AM PM Address:i� O Builder:G% P Permit !f: el-11 j�` THE FOLLOWING CORRECTIONS ARE REQUIRED: inspector: -vAPPROVFD _DISAPPROVED _APPROVED SUBJECT TO ABOVE _ —Call For Reinsp. CERTIFICATE Or OCCUPANCY 1,7 rCvr1W*raY OF T I GARD PERMIT #. . . . . . . : MGT95-006�, COMMUNITY DEVELOP MEN'r DEOAR-rMENT DATE ISSUED: 06/14/95 13125 SW Fall Blvd.Tigard,Oregon P7223*8199 (503)53ti41711 PARCEL, PS11121BB--0340121 SITE ADDRESS— i 12401 SW AMES LN SUBDIVISION. . . . : PRLINGTON RIOGE ZONIN1,3iR--3. 5 9 L 0 QK. . . . . . . . . . a LOT. . . . . . . . . . 1011 CLASS OF WORK. :NEW TYPE OF, USE. . . ii 9F OCCUPANCY GRP. sR3 OCCUPANCY LOAD o2P-6 4 TENANT NAME. . . : Remarks : PATH I Owner: (:-'L.DON 1*'ICHC-',NOH 15040 SW 09TH PL. rwpuo aR 97224 Phone #: 684-1316 Contractor- DWD CONTRACTORS, INC P () BOX 23454 OR 97281 hone *1 63)---6881 Req -,A 203 This Certificate c-prtifies thAt the above refprencr--d building or portion thereof has been intpected for compliance with the Tigard Building Godr- for the group and division of occupanr.y and use for which the above eforenc@d permit was issued, and occi.tpancy is hereby granted. BUILD vi INSPECTOR BLI11 DING OFFICIAL, POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rei:-O-Phone): 6q9-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbc-. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Pust/Beam Mech. San. Sewer Gas Line Bld Plbg. Underfloor Rain Drain Framing Alarm Water Line Insulation - ech Underflr. Insul. Shear Wall Gyp. Bd. Elect. Date Requested: Time:WAM PM Address:_ Builder:� 5i`71(,. / Permit #: ,� THE FOLLOWING CORRECTIONS ARE P' DUIRED: Inspector: ( ---�— Da!e: APPROVED 4- L'SAPPROVCD APPROVED SUBJECT TO ABOVE --_Call For Reinsp. AUG-03-•1995 08, 11 WASH.CNTY.0R.LUT/BLDG 1 503 681 3993 P.01 1 � 13���V L VN L"u wrvr_Lwrmc C i On71VG? YI•I-,IvAv�w►- w 153 NORTH FIRST,HILLSBORO,OR 9712.4 COUNTY, PHONE:60216404470 OREGON INSPECTION REQUESTS (24 hours): WW640 1 or E h� Permit V 05068200 Project 4 : POU50108 Status APP&OVER Page 1 01 Appliva Q5/1.!�/dS It'r•u:d • 0517.6/95 Expiroo ? 1127/QS 12E5Ei,fi9� 05 Permit Title SF; NEW !SOME 1111 CATH L�ee,craption Begun ; OS/18 Job Address 12401 SW AMES LN Ti Owner Namur !NiPICTION - ^iGARD Region D Applicant Name SPRECHER, DAVID ELECTRIC Phony number 539-287P Valuation : 0 A.pprovea�_ Approval#t : APPR Inspector Comments fejtcteA_— I Vr,-1,ESUL'' Plumbing M c C h Electrical . —� - Structrual General --- inspected by : Pate r Fina! t iect: ::s: �� �9 fi T,r• ;,N UR/03/95 kI PTIVR 34-17-,'CC T 1 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 � > Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech Underflr. Ins+d. Shear Wal Gyj). Bd. ��-Elect. Date Requester _ . `7 _ — Time: AM PM Address: Builder: _ _Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: /Insper_tor.��� - PPROVEU _DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. CrrY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susn. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace PostlBeam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sower Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing e5fus ,alarm Wate: Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. r Date Requested/:_ 7 Time: AM PM Address: ( a O ( 1 0 _ Builder: Q4 J� S 5/(a Permit #: C THE FOLLOWING CORRECTIONS ARE REQUIRED: l lie- Inspectorf L�- Date: i _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 Foundetion 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. lnsul. G yP Bd. EI QRS_ Date Requested: Time:J" Ptiq Address:— Builder: ddress:--Builder: _Permit #: THE FOLLOWING CORRECTIONS ARE Ar-QUIRED: ,"13 Inspector:_-�. '1��--, Date:_ t� APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. �� LQr CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: �O SC Footing Susp. Ceiling Sprrnk. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rou�%jh-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Pest/Beam Mech. San. Sewer Gas Line Bldo, Pibg. Underfloor Rain Drain rarning -Plumb. Alarm Wnter Line Insulation -Mech. Underflr. Ir-u;. Shear Wall Gyp. Bd. -Elect. Date Reque>ted:_ —Time---AM PM Address:—L2Y(_)1 Builder: //7 g P rrnr- THE FOLLOWING CORRECTIONS ARE REQUIRED: / i Inspector. Dater �, ,-ti4AFROVED CISAPPROVED __APPROVED SUBJECT TO ABOVE Call For Reinso. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspaction:__ Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-inFireP lace Post/Beam Shuct, P;bg. Top Out Elec. Rough-in�K�a INAL: Post/Beam Mech. San. Sewer Gas Line X Bldg. P!h Underfloor 9� gain Drain Framing -Plumb. Alarr, Water Line In 1atiMerh. Underflr, Insul. Shear Wall yp_ gd,� A� -Elect. Date Requested:_ 6 –�S�_ Time:�,�< 1A, M _PM Address: `f/O l w2/2L1-4Z Builder: G(,� LF/r l J 1�– Pormit�l/:�m��_ THE FOLLOWING CORRECTIONS ARE REQUIRED: -1X1�-�l L--,A Inspector• _— r : Date _ j —APPPPR---O---V���ED DISAPPROVED --APPROVED SUBJECT TO ABOVE • Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639-1111 Inspection:_ Footing Susp Ceiling Sprink. Rough-in Q App!/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Bearn Struct. Plbg. Top Out Elec. Hough-in FINAL: Post/Beam MHch. San. Sewer Gas Line -Bldg. Pibg Uncierfloor Rain Drain Framing -Plumb. Alarrn Water Line Insulation -Meeh. Underfir Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: In ` �3._ �r Time: —AM PM Address:_/� — — T— Buil, er: �j CEJ _—Permit #: -157 5s QUF:5- THE FOLLOWING CORRECTiONS ARE RFQUIRFG: 4g,ek ,4n - �' 01� --- -I nspector: TDate: _APPROVED _DISAPPROVED --Call For Reins —r'` l g h s�fa �� �✓ CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: I Footing Susp. Ceilinp, Sprink. Rough-in Appr/Sdwlk Foundation Plbg. UnderslabRoug mh Inh Fireplace Post!Bearn Struct. Plbg Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain FramiK-) -Plumb. ulation Alarm Water line Ins :/ -Mech. Undertlr. Insul. Shear Wall Gyp. Bd. �Y_ -Elect. Date Requested:_ -,5 1j Time: V AM ___PM Builder:_61,l !� ,� ,Permi!' V C?5-06)g5 THE FOLLOWING CORRECTIONS ARE REQUIRED: C / - --- — &++�I -L1 �fl jam/ /<7iS✓'� !nspector. �- _ Date: _APPROVED _DISAPPROVED VFD SUBJECT TO ABOVE _Call For Reinsp. i Cf T Y O;:TICIARD BUILDING INSPECTION NOTICE rn;,pi­;;ion Llne (Fl,,r-(-Phor:P): 6:14+-4175 Business Phone: 639-4171 Inspactior. � Z t.,/ey-Tt^ Footing Susp. Ceiling % Sprink. Rough-in Appr/Sdwlk Four,dat;on Plbg. Underslata/s'"/ Mech. Rough-in Fireplace Post/rsearn Struct. . T� op-ytt Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. r,bg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underfir. Insul. Shear Wall Gyp. Bd. -Elect. Da!,, Requested: (t, e�` Time:_._AM PM Address:_ ( � %(f C) Builder: _Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector1<1 : Date:- �PPROVF.D _DISAPPROVED _APPROVED , ;[ O ABOVE _Call For Reinsp. DEPARTMENT OF LD ND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 15E NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (2.4 hours): 503/640-3561 or 693-4415 Permit # : 0E-.u68200 Pr(�jec.:t q . P0050108 Status APPROVED Pa<tr 1 cif 1 Applied . 05/26/95 Issued 05/26/95 Expires 11/26/95 05/31/95 05 : 0.: RESELEC Permit Title EFR - NEW HOME LV OTH T.escriPtir-)n Benue J >b Addrfrs:s 12401 SW AME6 LN TI f)wner Name INSPECTION - TIGARD Region IJ Applicant Name :3'RECHER, L1VII) ELECTRIC Fhnne r►umbf.r 538-•2878 Valuat l cin 0 Approved__Z- Inspector Comments Rejectad— -. iVR-R.ESIILT;:, RHGLIEST ERROR Plumbing M4c..hanicai : Electrical : St.ruct.rual : U?ne,ra1 Inspected by Inspection Requested 4 Crver & SArv.ice? 0404 E ( G' UN IVs 05/31/95 RI RI IVR 34' - 177(7 r` F, \� 05/:10/95 RI RIIVR 44-1770 (' E -" 05/30/45 DN 14�1 DNIVR LUT7 I SS DERARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 %F COUNTY+ PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640.3561 or 693-4415 Permit # • 05068200 llr6 je :t # P0050108 Status APPRoVEL Page 1 of 1 A1_j>l.Led 05;26/91, Issued 05/2.6/95 Expires 11 /G2/95 05/30/95 05 : 01 R1S ELEC Permit Title 8FR -- NEW g0KE LV OTH Description Beyun: 05/10/95 Job Addreas 12401 SW AMES LN T1 wner Name INSPE('TION - TI�bARD Rayi �n L Applicant Name SPRE{:HER, DAVID ELECTRIC Phony number 5 38--2878 Valuation : J inspector Ccmw.ents Re,je,:t-fd— IVR-I.E :l1LT:� REQUEST E:RRCIR C v t 9 _.-- Me,_hsnir_sl E l c t r i c e 1 t�t:ru:trual Inspected k�Y _ 1)Nte Insp.rction Regl:rsted * Cover & Servi 'e 0403 E AP CSN iVi 05/30/95 141 RIIVR 34-177 " E WASHINGTON -and UCOUNTY ELECTRICAL PERMIT Department of -and Use&TrnnsporEation Electrical IFirstAu Inspection APPLICATION 155 North First vene,#350-12 Hillsboro,Oregon 97124 Informatlo►l: (503 640-3470 Fax: 503 693-4412 PLEASE PRWT Permit -1� Pleas.e.complefeallsections. 1 rough5. Number =?_ __. ?6 '! Date 1. Location of Installation 4. Complete Fee Schedule below Address-_ 12401 S.W. Ames Lane�- Number of Inspections per permit allowed Build' - - City Tigard Suite No. Service included: Items Cost(ea.) Sum Tenant Name A. Residential-pei unit A commercial) _ _-__ loon sq.n.or less .-L _ $110.00 _ I 10.00 4 Map No. _. Tax Lot _ Each additional 500 sq.ft or portion thereof - $25.00 75 -00 Limited Energy ___. $25.00 1 Thomas Map Book Paye:_- Section: Each Marnif'd Home or Mor!war Directions _. -_ Dwelling Service or Feeder $89.00 -- 2 Commercial Residential B. Services or Feeders Installation,alteratlons or relocation 200 amps or less $60.00 2 2a. Contractor installation only: 201 amps to 400 amps $80.00 --_____ 2 Electrical Cor factor -David Sprecher E l e c t r i c 401 amps to 800 amps $120.00 2 �C 0. t3 C X I 0�3• 601 amps to 1000 amps $190.00 2 Addre Over 1000 amps or volts $340.00 2 Gity _ e Q e r 9 __ State ZIP- _ Reconnect only $50.00 _. 2 �� Date � - 4 4 2 2 Job Number _ Property Owner _ _ C. Temporary Services or Feeders Contractor's License No. _ 3� - Installation,alteration or relocation Contractor's Board Re(,. No. 4 5 6 3 8 200 amps or les, $50.00 2 201 amps to 400 amps $75.00 Signature of Su r. Elec'n 401 amps to 600 amps $100.00 _ 2 g 0 6 2- S 8 2 - Over 600 amps to 1000 volts see"B"above License No. Phone No. D. Branch Circuits 2b. For owner installations: New,alteration or extension per panel a) The fee for branch circuits with PrintOwner's dame Minn-No purchase of service or feeder lee. Each branch circuit ___ $5.00 ___ _ 2 Address b) The fee for branch circuits without _ _ purchase of service or feeder fee. -State _ZI_p 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 ---- -- -- - Signal circuits)or a limited enemy panel,alteration 3. Alan 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 any of the above -- _ `Service and feeder, A00 amps or more Per inspection $3901) hour _ _- gas ao _ __System over 600 volts nominal In Plant $9500 ,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 $ 185 .00 above apply. Not required for temporary construction 5% Surcharge (.05 X total fees) $ .2 55 services. Subtotal $ I •��� This permit her omes null and void If the work authorized by the permit Is B.Enter 25% of line A for not commenced within 190 days from date of Issuance of such permit of Plan Review if required (Section 3) $ If the work authorized Is suspended or abandoned at any time after work Subtotal $ Is commenced for a period of 180 days. Electrical Permit*an non- $ Q refundable and non-transferable. Trust Account For inspections call Balance Due s194 .25 681-3699 or 681-3698 24-hour recorder, one working day In advance of need BL26 3195 'DEPARTMENT OF LAND USE 8 TRANSPORTATION WASHNGTON LAND DEVELOPMENT SERVICES VIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 COUNT , INSPECTION REQUESTS: 5f)3/640-3581/893-4415 OREGON XXXXXXXXX•--> 640-3170 Page 1 of 1 Date 05/26/95 Time 11t21 P:�rmit 'Type Residential Ele-trical Permit PerrAt # 050682J0 Permit Status APPROVED Applied 05/26/95 Situs Address 12401 SW AME'J LN Ti Issued 05/26/95 Permit 'Title SFR - NEW H .iML LV Completed P?rmit Descr. To Expire 11/22/95 P.:oject Title SFR - ELEL/ALL ENCOMPASSING LV Project # POU5U1U8 P2-eject Descr. * EROSION Parcel Numl,ei 7S1'TI Land Use Distt ict Valuation 0 Legal Desc:.r . owner INSPECTION -- TIGARD Construction OTH Applicant Name 5PRE.CHER, DAVID ELECTRIC Classification 9U0 Applicant pddr . : PO BOX 1085 Occupancy R3 NEWBERG, OR 97132 Validated by MAC 'Iipplirant. Phone: 538-28'/8 inspector Area Fee description Units Fee/Unit Ext fee Data ------------------------------------------------ Square rootage [Enter Sq. Ft , ] 2500 185 . 00 Subtotal Electrical Fee: : 185 . UU State Surcharge of. 5`4 9 . 25 Total Electrical Fees : 194 . 25 >t*� Fees Required *** *** Fees Collected & Credits ----------------------- ------ Method Check # Receipt No. Date Payment CK 4252 05/26/95 194 . 25 TOTAL THIS DATE ********* 194 . 2.5 Fees : 194 , 25 Adjustments : , 1110 '!oral Credits : 00 Total Fees : 194 . 25 Total Payments : 194 . 25 Balance Due : . 00 NOTICE: This permit I— mull and void If the work or constriction for which It Is Issued Is not commenced within 100 days. Once construction has aiarted, the permit bpr ornes null and void If construction Is Interrupted for i period of 180 days. I certify that the information presented by the applicant and his agent or agents In support of this permit In true and correct to the best of uur 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 construcCrin and use of this building or structure will b^compiled with whether or not specified on the plans or noted on tha plans correction sheets. I acknowledge that the granting of a permit dose not grant evihorlh/to access privets property or to ties easements. I further acknowledge that the use or occupancy of the strictom or building permitted depends upon my calling for Inspections at various tines during the process of construction and the building Inspection staff vs,lfying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approve!by the Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are salla/led and approval Is given by the Building Official. I hirthar acknowledge that a lion may be placed on the title of the property upon which the permit Is issued specifying that the use nr occupancy of the building or structure Is provNinnal and revocable until the satisfaction of all Inspection requirements. t NT'S SIONAiIJAN riTi f f. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone). 639-4175 Business Phone: 639-4171 Inspection:_ Footing Susp. Cei' iq Sprink. Rough-in Appr/Sdwlk Foundation Plbg Underslab Mech. Rough-in Fireplace Post/Beam Struct. P(6 op Elec. Rough-in FINAL: Post/9E am Mech. San. Sewer Gas Line -Bldg. i Plbg. Underfloor Rain Drain Framing -Plumb 1 Alarm Water Line Insulation -Meeh. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: c3Sl Time: AM PM Address: Builder: Permit #: i THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:� i-- ---- Date: LS _APPROVED __DISAPPROVED _APPROVED SUBJECT TO ABOVE k/,all For Reinsp DEPARTMENT OF LAND USE 8 TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415 OREGON XXX;,XXXXX---> b40-34'/u Page 1 of 1 Date Ob/22/95 Time 15 : 39 Vermit Type Residential Electrical k;ermit Permit # 050678'79 Permit Status APPROVED Applied : 05/18/95 Situs Address 1 1.2401 SW AMES LN 'Tl issued 05/18/95 "ermit Title SFF; - ELL;C/ALL ENC'UMPASSING LV Completed : Permit Uescr . To Expire 111/14/95 Project 'Title SF'R - ELEC/ALL ENCOMPASSING LV Project # : POUbU108 Project Uescr , k EROSION k'arcel Number 251'1'1 -- Land Use District : Valuation U Legal. Uescr .. Uwner INSPECTION - 'TIGARD Construction a O'TH Applicant Name f;ARY 'S VACUFLO Classification 900 Applicant, Adctz . : 9U1b SE FLAVEL Occupancy Its PORTLAND, UN 97266 Validated by : KKN Applicant Phone : '/'/5-2042 Inspector Area : Fee description Units Fee/Unit Ext fee Data ---------------------------- Limited Energy/Alter ,/Extension 1 40 . 00 4U . UU jubt.otal Electrical Fees : 40 . 00 State Surcharge of 5% 2 . 00 Total Electrical Fees : 42 . 00 *** Fees Required cess rr** Fees Collected & Credits *** ----------------------------------------------- Method Check # Receipt: No. Date Payment UEP ' Ob/18/95 42 . 00 Fees : 42 . 00 Adjustments : . OU Total Credits : . 00 Total Fees : 42 . 00 Total Payments : 42. 00 Balance Due : . UO NOTICE: This permit becomes null an..void If the work or construction for which it Is Issued Is not commenced within 1:10 days. Once construction has started, the permit becomes null and void If construction Is Interrupted for a period of 160 days. I certify that the Wormation 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 misleacing Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use of this building or structure will he complied with whether or not specified on the pians or noted on the plans correction sheets. I acknowledge that the granting of a permit does not grant authority to access private prope-Ay or t, ,se easements. I further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling f,)r Inspections at various times during the process of construction and the bulldinq Inspection start 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 uss or occupancy Is revocable until all Inspection requirements Pre satisfied And approval Is given by the Building Officlet. I further acknowledge that a filen may be placad on the title of the property upon which the permit Is Iasusri specifying that the use or occupancy of the building or structure is provisional and revocable until the satisfaction of all bispection requirements, APPIUCANT'S SIGNATURE WASHINGTON COUNTY RESTRICTED Department of Land Use &Transportation Electrical Inspection Section ELECTRICAL ENERGY 155 North first Avenue,#350-12 Hillsboro, Oregon 97124 APPLICATION Information: (5503)640-3470 Fax: (503)693-4412 PLEASE Please cothplete all sections, 1 throilgh 5. Permit No. _ o5c) (a 79 7 -— 1. Location of Installation Date Address_-AOI�0' � 51W .13 r � - --- - City. _ � �__ zip Code _ 4. Type of work: Map No. — Tax Lot _ RESIDENTIAL Restricted Energy Fee $40.00 Thomas Map Book: Page ___ _ Section (for allsystems) Check type of work Involved: Directions — -- — - au. zrl c_cw pG'</a-� Audio and Stereo Systems' Commercial lJ Residential Burglar Alarm Telephone Systems' Tenant Name Garcge Door Opener' (II r.ommercial) -.. ._ - Fire Alarm Heatina,Ventilation and Air Conditioning Systems' 2. Contractor application: Vacuum Systems' Other Electrical Contractor GARY ' S VACU l'LO, INC. 775-2042 - COMMERCIAL Fee for each system $40.00 9015 SF FLAVFT I'"T'LD, OR 97266 (see OAR 918-28018J) DATE: /_��J ,i1�A# Check type of work Involved: OWNER:— CLE 2U728 , JLE 985 , CCB: 69047 Boiler Controls Clack Systems Phone NO. Date Telecommunications Installations Fire 3. Owner application: HVACIarm Installation Instrumentation --- - Intercom and Paging System Fdnt Owner's Name r hone No 9 g y Landscape Irrigation Control' Address Medical Nurse Calls City State Lip Outdoor Landscape Lighting' This permit Is issued under OAR 918-320-370. The applicant agrees Protective Signaling to makeonly restricted energy Installatinns(loo volt amps er less) Other under this permit end to do file following: _ 1. Only use electilcal licensed persons to do Installations where required. (Certain resldent,'al and other fransactions are exempt Number of Systems from licensing. These have ssferlsks 0. AY others need linens- - - Ing.) 2. Call for an Inspection when all the Installations under this permit 'Nn ficenses are required. Licenses are required for all other installations are ready for Inspertlon. a. purchase separate permits for all Installations that are not ready Jr. Fees for Inspection when the Inspector Is out to Inspect under this permit. 012 Enter fees $ �_ 4. Assume responsibility for assuming that all ccrrecticne raqulred by the Inspector are done,and qa 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 perrnit most he the applicanta Ce at person Trust Account $ e pc7 4 7,2?' authorized to bind the applicant. r fj J_ Signature # Total $ Authority tf other then applicant —_ This permit becomes null and void It 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 outhorizel Is suspended or abandoned L any time atter work Is rn fors period of t Flo days. 640-3561 or 693-4415 Electrical Permits are non-refundable e end non-transferable. 24-Rout recorder, one working day In advance of need BL24-11. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone,': 639-4175 Business Phone: 639-4171 Inspection: .14� Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech, Rough-in Fireplace Post/Beam Struct. Plug. Top Out Flec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Under'Ir. Insul. (�k Gyp. Bd. EI t. Date Requested: Timej:�'p PM Address:_ Builder: Permit U C) THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: Date: l�"PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-C-Phone): 639-4175 Business Phone: 6394171 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. Underllr. Insul. _iear]pLa Gyp. Bd. Elect. Date Requested:__ S Time: AM PM Address: c� `1TZ_F`� Builder: _ Permit M: THE FOLLOWING CORRECTIONS ARE. REQUIRED: Inspector:_ Date: _APPROVED +_DISAPPROVED ROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 y Inspection: Footing _ G� Coiling 9 Sprink. Rough-in Appr'Sdwlk I! Foundation_ Plbg. Underslab b ech. Rough-in Fireplace 015ost/Beam ryct,' Plb To Out p 9• P Elec. Rough in FINAL: `'F�ost/Bearn Mec San. Sewer Gas Line �--- -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mach. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: �-� (� �' Time: AM PM Address: I _� Builder: Permit #: F,r ME FOLLOWING CORRECTIONS ARE REUUII;ED: r Inspector: G _ ------_ __ Date: _APPROVED _DISAPPROVED �OVED SUBJECT TO ABOVE _Call For Reinsp. I CITY OF TIGARD BUILDING INSPECTION NOTICE 7— Inspection Line (Rec-O-Phone): 639-4175 business Phone: 639-4171 Inspection: Footing Susp. Ceiling S rink. Rough-in A p PPr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Posl/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Un� ' Rain Drain Framing -Plumb Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp Bd. -Elect. Date Requested:_ 3 S Time:--AM __—pM Address: Builder: u lPermit #:� _ O�� THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: --------- Date: _APPROVED _DISAPPROVED r-APPROVED SUBJECT TO APOV- Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phole): 639-4175 Business Phone: 639-41 Inspection: _—____.______ Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk oundation 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. Alarrr Water Line Ire—lation -Meeh. Underflr. Insul. Shear Wall Gyp, Bd, Elect, Date Requested: l 9 a---w y Time: --AM PM Address:_ G Q=- Builder:— Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: rycEV �ii1 L .> .• Y- 00 1�Gcif� ---�1�f�/ �I.�.1�'= r= .O�1-! �Tlli 5_�/c.'*-'!�✓� T-D CSL.5/ lL, — << Inspector: ~ Date: /Q- —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 Insp3ction: Doting Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Deam Struct. Plbg, Top Out Elec, Rough-in FINAL: Post/Beam Mach. San. Sewer Gas Line -Bldg. P)bg. Underfloor Rain Drain Flaming -Plumb. Alam Water Line Insulation -Mach. Under'Ir. Insur. Shear Wall Gyp Bd. -Elect. Date Requested: _– Time. AM PM Address: /�2 �/O / Builder: Permit N: _Qr0�SJ THE FGLLOWING CORRECTIONS ARE REQUIRED: lea eel Inspector: � _APPROVED 'DISAPPROVED VEP SLIBJFCT TO ABOVE —Call For Remsp. CITY OF TIGARD MASTER PERMIT !"�ERthI I' #. . . . . . . : M;3T95—Ij1V.ilJ_. COMMUNITti DEVELOPMENT AEP�F�TMNT DATE ISSUED: 03/03/95 13126 SW Hall Blvd.Tigard,Oregon 97223.9199 (507)030-4171 PARCEL.: 2S110B8-03400 SITE ADDRESS— :, : 1.'401 SW AMES LN SUBDIVISION, . . . : ARLINGTCN RIDGEZONING: R-.3. 5 OLOCK. . . . . . LOT. . ' . . . ^ • . . 011 BUIL.DINC; REISSUE: DWELLING UNITS: 1 BAGEMC14T. . . .. . . . . :0 st CLASS UF' WORK. :NEW BEDRMS:3 BATHS::3 GARAGE. . . a . . . . . . 1480 s f 1-YPE OF USE. . ,. :SF FLOOR AREAS_.._._._.____-__-. REOU I HED SETBACKS I'YPEE OF CONST. :5N F 1 RST. . . . : 1575 s f LEF='T. . : 13 ft I I GHT. :24 ft OCCUPANCY GRP. :R3 SECOND. . . :964 sf FRONT. :20 ft REAR. . :51 ft; STORIES. . . . . . . ..2 FINDSMENT:O sf HE I GGT. . . . . . . . :28 ft TOT(' - --- - ::mac 1 s f SMOKE DETF_C TORS. :Y +-LUUR LUAi1. . . . :40 ps f VALUE. . . . . $ : 110818 PARK I NG SPACES. . : 1 Remarks: RA'rH I PLUMBING NKS. . . . . . . . . . : 1 FLOUR DPAIN9. . . . :ii1 B14CKFI_OW PREVNTRS. . : t �VATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . 10 Q3/SHOWLRCti. . . . ..3 LAUNDRY TRAYS. . . : 1 CATCH BASINq. . . . . . . :0 wA f ER C:LUSE-F rS. . :3 SEWER LINE (ft ) . .0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LIME: (ft ) . : 100 OTHER FIXTURES. . . . . .ill tiAkBAUE. DISE'. . . : 1 RAIN DRAIN (ft) . :0 .DASH i NG MACH. . . - 1 SF RAIN DRAINS. . : 1 ---------- ---- MECHANICAL _ -- -_--_---- - FEES FUEL. TYPES--------------- UriIT HTRS. . :N type amo�.int by date recpt /GAS/ / / VENTS . . . . . ..0 SWM $ 180. 00 B 03/03/95 - ,,%0( INP11'1-:0 B I U VENT FANS. . : 4 GW"'1 $ 1.00. 00 B 03/03/95 - !--URN ( 100K . . :0 HC'UI)S. . . . . . : 1 iAPRT $ 61Ia. 50 H 03/03/95 - I URN )=IOOK . . : 1 WUODSTOVF_-S. :0 BPLC $ :396. 83 B 0,1-/03/95 - r-LUOR TURN. . . . :0 CLU DRYERS. a 1 I15PC $ :;0. 5 s B 03/03/9 - BOIL/CMP, ( 3HP:0 01'HEIR UNITS-1 PARV' $ 5o0. Q10 B 03/03/')b GAS OUTL ETS: 1 MPRT $ 45. 00 B 03/03/t5 - `)wner: _______._____.__________._.__..__.--.--_....____MF'I_C; $ 11. ;_ B 03/V13/9 _ LLDUN T ICHENOR M5PC b 2. 25 8 03/03/95 - L5040 SW 89TH FAL 3BTH $ 225. 00 B 03/03/95 - P5PC $ 11. 25 B 03/03/95 - 1 IGARD OR 97224 EROS 64. 00 B 03/03/95 Tione #: 684-1316 ERPC $ 20. 80 P 03/03/95 - 'ontrac_tar: ---___---.._ _.._---_.___-__--___-.._ERPC: $ c0, f30 H 03/03/95 - DWD CONTRACTORS, INC O BOX 2,454 1(:ARD OR 97281 ,one #: 639-6881 o IF. . 41c1113 $ 2218. 21 TOTAL. his petit is issued subject to the regulations contained it the -------- REUUIREI) INbPkL'1IUNS -- 7igard Municipal Code, State of Dre. Specialty Codes and all other Foot irg Insp Plussb Top &.lt applicable laws. All Mork will be dare in ar-cordancr with approved FoUndation Insp Praising Insp clans. This pewit will expire if work is nct started within 188 Post/Beam Strutt Fireplace Insp asys of issuarce, or if work is suspendea for sore than 180 days, Post/Beam Meehan Gas Line Insp Crawl brain Insulation Insp 'ermitteP ratqretiirer Plm/i.indslab Insp Gyp Hoard Insp PLM/Underfloor Rain drain Insp Me hanii.:ai 1TIsp Water Lint Insp Call for inspection - 639-4175 'LUMBiNG {=BERM. T CITY OF TIGARD DATEI ISSUED: ' 03/03/955 -0085 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S 1 10BB-03400 1 531 �LIftL d�Tip�rd.AraQwt1Y7 1��IIE031_6Pp4111 JUb..)IVISION. . . . : AkL INGTON RIDGE ZONING- R-3. 5 3LULK. . . . . . . . . . . LOT. . . . . . . . . . . . . :011 ------------------------------------------------------------------------------- I_.ASS OC= WORK. . :NEW GARBAGE D1SP03ALS. . : 1 Ywt.:. OF UUkL. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1 ,_.ICCUGANCY GRA='. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :O 31 ORIES. . . . . . . . :C WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . .. :0 IXTURES------------- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . . I 31NkS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 !.AV4TORIES. . . . . ..4 OTHER FIXTURES. . . . . :0 ; Ub/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0 NN1 LR CLOSE:TS. . :3 WATER LINE (ft ) . . . . : 100 o i tiHWASHERS. . . . : 1 RAIN .DRAIN (ft) . . . . :0 ,remarks: PATH I ;NER. --- -- --- _ _- ____ --- - _ __-- -------------------FEES---------- -- __ - DON TICHENOR SWM $ 180. 00 8 0._3/03/95 lb04O SW 89TH PL SWM $ 100. 00 B 0.3/03/95 - BPRT $ 6' +. 50 B 0;;/0.3, 1jb - IGARD UP 912,24 BPLL $ 3.u. ?i3 B 03/03,'05 - ;,()Tie #: 684--1316 B5PL $ 30. 53 B 03/0:3/95 - PARK $ tjoo. 00 B 0:3/0.:,:,')5 lumbiny MPRT $ 45. 00 B 03/03/'-.)'5 MPLC $ 11. 25 B 03/03/95 ,!Amw '(! Il.�/�P c� �. �.4.�. _ M`iPC + 2'5 B 0;x'/0:3/')`:; ... address : _ 313TH fi x:`5. 00 B 03/03/9, - i't F15PC $ 11. 25 B - lp�__J7j_Q_ gi. ._k'hone#:_ 61y15-'qt1.� _ LROS $ 64. 00 H 03/0:3/9"1 - ,Reg I#:_._-50oZ ._ Additional fees not shown hei REUU1RED INSPECTIOr,r�> t- is permit is issued subject to the reg_.. (lations contained in the Tigard Municipal Footing Insp Insulation Insp ,..ode, State of Ore. Specialty Codes and all f=oundation Insp Gyp Board Insp ither applicable laws. All work will be done Post/Beam Strurt Rain drain Insp , n accordance with approved plana. This host/Beam 11cachan Water Lin- Insp Permit will expire if work is not started Crawl Drain Water Service IT, githin 180 days of issuance, or if work is Plm/undslab Insp Appr/5dw1k Insp uspended for more than 180 days. PLM/Underfloor Mechanical. Final r� Mechasiical Insp Plumb Finrrl Plumb Top Out Building Final A Framing Insp Erosion Crj ;tr,ol ` Fireplace Insp G ,.% Line Insp 4uthoriaed Plumbing Contractor Signat;.., - Call for inspection - 639-41.75 .:ontractor Notes : SEWER CONNECTION CITY OF TIGARD PERMIT CUMMUNITY DEVELOPMENT DEPARTMENT P,ERMI I #. . . . . . . .. SWR95-008a 13126 SW Hall Blvd.Tigard,Oregon 972tl-6W(601)6904171 VATC ISSUED: 03/03/9b P44RCE:L: ,1 10I.;P-03400 '3I TE. ADDRESc:i. . .. : :.:'401 5W AMES LN 5UPDIVISION. . . . : ARLINGTON RIDGE :BONING: R-3. 5 BLUCK. . . . . . . . . . . LUT. . . . . . . . . . . . . .Oil IF NANT NAME. . . . . : .Jal-i NC. . . . . . . . . . . FIXTURE UNITS. . . t CLAgS OF WORK. . . :NCW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF PUILDINGS: 1 INSTALL TYpE. . . . :BU5WR IMF'ERV SURFACE. . Melva—list NADH I Owner: --__._._._.______.__._____.___________.______.—__._____._--__-_—_ F=EES LI—DON TICHENOR type amount by date r^ecpt Vb040 SW O9'CH F'L F'RM-1 $ c'2110. 00 B 0.1/103/95 - INSF' $ 35. 0w 6 06/03/95 - I IGARD OR 97224 ,'hone #: 684-1316 �_.,untractor: ----____.._--__---___----__—__-- i'ONTRACTOR NOT ON FILE 2235. 00 TOTAL. Iy #. . . REWUIREU INSPECTIONS ------ nis Applicant agrees to comply with all the rules and regulations Sewer Ins;pectsan if the Unified Sewage Agency. The permit exirires 188 days from the date issued. 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 the Agency will insta I a lateral, er-MIttee Sa. nil+ _ir N : rail fc>r• in!:pec,txorr 6.39-4178 CITY OF TIGARD RECEIPT OF! PAYMENT RECEIPT NO. CHECK AMOUNT s 4,203. 21 NAME s DWD CONTRACTORS, INC. CASH AMOUNT v 0. 00 ADDRESS a PO BOX 23454 PAYMENT DATE t 03/03/9�i TIGARD, OR SOBDtVISION 97281-- PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID 9JILDING PERM 61 Q). 56% PI.LIMPING PF RM pps. ovi MECHANICAL- PE 45. 01'T FT. BUTL-D PFR 44.03 PL.AN CHECK PF 138. OA ;EWER LISP 2200. 00 GF-WriR INSPECT 35. 00 PARKS SDI: 500.00 F-W-11,31ON Ck3NTRO(. PF-.RMITFEE 64. 0A EROSION CONTROL PLAN CK 20. flo EPOS ICIN CONTROL 80. So 1.420 CallUALITY FACILITY grr-.E 180. 00 H2L) OUANTITY FPCIAILITY FEE 103. L40 IP-401 SW AMTS LANE TOTAL. A"CoUNT PAID 4P03. Pl 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. Undersla5 Mech. Rough-ia Fireplace Post/Beam Struct. ��Plbbg.. Top Out Elec. Rough-in FINAL: Post/Beam Mech. (Iii -- Gas Line -Bldg. Plbg. UnderfloorafT`Fn-p Framing Plumb. Alarm ater On-8 Insulation -Mech. Underfir. Insul. Shear Wall Gyp. Bd. c, , -Elect. Date Requested: J j Time: AM PM Address: -L ) C�-Yyt �,L 4- Builder.__ Psrmit THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspactor: �- Date: r PPROVED �DISAPPFiC)VEI� APPROVED SUBJECT TO ABOVE _Call For Reinsp. Residential Building Permit Application City of Tigard lA.A 11 13125 SW Hall Blvd. Tigard, OR 97223 bWDmCONTRACTORS, INC. (503) 63,9-4171 11610 S.W. PACIFIC HWY. 1305. 839-8981 P.O. BOX 23454 PACER: IW8916 TIGARD, OR 97231-3454 I� Jobsl'te ,Address: 12401 S.W. Ames Lane, Tigard Subdivision: Arlington Ridge Lot # 11 Office Use O nly /70 , /Y, _ Planck/Re- A Valuation: Permit tt Comer Lot? Y —— Flag Lot? Y ® I�eissu© of Map & TL # Owner: Eldon & Sharon Tt�herror Approvals Required Address: 15040 SW 8901 P]__ Planning_ OR Tigard, zza i �- . v -r,,• �> � --E --�Z-- — Engineering Phone: _ 684-1.316 —• other Contractor: —DWD Go ntrators Inc . ------ Items Re aired Address: 11610 SW Pacific Hwy. P.O. Bax 23454 Subcontractors Ticar, UR 97281 Truss Details Phone: 639-6881 _— Other Contractors License # 41203 ` ` (" `! �_ (attach copy of current Oregon license) Contact Name & Phone: kcal C. Wiggins - 639-6881 P:306-8916 M:250-1591 Subcontractors: Architect/Engineer. Alan Mascord & Assoc. Plumbing:� MP Plumbing Co. Address: 1305 N14 l 8th Ave. Mechanical: Bell Heating Go, Portland, OR 97209 (attach copy of current OR Contractor's License) Phone: 225-0933 JOB DIESCRIPTION: Single Family Residence ,President 639-681_.1_ _ Applicant Si;jna ur�F'none number l Received by: Date Received: K MMMESAPP Permit P Account Description Amount Amt. Pd. Bal. Due jrJj =a� S Hidg. Permit (BUILD) ,30 6/0 �n ✓. • Plumb. Permit (PLUMB) z �L w Mech. Permit (MECH) State Tax (TAX) Bldg: 30.Y3 ✓ Plumb: _ 1/.2 s ✓ Mech: -7.2� ✓ Plan Check (PLANCK) ° fv /3 P•61 V✓' Bldg: Plumb: Mach: sower Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Ste/ Residential TIF ;TIF-R) _ Mass Transit TIF (TIF-MT) _ Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WOUAL) y Water Quantity (WOUANT) /�V Firs Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) G✓ Erosion Planck/USA (ERPLAN) _ D'- Erown Planck/COT (EROSN) TOTALS: / Gam+Z.i.�' &3 CHIC 60 'it 'LE INSURANCE COMPANY OF ORECON 5400 S.W. GMENBURG ROAr), owrLAND, OKFUUN 97223 (503)684.9954 Ido V , 0 Date, 1994 To: City of Tigard From: Linda Vanpyke-Crilcago Title Insurance Company Ref Arlington Rldge Subdivision Tigsrd, Oregon ] Cost contribution for extension LotNRL NGTON R1.jGE This is to verity that for the above referenced lot, 8uli Mountain land and Development Company has paid the required $1,424.25 cost contribution for the ext®nslon of S W. Gaarde. At the Uma our office closed the above referenced lot sale, $1,424.25 was withheld from trio sale proceeds and Is being held in escrow, The escrow account Is being maintained by First American Title Insurance, Tanesbourne office, 2515 N,W, Town Centra Drivo, Beaverton, Oregon 97006 For further Inhtmatton, please contact Jody Johnson at 1345-0320, v n ke Escrow Officer Chicago Title Insurance Ompany 9900 SW, Greenbury Road Portland, Oregon 97223 TOT R- P.02 ZO' d 900' oN b£: bi S6. ZO 93J : QI CITY OF TICARD — RECEIPT OF PAYMENT RECEIPT NO. 95-262006 CHECK AMOUNT c 250. 00 NAME s DWD CONTRACTORS INC CASH AMOUNT s 0. 00 pDDRESS s PAYMENT DATE s 0 F/2:'/95 SUBDIVISION s PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID PLAN CHECK FE ESO. 00 I f f PLANCHECK X12-42R 12401 SW AMES LANE LOT it 1 UTAI AMOUNT PAID 0Qc - cs s----------------- ILI 0 t4 ;CT -.--�_r�-._�•.-_._.__.__rte•.. 15 v L cy LO 1 - M �L N f 1 I •ci � ` � � U-) rn {1 i t1. O 1 < (f) ID a: •� `ry, cro Cj (' _ _ -- ,-- CLto h- f —�7 C _ � a C \L4 •� ai `t` 4 � f �fa'i'-'^•�IF7 i M i 08/1. 9/96 • - � ' I I l l l l i l l l l l l l l ISI I ! ! I I i l l l l l ! I ISI I ISI 1 1 ! � 1 1 1 1 1 1 I � I � I I � l � l � 1 � 1 � 1 � 1 I � I � i I i � l � l � l I � 101 i I � I � I � I � I � l � lrl � I � iil � l � lf ( � � I � I � I ��I � I � i ` I � I Ltllil ► III III Il fll II ill Ill III , II il � � ll � � � � INCH ' MADE IN CHINA 38 13 111111, illihlllllllt�llllfllll�llillllll�llllIIIII�III I i ,, �_:.,•