12228 SW CHANDLER DRIVE 1
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CITY OF TIC;RD BUILDING INSPECTION DIVISION
24-hour Inspection Line: 639-4175 Business Phone: 639-4171
Date Requested: _ �- - T ^ __ A M P.M.
MST:
Location: 7 —- BUR— — —
OT-711—
, '`— Suite: Bldg:
Contractor:_/�/n E,4 (h Phone: �l PLM:
Owner:. — Phone: ----
EL%:
—-— ELR:
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SPP• SITE
Site Post/Beam Post/Beam PosUBeam Cover/Service Sewer/Storm
Footing Roof UndFVSlab Rough-In Ceiling Water Line
SlaF Framing Top Out Lias Line Rough-In UG Sprinkler
Foundation insulation Sewer lioodfDuct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Beat Pump ow o t
Approved Approved Approvedpr ved Approved
Appr/Sdwik Not Approved Not Approved Not Approved �"
PP NoCa{ed Not Approved
FINAL FINAL FINAL (" FINAL FINAL,
e.Z
CI Call for reinspecti&_ CI Rcin4pectiop fee/of 3� required before next inspection O Unable to inspect
Inspector Date: -!���'��� �� Page_ or
CITY OF T!GARD ELECTRICAL PERMI ;
RESTRICTED ENERby
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT' #: ELR96-0262
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171 DATE ISSUED: 1218/2.:-'./1)6
PIARCELI 2SIlOBB-02500
!aW tHHNUL..LJ( ljvt
UBDIVISION. . . . ARLINGTON PIDGE 1ONING.-R-3. 5
BLOCK, * , * * , , , * , 1_01 . . . . . . . . . . . . . ollic-
Project Description :
i).
AUDIO & STEREO. . . : AUDIO & bTEFREO. . : INTERCOM
BURGLAR ALARM. . . . : A BOILER. . . . . . . . . . : LANDSCAPE/ I FRIGAI'.
GARAGE UPENLR. . . . : CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . .
HVAC. . . . . . . . . . . . . .. DATA/TELE COMM. . . NURSE CALLS. . . . . . . .
,)ALUUM SYSTEM. . . . FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
0 THL R HVA(.. . . . . . . . . . . . : PROTECTIVE SIGNAL- -
INSTRUMEN7AT'ION. : OTHER. . : 1 :
TOTAL # OF SYSTEMS: lzi
Uwner: FEES
IqORBFF?'f RICH type aMOLint by date recpt
124,28 SW CHANDIJJR PRM'1' $ 40. 00 CJS 08/22/96 96-263190
I WARD OR 97c :35PCT $ 2. 00 cis 1218/2,:11196 96-28319121
Phone #I
42. 00 TOTAL
112113 NL. HANCOCR
__ . . REQUIRED INSPECT1ONS
PORTLAND OR Wall Covet- Elect ' l Fin-al
Phone #11 Llectll Service
I-Reg #. . : 5994.4
This permit it issued subject to the regulations contained in the
Tigard Municipal Code, State rf Ore. Specialty Codes ani all other Fie rmitee Sign apt Ltre
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within IN days of issuance, or if work is suspended for more
than IN days. I Ea.1-1e d Ny
INSTALLA"I ION ONLY------------______-._ ..._
the
NLY-------------------
lhe installation is being made on property I own which is not intended For
,ale, lease, or rent.
UWNER' S SIGNATURb - DATE,
I'RACTOR INSTALLA110N
SIGNATURE OF SUPH. CLEC' N: DATE:
LlUEN1,3*1- NO:
Lull liar inspection - 639-4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT# r J-
Phone(503)639-4171
FAX (503)684-7297 DATE ISSUED 46
TCDD No. (503)684-2772
CITY OF TIGARD Inspection (503) 639-4175 ISSUED BY i_�a T1ca
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF 1 STALLATION 4. TYPE OF WORK
Acicl �� RESIDENTIAL—Restricted Energy Fee . . . . . . . . . S4Q�
Or� 9 (FOR ALL SYSTEMS)
City State up Check [ype of Work involved:
PERMITS ARE NON-TRANSr[RAULE AND NON-REFUNDARLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STARTED WIT IiIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS Burglar Alarm
2. CONTRACTOR APPLICATION Garage Door Opener*
❑ 1 leating,Ventilation and Air Conditioning System*
Contractor A01 5-701 IY SYSTEMS,IN�ypc. ❑ Vacuum Systems'
— 703 W."W10" _-_--
PORTLAND,OR 91212 ❑ Other
Address 150312VU265 ------ __
Date > r COMMERCIAL—Fee for each system . . . . 540.0
- _ (SEE OAR 918-260-260)
Properly Owner =�.! Check Type ofWork Involved*
of Work Involved:
Contractor's Board Reg. No. ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone# ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
--—�� ❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City State _ tip ❑ Medical
This permit is issued under OAR 9111-320.370.This applicant agrees to make only ❑ Nurse Calls
rpstritled energy installations(1o0 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting`
following:
1. Only use electrical licensed persons to do Installations where required.(Certain El Protective Signaling
msidential and other transactions are exempt from licensing.These have ❑ Other
asterisks(').All others need licensing) --
2. tall for an inspection when all of the installations under this permit are ready
for inspection at 503.639.4175.
❑ Number of Systems
3 Purchase separate permits for all installations that Are not ready for inspection
when the inspector is out to inspect under this permit. •No licenses are required. Licenses are required for all other installations.
4 Assume responsihility for assuring that all corrections required uy the inspector
are done,And
5. Assume responsibility for calling for a final inspection when all of the 5. FEES
cnrrectinns are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ �C/
authorized to hind the applicant.
b. 5%Surcharge(.05 x total above) $ oZ to0--
a _AutTOTAL
t _TOTAL $—V
. 00--
Authority
hority if other than applicant
ENERGAP.CHP
k.IF I A .1 1 01. I-'ViYm[-N r RP C+ J r-, 1 P41-1.
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I I JOI 411 1.N, 1 114"1 i(JI'l IN,-,
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lit I I t I N(..i PF FqM K-.;I 1if-0131!`a4 'c1b. Will
1,*IJ.1,WN 11:(41 , PE. 45. 00 10
PLA41q C,H[AJ', [-f J'n4. fQ, �,l W1 H :;WP9,1 0." 1 1 oo
.55. 00 WOPK�-) !);h 00
it-31'Opm DWIPq "Ait 80. 00 1-41 P1 W I i i if I fo-41- 1 j I I t-I 1X1
I HANSI I I It-- FFJ-"I-*1 1 00 1, 1.1)",1 J14,1 1 [if!I l''l- M 1. 11 1 14 160
( (INIRGII. F--IIAN ( :K �.10. (:tlA
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NAME v Hof)I LA...C tj ji I I y
44DI)HEliki It 703 NF*. fit-IINULKA, mill
PCIR I'LAND 014 o i h A 111,4
97'..
$41,10UNI I.,filb
40. 00 t,1 « tif 1.11 V,
II
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Ist-'PPIA SW CHANDLIER 1)k
MIAL r-IMOUNI Pf-110 T 4%?. 00
CITY CSF TIGARD Li.f�I 1N I LH't L OF
OCCUPANCY
PERM.[ r #. . . . . . . : MST94-035,t
COMMUNITY DEVELOPMENT DEPARTMENT DATE 05/07/96
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639.4171
PARLIA.: 2S I I Obb -0c:500
Tl':_ ODDRI'-- bS. �,iW L1414NDLER fik
-;t3l)l V 1b.1 ON. . . . ii ARL. lN6F0N fADGL 7.ONING:R - 3. 5
1_.01.9,. . . , . . . . . . LA T. . . . . . . . . . . . . OlAc.'
'-ASS OF WORK. :1,4EW
7V+- OF- LIGL. . .%4LE—
.1XILA-101,4GY CAP. 1514
f-'CUPANLY LOAD I
'4 m a rl's I
111H I
R4141-:ILLD CONIA INC
1.0(3
HY BERG #413
R 1 1:4\�,�w o9700,
irons #. V)1 -60(:� 7
1. t c t
I ELD C,IJN iT PUL 1 1 ON
14.i14 '-W ALLI-N #10')
kl--'AV('MT0N OR 971110!--o
Hone 64c"
i S Cert i f i C 0 t e y I ants 0 C C U iA n C.:y of t I I C a t)V V(I V-12 F Cn I e n C e d b Lt i I d j.r 1[4 C)k portion
liereof and confirms that the 131.111ding has been inspected for compliance with
;1e ',Aatf? Of Ot'et-10n SpeC1,041ty C0d(-S for the iji OLIP 1C.'C'Upar) and use under,
ilicAl the V-efer-er)'eetj Pei-mit %)AS issued.
I 1 .01NU INSPECTOR
POST (N PLALL
CITY CSF T I CARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST94-0354
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639.4171 DATE ISSUED: 09/23/94
E ADI)RES,J. . . : 12228 SW CHANDLER DR PARCEL: 251101aB-PR002
iUDD I V I S I ON. . . . : ARLINGTON RIDGE ZONING: R-3. 5
. . . . . . . . . . : L01.. . . . . . . . . . . . .
:002
BUILDING
d7 DWELLING UNITS: 1 BASE MEI 1T. . . . . . . . :0
LA_:;S OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :792 si
Yf--'I-' OF USE. . . :SF FLOOR AREAS-_------------ REQUIRED SETBACKS-.•___
YPE .JF CONST. :5N FIRST. . . . :2412 s LEFT. . : 14 ft RIGHT. : 12 ft
)C("',(A.'ANC Y GRP. -R3 SECOND. . . :0 5 f FRONT. :20 ft REAR. . :26 ft
.) (OR I LS. . . . . . . : I FINBSMENT:0 S f REQUIRED--
JE10HT. . . . . . . . : 19 ft TOTAL Sf SMOKE DETECTORS. :Y
LOOR LOAD. . . . .40 psf VALUE. . . . . # : 168846 PARKING SPACES. . :0
PATH T
PLUMBING
)INKS. . . . . . . . . . : 1. FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : I.
i AVAFORIES. . . . . :4 WATER HEATERS. . . :2 TRAPS. . . . . . . . . . . . . . :0
FUB/5HOWERS. . . . :4 LAUNDRY TRAYS. . . :0 CITCH BASINS. . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft) . :O GREASE TRAPS. . . . . . . :0
1)I SHWASHE RS. . . . 11. WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL FEES
FULL. TYPES----- UNIT HTRS. . ,0 t P nmol-Int by date rerpi
GAS/ VENTS . . . . . :0 TIF $ 1550. 00 JF 09/23/94
-
MAX INPUT:@ BTU VENT FANS. . :4 LA11-11VI $ 605. 50 JF' 09/23/94
FURN ( 100K . . :0 HOODS. . . . . . .. I SPLC $ 393. 58 JF 09/14/94 94—.:56'70
TURN ) =100K . . : I WOODSTOVES. -0 $ 30. 28 JF 09/23/94 --
1-1-OOR FURN. . . . :0 CLO DRYERS. : 1 SEDC $ 280. 00 JF 09/23/94
B01L/CMP ( 31.11"':0 OTHER UNITS: l 1--'ARK $ 500. 00 JF 09/23/94
GAS OUTLETS: 1 MPRT' $ 45. 00 JF 09/23/94
lwner: $ 11. 25 JF 09/E3/94
REENFIELD CONST INC M5PC $ 2. ;215 JF 09/2'3/94
`381 SW NY BERG #413 3 B"r,1-1 $ 7'-25. 00 JF' 09 1;*-'3/9 4
P-15PC $ 11. 25 JF 09/23/94
UALATIN, OR 97062 F-ROS $ 64. 00 JF 09 '23/94
hone #.- 691 -6067 ERPIC $ 20. 80 JF 09/23/94
L,0T_1t raCt Or $ 20. 80 JF 0')/23/94
GREENFIELD CONSTRUCTION
14314 SW ALLEN #109
RL__HVLR'fON OR 97005
i-none #.- 642'--7599
Reg #. . .- 72918
$ 3759. 71 TOTAL
This perait is issued subject to the regulations contained in the REQUIRED INSPECTIONS
------
Tigard Municipal rode, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All world will be done in accordance with approved Plost/Bearn Struct Gas Line Insp
plans. This permit will expire if work is not started within 188 Post/Seam Meehan Insulation In->t
days o' issuance, or if work is suspended for !P
, I than 180 days. r-`Im/undslab Insp Gyp Board Insp
,P\ x" PLM/Underfloor, Rain drain Insp
I'In c,P 1�i.gnat I,e Mechanical Insp Water Line Insp
Plumb Top Out Appt,/Sdwlk Insp
Framing Irisp Mechanical Final
17 Call for insp=ction 639--4175
CITE' MJF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECT TION
13125 SW Nall Blvd Tigard,Oregin 97223.8199 (503)839.4171 PERMIT
PERMIT #. . . . . . . . SWR94•-031
639--4171 DATE= ISSUED: 09/2:3/94
PARCEL: 251 101313•-AR002
' ;I TE ADDRI=SS. . . : 1L SW CHONDL_ER DR
''3UBD I V 1 S I ON. . , . ARI_I ivGTON F?I DGG ZONING: R-3. 5
BLOCK. . . . . . . . . . . LOJ.. . . . . . . . . . . . . :002
------------------------------------------------
TENANT NAME. , . . . :
JSP NO. . . . . . . . . . . FIXTURE UNITS. . . .
: OF WORK. DWELL I N(.:� UN ITS. 1. E
TYPE. OF. USE:. . . . . :SF NO. OF BU I LD I NGS: 1
1 NSTAL_L T'YF E. . . . :)3USWR 1 MRERV SURFACE. . : : 5f
ieniar•ks : PATH I
_Jwner: _._._..---.__.__.__.___._.___.._._-•----•- -_-_________.____.._.___._________ FEES
(:3PEENFIEWLD CONBT INC, type amo!int by date recpt
/981 5W NY BERG #413 PRMT $ i2iE`00. 00 JF 09/3/94
INSF-' $ 3 . 00 Jr09/23/94 --
FUALAT IN, OR 970E
0hone #: 691-6067
!-ontr-actor,:
:ONTRACTOR NOT ON FILE"
. Ih or)e #: $ 2235. 00 TOTAL
-- --- -- REPU I RF_D INSPECTIONS
this Applicant agrees to comply with all the rules and regulations Sewer Inspection
cf the Unifies Sewage Agency. The permit expires 181? days from
`.he date issued, The total amount paid will be forfeited if the
aermit expires. The Agency does not guarantee the accuracy of the
:id, 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 licated, the installer shall vul,chase
"Tap and Side Sewer" Permit and the gencylwill install a lateral.
11ei-mittee Si nature :
s=1_ied By :
Call for-, inspection 6,39-4175
Residential Building Permit Application
City of Tigard
13125 SW H,-11 Blvd.
Tigard, OR 97223
(5031 539-4171
Jobsite Address:
��, ! �, Office Ups Only
Subdivision: � i.c.'� G'if.) Lot*_ '-
lc. r� Planck/Rec # ''.
Valuation: � ��� _
Corner Lot? Y Permit
l'J
Flag Lot? Y Reissue of
Map & TL #
Owner: Approvals Required
Q q
Address: �7'%�/ Sly Akpa Planning,
Engineenn9 __� ---------._
Phone: Other
Contractor: r�C4��F/� ��.��5" I-►' Items Required
Address: t/ C' Subcontractors
---- - Truss Details
Phone: Other s ".
Contractor's License #
(attach copy of current Oregon license) !
Contact Name & Phone: 41.,,A� ZjneA .«
'c)kC)
Subcontractors: (� ' .�L \ ( �"' 'Xrchitect/Engineer. �-
Plumbing: ] ft Address:
Mechanical: ��? /"•� r r �
(attach copy cf current OR Contractors License)
Phone:
JOB DESCRIPTION:
Applicant Signature & Phone number
Received by: — Date Received
N MURMCOMOE"E SAPP
Permit# Account Description Amount Amt. Pd. Bal. Due /
l 4 a .3z Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) ?, • w 'J
Mech. Permit (MECH) Or V
State Tax (TAX) q,? ?"y ✓ '�` ✓
Bldg: L b'
Plumb: // �� ✓/
Mech:
Plan Check (PLANCK) �'� S v �� /.5 y, j-3
Bldg:
Plumb: /
Mach:
sc,Pk3 i-r Sewer Connection (SWUSA) u 0 1 J
Sewer Inspection (SWINSP) 35~ 3
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC) b?l a v"
Residential TIF (TIF-R) jv 3 v
Mass Transit TIF (TIF-MT) / �'' / .� ✓
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT) , w
Erosion Planck/USA (ERPLAN) .S t Y
Erosion Planck/COT (EROSN) 11-y.rJ '-p•sy
TOTALS:
ID EP 4 15 : t!� hJ!a . (i�r; F' .�i4
CHICAGO TITLE INSURANCE COMPANY OF OREGON
99M S.W. GKNNNBURG kOAD. POR"ff.AND, ORUUON 97224 (503) 684-8954
nato; September 22 , 1994
To: City of Tigard
From: Linda VenDyke-Chicago Tule Insuranoe Company
per Arlington Ridge Subdivision - Tigard, Oregon
Cost contribution for extenslon of S W. Gaarde
Lot Number: 2 , Arlington Ridcle
Ibis is to verify that for the above referanaed lot, Bull Mountain land and Devolopment Company
has paid the required $1,424.25 cost contribution for the extensio i of S.W. Gaards. At the time
our offlce closed the above referenced lot sale, $1,424.25 was withheid from the sale prooesas
and Is being held in escrow,
The escrow account Is being maintained by First American Title Insurance, Tenasbourne office,
2615 NA, Town Centre Drive, Beaverton, Oregon 97008. For further Informahon, please contact
Jody Johnson at 645-0320.
Lia a ke
Escrow offimr
Chicago Title Insurance Company
9900 S.W Greenburg Road
Porttand, Oregon 67223
TOTAL_ P.02
Q �- E'- L<o _s �� ctl.•out V r V
TU/
xc
�i�t✓N. 5 �'nc y r ehl l�rr�.b�tl
t X l Kell.t raj
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION'
13125 SW Hall Blvd.
Tigard,OR 97223 PERMI r # 95
Phone(503)639-4171
FAX(503) 584-7297 DATE ISSUED
iA kTDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY ��1`t
PLEASE COMPLETE ALL SEMONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
17 Z-Z Q �.:, C N in T,,1.
Address RESIDENTIAL—Restricted Ener 6Y Fee. . . . . . . . . $40.00
'T%` a f;-A 04' . C1-)-L-1—y (FOR ALL SYSTEMS)
City State Zip Check Tyne of Work involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK io and Stereo Systems*
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR ❑ Y
180 DAYS. Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
Contractor(�"AJI.p,/vf4 `S'Y S•t C"
❑ Heating,Ventilation an i Air Conditioning System°
YPe—_ .. _ ❑ Vacuum Systems"
Address 06 00 W utS ❑ Other
0
Date 1V5�WS _ COMMFRCIAL—Fee for each system . . . . . . . . . 140.00
(SEE OAR 918-260-260)
Property Owner �'v'f-f=N•r t FL,p �.ONS'S�,u�'rlaa
_ -_-- — — -Check Type of Work avolved;
Contractor's Board Reg. No. _ 53t°�3 ❑ Audio and Stereo Systems'
�,` t L ❑ Boiler Controls
Phone# — _- ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
Print Owner's Name Phone No El HVAC
❑ Instrumentatior.
Address ❑ Intercom and Paging Systems
__ ❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is Issued under OAR 918-320.370.This applicant agrees to make only ❑ Nuro9 Calls I
restricted energy installations(100�all amps or less)tinder this permit and to do the ❑ OI'tdoor Landscape Lighting*
following: P g g
1. Oniy use electrical licensed persons to do installations where required.(Certain ❑ Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisks(').All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503-639.4175.
3. Purchase separate permits frn all installations that are not ready for inspection ❑ Number of Systems
when the inspector is out to inspect under this permit •No licenses are required. Licenses aro
4. Assume responsibility for assuring that all corrections required by the inspector required for all other installations
are done,and - --
5. Assume responsibility fur calling for a final inspection when all of the corrections S. FEES
are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ u0 Vz
authorized to bind the ap licant.
2
`�� �t b. 5% Surcharge(.05 x total above) $_ Z °y
Signature
TOTAL $
Authority If other than applicant
ENERGAP.CHP
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON 16DEVELOPMENT5 NORTH F RSTND SERVICES DI 971024
COUNTY] INSPECTION REQUESTS: 503/640-3561/693-4415 ,
OREGON5
Time 13 : U2
IV Hermit # obutib'
Applied 04/2b;
.i slued U4/21•r/9
Completed
To Expire 10/23/Lt1j
Nroje(r-t # 1'(l041-44'/;
R l ROS 1 UN A
Latrid Use Di ! ti ir..t
Construct iL)n (Y.1'H
claasific•ation X300
Uc:cupanc•y R3
Validated by LU
l . ,+r11_ L'rl rltE I riz*pe ctor Al:h?c7
Fee; Un i t Lx t fee
------------- -------
f1 lU 23b f)
l.a
14f
NOTICE This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 180 days. Once construction has started,
the permit becomes null and void If construction Is Interrupted for a period of 180 days. I certify that the information presented by the applicant and
his agent or agents In support of this permit Is true and correct to the beat of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this permit. All provisions of applicable taws and ordinances governing the construction and use
of this building or structure will be compiled with whether or not specified on the plane or noted on the pians correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private oroperty or to use easements. I further acknowledge that tF a use or occupancy of
the structure or building permitted depends upon my tailing for Inspections at various times during the process of construction and the building
Inspection staff verifying compliance with the various codes Use or occupancy of the building or structure permitted prior to approval by the
Building Department Is solely at the risk of the applicant and such use or oscupency Is revocable until all inspection requirements are satisfied and
approval Is given by the Building OfFlcial. I further acknowledge that a lien may be placed on the title of the property upon which the permit Is issued
specifying that the use or occupancy of the building or structure is provlslonat and revocable until the satiatection of all inspection requirements
A LICANT'S siatTATURE
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
Electrical Inspection Section APPLICATION
155 North First Avenue, #350-12
Hillsboro, Oregon 07124
Inlomwtlon: (503)840-3470__ Fax: 603) 893.4412 Number Date(7)66, �SI— Date'PLEASE PRINT
2�
•lease con iplete4. Complete Fee Schedule below
1. Location of Installation Number of Inspections per permN allowed 4
Address a-, h rtn A I e r U r, Service Included: Items Cost(es.) Sum
Building A. Residential -per unit
City Ti tlr Suite No.
Tenant Nbme ^ 1000 eq ft.or leas .3106 $85.00 4
(if commercial) V/A Each additional 500 sq.ft
or portion thereof _ $15.00
Limited Energy --- $20.00 -- 1
Tax Lot_ —,_ Map NO. Ea%h Manufd Home or Modular
Dwelling Service or Feeder $40.00 2
Thomas Map Book: Page: Section:
DirectionsA B. Services or Feeders
/ Installation,&iterations a relocation
A�' — ---. — 200 amps or less $50.00 2
Commercial Residential r'V1 201 amps to 400 ampa -- $60,00 —� 2
401 amps to 600 amps $100.00 — 2
601 amps to 1000 amps - $130.00 -- 2
2a. Contractor Installation only: Over 1000 amps or valla -- $300.00 _ _-- 2
1 , Reconnect only $40.00 - — 2
Electrical Ccr.trartor L�ls_V- le Clu�.__�.
Address `IO C cx .�f i r11_4/+�, ,�s Tau/ C. Temporary Services or Feeders
Date._y:_,�,5_ `)_t Job Number _ _ Installation,alteration w relocation
Property Owner G r n,n4rJ"id 20C amps or less $40.00
, _3X�. _— 201 amps to 400 amps --- $55
Contractor's License No. $80,00 0
401 amps to 800 amps —_ $80.tX0 2
Contractor's Board Rats. No. R11 ? 7 Cher 600 amps to 1000 Volta see'B•above
Signature of Supr. Elec'n 1 �1: �C D. Branch Circuits
License No.11Z1tL_ —. Phone No. 961.2- ` ` Now,alteration or extension per panel
a) 'The fee for branch circuits with
purchase of swvko or feeder lee.
2b. For owner Installations: Each branch circuit $2.00 _----- 2
b) The fee for branch circuits without
purchase of ssryk:e or loader les.
First branch circuit _ $35.00 .___ 2
_.—____.__._-._ _._... _.._.�_� --_ Fachadd'nlbranch circuit._-- $2,00 ___—�_ 2
d rens E. Miscellaneous (Service or Feeder not included)
City----- -— _-— Stale -�- lip --�i— Each pump or irrigation circle_— $4000 _ __. 2
Each sign or outline lighting $40.00 2
The installation is beingMade on property I own Signer ana a limited
� P � energyy panel,
alteration
which is not intended for sale, lease or rent. or extension -- $40.00 -- —_-- 2
Owner n Signature F. Each additional inspection over the allowable
in any of the above, per inspection
00
3. Flan Review section (if required) --- -�-
5. Fees
A. Enter total of above fees $
5% Surcharge (.05 X total fees) $
Subtotal $
B. Enter 25% of line A for
For Inspections call Plan Review if required (Section 3) $
640-3561 Or 693-4415 Subtotal $
24-hour recorder, Less Bulk Label Fee $
one working day In advance of need Balance Due $
This permit becomes null and void If the work authorized by the permit Is not commenced within 180 days from date of Issuance
of such permit or if the work authorized Is suspended or abandons:+at any time atter work Is commenced for a period of 180 days.
Electrical Permits are non-refundable and non-transferable. 11 92
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
permit # : 05066951 Project # PD0494'7.1 Status APP&vVEL pays 1 I..f
Applied 04/26/90 Issued 04/26/95 Expires . 10/23/95 05/01/95 0'5
RESLLEC
P,--rmit Title SFR - NEW OTH
Description 7 B^yun: 04i4u/:--:
Job Address 12228 SW CHANDLER DR T1 �
Owner Name INSPECTION - TIGARD l�r �, ��✓ �` jl, �f Tteg'��n
Applicant Name GREFNFIELD CONSTRUCTION ) ��t�
Phone number 691-6067 Valuation 0 Approved_
Inspector Comments : Re,jects-(
IVH-RE:'l1IT:
o
C V J!�k L"L
X'iumbing _._.G.Q! -L� �1LJ47 ( �+�1�
Electrical - _.—.—
S t ruc t rual
General
4
h,fpected by — Dat
_
I pect i cin Requested : /
Cover6 Service 040:3 E AP LK ( iVn
x5/1)1/95 1: I JF f;9'1 -f;067 \\
e
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE; 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Parini ,U66gv : Pr., jc►ct it P0049471 Status APPROVEL
Applitd U4/2f:/95 Issued 04/26/95 Expire 10/23/9
RESELEC
Permit Title SFR - NEW OTH
Description Begun ! 04/26/95
Job Address 12225 SW CKANDLER DR TI
Owner Name INSPECTION - TIGARD Regicn L
Appl i zant Name 1REENF I ELD CONSTRUCTION
Ph,.ne numb,,r 1 -6U67 Valuation: 0 Approvoe(l
Inspector Comments Reject
IVR-REOULT
REQUFST
Plumbing
14ochanical
Electrical -
C'
.1 e c t.r i c a! -
S t r u c t r u a 1
T .: pRcted by _.. ._ Dat..*
i nap3c t lon Requested
v �r & Service 040:3 EDN
t)5/U1i95 RI JF 691-6067
05/!) 1 !9F' DN Ii L)NIVR LUT'7 I 9;j
�.I li I .i .t 11'I •1 I i �,'
{I y 1)k! 4.111- Ii I. !! I III1' , I I4lII I i1111 I ;II IliHIIilli
I ';S 1 ,1.,1 I ' , II) 1�' ,,, li 1 I ! 'I I I I'li I• 1'� ; I ; I , ,
i1il l! I-11 1i1 I 'll 1 � I,I�.�
�1
' .IlrrIAI'I I It I I;
CITY [IF' T I CPARD RF C.F'IPT OF^ PAYWNT RFCF I FST NO. "!A5
C HF:C_K AMOUNT 4c'. 00
GUARDION SYSTEMS NW, INC. CW.44 AMCI(_INT i IA. 00
135,00 SW PACIFIC NW'i ST•F' 1:4:; POYMF'NT FiI'1'TF' t 417/OI:=,ln�i
PORTLAND, OR F;1JBD.T V I s'.I ON
9722.3-
I
722. -I I V4 (IF* POYMENT (IMM INT PAID PUFi{`014' OF` PAYMENT AMMANT FSA 11)
1 1i Ti iii PVR MIT 0. 00 ::I . PUILD PER 00
Ir'c r^_f3 W CHON[ I—E-ri
Tn'T(al.. AMf11_IN F G'A I 1-s 4 IA 17%
J
PLAN CHECK FEES LIST
C
PLAN CHECK # PERMIT #MJ3 f q-0 3.S DATE
JOBADDRESS TAR/MAP/IAT 2, l j D J I—&(?,Vo �-
SUBDIVISION LOT # LAND USE
VALUALATION SETBACKFRONT REAR LEFT RIGHT
WORK CLASS i,Jcl rl . HEIGHT _ TOTAL AREA
USE TYPE FLOOR LOAD 1ST
CONST TYPE HEAT TYPE 2ND
OCCUP GROUP DWELL/UNITS 3RD
OCCfJP/LOAD _ # BED ROOMS BASEMENT
# STORIES _ # BATHS GARAGE _
PERMIT # DESCRIPTION AMOUNT AMOUNT PD BAL DUE
BUILD PERMIT FEES s"
PLUMB PERMIT FEES hzS Z'.
MECH PERMIT FEES
STATE BUILD. TAX(5%-) S X13 1 Y
BUILDING3y,G3
PLUMBING /,1• Z.r
MECHIANICAL
PLAN CHECK FEES 4 eq- r 3
BUILDING— .�yz.33
PLUMBING
ME04INICAL I.1 S
—_ SEWER CONNECTION 2.��0
SEWER INSPECTION _ t �
STREET SYSTEM DEV
STORM DRAINAGE SYS
PARKS SYSTEM DEV C 9 S _
EROSION PERMIT �1—
EROSION PLAN USA 9y do �v
ER.SOION PLAN COT 2c �rU
t TOTAL t qq (t.Z.Z 2 7 g0
Ail efo
Ap
c �►� aa ._
CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223@8199 (503)639.4171 PERMIT #. . . . . . . : MST94-03`Pi
DATE ISSUED: 09/23/94
PARCEL: 2S110BB---AR002
�ITE ADDRESS. 12228 SW CHANDLER DR
SUBDIVISION. . . . : ARLINGTON RIDGE ZONING: R--3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..002
CLASS 017 WORK. . :NF.-.W GARBAGE DIGPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . .
.L71
. . . . . . . . : I WATER HEATERS. . . . . . :2 CATCH BASINS. . . . . . . :0
LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : I GREASE TRAP'S. . . . . . . :0
LAVATORIES. . . . . :4 01HER FIXTURES. . . . . :0
TUB/SHOWERS. . . . - SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . .-3 WATER LINE (ft ) . . . . - 100
DISHWASHERS. . . . : 1 RAIN DRAIN ( Ft ) . . . . :0
Remarks : PATH I
OWNER: --------------FEES-----
GREENPILLD CONST INC TIF $ 1550. 00 JF 09/23/94 -
7981 SW NY BERG #413 BPRT $ 605. : 0 JF 09/E.3/94 -
BP'LC $ 393. 58 jr: 09/ 14/94 94--256*70'.,,
11-I(ILATIN, OR 97061-- B5PIC $ 30. c:8 JF 09/23/94
691-6067 SSDC $ 280. 00 JF 09/23/94
PORK $ 500. 00 JF 09/23/94
!�-'luml::)ing Contractor: MPRT $ 45. 00 Jf::' 09/23/94
MPLC $ 11. 25 JF 09/23/94
M5PIC $ E. 25 JF 09/23/94
Address:. 3BTH $ 225. 00 JF 09/23/94
_AQ
,)t e : P15PIC $ 11. 25 JF 09/23/94
C it 0"
i,i P Phone#.
EROS $ 64. 00 JF 09/23/94
Reg Additional fees not shown here. . . . . . . . .
REQUIRED INSPELTIONS
1-hi-, permit is issued subject to the reg-
ulatiuris contained in the Tigard Municipal Foot/found Insp Rain draiTi Insp
Code. StatP of Ore. Specialty Codes and all Post/Beam Str-uct Water- Line Insp
other applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp
in Accordance with approved plans. This Plm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor Plumb Final
within 180 days of isnuance, or, if work is Mechanical Insp Building Final
suspended for more than 180 days. Plumb Top Out Erosion Contrcl
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
Insulation InSp
Gyp Board Insp
nuthorized Plumbing Contractor, Signature
Call for inspection -- 639-4175
t..:ontrartor