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Ohhj N O fl (A �apN h i! lD RL S7 -7 m 3 N \ \ \ \ k \ } / N) § \ o ( - § / / ± \ { / / 2 M \ \ \ ƒ m 90 R / q 2 e } \ 5 / { [ ¥ 2 CD 2 g \ ® J ® { \ \ \ 2 \ > 0 _ E <. m m @ LD ƒ $ $ § % 9 > \ ` (D CL § % ƒ 0 » $ ca X K (D TT a o Ln » > » % \ § § o � w 00 \ k c m = = E CD Cl. ƒ ® % � m f t t a c \ \ k k \ \ \ ° a 7 ƒ i CITY Oc TIGARD BUILDING INSPECTION DIVISION MST 24-Hour It.spection Line: 639-4175 Business Line: 639-4171 BUP Date Requested _ --AM --PM BLD _ Location ,2 312 CI ALA L/Ll Suite _ MEC Contact Person Ph PLM Contractor ' sca)J/ Ph ���3.' �7�)�i� SWR v �_ DING Tenant/ wner ELC Refining Wall ELR Footing NOT REQUESTED FPS Foundation FOUND DURING RESEARCH Ftg Drain SGN Crawl Drain NO INSPECTION(S) FOUND IN FILE Slab ---- SIT Post& Beam -- ---�_._— -- r Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ------------------------- - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc:_ in PASS PART FAIL PLUMBING Past& Beam - --`-- Under Slab Top Out Water Service _ Sanitary Sewer Rain Drains Final '-- - ----- PASS PARI FAIL MFCHANICXZ--, Post& Beam - --- —._ _-- Rough In Gas Line -- --------- Smoke Dampers 3 PART FAIL - ELECTRICAL - - - - -- -- Service y� Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAILSITE Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE _ _- [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Other Date - _— Inspector - - -- -- - Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the Job site. LZ CITY OF TIGARD MAE7ER ERMIT PERMIT #. . . .P. . . : MST95...0146 COMMUNITY DEVELOPMENT DEPARTMENT DOTE ISSUED: 04/11 /95 13125 SW H&I Blvd.Tigard,Oregon 97223o8199 (503)839-4171 TE ADDRE35,. j,' : 1114 CH(INDLE - DR Af1L.T.NGTnr14 PIDGE .. . . . . . . . . . . . . BUILDING DWELI.-I NG UN I TC, - 1 .. . . . . . . . .. F -AGS Or WORK. :NEW DEDRMS:3 BOTHq:3 GARAGE. . . . . . . . . . :462 5f SPE 01", USE. . . :GF rl DOR — - REQUIRED Y'Pt' OF C(31*,i7% ..ON F71 RST. . . . 2378 f LEFT. . :20 fi RIGHT. :30 ft 'C'UPANCY rmr. zR3 0 -F r.'Rnl`4T. .Z)11 ft PEf)P. 2_8 f rORIEC. . . . . . . : 1 FT NPSMENT:0 f REQUIRED---- �-'117HT. . . . . . . . :i2i2 f i' TOTAL, - --- -'-2373 -r SMOKE DFTECTORS. :Y i 00R L.OAD. - - -.40 Psf W)LUE. . . . . t : 16 1278 PARK I NG SPACES- - : I DOTH I PLUMBING r1-OOP DRAING. - - ;0 W40"If-l-OW PREWITRI-5. . I . . . . . . . . . . . . . . ...0 WATER Hr-.*PTr-PS. . : 1 TRAP C IL"'�A lowEPf�. . . . . 7- j-,')l.JHDPY TRA`1'C',. CATCH SAS INS. . . . . . . .0 T�R C L-17.)5,-T 0,. . -.3 SEWLR LINE (ft ) . .0 GREASE TPA T13HW()4HF.'PG- " — : 1 W(,)TF.R L. TNI'-. (fit' ) . : 100 OTHER FIXTURES. . . . . .171 ')RDAGC Dl,,'jP. . . : 1 RAIN DRATN (ft ) . :0 !J I NG MACH. F RAIN DROIN'S. - - I MECHANICAL FEES WAIT lATPS. . :0 in o..i-n t L,y mate GAS/ . . . . .0 SWM 1 100. 00 +W 04/I I r CaN^. . :14 .0 -W 04/ 11. nTU t,i SWM I. 1 0 -0 HOOD:`. . . .- - SPIRT 588. 00 SW 12114/11/995 14 .N" . . - J�*. ^0 0 3/'-17�" '' IJPN 1001', — : 1 W0(Jr,")T0VF*F;, 171 13PLJ. f_ 1 1:. 'j r7 L- - I-OOR f-URN. . . C,'LO DRYERS. 1 29. 40 SW 04/11 /95 C1IL./CMr 311P03 OTI-117P L.'NIT'-; : J pAl"'11, 4 500. 00 -W 04/ 11/15 GAC' OU'rLE7'5,-. 1 MDPT 45. 00 EjW 04/11/95 !3W 2!4!11 /075 ;:;W 04/11 ONEV r�"."Our?cr Mrs-'C ;",W GREENPUPG W) OZ SW 04/1- 1/ UITE 135 r,!Spc: "t 1 1. .:'5 SW 04/11 / Of,I*LAND OP 97:2,',1EPW" $ 64. 00 SW 04/11/ hone tz 50.3---c-'93-9550 E R PIC., $ ,r 10. 30 SW 04/ 11/' 0 r t r-Z .:t Q V Cp P C 't L20 8 1 A 5W 04 1 .1 014E.Y 5OUP(" 514 R5 71YE Z' -91D-70 'tris ptreit is issued subject to the regulatlors cortaired in the PCOUIPED INSP17%C'TIONS ' 4gard Municipal Cede, State -f Ore. Specialty Codes and all other F clot my Inrp 1711t.mb Top C)-It applicable laws. All otorlit wi.1 be done in accordance with approved F 0 1.11)Cli 8 t. i 1.1 11-,S,p Fi-amiiiw Irc-f.-• -'ans. This ptvait will expil-e if work is 10 started witH�l 180 Pot:t;/Bv -tm Str-uct Fit-eplac:e Itisip dye cf isimnct, or if wm., i! 'r* Post/Seam Mec hAi) Gi-As I-Are 171SP Ci-avil Drain T-n�.ip Gyp V'o'it tl PLM/Unclei-floot- Bair r.lv-ain Mmu:J-).ani C'I 1 11 P wclltpv� 1. I)p 63,9.._417S CITY CONNEOF TIGARD SEWER PERMITCTION COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SWR95-0131� 13125 SW Hall Blvd.Tigard,Oregon 97223e8199 (50)639-4171 DATE TSr')U1-D.- 04/11/1)5 PARCEL : 20-110BB-02700 ITE ADDPE573. . . I-::71'12 5W CHANDLER Dr, JSDIVISTON. . . . ARLINGTON RIVGE TONING: R-3. 5 0T. . . . . . . . . . . . . :004 CNAN HAME. "30 NO. . . . . . . . . . . FIXTURE UNITS— : -050 OF WORK. . . :NI'W DWELL I NG UN.r TT,. . : I SPE OF USE. SF NO. OF BUILDINGS: I ASTI)L-L TYPE . . . :SU!'3WR Imr.ERv stjrRr(.)cr-. �rrav-kr., ,- Arlerl: -11-11, FEES ONE.Y 5OURCE Y I-)P a mcll.lnI. by cute 0220 f*3W GREENDURS RD PPMT 4. i2'200. 00 5W 04/11/95 ')I T r 1,.;5 00 CW 04/11 /9". JPTLAND OR 97223 ONTRnCTorR NOT ON FILE 75. 00 TOTAL q, RCQUI RCU TN-5PCCTI0Nn licant agrees to comply with all the rules and regulations 5f.-We'r- jnsqvert inn of the Unified Sewage Agency, ine permit expires 16@ days from the date issued. The total amount paA sill be forfeited if the permit expires, Trp Agency fres not guarantee the accuracy of the side sewer laterals. If the jewep i-. not located at the meas;xesent givrn, the installer shall prz:!1*,.t .1 feet in all directions from the distance given. If not so 1,jvated, the installer shall purchase a "Tip and Side Sewer" PerriL dod the Agency will install a lateral, t t; :all f01- itl!'Peution Residential Building Permit Application City of T�_gard 13125 SIN Hoff Blvd. Tigard, OF (503) 639. SS Jobslte Address:_L� ,� I L �y_ C_h r)7V 2 p-i,4- I��" "�'�� , _ Subdivision: Ae I iva �on) r eF_ Lot # Office Use Only Planck/Rec # valuation: /,�4 02 Permit # ,/?�,51<y"`� Cerner Lot? YI� Flag Lot? Y CN ) Reissue of _ Map & TL # Owner: 61OAKV Approvals Required Address: /02-10 SGJ Planning SLAT. 13 P Id��IZ -(17 2-7-'3 Engineering _ �- Phone: S03 - 2-9 3-9 SSU Other Contractor: Items Required Address: Subcontractors CTruss Details ^ — Phone: Other l - i-dfrd Contractor's License # (attach copy of current Oregon license) '7�� y _ - V C_ Contact Name & Phone y i-',i V- 213 .q S S O�lv ppC, Subcontractors: --Architect/En sneer: lw�\'3 g �f'ASLQ� - Plumbin : n,� � Address: NW `� Plumbing: /30 �� A&tL.- Mechanical: - 11 jtEctt µ�_ r;�! OiZ- 97I ? (attach copy of current OR Contra or's License) Phone: 7- JOB JOB DE8CT31PTI /y(w C6WY� ho) plicsfnt Sign ture hone number Received by: �� Date Received: ( 43 N MORdCOMOE ME P Permit# Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) %,5.{ . c 5 ",Y P14 mb. Permit (PLUMB) _'Z S•"'i Mecti. Perrinif (MECH) / State Tax (TAX) /42 yZ .0 0 Bldg: ;1 Plumb: / Ll Mech: a2 .2 Plan Check (PLAI`'CK) Bldg: Plumb: Mech: Sewer Connection (SWUSA) a� vU ,rpt OV Sewer Inspection (SWINSP) — 3> Parks Dev Charge (PKSOC) �_ �_ _ _ "v�?✓✓ Residential TIF (TIF-R) r--' Mass Transit TIF (1-IF-Ml') --- Commercial TIF (TIF-C) Industrial TIF (TIF-1) institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) �' " Water Quantity (WQUANT) Co / � � L Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) t, , Erosion Planck/USA (ERPLAN) �•�d d2rj.� r Erosion Planck/GOT (EROSN) "J"p i TOTALS: DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION /tenO155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY, , INSPECTION REOUESTS: 503/640-3561/693-4415 OREGON NOTICEThis permit hLcomes null and void it 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 interrupt6d for a period of 180 days I certify'hat 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 than the Building Department's reliance upon false and misleading Information may Invalidate this permit. Ani provisions of applicable laws and ordinances governing the construction and use of this building or strurture will be complied with whether or not specified on the pians or noted on the pians correction sheets I acknowledge that the granting of a permit does not grant authority to access private property or to use easements i further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the building Inspection staff verifying compliance with the various codes. Use or orcupancy 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 anproval Is given by the Building Official. 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 provisional and revocable until the satisfaction of all Inspection regnirements APPUCANT'S SIGNATURE WASHINGTON COUNTY ELECTRICAL PERMIT Department of Lard Use & Transportation Electrical e Section 155 North First Avenue, #350-12 Hillsboro, Oregon 97124 APPLICATION Information: (503) 640-3470 Fax: (503) 693-4412 Permit Number ' S O ��,�•:2.(,_ DatePLEASE PRINT Please complete ' through 5. 4. Complete Fee Schedule below 1. Location of Installation Number of Inspections per permit allowed ` --- -- - - Address C V�QQ 1N Service included: Items Cost(ea.) Sum Buildinq A. Residential- per unit \�( City -T 1 " A _ Suite too.- � � 000 sq.n.or leets $110.00 4 Tenant Nam6 Each additional 500 sq.ft (if commercial) or portion thereof $25.00 1 Dn Q Limited Energy $25.00 - 1 Map No.- Tax Lot -- Each Manuf'd Home or Modular Thomas Map Book: Page: Section: Dwelling Service or Feeder $68.00 _ __ 2 Directions-.- B. Services or Feeders Installation,alterations or relocation 1 200 amps or less $60.00 2 Commercial ResidentialW 201 amps to 400 amps $80.00 2 401 amps to 600 amps $120.00 ___ 2 2a. Contractor installation only: 601 amps to 1000 amps -- $160.00 -- 2 Y Over 1000 amps or volts $340.00 Electrical C_ort):ractof c e- ect only $50.00 _ 2 Andress _7 `' City -wave r+- State r-IP_ C. Temporary Services or Feeders ate c;- 1 C-ri` Job Number C� Installation,alteration or relocation operty Owner ,f� 200 amps or less $50.00 2 Vsuilclense ntractor's License No. - 201 amps to 400 amps $75.00 -_____ 2 ntractor's Boaro Re No. 401 amps to 600 amps $100.00 2 g' Over 600 amps to 1000 volts see W above nature of Supr. Elec'n `- _ D. Branch Circuits No. _� �;C 1 Phone No. - New,alteration or extension per panel a) The fee for branch circuits with 2b. For owner installations: purchase of service or feeder fee. Each branch circuit $5.00 2 Print Owner's Name - �t,on©iJo. `- b) The fee for branch circuits without purchase of service or feeder fee. Address --- First branch circuit $35.00 _- 2 Each add'nl branch circuit $5.00 2 city -- tate E. Miscellaneous (Servi.;e or Feeder not included) Each Dump or irrigation circle $40.00 - 2 The installation is being made on property 1 own Each sign or outline lighting -_ $40.00 ? which is not intended for sale, lease or rent. Signal circult(s)or a limited energy panel,alteration Owner's Signature __ __ or extension $40.00 2 F. Each additional Inspection over the allowable in any of the above 3. Flan Review section (if required) Per inspection $35.00 _ Per hour $55.00 Please check appropriate hem and enter fee In section 5B. In P int $55.00 _4 or more residential units in one structure Service and feeder, 800 amps or more S• Fees -System over 600 volts nominal A. Enter total of above fees $ 4M.-CLO __Classified area or structure containing special 5% Surcharge (.05 X total fees) $ occupancy as described in N.E.C. Chapter 5 Subtotal $ B. Enter 25% of line A for Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ above apply. Not required for temporary construction Subtotal $ services. ri Trust Account $ Balance Due $ .�eS 11> For Inspections call This permit bcomes null and vold If the work authorized by the permt Is not commenced 640-3561 or 693-4415 within 180 days from date of Issuance of such permit or ft the work authorized Is suspended or abandoned at any time abler work is commenced for a period of 1s0 days. 24-hour recorder, one working day in advance of need ElsNrical permNs are nonrefundable and nontransferable. B,s4 WASHINGTON COUNTY RESTRICTED Department of Land Use & Transportation v 1 r1 r G Electrics! Inspection Section ELECTRICAL ENERGY 155 North First Avenue, #350-12 Hillsboro, Oregon 97124 APPLICATION Al Information: (503)640-3470 Fax: (503)693-4412 PLEASE PhINT • complete sections, through Permit No/ 1. Location of Installation DD Address i ,ir V. city ` , Zip Code 4. Type of work: Map No. Tax Lot RESIDENTIAL Restricted Energy Fee $4C.00 Thomas Map Book: Page Section (for all systems) Check type of work involved: Directions Audio and Stereo Systems* Commercial ❑ Residential 0 Burglar Alarm Telephone Systems' Tenant Name Garage Door Opener* (it commercial) Fire Alarm Heating,Ventilation and Air Conditioning Systems* 2. Contractor application: Vacuum Systems* , Other Electrical Contractor it�'-l \ L.L CF_r ri c �uc -- --- _- Address �:�. ► i c G- (` e ! _- COMMERCIAL Fee for each system $40.00 City 1± Zip _11f%I, (see OAR 918.260-280) Date (aI Job Number — Check type of work involved: Property Owner . � 2 Contractor's License No. �l0 4; CL(_ Contractor's Board Reg. No. 1 �:� Boiler Controls_ clocks stems Phone No. _ l � 'L - 1 rf.� y Data Telecommunications Installations Fire Alarm Installation 3. Owner application: HVAC Instrumentation Print Owner's Name Phone No. Intercom and Paging System Landscape Irrigation Control' Address Medical -- _ _ ____ Nurse Calls City State Zip Outdoor Landscape Lighting* This permit is issued under OAR 918-320-370. The applicant agrees Protective Signaling to make only restricted energy Installations(100 volt amps or less) Other under this permit and to do the following: -— ------- - 1. Only use electrical licensed persons to do installations where required. (Certain residential and other transactions are exempt Number of Systems from licensing. These have asterlsks("). All others need licens- ing.) z. Call for an Inspection when all the installations under this permit 'No/,tenses are required Licenses are required for all other installations are ready for In.4pection. 3. Put chase separate permits for all Installations that are not ready 5. Fees for Inspection when the Inspector Is out to inspect under this /� r permit. Enter fees $ _ 4. Assume responsibility for assuming that all correct:hs required by the inspector are done,and ` r 5. Assume responsibility for calling for a final Inspection when all of 5% Surcharge (.05 X total above) $ the cot rections are completed. The person signing this permit must be the applicant or a person Trust Account I$ authorized to bind the applicant Signature __4 �'' Total Authority if other than applicant ._. .__ This permit hecomes null and void If the work authorized by the •-- permit is not commenced within l so days from date of Issuance For inspections call of such permit of If the work authorized is suspended or abandoned 640-3561 Or 63-4415 at any time after work is commenced for a period of 180 days. Electrical Permits are non-refundable and non-transferable. 24-hour recorder, one working day in advance of need FL24 1;.t