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13231 SW EOUOEFF ST
CITE( CSF TIGARD
COKAUNITY DEVELOP"SENT DEPARTMENT
13125 SW Hall Blvd.?Ipard,Oregon 07223.9190 (503)639-4171
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CERTIFICATE OFCITY OF TIGARD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST93-03L1
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)889-4171 DATE I SSUE.D: 1
7.7I�`r' 3
F'ARCEL: 2"5104AC---09400
r 1 T 1:.. PDUF2L:')'J. . . : 13234 ;W LAOUNE~F'F ST
'aUBDlt>"tSION. . . . r MORNING HILL NO 9 LaNING:R--25
HLgCI'.. . . . . . . . . . : La'T. . . . . . . . . . . . . :x:37
CLASC: 1_PF= WORK. oNEW __..._..__ .._.__....._ ..___.._�____..._...._ ..._.._... .
TYPL': OF USE. . . r r
QC;CUOANCY GRP'. :R.?,
aCCUF"ANCY LI:IAD:i2e 6 4
TUNON'T NAME. . . c
pemar k:; r PATH I
.7AY MILLER BL..DR. INC
P fI BOX 232q 1
TIGARD OR 97c?81
'hone Ft: 6.84---7543
Contrautor: ______ .....,.._..__.....».____.w,__.»__._._._.......
JAY M11-LER
PO BOX 230!91
1103ARD OR 97281
F?hune #c 6f34---7 543
Frey #. . : '30t 9i
1J(.c:uP0r)cy of the above refer^encec' G •ildinR is hereby airerr, and certifies
the c-ompliAnc-e With the .atate of i:' 'eyon Geer--ialty Codes 'foo- the group,
acc'.rpancy, and r.lrxe ander which the referenced permit
was issued.
FIRE DEPARTMENT UIt, G .ENStIE:CT0R
BUIL INC) OFFICIAL.
PC1ST IN CONGP 1 CUOUG r4_ACE
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415
- PHONE: 509,x848-6781
OREGON Mage 1 of 1
Date 08/19/93
'Tifilt' s 09 : 38
Permit 1'ypc- Residential Electrical Hermit Permit # : 05043820
Permit Status APPROVED Applied 08/19/9:3
Situs Address 1J234 SW BUUNEFF : T T1 issued 08/14p..>' J
Hermit 'Title SE'R L1M1'1'EU ENERGY Completed
Permit Descr . 217 - SC'HOLLS - LEl"1. ON 135 Tey Expire : 02/15/k,14
Project 'Title SFIR - LIMITED ENERGY Project # Ptjo3
Project Descr. 21'7 - SCHOLLS - LEFT ON 135 * EROSION
Parcel Number 2SIT1 - Land Use District
Valuation 0
Legal Descr .
Owner INISPEC"1'10N - 'TIGARU Con!3truction tyl'1.'H
Applicant Name NW SONY ONLY Classification 900
Applicant Addr . : 1610 NW GLISAN 0ccu1.'),:1r1cy : R3
PORTLAND OR 9'/2U9 Validated by MJF
Applicant Phone : 294-9079 1rl.spec•tor Area :
( UN'TRACTOR : N .W. SUNY ONLY Lic. L 2b 'lh4( 294-13019
Fee description Units Fee/Unit Ext tee Data
_--_---------------------------_----
Limited Entegy/Alter . /Exten^ion 1 40 , 00 40 . 0U
Subtotal Electrical Feet-, : U 40 . 00
St.tte Surcharge of 51, 0 'l . 0
Total Electrical Fees : U 42 . 00
*** Fees Required Ak * Fees C'oLIect.ed & Credits ***
------------
Receipt No . Date Payment
U8/19/93 42. . 00
TO'.I'AL THIS DA'Z'E **kkkk* kk 4Z , (10
Fees : 42 . 00
Adjustments : . 00 Total Credits s . UU
'Total Fees : 42 , 0U 'Total Payments 1 42 . UU
"glance DUe: . 110
NOTICE: This permit becomes null and void If the work or construction for which If Is Issued Is not commenced within 190 days. Once construction has slarteri.
the perm"becomes null and void If construction Is Interrupted for a period of 190 days. I certify that the Information presented by the applicant and
till agent or agents In support of this perm"Is true and correct to the best of our knowledge I acknowledge that the Building Department's reliance
-,pon false and misleading Information may Invalidate this perm". All provisions of applicable laws and ordinances governing the construction and use
of!his building or structure will be complbgd with whether or not specified on the plans or noted on the plans correction sheets. 1 acknowledge that
the granting of a perm"does not grant author"y to access private property or to use easements. 1 further acknowledge that the use or occupancy of
the structure or building permitted depends upon my callint for Inspections at various times during the process of consction the building
Inspection staff verifying compliance w"h the various crAIPIR Use or occupancy of the building or structure PRIM
Mod or to app the
Building Department Is solely at the risk of the applicant am such use or occupancy In revocable until all Int tion ulrement rest stied and
approval Is given by the Building Official. I further acknow4cige that a Ilen may be placed on the title of ttte p Ifrlpon whit he permit Is is ed
specifying that the use or occupancy of the building or structure Is provisional and revocable untll I 1 all Ins Ion
ulremen
11-
APP CAN 'S SIO TUBE
WASHINGTON COUNTY RESTRICTED
Department of Land Use & Transportation rl
Electrics! Inspection Section ELECTRICAL ENERGY
155 North First Avenue, X350-12
Hillsboro, Oregon 97124
Information: (503) 640-3470 Fax: (503) 693-4412 APPLICATION
PRINTPLEASE
Please ' through Project No. /"— 7�'�
1 Permit No. .
Label No. klJ 0 72 �— -
1. Location of fns allatfon Date
Address (L__o A)_n '�� Issued By—_0`11.) Office
CityGI Zip Code 7 Z 2 3
cv _ .-, - 4. ,ype of work:
Tax Map Map No. .2i'Se"1 2+
Tom' RESIDENTIAL Restricted Ener $80.00
Thomas Map Book: Page Section (for all systems)
Directions-X12=_S_ 4,01 5 S Check t ipe of work involved:
Audio and Stereo Systems"
R
Commercial ❑
Tenant Name Burglar Alarm
(If Commercial) _—__ _ .___ Toleohone Systems*
This permit becomes null and void If the work outhorized by the Garage Door Opener*
permit Is not commenced within 180 days from date•of issuance Fire Alarm
of such pormlt or H the work authorized Is suspended or abandoned Heating,Ventilation and Air Conditioning Systems*
at any time atter 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 W• COMMERCIAL Fee for each system $40.00
Address (see OAR 918-260-260)
Date -1 Job Num r Check type of work involved:
Proppi-tykwher _-_5tg.V t_J 6 v
Contractor's License No. _ 7<--y_( 1� -` Boiler t entre!.
Contractor's Board reg. No. -�1 Z Clock syst°ma
Phone No. _24`k—401 Data Telecommunications Installations
Fire Alarm installation
I Owner application: HVAC
Instrumentation
Print Owner's Name Phone No Intercom and Paging System
_ _ Landscape Irrigation Control-
Medical
- -- `� - Medical
Nurse Calls
_ tet° p Outdoor Landscape Lighting*
This permit Is Issued under OAR 818 320-370 The applicant agrees Protective Signaling
to make onty resfrirted energy Installations(100 voh amps or iess) Other
under this permit and to do the following: - -------- -
1. Only use electrical licensed persons to do Installations where
required. (Certain residential slid .other transactions are exempt Number of Systems
from licensing. These have asterisks(•). A/l others need llcens-
Ing.)
2. Call for an Inspection when all the Installations under this permit N, k'enses ere requirtrcf Lirenso,s are required for all other installations.
ere ready for Inspection.
3 Purchase separate permfts for all installations that are not reedy Jam. Fees ( J �e� O p
for Inspectfon when the Inspector Is out to Inspect under this Ul Jl
permit. Enter fees $
4. Assume responsibility for assuming tha►sil corrections required ----�—"
by the Inspector are dons,and a G
5. Assume responsibility for calling for a final Inspection when all of 5% Surcharge ( 05 X total above) $ Z
the corrections are romplefed. -'�----
6
The person signing this permit must be the applicant or a person rOtatr $
authorized to bind the applicant.
Signature _ _ _ __ _ Space below reserved for validation.
Authority if other than applicant
For inspections call
640-3561 or 693-4415
24-hour recorder, one working day In advance of need
11192
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW'HNI Blvd.Tigard,Or*aon 97223.6199 (503)639.4171
CITY CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SWHall Blvd.Tigard,Oregon 97223*8199 (503)639.4171
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CITY ®F TI G-A..] D I112f SW HA DMd PLNCl�/RECT Y 5 Z�L
COMMUNITY DEVELOPMENT DEPARTMENT 'rpeckOregon 9r-n PERMIT Ir f?'151�1.3- U .� I `r-
(S03)63¢417' DATE ISSUED
JOB ADDRESS: 13A3 S w ,� y { St • T MAP/LOT
SUB: Me)rnj',79¢{,'// 9 LOT: a►37 ,10 USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: -" ., m;I L4.r ,a/d r. .Vljc REISSUE OF: a (IV /179 _
ADDRESS: -P I 60A A 3a9 i LAST REISSUE: _
T qC,-rd - OR, FLOOD PLAIN/
PHONE: to Rq - 754 3 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: �--TCu, m I l t r PLANNING:
ADDRESS: ENGINEERING:
FIRE DEPT: _
PHONE: OTHER: _
CONTR. BOARD 0: EXP DATE: _ ^
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: KC n wcoi 5 _ LIST/SUBCONTRACTORS: _
MECH: e-1) 1 CLtt�' 9 BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
APPL^ICANTaSIGNATURE
��
Received By: Oa Le Received: g Z�
PERMIT # ACCT a DESCRIPTION AMOUNT M10UNT PD. BAL. DUE
�15 �-O3LL 10-432 00 Building Permit Fees t "� J (L3 ---
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) 32q)�
Building �-Z•i >~
Plumbing
I1echan i cal L i�
10-433 00 Plans Check Fee
Building .,/o -
Plumbing
Mechanical // Z
10 -230 OE Fire
5-03 uJW9 30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25- 448-04 Industrial TIF fees
25-448-06 Institutional TIF Fees
25448-03 Office TIF Fees
25-448-01 Residential Traffic Fees /3 371
25-448-05 Mass Transit `F Fees
52-449 00 Parks System Dev Charge (PDC) 5��' ___ •Syv
31-450 00 Storni Drainage Syst Dev Chrg /
(SSDC)
24-445-01 Water Quality (Fee in lieu of) —
2.4-445-02 Water" Quantity (Fee in lieu of) _
10TAI_ y
nm/3587P.WPF
3
�NSYECTIQN_NOTICE
Tigard 9uildiaq DOPOL
City of Tiq Tigard, 97223
1.3125 SH Hell Blvd- 9ar , O -4171
4175 Bunineoe P
Inspection i.lne (Rec-O-Phone): 6.x`1- le°
lnepecti.ons-------- --- A r/Sdw1k
Footing Ylbg•
Undereleb Mech. Rough-in PP
Plbg TOP Out bas Line
INAL:
Found•
San. sewer
Framing
Poet/penm Stcuct. lu
Insulation
i
Poet/Ream Meeh. Main Drain -Koch.
Gyp. Bd.
Underfloor Nater Line PM
Plbg- ,res �---
Dat' Requeeteds
03I,L
ev permit #t/"-$"----
Addraee: ✓
_r
Builder:_
THE FOLLOWING CORRECTIONS ARI! REQUIRED:
�Cefrcv
Dateslei
Inspectors .--------- ------_
APPROVED
pI4APPROVBD APPROVED SVBJECT To AHo"
--CAIt For Reinsp.