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13602 SW BRIM PLACE � }r H W r N rin I X 70 H lu L f 1 I l 13602 SW BRIM PLACE WASHINGTON COUNTY ELECTRICAL PERMIT ' Department of Land Use & Transportation iral Inspection 155 North First Avente, #350-12APPLICATION Hillsboro, Oregon 97»4 Information: 503 640-3470 503 693.4412 ProjecUPermit PLEASE PRINT Number l-G q51 (2LL i Date Please . . sections, • • 1. Location of inst teflon 4. Complete Fee Schedule below n Number of Inspections per permit allowed Address / cd SW 41" _ _ _— Building Service included: Items Cost(ea.) Sum City -rl(fyflevi Suite No. ----- A. Residential - per unit Tenant Name (if commercial) `_--- --. 1000 sq.ft.or lose $110.00 %/0• d(� t Each additional 500 sq.ft 3$�, 0 U Tax Lot_ Map No. or portion thereof $25.00 Limited Energy $25.00 - -- 1 Thomas Map Book: Page: Section: Each Manuf d Home or Modular Directiof ls— _ Dwelling Service or Feeder $66.00 ULG/'►1-f1� I� ��/EIeI M B. Services or Feeders Commere!dl ❑ Residential Installation,alterations or relocation 200 amps or loss $60.00 2 201 amps to 400 amps $60.00 _ 2 2a. Contractor installation only: 401 amps to 600 amps $120.00 _ 2 Electrical Contractor {����11FK' Ec.E C/IP< _ 601 amps to 1000 amps -- $16o oo 2 Address Boit%S ---d �_7U-30 war 1000 amps or volts v= $340.00 2 Date _ r, 9S_ Job Number Reconnect only $5000 _ 2 Property Owner --- - C. Temporary Services or Feeders Contractor's License No. 3 7- ------- - Installation,alteration or relor-ation Contractor's Board Reg. No. �, S Zd�o - 200 amps or less $50.00 2 � �HH �� 201 amps to 400 amps - $7500 ----- - 2 Signature of Supr. Elec'n _ _� L. ,_�,;�m 401 amps to 000 arra^ $100.00 --- License No. ' ' - Phone No. -7'i-/ VN16 Over 600 amps to 1000 vu:is see'B'above 2b. For owner installations: D. Branch Circuits New,alteration or extension per panel hone_fT _ a) The fee for branch circuits with PrintOwner's-14ams purchase of service or heder fee. —__ Each branch circuit —___ $5.00 ross - b) The fee for branch circuits without Statepurchase of aervlce or fender fee. p First branch circuit $35.00 2 The installation is being made on property 1 own Each add'ni branch circuit--- $5.00 2 which is not intended for sale, lease or rent. E. Miscellaneous (Service or Feeder not included) L Each pump or irrigation circle_— $40 00 . ._-- - - — 2 Owner's Signature _ _______ Each sign or outline lighting _— $50.00 Signal circult(s)or a limited 3. Plan Review section (if required) energy panel,alteration or extension $40,00 Please check appropriate nem and enter fee in section 58. F. Each additional inspection over the allowable 1 &2 family dwellings over 320 amps sic meter in any of the above 4 or more residential units in one structure Per inspection _— $3500 Service over 225 amps; feeder 400 amps or more Per hour _— $55.00 __— _ System over 600 volts nominal In Plant $55 00 _ — Building over 3 stories in height 5. Fees Building over 10,000 sq. ft. �Go Occupant load over 99 persons A. Enter total of above sees $ —.--_---- Manufactured Structures Park or Recreational 596 Surcharge (.05 X total fees) $ Subtotal $ Vehicle Park; new, addition or alteration - — _ Classified area or structure containing special B. Enter 2596 of line A for occupancy as described in N.E.G. Chapter 5 Plan Review if required (Section 3) $ Subtotal Submit 2 sets of plans with application where any of the Less Bulls Label Fee $ above apply. Not required for temporary construction Balance Due $ 0 3 O � services. _ For Inspections cell Thi►permit bacomee null and void it the work authorized by the permit a not commenced wfthin IW days from date of Issuance of such permit or M the work eulborized to 640-3561 or 693-4415 wspended or■bandoned a1 any time after work u commenced for a period of t b days 24-hour recorder,one working day In advance of need Electrical Permits are non-relundable and non-treneferable 5�?3 Community Development RESTRICTED ENERGY ELECTRICAL APPLICAJION 13125 SW Hall Blvd. r;-e� �� _a�j C/ 9 Tigard,OR 97223 PERMIT# _ f l _ 7- - Phone(503)639-4171 //��'' FAX(503)684-7297 DATE ISSUED t_y-' 7 S TDD No. (503)684-2772 r-- ---� CITY OF TIGARD Inspection (503)639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK Adddre s RESIDENTIAL—Restricted Energy Fee. . . . . . . . , 140.00 /', �, �� 522� (FOR At[ SYMMS) city 1te Zip Check Type of Work Involved: PERMITS ARF NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK Audio and Stereo Systems" 15 NOT STARTED WITHIN 180 DAYS(IF ISSUANCE OR IF WORK r5 SUSPENDED FOR y 180 DAYS LPBurglar Alarm 2. CONTRACTOR APPLICATION Garage Door Opener* Heating,Ventilation and Air Conditioning System' Contractor !_te—,'v4 g 1ypc4S-,y_ Vacuum Systems Address Other _l12SQ _FC—._C Y,2�r _��`_5�L`6 +.S Date –�_- �, COMMERCIAL--Fee for each system . . . . . . . . . 540.00 / (SLE OAR 918-200-260) Property Owner G�it y a� ,f P Check Type of Work Involved: Contractor's Board Reg. No 3!4(_) Audio and Stereo Systems' ❑ Bo);!r Controls Phone# ?�/r 2 S_-�a —�_ CJ <Jock Systems 3. OWNER APPLICATION 1.i Data lelecommunication Installations ❑ Fire Alarm Installation _._ ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address -- ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control" City Slate Zip ❑ Medical This permit Is issued under OAR 918.120.170 This applicant agree-,to make only ❑ Nurse Calls reslriclerl energy tnstallatiuns Icon oh amps or less)under this lrennit and I,do the ❑ Outdoor Landscape Lighting" following 1. Only use electrical licensed persons to do installations where required.tccrtain 13 Protective Signaling residential and other transactions are exempt from licensing.These have ❑ Other asterlsksM.Alt nthers neem IicPnsingl. — 2 c all furan Inslaection when all of the installations under this permit,re ready for inspection at 503.639-4175. ❑ Number of Systems 3. Purchase separate ptrrmils 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 wker instillations 4. Assume responsibility for assuring that all morm-tiom required by the Inspector are done,and 5. Assume responsibility for calling for a final inspection when all of the corrections S. FEES are comp1mvd. The person signing for thk permit must he the applicant or a person a. Enter Fees $ authorized d the applio ant h. 5% Surcharge(:05 r. total above) $ C- Signature TOTAL $ 47 Authority if Other than applio.Int ENFRGAP.CHP A*9 u"i SECURITY SERVICES, 114C'_ February 2.1, 1996 To Ctty of Tigard, Lee Yost Construction, Crary Woodem From Mastertech Security Services, Inc Re. 13602 SW Brim Court Tigard, OR 97224 Me alarm system at the above address was purchased from Mastertech SecunlN Services The smoke detectors were provided and installed by Mastertech and tested to ensure their operation S mcert.iy, Parry Laws Sales Manager P O. BOX 9915 65TACADA. OR 97023 , (503)233-1168 FAX 1503 6 ';' �•'6 80 39Vd H031d31SHW OE 990E01 T:AT -9 P i, T.- .-0 nrti�,t�.l�.= 2 (�v - 5`�t3 3 �,;..,�. F y✓".. CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF 13125 SW Hall Blvd,Tigard,Onpor, 9722?+6199 (503)630.4171 OCCUPANCY PLRM I-r M. . . . . . . .. M S T 9 5 0Q1�; DATE ISSUED: +Bc;i 0 :196 PARCEL a 2S 104Cti--08200 i I TE ADDRE G. . . 1 13602 SW DFt 1 M P1_ oUBU.IVISION. . . . a HILLSHIRE ESTATES 7ONINU214- 7 PD ;LOCK. . . . . . . . . . e LOT, . . . . . . . . . . . . 100,2 .LA S OF WORK. .-NEW -___.._....__._........_ yl-+- OF USE. . . 15F 1)CC:UIIANCY CINE'. r!7Pf C'n s 1 1C LUPANCYLOAD a a' ;1emar•6« 1 PATH I Jwrrwrt - _.._...___._-_._.__......_._._...,..._.___.................. ........ _ +::iARY d CAROLC WOODEN '1'775 5141 PEMBROOK ! Il1ARD OR 917224 'home 11: 639-530.1 no n t r-a r_t o r t _._....._......_...__...., ..._...,.. ... _..._.. __..... .. ISSI C I ATED PLUMBING LOMPPNY no BOX 301362 IDMAND OR 9723121-9362 3121--9:362 hone M1 256-1685 Sep 0. . 1 57890 This Certificate grants occupancy of the above referenced building or portion , hereof and confirms that the building has been i. spec_ted for compliance with he State of Oregon Specialty Codes for the gror.r ocwrpanrv, amici one under ihir_.h the referenced permit was issued. +I..III_.DlNG I a!~'ECTOR SUIL..DING OFF & I Al POST IN CONSPICUOUS PLACE CITY OFTIGARD COMMUNIT; DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)8394171 PLUMPING PERMIT PERMIT #. . . . . . . : PLM1)5--027E. 639-4171 DATE ISSUED: 09/29/95 13 4, PARCEL: 25104CD-082,00 -]ITE ODDPESS. . . : '-,UBDIVISION. . . . ; HTLLSHIRE ES3TATES ZONING: R-7 PD 131-OCVI. . . . . . . . . . . LOT. . . . . . . . . . . . . ..002 CLASS OF WORK. . :ADE GARBAGE DISPOSALS. . 11OBILIK HOME SPACES. TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVN7RS. . : 1 OCCUPANCY GRP. R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . 3TORIES. . . . . . . . :2 WATER HEATERS. . . . . . . CATCH BASINS. . . . . . . , XTURES----------------- LAUNDRY TRAYS. . . . . . : GF RAIN DRAIN;. . . . . SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . GREASE TRAPS. . . . . . . . LAVATORIES. . . . . : OTHER FIXTURES. . . . . TUB/SHOWURS). . . . SEWER LINE (ft ) . . . . WATER CLOSETS. . WATER L I NE (f t) . . . . DISHWASHERS. . . . RAIN DRAIN (ft ) . . . . Remarks : One addition of a residential back flow pr-eventicirl device. Owner-: FEES GARY, CAROL WOODEN type Amol.trit by date V-er-pt 13602 SW BRIM PL PRMT $ 25. 00 CS 09/29/95 95-271098 SPCT $ 1. 25 CS 09/29/95 95-,,-,710r)B TIGARD OR 972213 PLCK $ 5. 00 CS 09/29/95 95-271099 [Jhone #.- (..'ontr-actor: f-LASGIC LANDSCAPE CREATIONS INC. 1-:1. 0. BOX, 999 CAMAS WA 96607 ('kine 360-573-4551 31. 1:'5 TOTAL Qeq 6660 REGUIPED INSPECTIONS This permit is issued iub)ect to the regulations contained in the RP/Backflow Pre Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done ii accordance with approved plans. This permit will expire J work is not started within 160 days of issuance, or if work is suspended for more than 180 days. Per-mittee Signatiil-lp : 7 l-ipd By . ee� Call for, inspection 639-4175 09 261 95 15:38 $503 684 1297 CITY (')F TIc:.ARl) 0U1 001 City of Tigard PLUMBING PERMIT APPLICATION F�lanck/Rec. # 13125 SW Hail Blvd. — -- _._ Tigard, OR 97 223 Permit # (503) 639-4171 MINIMUM $25.00 PERKT FEE + ST. SURCHARGE New Singlo 1 amity Reotdencee OnIY — JCb L-f 1 aA71 H HOUSE$140,00 2 BATH HOUSE$195.00 Andress .waw. — .' 3 BATH HOUSE S225 CO I s includes all plumbing fixtures n the dwelilnq and the first 100 foot water servirte, sanitary sewer and Storm sewer. See fees below �•�• .T., �^�• I FIXTURES (]TY PRIGF ANT Jlnk Lzivatory Ownef I3(0C l2 ' vJ 9 CO �_ Fit�'� r� `�1 Z2� ' b or TuaShower Comb. 90 y Snower Only _ 100 Water Closet 3.00 -- 0ishwasnei, —--1 9 0 Cccuporq — -—�—__ _ II" Gamage Disposal 9.U0 Washinq Macnlne 9 C0 f •M�. � '° 'Nater Hearer _ y O0 �� W^. Laundry ROOM Tay 9.00 Urinal 3.00 Other Fxtures rSpecify) W _ 9.00Woodw.. ' CJnttactor �� jej-,1 1• Z►'o /01 ('�D�-573_ySsl 900 s — VANCvu�IEL°, VJA- Cita _ 900 VAN".MWsnM; Sewer 15f i L'0' ?C io """ Sewer - Aadrt. 100' — 15.00 Water Service t;t 100' 30.00 -erecy acknowledge that I have read this appilcatlon, that the Information given is correct, that I am the owner or authored agent of Water Sernu. ea. Addit. 100' 25.00 he owner, that plans submitted are In Compliance with State laws. hat Storrs 3 Rain Drain 1st 100' 3000 I am registered with the Construction Contractors Scam. that :ne number given s -orrec. i If exempt from State •egistranon, please Storm 3 Rein Drain Addle 100' 25 00 give boson oelaw.) Mobile Horne Space 25.00 /�5 Sack F,O� w Pre�•entsorj Dl vica dr 00-Pollution O@vltA �. -r•�.. w�r. .Www -- Any Trao or tiVute Not 9,OC 1 Conrected to a -ixture 9.00 Desutbe work new lj addition alteration �j repair Caton canis I g� :o .a none residential 0 iron-residential iD Inso. of Exist. Plumoing40.0Mr existing use of Speetady Recuested Inspections I 40.OGthr JJJ building :r grocery _ Rain Oram. single family awaiting 1 30.00 — -� Restdentlal backflow prevantlon —� proposed use at devices 15.30 budding or orooer;y _ -(&Capt resrdendal backtow Jprevention devices) L4OTtCE Minimum Fee $25.00 SUBTOTAL ZS GC PERMITS BECOME?VOID IF WORK OR CCNS'RUCTCN AUTHORIZED IS NOT C^%I1MFNC10 WITHIN "00 ^Ave OR iF I 5.4 SURCHARGE I �• W CONST?UCTICN OR WORK IS SUSPEtNOt=D CR ASANCCNEnI FCR A PERIOD CF E'S0 DAYS AT ANY—,N1AF'-ER'NCRK IS —� ^� CCh1ME*NC^cC_ �jyE /�/n0Liti'r C p/2 17-11, AW, PLAN RlVIEW 25': OF SUBTOTAL i fs c�ti'`v 16. 5 Bur wAs rNr�/1/rc� - Q L/Ass 14 L A/UDSA�,= rp �Tas T TOTAL 3 , Seeciat C�naricns /�� t_ Tui PrQ n,i �'.IC 'A.IT "i CITY OF TIGARD F_ILUPIbING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT I-+ RM.11 #. . . . . . . : MST95--00'. 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)539-4171 i)AI`F_ ISSLIED: Oa/14/95 PARCEL: 2S104CD--V7I&200 I'i L HIJUHL i,:�b 141c- �W bH I Ili PL J B D I VI'61 D N. . . . HILL HIRE Es"rwrs, Ln'41NO. fR 7 PL) LOCK. . . . . . . . . . LOI... . . . . . . . . . . . . :106.'2 -ASS OF WORK. . :NEW GARBAGE DISPOSALS. . :2 ePL OF USE. . . . .,13F WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1 t�LUPPKICY GRP. . :R.6 FLOOR DRAINS. . . . . . . :0 T'RAPS. . . . . . . . . . . . . . :0 rORIE:S. . . . . . . . ..2 WATER HEATERS. . . . . . : 1 CAI (JA BAGINS. . . . . . . .0 LAUNDRY 7RAYS. . . . . . I J' SF FRA IN DRAINS. . . . . : 1 GREASE TRAPS. . . . . . . :0 ,._AVW GRIElb. . . . . . 7 OTHER FIXTURES. . . . . :0 l'us/sHOWIERS. . . . z SE.WE R LINE (f t ) . . . . .0 WATER L"LUSEI'S. - :6 wA"rER LINE (ft ) . . . . : IOLA i-)iGHWOSHER"�. . . . :i' RAIN DRAIN (ft ) . . . . :Vj PRY & CAR(X.E W(JODEN $ 1550. 00 JG 0,1/14/95 7`5 C-)'W PEMBROOK SWM $ 180. 00 JU 02/14/95 9Wm $ 100. 00 JG 02/ 14/95 t,ki) OR 97EL4 BPRT f II:')0. :j10 J U VIE/ 14/95 !-ione #e 639-52:01 HPLC $ 8,36. 63 KOR 01/c.'0/95 95-C'60 ,' B5PL $ 64. 53 JG 02/14/95 J.,_41ffL)1nq Conti-aCtat-.1 PARK $ 500. 00 JO 02/14/95 Nam (&tfribi"�7 MPR r * 61. 5121 JG 02/14/95 MPLC' 1, t'=,. 3,13 JG OiR/ 14/05 2 y AddrE m5pc $ 3. 08 JG 02/14/95 (.A.ty : PPRI $ -3,6Q). 00 JU 02014/95 ,.pe 'l71-10 P5PC s 16. 50 JG Oe/14/95 - my Additional tees not shown Isere. . . . REQUIRED INSPEL'rlONS ' !its pet-mit is issued suh)i-et fn the rey­ .Lations contained in the Tigard MLtn1CipAI Footing lnsp Insulation Insp Inde, Stat f, of Oi-e. Specialty Godes and all I oundat i on Insp Gyp Board Insp other applicable laws. tall work will be clone Post/Beam Litruct Rain drain Insp in ac(.�mdanr.p with appy-oved plans. This Pot /Beam Mochan Water- Line Insp riermit will expire if wor-,k is not started (_t-'a w I L)t-a i n Water Set-vice IT, within 1.80 days of ISS'Agnr_e, or if work is Plm/undqlab Insp Pppt-,/GdvjIk Insp SUspended for- mor-e than 180 days. PLM/Undet,f I oor, Mec-hanical Finat Merhanical Insp Pli.tmt.- Final Plumb Top Out Building Finai F-ramin, ?,,p Er, n Fireplat-e Insp cpk U a s Line Insp a t 1.11,e Call for inspection - 639-4175 ontr-actor Notes : CITE' OF TIGARD SEWER CONNECTION COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 13125 SW Hell Blvd.Tigard,Oreyon 67223.9100 (603)036.4171 PERMIT #. . . . . . . : SWR95--005; r)...q DATE ISSUED: 0,:_/14/95 PARCEL: 2''61 t7_►4CU-08c'170 1 I w AD1)Rrr.,S. . . i:'F.OP SW V,R I M VI Ut{U1VIbIUhJ. . . . : HILLSHIRE. ESTATES ZONING: R-•7 PD LUCK(. . . . . . . . . . . Lo T. . . . . . . , . . . . . :082 t.�NAN i NAME:. . . . . . SSA '40. . . . . . . . . . : FIXTURE UNITS. . . : .LPSS OF WORK. . . INE:W DWELL.IN(.y UNI rs. . : 1 t YPE OF USI::. . . . . :SF NO. OF HU I LD I NGS: 1 NS'T ALL TYI..'E:. . . . :L'USWR I MPERV 5URFF ACE. . : Sema i,�ks : P01H I Iwner: FEES ,ARY & LARCILL W(:)OUI::N type _�kmol.lnt by date r•eept. 775 SW PEM'BROOK PRMT $ 2200. 00 JU 02/14/95r — INSP $ 35. 00 JU 02/14/9 _. IGARD OR 9 7in-124 r7 o n e #.- 631:)-5301 ontr2Ctor'.: !J1q 1 RAC l.0R NOT CIN FILL Duns #: 4 22,.3:=,. N0 TO1.tiL_ _____.__._.._.___. e REUiJIRED INSPECT IUNE, ___...__.. his Applicant agrees to comply Mita ali the wales and •egulations Sewer Ins;pet^tion of the Unified Sewage 0gency. The permit expires 180 days from t- date issued. The total amoint paid Will he forfeited if the prmit expires, The Agency does not guarantee the accuracy of the ode sewer laterals. If the sewer is not located at the measurement iven, the installer shall prospect 3 feet in all directions from ,e distance given. If not so locate&, tr,e installer shall purchase "Tap and Side Sewer" Permit and the Agencv will install a lateral. E_r m•.t t:e e S i R n.a t i.tr e : ( �!'�fi�/.�_c���!?�L� ___.._.__ __....__. ,,-,i_t e d lA y ( at11 far inspection — 639-4.175 City of Tigard Residential Building Permit A lication �•, / 13125 SW Hall Blvd. ��✓ Tigard, OR 97223 (503) 639-4171 Jobsite Address: 1Av0Z 540 13kt,^` �2/ Subdivision: !���� (��_ �TI_ LOt # � Ofilce_Use Only Valuation: Z O G. Planck/Rec # Corner Lot? N Permit # Ely f ys._ G'D �--� Flag Lot? Y N Reissue of Map & TL # .; .Sl G' Owner: W* Approvals Required6/0 _ Address: 7 75 1 /.Q� . — Planning_ Engineering Phone: �H) �. . -,53f' Other Contractor: o.I � � F e �Z) cl S / Itertis Required Address: Y 7 L S ,2 1, c Subcontractors C--/G C' "'`' S" Truss Details �--�--�_—_ Phone. / �� Z 5�� cl --- Other -----------__ -- Contractor's License # (attach copy of current Oregon license) Contact Name & Phone: Subcontractors: / do� "Igrchitect/Englneer: Plumbing: 0° Address: Mechanical: IJ or �� lJ/t°h'+ (attach copy of current OR Contractor's License) Phone: JOB DESCRIPTION: Applicant Signature & Phone number Received by: / — _ Date Received: �� 20 - N IWORDCOMDEVRESAPP Permit # Account Description Amount Amt. Pd. Bal. Du* h?S Bldg. Permit (BUILD) U S Uc•jc� Plumb. Permit (PLUMB) 0 Mech. Permit (MECH) V State Tax // (TAX) Bldg: 6 . .53 Plumb: Z� Mech: 3'(4 Plan Check (PLANCK) too E'iuy: Y-3 Plumb: Mech: L -Od SewEr Connection (SWUSA) c ;2,2uo Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) -- Residential TIF (TIF-R) ZV30 _— Mass Transit TIF (TIF-MT) _ 1 y l U Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERF'RMT) .- Erosion Planck/USA (ERPLAN) < < Erosion Planck/COT (EROSN) _ -• TOTALS' 7 r 51 SEE 35MM ROLL# 22 FOR LARGE DOCUM ENT