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13620 SW BEREA DRIVE I w rn N C� M x1 H f b —13620 S14 BEREA DRIVE -- CITY OF TIGARD DEVEL©PMFNT SERVICES 13125 SW Hall Blvd., 11g..,•d,OR 97223 (503)6394171 CERTIFICATE: OF OCLUPAWC Y FERMI iM. . . . . . . : MST 9t. DA'T'E ISSUED: 06/47:'9; SITE: 0)DRESS. . . : 13620 SW BEREA lift PARCEL: 251O2CC-07000 SUBD M G I ON. . . . : BEREA 1 C.itJ I NG a R--4. hL_(AI;. . . . . .. . . . . . LO) . . . . . . . . . . . . . ::ii JUR15D1t:T1O14: TIf3 ,L W.): til. WUHfI. :11Ew T yr-+- Uf- 1_4A.. . . :5F TYPE. OF CONS I-P:SN 0CLUP(_4N[;Y GRP. :R3 OCCUPPNCY LOAD: 1 Remark,. : PATII 1, Sf K'SAKE ON FLK LOT WTft I Owner c FOUR b CONSTRUCTION P 0 BOX 1577 11EAVE:RTON OR 97075 Phone #: 59O .O00 Conti'mc-tor: !'OtJP b CONST'RUCT'ION 00 BOX 1577 ,_~FAVERTON OR 970'73 0hone M: 59@--Of1O5 R►a J 0. . : V►OO'71 O i'his Cert i f irate grants a .,c-,.tpaknry (If tht' mbove refer• enc ed building or pot-tic, thereof and confirms that the building has been ingpertod for complipnr_w ryithr w I he Stmte of Oregon Specialty Codas for- the gr�nup, arc�.tpatncy, arnd �.�se i-o.* t, i which the referenced permit ways i ssueci. {IJILL�IN(3 INSPECTOR _ __.._._.. -__..__ UI I..t)1 f-O f IN CONSP I CUOUF, P1_pCE CITY OFTIGARD BUILDING INSPECTION DIVISION 24-Flour Inspection Linc: 639-4175 Business Phone: 639-4171 Date Requested: ^------ -- - A.M. P.M. MST: Location: BUR Suite:`-- F31dg: _ MEC: - --- Contractor -'--� ` Phone: J l ; `1 L` YLM: -- — Owner— •- P"�wz'l. !7 /4�E1�J --Phone: ELC: - - - ---�— -- �—=_ - -- —�— -- ELR: ev srr: �— BUILDING BLDG(con't) PLUMBING RANI ELECTRICAL SITE Site PosUAeam Post/Beam os eam Cover/Service Sewer/Storm Footing Roof tJndFVSlab Rough-in Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer I food/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found IN I lest I'wnp Low Volt _ pproved Approved C' pproved Approved Approved Appr/Sdwlk proved Not Approved o proved Not Approved Not Approved FINAL FINAL _NAI: FINAL FINAL � . r►.,«.tom �. O Call for reinspection Cl Reinspection fee of S— requited before next inspection O lhtahlc to inspect Inspector: late: 'Z_�!1 -- 1�°ge— -�—of' r� CITY OF T'IGARD BUILDING INSPECTION DIVISION �`Q� 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 `C I�" r Date Requested: q�_ A.M. P.M. 00 Location: l 3(o,�Q� _ Gt.J _ BUR Tenant: Suite: Bldg: MEC Contractor= di! kbApC} Phone: '720-70S_ PLM: Owner: _ _ Phone: ELC: W -- X—C Y /A.) - FOWJDA 7701J V )()'T— BY __F96A)7" L)0012— ELR: SIT: _ BUILDING BLDG(con't) MECHANICAL ELECTRICAL SITE Sitc PostAleam Post/Beam Post/Beam Cover/Service Scwer/Storm Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In IJG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Dismt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Fomid Di I Icat Pump Low Volt Approved prove Approved Approved Approved Appr/Sdwlk Not Approvedvcd Not Approved Not Approved Not Approved FINAL N.AL FINAL FINAL FINAL O Call for rein. tion D Reinspection fee of S required before ne t inspection O Unable to inspect Inspcc for Uatc: _ Pageof r CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 639-4171 Date Requested: �/ 1 — A M P.M. MST: / C/ location: --– (7 , l� XM) BUP: Tenant._ Suuiite:_—Bldg: _ MEC: Contractor �� – EJ �� Phone: ! Z '7 0" / 4`-/ _ PLM: Owner_ Phone: ELC: K F y 11.1 F!0UQE)A T-1C)Q VC-�_� (D 1D W''T 5A /WH 1C.H 00C-^)ELR: BUILDING BLDG(con's) PLUMBING MECHANICAL 'kLECTRICALL + SITE Site Post/Beam Post/Beam Post/Beam --Gover/smice Sewer/Storm Foorintt Roof UnW'I/SIab Rough-In Ceiling Water Line Slab Framing T'"p C"It Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drair A/C UG Slab Shcar/Sheath Fire Spklr/Alm Crawl/Found Dr Ileat Pump Approved Approved Approved A rov Approved Appr/Sdwlk Not Approved Not Approved Not Approved j"Approved Not Approved FINAL FINAL FINAL. 'FINAL FINAL Cl Call for rein i rl Reinspection fee of S_ required before nest inspection Cl Unable to inspect Inspector --- _ Dflte:_�^ Page of--- -- CITY OF TIGARD �= DEVELOPMENT SERVICES MA q'TER PIE-RMIT 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 FSE RM I T #. . . . . . . .. MGT960544 DATE' ISSLI D. 01/22,/97 PARCEL..: 2G 102CC--07000 i I TE_ ADDRESS. . . : 136.2-10 SW BE_REA DR '3UBDIVTSION. . . . : BEREA ZONING: R---4. 5 131_0CN. . . . . . . . . . I._OT.. . . . . . . ' , . :31 Remarks: PATH 1, SF RESIDENCE ON FLAG LOT PATH I ----------------------------------------------------------------- BUILDING -------------------------- REISSUE: STORIES.......: I FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-- ----------- CLASS OF WORK.:NEW HEIGHT........: 15 FIRST....: 1615 sf GARAGE..... : 420 sf LEFT..........: 10 SMOKE DETECTRS: Y IYPF OF USE...:SF FLOOR LOPP....: 40 SECOND.— 0 sv FRONT.........: 29 DARNING SPACES: 1 TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 10 OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------: 1815 sf VALUE..$: 128850 PEAR..........: 25 -------------------------------------------- -------------- PLUMBING ------------------------ ;INKS.........: 1 WATER CLOSETS.: 3 WASHING MACH., : 1 LAUNDRY TRAYS.: I RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 3 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0 IUB/SHOWERS...: 3 GARBAGE D1SP..: 1 WATER HEAIERS.: 1 WPTER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 _ ------------------------------------------------- MECHANICAL ------------------- UEL TYPES---------- FURN ( 100N ..: 1 BOIL/CMP ( 3HP: 0 VENT FANS.....: 5 CLOTHES DRYERS: 1 'GAS/ / I FURN )=100Y, ..: 0 UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 6% OUTLETS...: 1 -----------------------------------------—..__ ELECTRICAL --RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLAWDIIS---- --ADD-I- INSPECTIONS-- 'ON SF OR LESS: 1 0 - 200 amp... 0 0 400 amp.. : 0 W/5VC OR FDR.. : 0 PL!IP1IRRIGP1ION: 0 PER INSPECTION: 0 4A ADD'L 5805F. : 3 201 - 400 amp..: 0 201 - 490 amp..: 0 1st W/O SGC/FDR: 0 SIGN/OUT LIN LT: 0 PER HGUR...... : 0 IMITED ENERGY.: 0 40' 500 amp.,: 0 40' 600 amp.. : 0 EA ADDL BR CIR; 0 SIGNAL/PANEL...: 0 IN PL*T....... 0 MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0 1 W amp/volt.: 0 _-------------------------.-------- PLAN REVIEW SECTION ----------------------------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: ----------------------------------------------- -- ELECTRICAL - RESTRICTED ENERGY -------------------------------------------------- ----- - A. SF RESIDENTIAL--------------------------- B. COMMERCIAL------------------------------------------------------------------------ AUDIO d STEREO. : VADJUM SYSTEM..: AUDIO 9 STEREO.: FIRF ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: :: X BOILER......... : HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIK IARAGE OPENER..; CLOCK..........: INSTRUMENTATION: MEDICAL......... OT!R: HVPC...........: DATA/TELE COMM.: NURSE CALLS.... : TOTAL 0 SYSTEMS: 0 Owner: ----- ---- -- --Contractor: --------------- - - TOTAL FEES:$ 4557.92 FOUR 0 CONSTRUE71ON FOUR D CONSTRUCTION FO BOX 1577 PO BCX 1577 BEAVERTON OR 97075 BEAVERTON OR 97075 -hone N: 590-0805 Phone a: 590-060' Reg 6..: 71037 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work :s not started within IN days of issuance, or if work is suspended for more than 180 days. -- - - - _..-.._-- REOUIRED INSPECTIONS ------------------------------------------------------- -- Erosion Contol Crawl Drain Electrical Rough Gas Line Insp Water Line Insp Plumb Final Footing Insp PLM/Underfloor F-•aming Insp Gas Fireplace Water Service In Building Final roundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdw'k Insp Post/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final PastlBeam Mechan Electrical Servi a ce ,O , , Rain drain Insp Mechanical cin - { eI-mittee Si.gnatr_:re : -_ TSSr_red By : Call for inspection 639--4175 CITY O TIGARD SEWER CONNECTION DEVELOPMENT SERVICES PERMIT PERMIT #. . . . . . . : SWR96-0555 13125 SW Hall Blvd., TlgRrd,OR 97223 (503)639.4171 DATE ISSUED: 01 /2i::'/97 PARCEL. cS 102CC-07000 ITE t�DDRESS. . . : 13620 SW BEwRFA DR )UHD I V I S I ON. . . . : BEREA 1I NG: P-4. 5 BLOCK. . . . . . . . . . . L FjT. . . . . . . . . . . . ::.i TENANT NAME. . . . . : lSA NO. . . . . . , . . . : FIXTURE UNITS. 0 11.-ASS OF WORK. . . :NEW DWELLING UNITS. . 1 "YPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 I NSTALL. TYPE'., . . . :ESI I Wf? 1 h91DERV ;,URFACF: 0 s f Pemar�ks : PATH 1, SF RESIDENCE ON F"LAG LOT PATH I Iwnei.,. -- -._.__ _._-. _ .... _ rF FEES 1' OUR D CONSTRUCTIOhl type arnoLint by date recpt 0 BOX 1.577 PRMT $ 11200. 00 JSD 01/22/97 97-- 69E5( INSP $ 35. 00 JSD 01 /22/97 97--c:8925i IIEAVFPT0N OR 9 707` r Ih o n e #: 590-08CA5 1ontrantor: -_.-..___.___- - -- .--...__..._..__..... _....__...____....._.__ _. ''ONTRACTOR NOT ON FILE Phone #: $ 2235. 00 TOTAL Reg #. . : ------ REOUIRED INSPECTIONS ---- -_._. Thi; Applicant agrees to comply with all the rules and regulations Sewer- Iilspect ion of the Unified Sewage Agency, The permit expires IN days free the date issued. The total amount paid will be forfeited if the permit expires. The Agency does riot guarantee the accuracy of the side sawer laterals. If the sewer is not located at the meaiureeent - — -- - W- yiven, the installer shall prospect 3 feet in all directions from �— 'fie distance give, If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agel wi /i stall a lateral,�4 Ilermittee 41i�gn er� -� Issued` -=, Cal I for inspect i.an - 6,39-4 175 L Plan Check# rY OF TIGARD Residential Building Permit Application Recd Byf ;125 SW HALL BLVD. New Construction Additions or Alterations Date Recd GARD, OR 97223 Single Family Detached or Attached Date to P E. ! -J( �)+� 03) 639-4171 Date to DST_ Permit#�S 5 t/L/ Print or Type Called %' Incomplete or illegible application% will not be accepted Name of Subdivision Lot M r' Architect Name Job Mading Address Address Site Address me S , } W, 10 `40 N W _ u.J City/State Zip Phone Naomic - —-- e'e wc= - <,N 9 o 6 G t S l y Name Owner Mading Address rl M G v VGR T t .0' `-a-2 Mallin•Address cityistate Zip Phone Engineer City/State Zip I Phone Name 1 LI>NV `{7269 2,Zoy 7 L General R-u ttbrJ Describe work new X addition O alteration O repair O .ontractor Mailing Address to be done ), V aGx I5-;i Additional Description of Work: City/State Zip Phone �, i N(>L E 17 p M t�-y R�S I 01-s;'U L C v roN QK 97015 S9c-0$c)5 Oregon Const.Cont. Board Lic# E;,p.Date _ ttach copy of 3 _ I -I - 9.� Project Current COT Business Tax or Metro# Ex Date Exp. _ Valuation _ Licenses -' >> �`' ' Name NEW_CONSTRUCTIO ONLY: e___ I Sq.Ft. House: Sq.Ft.Garage:- Mechanical `�C=G li��-1 I �C-3:4'v M L I > c Sub- Mailing Address .ontractor s 5.u-> . T 1c�17Rn St- Corner Lot Yes No Flag Lot Ye�S No city/State Zip Phone (check one) (check one) - i u ng-j aft. 9 Z-L-S COL O-S 6y 3 Restricted Audio/Stereo Burglar Oregon Const Cont.Board Lic.# Exp. Date E11ergy System Alarm 4ttach Copy of (o 6!9 7 X S- L t-9 Current COT Business Tax or Metro# Exp. ate Installation ha F6 Opener Systems nnnr HVAC Licensest{i Open Name (check all that Other Plumbing LU.MejA _ apply) Sub- Mailing Address Will the electrical subcontractor wire for all Yes No gt restricted energy installations? J _ Contractor l 5`j Z S. E. S Ave Has the Subdivision Plat recorded? N/A Yes No City/State Zip Phone -- ' 1LCS4dr-0 M c1-2)Z3 C-,Vo Z311 _ r. Oregon Const.Cont.Board Lic.# Exp.Date Reissue of MST# Solar Compliance Attach Copy of 19 q o 7 --L_9__7 I (Calculation Attached) Current Plumbin Lic.# Exp.Date I hereby acknowledge that I have read this application,that the Licenses 3 f3 �, _3b _ information given is correct, that I am the owner or authorized agent of COT Business Tax or Metro# Exp Date the owner, and that plans submitted are in compliance with Oregon GDoO LC>I t l - State laws Name Sign fufA o w ril �� Date Electrical A' 6e _ �(. lC_ Contact Pvton Name phone Sub- Mailing Address 'VAy'ID +�f�ppoytr S 0-0 0 Contractor S 7.5 7 S 7-k FOR OFFICE USE ONLY: _ Citylst to Zip Phone Plat# Map/T!-# Oregon Const.Coat. Board Lic# Exp Date Attach Copy of 3 L 1_ q ) Setbacks �ra Zone: Solar Current Electrical Lic.# Exp. Date r Licenses 391 -23 (- 10-10 -4 COT Business Tvx or Metro# Exp. Date Engineering Approval: Planning Approval TIF 12- 1_ k,. sts"stapp doc r �` i Permit# Account Descriptip❑ Amount AmLPIL aa1• Due � MST. Permit (BUILv) Plumb. Permit (PLUMB) Z f, `� Z 25 -L Mech. Permit (MECH) �. ELC/ELR Permit (ELPRMT) State Tax (TAX) -- Bldg. 2 Z Plumb: Mech: ELC/ELR: Plan Check MST: (BUPPLN) 3Z�, $8 _ ` )�`t? 79 sB Plumb: (PLMPLN) Mech: (MECPLN) CDC Review (LANDUS) .e)V,, ' Sewer Connection (SWUSA) ?Zaa 2.200 _ i Sewer Inspection (SWINSP) ;S 3S Parks Dev Charge (PKSDC) �O So,`' �i /o S Q. Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Water Quality (WQUAL) Water Quantity (WQUAIJT) N AD Erosion Control Permit (ERPRMT) 4;4, G4, Erosion Planck/USA (ERPLAN) Z 0, Erosion Planck/COT (EROSN) Fire Life Safety (FLS) TOTALS: IMsWmstapp doc Rev 7196 Solar Balance Point Standard Worksheet Address Box A calculations: North-South dimension fo. `he lot. Box A: This dimension is determined by finding the midpoint of the North lot line and drawing an intersecting line perpendicular to that point. First, determine which property line is the North lot line. The North lot line is the line with the smallest angle from a line drawn east-west and intersecting the northern most point of the lot. 45°—► 1 � \ �+ t R LOT UFA N North-South Dimension for Lot: Measure the distance from the midpoint of the North lot line to the South lot line along the described line. feet t N NGAM-S001H D#AFNPON \ Rox B calculations: Shade point height for your residence. Box B: I Determine whether measurements will be based on the peak or eave of your Which describes structure. The orientation of the ridge is also important. your residence? 1 a: If the roof line runs North-South, measurements will (circle one) Vll be based on the peak of the roof. ELI ri C1_UT 1A 1R IG 1 b: If the roof line runs East-West and the roof pitch is less than 5/12, measurements will be based on the eave. 5 1 z 1c: If the roof line runs East-West and the roof pitch is 5/12 or steeper, mean rements will be based on the peak. Box B. continued Box B: _1 �. Measure change in elevation from front property line to finished floor elevation. If the lot slopes up from the front lot line to the foundation, the figure is positive. If the lot slopes down from the front lot line to the foundation, the figure is negative. 2"' ft 3. Measure distance from finished Floor elevation to the affected peak/eave. + ft 4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, ft deduct nothing. i. Subtract one foot for each foot of difference in elevation from the front property line to the rear property line, if the lot slopes up from the front to the rear. If the lot has no slope or slopes up from the rear to the front, deduct nothing. (t � . Total figure for box B: ft Box C. Distance to the shade reduction line. Box C: 1. Measure the distance from the North property line to the foundation near the It affected peak/eave. 2. Measure the distance from the foundation to the affected peak or eave. (l rt 3. Total figure for box C: It is most useful to draw a vertical line to represent the appropriate figure found in box"A"and a horizontal line to represent the appropriate figure found in box"C".The intersection of the vertical and horizontal lines determines the value found in box "D".The value in box"D"should be compared to the value in box"B"; if the value in box "B"is less than or equal to the value found in box "D", then the building is in compliance with the solar balance code. If you have any qi.iestions,please contact us at 639-4171,x304 or at the Community Development Counter MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet) Distance to North-south lot dimension(in feet) shade 100+ 95 90 85 809875 70 65 60 55 50 45 40 reduction line from northern lot line(in feet) 70 40 40 40 41 42 43 44 65 38 38 38 39 40 41 42 43 60 36 36 36 37 38 39 40 41 42 55 34 34 34 35 36 37 38 39 40 41 0 32 32 32 33 34 35 .36 37 38 39 40 45 30 30 30 31 32 33 34 35 36 37 38 39 40 28 28 28 29 30 31 32 33 34 35 36 37 38 35 26 26 26 27 28 29 30 31 32 33 34 35 36 2 24 24 24 25 26*17 28 29 30 31 32 33 34 y� 22 22 12 23 24 25 26 27 28 29 30 31 32 20 20 20 20 21 22 23 24 25 26 27 28 29 30 15 18 18 18 19 20 21 22 23 24 25 26 27 28 10 16 16 16 17 18 19 20 21 22 23 24 25 26 5 14 14 14 15 16 17 18 19 20 21 22 23 24 Box 1). 'laximum allowed shade point height: �.(n feet h �dxs\nancy\venturAsolar.chp Revised 2/26/96 FOUR D CONSTRUCTION CO -------— ■ r -• EI?! ;,. ,il<t:JN, 97075 ■ PHONE (503)641-0935 12 10� 3i �-e fir 4 N 5141,1)/✓IS1akv a c h� 0C A4 �.. /—T ier F.,„coy _--- 04 Lk c,Ni y. Up � I 6 ---- _ - ---�► = --__�_____—-�6 6 CITY O'- i IGARD 13125 S.W. HALL BLVD. TIGARD, jR 97223 IMPORT/` 41- PEF+',AIT P,0TICE 3 & d 0LUMBING PO BOY 1369 x 'T.LSBORC OR 97123-1269 Plumbing Signature Form Permit # . • • • : MST96-0544 Date Issued. : 01/22/97 Parcel . . . . . . : 2S102CC-07000 Site Address : 13620 SW BEREA DR Subdivision. : BEREA Bloc!= . . . . . . . . i. t . 31 Zoning. . . . . . . R-4 . 5 Remarks : PATH 1, SF RESIDENCE ON FLAG LOT PATH I Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections Will he -1th^ri/ed 11-til this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: PLUMBING CONTRACTOR: FOUR D CON-TRUCTION G & B PLUMBING P O BOX 1577 PO BOX 1269 BEAVERTON OR 97075 HILLSBORO OR 97123 -1269 Phone ff : 590-0805 Phone # : 648-5770 BUS Reg # • 019907 X-4 e_k- '/,P 7- 7 Signature of Authorized Plumber Please return this completed form to the address above. ATTN: Building Dept. If you have any que:+ions, please call 639-4171 , ext. #310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE ROBERTS ELECTRIC INC 5759 SW 48TH PORTLAND OR 97213 Electrical Signature Form Permit # . . . . : MST96-0544 Date Issued. : 01/22/97 Parcel . . . . . . : 2S102CC-07000 Site Address : 13620 SW BEREA DR Subdivision . : BEREA Block. . . . . . . : 1,Ol • 31. Zoning . . . . . . : R-4 . 5 Remarks : PATH 1, SF RESIDENCE ON FLAG LOT PATH I Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the �;upervising electrician is required. Please have the appropriate individual from your compa,y sign below and return this Electrical Signature Form prior to the start of work. No electrical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM v11J 1-;1? : ELECTR T CAL, CONTRACTOR: FOUR D CONSTRUCTION ROBERTS ELECTRIC INC P O BOX 1577 5759 SW 48TH BEAVERTON OR 970'15 PORTLAND OR 97213 Phone # : 590-0805 I'hcrie # : F-244-0560 Reg # . . : 000093 Y Signature o pervising Electrician Please return this completed form to the address above. A TN: Building Dept. If you have any questions, please call 639-4171 , ext. #310 PLUMBING PERMIT ITY OF I IGARD PERMIT #. . . . . . . C,CIMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/2.9/96 13125 SW Hall Blvd.Tigard,Oregon 97223e8199 (503)639-4171 PARCEL: 2S102CC-121711100 f3IIE ADDRESS. . . : 13662'121 SW BEREA DR SUBDIVISION. . . . : BEREA ZONING- R-4. 5 BLOCK. . . . . . . . . . . 1-01.. . . . . . . . . . . . . . .31 CLASS OF WORK. . :NEW GARBAGE DISPOSALS. : IZI MOBILE HOME SPACES. : 17) TYPE OF USE. . . . :10 P WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . o OCCUPANCY GRP'. . :R3 FLOOR DRAINS. . . . . . : VI TRAPS. . . . . . . . . . . . . . 0 G)TO R I E S. . . . . . . . : 0 WATER HEATERS. . . . . : 1z'l CATCH BASINS. . . . . . . 0 LAUNDRY TRAYS. . . . . : 0 SF PAIN DRAINS. . . . . ID S I NKS. . . . . . . . . . .. 0 URINALS. . . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0 LAVATORIES. . 0 OTHER FIXTURES. . . . : VI r*ULA/SHOWERS. . . . 0 SEWER LINE (ft ) . . . : 100 WATER CLOSETS. . : 0 WATER LINE (ft ) . . , : 111 DISHWAFHERS. . . . : 0 PAIN DRAIN (ft ) . . . 0 Remarks : Installing I001 Q f sewer line Uwnet,: FEES HARRIS-MCMONAGLE type amootnt by date r-ecpt 12555 SW HALL BLVD PRMT $ 30. 00 CJS 07/29/96 96-282171 SPCT $ 1. 50 CJS 07/29/96 96-282171 TlCARD OR 97223 Phone #: 639-3453 i"orltt-actor: MODERN PLUMBING SW INDUSTRIAL WAY TUALATIN OR 97062 -------------------------- t11-ione #- 691-6166 31. 50 TOTAL Req #. . : 87906 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Sewer Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws, All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than I& days. 1:1 e i,m i t t o e S i q n a t 1.1 r,e Issi.ted Bye Call fot- inspection 639-4175 City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hall Blvd. Permit # �2p-4262 Tigard, OR 97223 rim (503) 639-4171 -4k ;,Y,{, (0 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE ",-°'°i""°Om'"' _ New Single Family Residences Only Ad's— ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE $195.00 Job ❑ 3 BATH ROUSE$225.00 Address Giwa." o Fee tricludes all plumbing fixtures in, the dwelling and the first 100 feet �.' r' of water service, sanitary sewer and storm sewer. See fees below. FIXTURES QTY PRICE AMT Sink ` 9.00 M•"0 Adaw °1oni Lavatory 9.00 Owner 2� � .�.ti�/, f.� J Tub or Tub/Shower Comb. 9.00 Shower Only - 9.00 Water Closet 9.00 Wm.la n.n"al 7u.eNa Dishwasher 9.00 Occupant f Garbage Disposal 9.00 Ph— Washing Machine 900 Floor Drain 900 ""�"'• a" Water Heater 9.00 yv Laundry Room Tray 9.00 Urinal 9.00 ' Other Fixtures (Specify) 9.00 ".*v Ada— anent 9.00 Contractor 9.00 `1 t_tt c.as�a. ao 9.00 Sewer 1st 100' 3000 Sewer -ea. Addit. 100' 25.00 Water Service 1st 100' 30.00 I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25 00 information given is correct, that I am the owner or authorized ageni of the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30,00 1 am registered with the Construction Contractor's Board, that the Sanrm g Rain Drain Addit. 100' 2500 number given is corrict (If exempt from State registration, please give reason belo .) Mobile Home `pace 2500 !, Back Flow Prevention Device or Anti-Pei!ution Device 9.00 'P" """ "0'"" i °•" Any Trap or Waste Not Connected to a FiXtVre 900 Describe work neyl,: ' addition U alteration (� repair C) Catch Basin 9.00 to be done resident al nor-residential Q - Insp. of Exist. Plumbing 40.00/hr Specially Requested Inspections 40.00/hr Existing use of building or property /�/ Rain Drain, single family dwelling 30.00 Residential backflow prevention devices 1500 Proposed use of —'- building or property '(Except resldential backflow prevention devices) NOTICE 'Minimum Fee 525.00 SUBTOTAL PERMITS BECOME VOID 1F WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 5% SURCHARGE -0 CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED PLAN REVIEW 25% OF SUBTOTAL TOTAL Scecial Conditions Date Issued ,� by I