13679 SW BLUE GUM COURT ADDRESS:
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is\records\microflm\targets\building doc
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CITY OF TIGARD BUILDING INSPECTION NOTA'
Inspection Line (Rec-O-Phone): 639-4175 Business Phbne: 639-4171
Inspection:
Foot nr Susp. Ceilin Spnnk. hough-in Appr/Sdwlk
Foundation Plbg. Underslab Moch. Rough-in Fireplace
Post/Beam ;truct. Plbg. lop Out Eloc. (lough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm Water Lino Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Rwc uested: Time: AM __PM
Addrmss:. 2&1 1 66
Builder: —Y -`-�
--Permit M: L��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Z
clor, -- Date:_
PPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
i
PLUMBING PERMIT
. 4401 0C TIGARD PERMDATEIISSUE!): . J_
) 1 '07/9503,3f
,'OMMUNITY DEVELVPi 4Et,T DEPARTMENT PAF2CE1_.: �?S 104CD-005Vc0
1312E RW Hall Blvd,TIGa►d.O►.�ppon m7223•aipm `603)634.4171
SITE ADDi•FSS. . . . 1,77" 1 SW BLLT CUM (--I"
SUBDIVISION. . . . : HILLSHIRE: ESTATES ZONINre R—:' PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :005
-------------------------------------
CLASS OF WORK. . :NEW G4RBAGE DISPOSALS. : 0 MOBILE 1•40ME SPACES. e 0
HYPE OF USE. . . . :SF WASHINS MACH. . . . . . s ¢. BACk,:_4,W PREWNTRS. . a I
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . a Qs 'TRAPS. . . . . . . . . . . . . . s 0
STORIES. . . . . . . . s 0 WATER HEATERS. . . . . : 0 CATCH BASING. . . . . . . e 0
FIXTURES--- -------------- LAUNDRY TRAYS. . . . . : la GF RAIN DRAINS. . . . . s 0
SINKS. . . . . . . . . . : 0 URINALS. . . . . . . . . . . s 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . e 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0
WATCR CLOSETS. . : 0 WATER LINE (ft) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0
Remarks: Install residential backflow prevention device.
Owners ---_.____.--______________.__._._.__.__----.____.__------- — r-=S
TIM MCFALL type amol.tnt by date recpt
13679 SW BL.UEGUM CT PRMT t 15. 00 JSD 1 : /0'7/95 95-272617
3PCT $ 0. 75 .J D ll/Z7/°5 95 27261 i
1I0ARD OR 97224
Phone Me 390-3718
fContractors
MODERN PLUMBING
ille0 8W INDUSTRIAL WAY
TUALATIN OR 97062
Phone Ms 691-6166 $ 115. 75 TOTAL
Rep #. . s 879106
I7EUUIRED IIVSPECTiONS -------
This permit is issued subject to the regulations cratainsd in the RP/Beer_kflow ;=
- City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
'13'123 SW Mall Blvd. Permit
Tigard, OR 97223
(503) 639-4171
MINIMUM $15.00 PERMIT FEE +ST. SURCHARGE
Now Shwa@ Fa
RosldAncos Only,
1° Q 1 6ATH HOUSE$140.00 0 2 BATH HOUSE 5195.00
Job )"ll 47 y S,;1/ ""81 w e ❑ 3 BATH HOUSE 3225.00
Address aM'`''� ne Foe Indudos all plumbing Poaturas In the dwolllr� and the first 100 feet
`t-f o mac/ (�� . Z- y of water service, sanitary i awvor and storm stmer. See fees below. 1
w.�s(. .1 NU-) - FIXTURES QTY PRICE AMT
Sink r 9.00
me""� - _--,t ""^' Lavatory_ _ 9.00
Owner ` / 5 90 3)� Tub or Tub/Showar Comb.
74 S r.� /,3 t� �t.�a, ��_ � _.� a.00
mora a, Shower"nly ;.00
7; 7- YWater Clow, ~_ 9.00
Dhhwsisher _ 9.00
Occupant ►` "L oarbe;le olspnsal 9.00
Wdshing Machine 9.00
Floor Drain .._.. 9.00
Water IHeater _ 9.00
Laundry Room Tray " 9.00
�pp�� 1 Urinal -8.010 -
mc'cl&'v-►"1 -PLAWP id 1vt 9 Other Fbctures (Specify) 9.00
Us**Arrow �»+ _ 9.00
Contractor
t-` Sewer tat 100' ^ 30:00
ON"wrwn.r ra aH s,..rn,wSewer -as. Addlt. 100' 2!4.00
y--2S'o Water Service let 100' 30.00
I herejy acknowledge that I have road this application, that the Water 3efvies ea. AWN. 200' 25.00
information given Is correct, that I am the owner or authorized agent or -the owner, that plans submitted are In compliance with State laws, that Storm fir Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addfl. 100' 28.00
number given Is correct (it exempt from Slate registrallon, Please _.
give reason below.) %,bile Home Space 25.00
Boat Fknv Prevention
Device or Anti-Po9ution_Dev!.a _- 9.00
Any Trap or Wastc Not - -
`� Connected to a Fixture 9.00
Describe work new Mr addition C-) a-tvation -repair Q Catch Basin M 9.00
to be done residential 0) non-rosidentlrl [`) Insp. of Exist. Plumbing -40.00/hr
-~� Speclativ Requested Inspectlony 40.00/hr
Existing use of
Rain Dniln, single family dwelling 30.00
building or Property _ _ -
RegIdenrlel backflow prevention
dev:rUs � 15.00
Proposed use of s "
building or property _
"- � -- - - *(Except rtaaldonNal backflow
provenHon deWces)
NOTICE *Minimum Foe $38.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CC NSTRUCTION r
AUTHORIZED IS NOT COMMENCFE)WrrH'N 180 DAYS,OR IF 15%SURCHARGE r��
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED - ------ ------FOR A PEPrt7D OF 180 DAYS AT ANY TIME! AFTER 'rVORK IS
COMMENCED. PL.AA REVIEW',"P6 OF SUBTOTAL
TOTAL
Special CondUkia
- Date Is+aed _-. ",� by
II
I Y OF I I LVARDF.Utt3i NO.
APT 0I.- P0YM1;-,N1 R
c'm.,cm WOUNI
NAME LYNN Hf4f4.,;l 1,J4NO(.A,',14P1NC.i UOSH AMOIANT
141.'?Ti f04 1 !'IM Pf,4VOIC"M 1)(411-
i3ij iA I) V.f 1-i I(IN
I't.)Fti}i7fh CIF Ptlymt.1,41 qMCION 1 14-111
lit I 11. 1)
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'CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone)- 639.4115 Business Phone: 639-4111
Inspection: _ �A SA '
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Pust/Beam Struct. Plbg. T op Out Elec. Rough-in
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Frami -Plumb.
Alarm Water Line Insulation -Mech.,r
Unclerflr Insul. Shear Wall Gyp. Bd. Elect,
Date; Requested:_ )- to -'�� Tim 3: AM _ M
Address 'il �Ak ` l-"A Yj`�....�• y.,.�,,e„r ------
Builder: —Permit #:q �
THE FOLLOWING CORRECTIONS ARE PEQUir"v,
Inspector: _ Date:rV �1
„�PPROVED rDISAPPROVED _APPROVED SUBJECT TO ABOVE
*Nu
_ Cell For keinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE C__111
Inspection Line (Rec-O-Phon,i): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Susp, Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Undurslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL•
Pcst/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Undertloor Rain Drain Framing lumb.,1)
Alarm Water Line Insulation -Mach.
Undortlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �1;�f S Time0 AM PM
Address:1l�-7y`—'�_ n`
Builder. " S Permit 0: Q
THE FOLLOWING CORRECTiONS ARE REQUIRED:
1Y).5T �f —D 1 c•
ZAPPROVED
actor: �� Date: o DISAPPROVED APPROVED SUBJECT TO A OVE
,_Call For Reinsp.
TGARD BUILDING
NOTICE
Inspection Li e0(R c!O-Ioe): 6339-4175SPECTIOBusnesss Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbq. Underslab Mech. Rough in Fireple:e
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line
-Bldg.
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm Water Line Insulation
-Mech.
Underflr. Insul. Shear Wall
/ Gyp. Bd. -Elect.
Date Requested:_ Z
.5 Time: AM PM
Address:
Hiailder. U
Permit #:
THE FOLLOWING CORP,ECTIONS ARE REQUIRED:
c'
Inspector. —
Date:
_APPROVED ,DISAPPROVED __APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
CITY OF TiGAFtD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Undersi; b Mach. Rough-in Fireplace
Post/Beam Struct. Plbg, Tap Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewor Gas Line -Bldg.
Plbq, Underfloor Rain Drain Framing Plumb.
Alarm Water Line Insulation -Mach.
(Jnderflr. Insui. Shaar Wall Gyp. Bd.
c"
Date Requested: r U C+ Time: AM PM
Addreslls: 3� �7L�,�
Builder:- -_1) y(a Permit #0151 v;1 C.)
THE FOLLOWING CORRECTIONS ARE REOUIREDO� � -41
Inspector:
,,XAPPROVED _DISAPPROVED _APPROVED SUB IECT TO ABOVE
_Call For Reinsp.
IKS46CTION NOTICE
City of Tigard Building Departwaot
1312S Bw Mill Blvd. Tigard, Oregon 97223
Inspection Lime (Roc-o--Phone)t 639-4175 Business Phones 639-4171
Inspections__
Footing Plbq. Underslab Mach. Rough-in Appr/edwlk
round. Plbq. Top Out Ohs Lino IINALt
Post/Beam 9trtict.. San. Sever Framing -Bldg.
Post/Beam Mach. Ral.n Dralr, Insulation -Plumb.
Plbq. Underrloor Nater Line gyp. /d. -Noah.
Date Requestodt 1-2.F rTilset All r PN
Addre.Ae 1_l. l G' /7 / J - 'Y)'1 'j+ee�lt Is (-
Rulldcrr
TtM /OLIxYAxmU mRRECfIONB AAE PJWIPaDt
e _ le, ka aeejet7ocr-06 _
k
C /� �� y�
Inspeators Oatat (J A
__^APPROVED —_ DISAPPROVED APPROM BUBJECT TO
-----Call For Reinsp. _�`----------�'�
i
I�J3PEGR'ION .�/U�' Iii �
city or Tigard Ruildln9 Dapsrtasnt
13125 811 Nei3.1 Blvd. Tigard, Oregon 97223
Inspection Lino (Roc-O-f?hona)t 639-4175 Business Phone, 639-4173
Inopectl.one
Footing Plbg. Underslab Mech. Rough-in A r ilk
Found. Plbq. Top Out fisc Line FINALS
Post/Ream 3truct• San. Bower Framing -Bldg.
Post/Roam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underrloor Mater Line Uyp. Rd. _#loch.
Date Requeste/d t` "t} fj _Tills#
AdJresst,j
euildert2
THE rOLLOWINO CORNMIONS An MWIRNDt
T�1
fv10
AT
e9 8'
Inepectort / t f / / Data$
_APPROVED MAP
'I -�..�-Af�DVfD 1i11WDC! !b 1ibr�
7 as 11 For Rainsp.
---------- --,—...__.___.__.
IMEEESTIM NOTICE
City of TigarO Building Department
13125 SR Rall Bled. Tigard, Oregon 97223
inspection Lina (Rec--0-Phones 0.9-,175 Business Phonet 639-4171
rnepectlont_ --
rooting 1-11>9. Underulab Mach. Rough-in Appr/Sdwlk
FaunA 11113g. Top Out au Line FINAL:
,oar/Ceau Struc.t Sar. Sewer Framing -Bldg.
Post/Ream Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Wet-or Li • `tet.:.✓ -Koch.
Data R•qusetadt �—( Timet AM PM
Addr.•es /l �. Permit Is
Builder: R6 S_
i.. ----
TRE rMADWINO CORP-ECTIONS ARK RRQUII?6Di
_�_ ,�:. i•,rrrr�� fir;�.� �� nL
J O 1/.s r-
is c c. a--I
Inspector$ / Dates z ,0/
APPRm✓Kn _ nTm,nnovirD APPRovED KUBIEc--r To ABt1VE J"
—Cell For Reinep.
INePEq�ION Nc 1, 1�
Citi of Tigard RIu11Ai.ng Department \�J
13125 SW Ball Blvd. Tigard, Oregoc 97223
Inspection Line (Rae-O-Phone)t 639-4175 Business Phone 639-4111.
Inspect tons
Footing Plbg. Underslab Mach. Rough.-In Appr/Sdwlk
Found. Plbg. Top Out pas Lina r1NALo
Poet/Beam Struct. San. Sewer �T'rasinq ��° �/ -Bldg.
Pont/Beam Much. Naln Drain IflsYlallo�w Vim'" _Plumb.
Plbg. Underfloor. Nater Line 0". 8d. -Mach.
Data Requestudi _ � A4
Times AM __N
Address s "I \IA Q�j V k,-" Perm1 ice` C)�
Builders
THE FOLLOWING QORRxcT1oN4 ARE R)RQUIR6Di
4� c c
Inspectors Dale
"PTAMD DIn11PPROVEn �PPROVtD BUN`" 1b ADM
k 1 Call For Rslnep.
INSPECTION NOTICE
City of Tigard Building Deportsent�
1312S 811 Ball Blvd. Tigard, Oregon 9"223
Inspection Line (Roc-4-Phone)t 639-4175 Business Phones 639-4171
Inspection,
tooting Plbg. C,derslab Hoch. Rough-in Appr/Sdwlk
round. Plbg. Top out Gas Line / FINALt
post/Roam strum. San. Bower Framing -Bldg.
Post/Beam Piech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line GYP• Bd. -Meeh.
Date Requestodt_ �1` 2 ri 4 Timet API pN
Address`�� � �1 �� l 'A 6\,'� 54, U Z 1 �j
Petit I t
Bu!ldert _ �j 9
THE FOLLOWING CORRECTIONn ARE REQUIRED,
- _\-A1 al S ty UT
U es AJ-
/ � � � �'� LAA U0
Inspectors___
—,_ Dates
APPROVED _-.—XISAPPROURD � APPROVRn SUBJECT To ABOVE
K" _"C/a/11 For Rainap.
INSPECTION NOTICE �,,,�,/�
City of Tigard lullding DepartAwnt
13125 Sw Ball Blvd. Tigard, Oregon 97223
IGapectton Line (Rec-O-Phone)z 639,4175 Buelnwee Phones 639-4171
Inspect ion s_�— ) L.t
Foot ing pl Undenlab
b7 M h. Rough-in Appr/Sdwlk
Pound. Plby. Top Out One Line lINALt
Post/Swam Btruct. Ban. Sewer Framing --Bldg.
Post./Beam Mnch. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater Line gyp. ad. -Mech.
Date Repuasteds— I 1'imei AM
PM
Address
Permit #j_r y
Builders
THE FOLLOWING cORR/cTIONB APA REQUIREDi
Inspector
— Dates --
APPROVED -- DISAPPROVED --- APPROVED BUHJR, TO
ASOVR
_.Call For Reinap,
INSPECTION NOTICE
City of Tigard Building DepsrtsseoI
13125 81/ VAII Blvd. Tigard, Oregon 97223
Inapection L'ne (Rec-O-Phone): 6:19-4175 Business Phone, 639-4171
Inspoctio a
Footing Plbg. Underelab Nisch. Rough-in Appr/Sdwik
�T- J�Z_
Pound. Oas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation _plump.
Plbg. Underfloor Nater Lino Gyp. Rd. _Koch.
Date Requesteds_'0 Ti,,e:
—AM PM
Address, . Permit 1: �_� Q
Builder,
THE FOLIAmrm CORRECTIONS ARR REQUIRED:
Inapectors Date - 1
,_APPROVED - DISAPPRDVED APPROVRn SURJeCP TU ABOVE
___ __Call For Relnep.
I NSPECf IOj�_O�j_�
citT of Tigard Building DaprrtmmMr
13125 BM Ball Blvd. Tigard, Oregon 97223
Inspection LJ.no (Rec-O-Phone) 639-4175 Business Phonal 639-4171 ,
Inspection,
Footing Plbg. Undorslab h. Rough-in Appr/Bdwlk
round. Plbg. To rut
P �j- �Gas LineINALi
Post/Beam Struct. San. Sewrrr / Fr 9 �Bld
Post/Beam Hoch. Rain Drain `Insulation.
-.Plush.
Plbg. Underfloor Nater Line Gyp. Bd. -Noah.
Date Requestals /
j7 T AM PM
Addresat
Ru i lder s
THE FOLLOWING cpRRECI'IONS ARE REQUIRED, VC
r
JTLL VIA.
v. L)
InspectorsDates 0 ---91
APPROVED DISAPPROVED �- APPROVED SUBJECT To ABOVE
`` V Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13155 SM Ball Blvd. Tigard, Oregon 97223 `
Inspection Line (Rec o-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Pibg. Underslab Hoch. Rough-in Appr/Sdwlk
found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd -Hoch.
Dates Requested:_ Tias: AH PH
Address: Perms` t: 2 0
Builder:
1
THE POLLUNING CORRECTIONS ARB REQUIRED: P C� OA
`- �� •-i
Inspector:_,__ _ Date:�U z-7
APPROVED f✓DJSAPPROVED APPROVED SUBJECT TO ARUVE
�) n
—Cell For �inep.
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415
OREGON n,cxxxxxxx—Page" i"of 1
Date 10/13194
Time 10- 03
I'eiIII it 'Type: Residential Electrical Permit Permit # :1505944 /
Permit Status APPROVED Applied 10/13/194
bitus Address 136 /j aW 81AJE; GUM CT T.1 Issued 10/1.1/94
pezmit•, Title S''R - NEW HOME: SERVICE Completed
Permit Deser . To Expire : 04/11/95
vro ject 'Title SFR - NEW HOME; SERVICE; Project 0 [10044570
t-t o ject DesCr,. * E R0!31UN
11,:tr.cel Number 251TI - Land Use District
Valuation U
L,.ey,►1 Uescr ,,
wrier s INSPECTION - TIGARD Construction. OT'H
Applicant Name ABILITY ELECTRIC INC Classification 900
Ikpplic:r�nt Addr . : PU FTX 869 occupancy `. : . R
BE:AVERTON UK 97075 Validated by MJF
ANpii.cant Pl,.onet 641-463.2 Inspector Area t
CuNTRACTUR s ABILITY ELECT. Li.('. C 34-71C 641 -46 32
Fee description Units Pee/Unit Ext fee Data 1
Squa `" :viot,. je [Enter Sq. Ft . ] 2500 ltt`a , UU
:subtotal Electrical fees : 185 , 00
:state Surcharge of Sys 9 . 25
�- Total E:ler;trical Fees: 194 . 25
* +►* Fees Required *+r>t *k* Fees Collected & Credits t*�
Method Check # Receipt No, Date Payment:
LK 10475 IU/1.3/94 194 . 25
TOTAL THIS DA'Z'E; 144 . 25
Fees : 194. 25
Ad jt.istmenttj : . 0 Total credits ., . 00
Total. Fees - 1.94 . L5 'Dotal Payments : 194 . 25
Balance Due : oU
NOTICE: This permit becomes mill and v-)Id If the work or combustion for which It Is Issued Is not commenced within 160 days. Once construction has started,
the perm;t becomes null and void If construction Is Interrupted fa a period of 160 days. 1 certify that the Information presented by the applicant and
his agent or agents In support of this permit Is true and correct to the hest of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleadln@ Information may Invallosta this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be compiler vlth whether or not specified on the plana or noted on the plans correction sheets. I acknowledge that
the granting of a permit dcos not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
:.,a e'nrcta►e or building po►mltted depends upon my calling for Inspections at various times during the process of construction and the building
Inspection staff verKying cc mpllance 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 appflcant and such use or occupancy Is revocable until all Inspection requirements are saafled and
approval Is given by the Building Official. I further acknowledge that a Ilan may be placed on thetitle c,I property upon which the perm i IsAssued
specl ying that the use or occupancy of the building or structure Is provisional and revocahla until the s sfaction o II Inspection reguirlipAsnits.
CA T' IOIIATUfItI
L -
Department
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
Electrical Inspection Section
155 North First Avenue, 44350.12 APPLICATION
Hillsboro, Oregon 97124
Information: 503 UO-3470 Fax: 503 893-1412
Project/PermiJ,�-• f;
9�-��
Number _ 7Plea Bate 10- 13 -
4. Complete Fee Schedule below
1. Locai� n of ns�ta�lla�1 n P
Address- �� 5�_✓ Un1 C'� Number of Inspectlons per permit allowed
G Buil g Service Included. Items Cost(ea.) Sum
City . to a Suite
Tenant Na
�l7me A. Residential-per unit o1/v
$1t0.00 f commercial) 1000 oq f..or less L
�_ 4
Each Additional 500 sq.ft S- :1E
Tax Lot -_ Map No. or portion thereof _3- $25.00
Limited Energy $25.00 _ 1
Thomas Map Book: Page: Section:_. Each Marl Home or Modular
Directions Dwelling Servil Feeder $68.00 _- _ 2
B. Services or Feeders
COfJmefC18I Residential Installation,alterations or relocation
200 amps or less $50.00 2
201 amps to 400 amps $80.00 2
2a. Contractor t tall ton o y 401 amps to 600 amps -� $120.00 ___ 2
Electrical C rttr ur /! 601 amps to 1000 amps - $180.00 2
Addre �s �- i.J�-•VOver 1000 amps or volts $340.00 2
Date� Z Job N mbar '� Reconnect only _� $5000 - 2
Property Owner __ VKu h rc 0_� C - C. Temporary Services or Feeders
Contractor's License No. _:
Contractor's Board Reg. No. 2 1. A - Installation,alteration or relocation
200 amps or less $50.002
201 amps to 400 amps _- $75.00 �_ _ 2.
Signature of Sup Elec'n ,< ' 401 amps to 600 amps $100.00 _ 2
License No.Id - _ one No. �/ -_ Over 600 amps to 1000 volts a-e'B'above
2b. For owner Installations: 1). Branch Circuits
New,alteration or extension per panel
-- - a) The fee for branch circuits with
Print her s ems �honello purchase of service or feeder fee.
AM F699---- -- - ---- - Each branch circuit $5.00 2
b) The fee for blanch circuits without
qty-
9-Ate ZIP purchase of srrvIl or feeder fee.
First branch circuit __ $35.00 ._ 2
The insta3ation is being made on property I own Each ndd'nl branch circuit $5.00 _ -_ 2
which is not intended for sale, lease or rent. E. Miscellaneous ('Service or Feeder not included)
Each pump or irrigation circle- $40.00 ___._ 2
Gwner's Signature --____ Each sign or outline lighting $40,00 _. 2
Signal circuits)or a limited
3. Plan Review sectlon (if required) energy panel,alteration
Please check appropriate hem and eritcr fee In section 58. or extension $40.00 ._ 2
1 & 2 '-,mily dwellings over 32.0 amps s/c meter F. Each additional inspection over the allowable
4 or more residential units in one structure In any of the above
-- Per inspection $35.00
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
_ Building over 10,000 sq. ft. 5. Fees _
Occupant load over 99 persons A. Enter total of above fees $
Manufactured Structures Park or Recreational 5% Surcharge (.05 X total fees) $
Vehicle Park; new, addition or alteration Subtotal
Classified area or structure containing special B. Enter 25% of line A for
occupancy as described in N.E.C. Chapter 5 Subtotal Review If required (Eec;ion 3) $ �f�, �
Submit 2 sets of plane with application where any of the $
above apply. Not required for temporary construcllon I-ass Hl Label Fee
services. Balance Due
For Inspectlons call Thb pe-h bacsmo:null and void N the work authorized by the parmN l n'J,-'.7-ull
within 1110 day:from data or lasuaoce d Ouch Ill or N the worts Outhorlred la
640-3561 or 693-4415
wspendod or mmb:ndoed at any time offer work b oommanc•d for•period of 110 days
24-hour recorder,one working day In advance of need Vectrloal Permits are non refundable and nor14ransferal la
5193
-
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 11350-12
COUNTY, 155 NORTH FIRST, HILLSBORO, OR 97124
�• PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
# U50594A'' P r,.. jet"t it Put'144S70 St.atua APPROVED Page 1 of 1
r\1�1: : e 10/ 12/94 ifss.U�,i3 1.0/13/94 Expires 04/11 /95 1t)11 /`14 CEJ 1
RE
Permit Title NEW H+`ME ,!cRV1-"r �. T K
1)e=s :.r i t t),qr't H.�.j, :. t f!/ 11 4
J.-t. ? 3 6'",a SW BLUE t31.t1'r, ,'C T !
Owr ar• Name I%:-P ECT V;N - `t I!3ARD
A},,;�s icant Name AB I L I'TY Ei.ECT'R IC' INC
rh- •; a >„•,•t;t,a,•- 4? 4632 ','•v ! utit I ,..» •�
r
A
84Rx ' ce 040.1 1+
4 +L.,
1
�_.X� `r 1-�--P;'._fit '�-- _._.•_ S �`, j��(1
INppECTION N ICst `--% �^
City of Tigard Building Departzmt
1.3125 Bw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phono)s 639-4175 Business Phones 639-4171
Inspectio:.s
Footing Plbg. Underslab Hech. Rough-in Appr/Sdwik
Found. Plbg. Top Out /Oas Li �i}INAL�
Post/Beam Struct. San. Sewer lramtng ��� -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
PIN. Underfloor Water Line / / Oyp. Bd. -Hoch.
Date Requested: 1�l 4 (1�7 Tom= AH PN
Addreer: — {t' � (4fpermit fc_-_�_y��V
Builder:_
TRE POLLOWINO CORRECTION: ARE REQUIRED:
e
n
Inspector: _ L/ Data:_/ = -44
'�^-.APPROVRD _ ✓DISAPPROVED APPROVED SURJECT TO ABOVE
I/ `•/. 1 /Cell Nor Reinep.
City of Tigard Building D"wrtaeant
13125 8B! Hall (Blvd. Tigard, Oregon 97223
Ir.spection Lina (Roc-o-P/1hona�lt 639-417S Business Phones 639-417y
Ins.pectiont_ �` Ag-C ['{(
Footing Pl�bg. Undarsiab Hach. Rough-in l.ppr;9dw.tk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam struct. San. Sower Framing --SI.d9.
Post/Beam Hoch. Rain Drain Insulation -Plumb. t
1
Pl;xj. Underfloor Nater Line
Gyp. Rd.—Rd.—— -Hoch.
q /JuTetDoto Rou
AM PN
Addresses_/.3G 7 .- 1
�1 C'
Builders+„
THE FOLLOWING CORRECTIONS ARE REQUIRED:
,71 jr
1
- - 1___.1 •.x__ _��_
01
Inspectors �� —��.�� C1 rail
/ APPROVED _ DISAPPROVRD V/'APPP0vR1) Stm-m-T TO ABOVE
('811 For Rninep.
INSPECTION NOTICE
City of Tigard Buil.dinq Department
1322S OW Ball slvt!. Tigard, Oregon 97223
Inspection Line (Rec-O-Phonoit 639-4175 Bus.-.gess Phones 639-4171
Inspections _
Tooting Plbq. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/&aam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Hoch.
Data Requesteds Times __AM/� 7 J�PH
Addreset _ — Permit Is - "✓`I �/
Builders
MR iOLLONING CORRECTIONS ARE REQUIRES:
Inspectors__
Dates v —
___APPROVED DISAPPROVED "--APPRCWRD SUBJECT To A90VE
call For Relnap.
CERTI F71C.ATC or,
CITY OF GARD PERMIT #. . . . . . . t MST94 � 0;`10
COMMUNFY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/27/95
13125 8W Mal&vd.Tipped,Ck"on 97227W99 (503)630-4M
PARCELt 2S104CD-00500
31 , i'. ADDRESS— ii 13679 SW BLUE. GUM C*1
GUBOIVISION. . . . t HILLSHIRE ESTATES ZCNING:R-7 pl:)
. . . . . . . . . . i LOT* . . . . . . . . . . . . 1005
r-L.i, -,E3 OF WORK. I14EW
TYPK OF" USE. . . :Sr.*
OCCLIPANCY GRP. :R3
OCCIIPANCY LOAD 3229 (I
04 V NAME. . . c
It,k s i PATH I
Owner:
BRUNKOW, INC
111-41-1 C�W 'T'(IWF-.P WAY
YUl-ii-LOND OR Waal
Ph-c-ine #z E46-6659
Cont ractoro
BRUNKOW INC
-9.2
40 SjW TOWER WPY
PORTLAND OR 97221---3463
V-1harve #t 246-41654
Rog 0. . 1 849133
'tile Co?rtificmif6 cxertiftes that the above referenrpiJ building or portion
t.horeof has bepyi inspected for c, mpltanc* .-otth the Tigard Bt-tild.tnig Carle
for, the group and clivision of occupancy and Lime for which the mbove
�formsiirqd per was issued, and occupancy is hDreby qt a ed.
-,-F�UILDINIB INSPECTOR BUILDING Of-7KIAL
PC]iT 114 CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech, Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL•
Post/Beam Mech. San. Sewer Gas Line `-Bldg. .>
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation ` -Mech.,
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:-7 fi-2p to -el _Time: AM I M
Address:
Builder: Permit #:q 1 D
THE FOLLOWING CORRECTIONS ARE REQU _
i
Inspector: _ W Date: � S
PROVED _DISAPPROVED _APPROVFD SUBJECT TO ABOVE
_ l� _Call For Reinsp.
LI I V OF (A 1�44YMEN I NU. s9tr
NMME BRUNKOW, INC CHLLK MIMI
LASH AM(.JIJN r r r_O. Vio
Pf4YMl-_NI 1)(41F.
3940 .iw 1"0WE,*%R WY "Ut")I V I li I I-IN
KIM I ONV OR 97j..lj�ej_-
IM IRPOSF IIF PWMFN I
AM(A.IN T V'A I T) PURPOEW UF •PiWV f.., 'I
RI
16, NciP(-'.0 f I mlI M!i P)4
kJ)679 Hw .,I 111, utim I I
t. �401111 IN I PP4 1) 1.t`f N4_)
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rqc-O-Phone): 613-4175 Business Phone: 639-4171 I ,�
Inspection: nl �--�-'
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in k'le
Post/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing ]
Alarm Water Line Insulation ( "'. '✓i
Undrllr. Insul. Shear Will Gyp. Bd. -Elect.
Data Requested: c'_�� C Time: AM PM
Address:_
Builder: �(� - �G, — —Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-4
c
Inspector:_ `-' --` Date: 2--S S 1�
_APPROVED /DISAPPROVED APPROVED SUBJECT TO ABOVE
% ( all For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
Inspection: WC—Vkr-
Footing Susp. Ceiling Spnnk. Rough-in Appi/Sdwlk
Foundation Plbg Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FIf�Mtt.'
Post/Beam Mech. San. Sewer Gas LineBld
Plbg. Underfloor Rain Drain Framing -Plumb. /
Alarm Water Line Insulation �g
Underflr. Insul, Shear Wall ��^^ Gyp. Bd. -Elect.
Date Requested:_ —�� 4 J Time: AM __PM
Address: �
V
�� `O�l n✓� /` —
Builder: Permit p:"1 — 2- 10
THE OI-LOWING CORRECTIONS ARE REOUiRED:
Inspector: '` - Date: / ( Vqs
_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
XCall For Reinsp.
i
1NBPECTION NOTICE
city or Tigard Building Depertsient
1312S 811 Hall Blvd. Tigard, Oregon 97223
Inspection Lino (Rec-O-Phono)s 639-4175 Business Phone: 639-4171
Inspection:—,_ 61/x/- I+I
Footing Plbg. Underslab Mach. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underrloor Nater Line Gyp. Rd. -Mach.
Data Requestedt_ 9 Time: AM Lr)
Builders Addiese:.�3� l
CfPsmit #1 6,::,' U
i
Builders
THE FOLLOWING CORRECTIONS ARK REQUIRED,
Inspectors_ -- --- Dates
L/ APPROVED --_ DISAPPAOVED - APPROVED sU11JECr TO AROVE
Call For Relnnp.
/ r
CRY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspec.!;on: VSA + _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk I
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in 4FINAL:
Post/Beam Mech. San Sower Gas Line Z I�
Plbg. Underfloor Rain Drain Frami,ig -Plumb o Jrj
Alarm Wate. Line Insulation L-Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elact.i
Date Requested: Time: AM PM
Address:_ �'��' �liCk'_ �� `./`2-
Builder: (6 �f�,�l Permit p:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: "W {,�' Date:
_APPROVED 4- ISAPPROVED APPROVED SUBJECT TO ABOVE
"� 154all For Reinsp.
jssgA..CTIO NOTICE
City of Tigard Building Department
13125 BW Be11 Blvd. Tigard, Or-gon 97223
Inspection Line (Rec-1-Phone)s 639-4175 Business Phones 639-4171
s ,
Inspect i on s—_ I__ rJ ^_Y L ��- V f t!��r
r
Footing Plbg. Undorelab Hoch. Rough-in Aplsr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam struct. flan. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Rd. -Hach.
Date Requested,,$. �� Time: _X_Am PH
Addreas: >��°'&1�� Permit #: A13T c' -0>10
Builder: <' (4
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors - _--- Dates_
Y APPROVED __- DISAPPROVED APPROVED SUBJECT To ABOVE
-.—Call Call For Roinep.
�r�.s�SCTIon troTlca �
City of Tigard Building DepartL nt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspections —
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Past/Bear Bnh.
� /san• Sewer Framing -Bldg.
(Past/Be" M / Rain Drain Insulation Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. •lech.
Data Requested: y 1 Times AM PM
Addreees_J_1-1 U 1� l_ Permit fs �1 -r110
Builder:
TNR FOLLOWING CORRRCTIONS ARE REQUIRED:
st
�c
Inspectors — Dates
AP'PROVRD �i DISAPPROVED ✓'APPROVED SUBJECT TO ABOVR
��) ` Call Pot Reinsp.
INSPECTION NOTICE
City of Tigard Building Departamt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inupection Line (Ree-Ol-Phone) 639-4F175 Bus`[ness Phone: 639-4171
Inspections—
rooting Plbg. UnJerslab Hach. Rough-in Appr/Sdwlk
round Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewar Framing -Bldg.
Post/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Linegyp.gyp. Bd. -Koch.
Date Requestedf q _�- / tl Times isiwH Pll
Address: ( ;,/r I l �I 1:..1CC.-wx C i Permit/#31V\51 911-62-1b
Builders—
THE
uilderiTHE FOLLOWING CORRECTIONS ASE PEQUIRXDs
/�—
,J
Inspectors_ _ Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For tieinsp.
City or Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-.O-Phones 639-4175 Business Phones 639-•4171
Inspections_1„L�
Tooting Plbg. Underslab Mach. Rough-in Appr/SAwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Ream Struct. Ban. Sewer Framing -Bldg.
Post/Beau Mach. Rain Dra}n Insulation -Plumb.
P1Gg. Underrloor N..ter Line Gyp. Bd. --Hoch.
Data Requesteds „!�-'-- (-I-'q C1' Times
_n AM pM
Addreess Q�r )l lrl�_ U.(ti 1ln/n Cyr
T- I�`I C) I�' ��
Builders C-�) Z VV�Lt.LLc 1 0li7C."- L1.1
TNi FOLLOUING OORRECTIOMB ARK RE()UIRJMi �� - 119 CD
InspecttDors �f T� Dates
- APPROVRD DiBAPPROVRD - T APPRovRn BURJRCT To _
—Call For Rainap.
City or Tigard Building Department
13125 60 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)s 639-4175 Rusinees Phone: 639-4171 f
Inspection:
Footing Plbg. Underslab Koch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. Ban. sewer / Framing -Bldg.
Post/Beam Mach. Main Drain Insulation -Plumb.
Plbg. Underfloor N ret Liy� Grp. Bd. -Koch.
Date Requested: PH
�i
Addre..: 1 fin` 7 Cl_ -L�l u-� Gj lel w1 PaIrwit f s_ I L( - yay
Builder=
Tss POLL40WING CORRECTIONS ARE REQUIRED:
Inspact r: / Date:
APPROVEn nTSAPPROVEb APPWWRn FJRJECT To ABCWR
Call For Reinap.
INSEjQTION NO-ICB f "
City of Tigard Building Department
13125 SO Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rouqh-in Appr/Sdwlk
Found. Plbg. Tap Out Gas Line FINAL!
Post/Beam Struct. San. Sews: Framing -Bldg.
Pont/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Meeh.
Date Requested: ( Timet —!`1 PM
Addreut WcrlL c L
Builders -R'(LL In ()
THE FOLI.ONINO CORRECTIONS ARE REQUIRSDt f
u-j , 11 cko n", —4-a S-Ltvc4
Inspector: -- _�s v `�' Date
APPROVED DISAPPROVRD ✓ APPROVED 8`1BJRCT TO ABOVE
�� CnI1 For Ralnsp.
l ?�
INSPECTION NOTICE
City of Tigard building Depart=Dnt:
13125 ON T.,all Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O--Phones 639-4175 Business Phonei 639-4171
Inspections _ ----
iootin Plbg. Underelab Hach. Rough-in Appr/Sdwlk
( Pound. Plbg. Top out Oak Line rrw.,
Post/Beam Struct. Ban. $*war frasiLnq -Bldg.
Post/Roam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Rd. �h.
Data Roquestedi C Timis AN .__PM
c
Address C .PA'L 1 v)I
rM i'aLLOIMINO CORA MONS ARE REQUIRED: n
�� Prrt l •s[J�1. �__ J0
64
VOW
—.—
�' i
Inal -- _--- Date,,1_1�1��
APPROVED OISAPPROVRD r%PPROVED SURJZCT TO ABOVE
gall For Roinap.
INSPzCTI!1N NOTICE
Cttp or Tigard Building Department
I
1312S 811 Ball Blvd. Tiq.-rd. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Tooting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gam Line FINAL$
Post/Beam Struct. San. Sewer Framing -eid
9•
Post/Beam Mech. Rain Drain. Insulation -Plumb.
Plbg. underfloor Water Line Gyp. Bd. -Meeh.
Date RaquwsteA: 9¢ TLmej7' AM PM
Address: 1�7 �.."M
_W- ermft -21-C2_
Builder:
TME FOLLOWING ODRRECTIONS ARB REQUIRED:
Date:
APPRnVEO DISAPPROVED APPROVED BUBJECT ".'O ADM
Call For Re:nap.
13G7f' 54J a/� , G«M r/�
BRUNKOW, INC. DATE71119,
Rd : peowl l' MS) 9fz- oz/o
Oyu Sli .3, yow rcol-,wof- e d •?�6" ori fronf v��,�r�9e. �4rd
o/so reo!���,�e� a nete fv see allre/,�ed GH,�n«�-ri�9 �r
/o�er-r/
.� .�, preys,,,, f f`!e coo sw,b.511�"aA /4�0- f`ic Z =B
Ha oles, ,j we far / wool �� re o�Gsiy�! �� ,wee l foe 1 4
le,o(s e c a// vr',,e-o(X os sevof os pojs/414- `lel ,s dNj
a'Nd y,z/e ��oH vH s��riil9 `+�s�isl9s v�aa f
7/t<
:ar4n4 W.T-owl WAY
BRUNKOW, INC.
WIIILuu M. 1lrunk�'w tla.ino:�iznn.Hnnv
FAX fno:n 14n RIVI
'` • ` (Ii�l�fiifll
�'nn�h urlbm�'otllMrint.Idwvil. AMNO
i
BRUNKOW, INC. DATE ,j,QX
,ee : a �rvfioti rem yr f
�,`l,I�rr�S�r �ysyoec�ish — w�ii�� I�rodA,d/y ,y/v�/�lrAvc fr��d��!
-�o car��for tri d✓ �o f�i� iHr�,vc��ior!-
Ole oKlo /'o;� 4/ so mloN/olll,�e Ao /ao `IA✓c fJ p..T s���yG�1Cc /f.�c�E
/70W a f �G dl f H O T LL6lif T/✓ `YC p4c� ��vN �c T S AH��P ri o e�,v��
Ole AA✓e Vow soave/,vr'e 4w1oory c/c rriiyj o/� /p f �/ --you�s�ydc�r�/►,ti f
- e lex6 e, AO ole d e TKA le.1- Y AeN e 3 3�Zl
we ✓e 4oToi'ea eeD p// 76 ivzpr,vo7 �PNGG ye7 "
71Z-
BRUNKOW, INC. 'FP nln A 01w4
William M. Hrnnkow
791,15031248-8059
FAX 150:1124AAM59
Cmim i-11(m mitrnom%Hoard: 84tg9
t
uf(; unftd
�ga c�e
EROSION CONTROL INSPECTION REPORT
137 North First Avenue,5uile 270
Hillsboro,Oreton 97124
(3(11)618.8621 or 1503)6x0.1338 Permit ii : 02-c L>
Inspection Date: Inspector: f'111111e
Site Address:—,
_-J. J,���
Subdivision: _ ��,� t... , �r Irv".«*",t►r r✓�'� _ -- —_—Lot#� S —
OwnerBuilder: Phonek.
EROSION CONTROL DEFICIENCIES
_. 7'2►�i--__ _.�.mat -TtCn1_� J _V�'csZ — -
24 HOUR INSPECTION NOTICE REQUIRED
PRiOR TO POURING FOOT INGTOUNDATiON
XPRELIMiNARY NOTiCE. Please comply with above recommendations within the specified time and call
649-8621 or 640-3558 for re-inspection.
❑ THIS IS A NOTICE OF VIOLATION OF THE USA EROSION CONTROL. RESOLUTION AND OR-
DER 91-47. Please make all necessary corrections within the specified time frame aind call for a reinspection.
Continued failure to campy with the lenns of this inspection report will tesult in the issuance of a civil citation,
stop work Order, or termination ,'suspension of permits, as describe(] in I ISA Resolution and Order 90-63.
Approved: __ �-7 Datc: G 1,^A-- Time: --
❑ Disapproved: _ -- . __ Dale _ Time:
C3 FINAL INSPECTION: _ - _- -- -- Dote. -_ Time:
Note: Upon completion of construction, the owner/builder shall be responsible for requesting a final erosion
control inspection to determine compliance with Appendix 1 of USA Rciolmion.Order 91-47.
White: (Nelin )Owner/Builder Yellow: Inrtkr(nr Pink (final)Owner.Builder
CITY OF TIGARD MASTER PERMIT
'COMMUNITY DEVELOPMENT DF.RAS T f'`ATE I SUED . . . . : MST94-4'Ic:1�
T+ DATE ISSUED: 06/16/94
19126 8W Hall Blvd.Tigard,Oregon 9722300104,-,( 3)d 71
ARCEL: LIS 104 CD-005Q.iO
1. 1; ODDRESS. . . 136 713 SW BLUE GUM CT
SUHDIVISIUN, . . . : HILL-SHIRE ESTATES ZONINGa R-7 PD
BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . s005
BUILDING -------------------------------------- --
REISSUE:
----__________________--_.-_---___-____ _.REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . e0 isf
LLA- iS UI- WURK. :NF-W bEwDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :764 sf
TYPE: OF USE. . . :SF' FLOOR AREAS- -- ------ REQUIRED SETBACKS----------
TYPE OF CONST. :5N FIRST. . . . : 1212 sf LEFT. . .- 13 ft RIGHT. :20 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1169 sf FRONT. s25 ft REAR. . -20 fi
STORIES. . . . . . . se I 1 RD. . . . :0 s f REQUIRED- ---__-_.__--___ --...
HEIGHT. . . . . . . . s29 ft TOTAL------:c'..:f31 s f SMOKE DETECTORS. s Y
Fi-OOH LOAD. . . . :40 psf VALUE., . . . . 1Ilt 123278 PARKING SPACES— : 1
Remarks : PAT!-I 1
-------------------------------------- PLUMBING
SINKS. . . . . . . . . . .. I FLOOR DRNINS. . . . :0 BACKFLOW PRE;VNTRS. . : l
LAVATORIES. . . . . i5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
IIJB/SHIJWERS. . . . :3 LAUNDRY TRNYS. . . - 1 CATCH BASINS. . . . . . . :0
WATER GLUSEc;T S. . s 3 SEWER LINE (f t ) . s r GREASE. TRAPS. . . . . . . : cA.
DISHWASHERS. . . . el WA I LK LINE (ft ) . : 100 OTHER FIX TURES. . . . . :@
GARSPOE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASH I NO MACH. . . : 1 Sf- NA I IV GRA I N5. . a 1.
MECHANICAL __.___..--._------.____._-__--__-_-.___-- FEEDS
FUEL TYr,ES--_.___.__._._.._._... UNIT HTRS. . :,71 type amot.int by date rer..pt
/GAS/ / 1 VENTS . . . . . :0 TIF f 1520. 00 SW 06/t6/94 -
MAX INPU1 .*0 BTU VENT FANS. . .--i LAPRT t 493. 00 SW 06/16/94
f-URN ( 100K . . :0 HUUDS. . . . . . . I B P L C t 3::0. 45 SW 05/25/94 94-2527i_V
FURN ) 100iK . . : I WOOOSTOVE3. r.0 B5PC o 24. Fay SW 06/16/94
FLOUR FURN. . . . :N CLO I)HYERS. s 1 '3SUC >; 280. 00 SW 06/16/94
ROIL/CMC' < 3FfP:0 OTHER IJN I TS t 1 f='ARI'. 9 `=;00. 00 ',3W 06/16/94
GAS OUTLErTS: 1 MPRT t 48. 00 SW 06/16/94
Owner: ---------------------------------------MPLC t 3.2. 00 SW 06/16/94 -
PRUNKOW.* INC M5PC $ 2. 40 SW 06/16/94
3'340 SW TOWER WAY PV-'P7 $ 110. 410 4W 06/1.(1/94
P5PC f 8. 50 SW 06/16/94 -
PORTLAND OR 97221
Phone f4: 246-8659
Contrartor:
BRUNKOW INC;
394-7 SW TOWER WO r
PORTLAND OR 97221-3461-1
Phone 0: 046-8651)
Reg S. . . 64903 ------------------------------------------
$ 3379. 00 f OTfll_.
This pewit is issued subject to the regulations contained in the ------- REOUIRED INSPE=CTIONS -----
Tigard Municipal Code, State of 'Jre.. 5pecialtti Codes and all other Foot/found Insp Fireplace Ins p
applicable laws, All worh will be done in accordance with approved Pcl s t/P e i m St rtict Gait Line Insp
plans. This pereit will expire if work is not started within IN Post/Beam Mechan InsUlation Insp
days of issuance, or if work is suspended foy aor than 18N days. P 1 m/Un d lab Insp Gyp Board Insp
i PI_M/Undert'loor Rain drain Insp
Permittee Signature : /� _ Mechanical Insp Water Line Insp
P11.imh Top 01.1t Appr/Sdwlk Insp
Isg;�.iad By : .__ Framing Insn MPchanir_,a] ( incl
Call for inspection - 639-4175
r
CITY QF TIGARD SEWER ERMITGTI'gN
PERMIT
COMMUNITY DEVELOPMENT D P R� ENT .
PERMIT #. . . . . . : SWR94-0t''_10
13126 SW Hall Blvd.Tigard,Oregon 97223.61 '"103)0.1i�-4il71 DATE ISSUED: OC ! 1 b l94
PARCEL: 26104CD--00500
SITE ADDRESS. . . : 13679 SW BLUE GUM CT I
CAJBDIVISION. . . . a HILLSHIRE ESTATES ZONING: R-7 F"T)
BLOCK
--- _-_-__--- ___._.______LOT 005
______.___,___� --------------------------- ... ._ _.. I
TENANT NAME. . . . . : I
USP NO. . . . . . . . . . : FIXTURE UNITS. . . t
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . aSF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . tBUSWR IMPERV SURFACE. . : : sf
Remarks : PATH I
Owner: __________.___._.___._______________.___._____________._-____-- FEES
BRUNKOW, INC type amolant by date recpt
3940 SW i JWE R WAY F'RMT $ 221210. 100 SW 06/16/94 -
INSP $ 3`:,. 00 SW 06/16/94 -
PORTLAND OR 97221
Phone #: 24b--8654
ONTRACTOR NOT ON FILE:
Phone #: ! ''2'235. 00 TQTPL
Re r; #. .
- --w- REUU I RED INSPECTIONS
._._.. _._._
This Arplicant agrees to comply with all the rules and regulations Sewer Inspection _
of the Unified Sewage Agency. The permit expires 160 days from
thv dat- `ssued. The total amount paid will be forfeited if the
permit expires. The Agency rices not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions fromthe distance given. if not so located„ the installer shall purchase
a "Tap and Side Sewer' Prrmit and the Agenc will install a lateral.
��
r-'�,�-m i is is e e Signature:
,taed 8y: ►�7
CAI for inspection 639•-4175
( 6 i
Solar Balance Point Standard
Box A. North-South dimension for your lot Box B. Shade point height from your structure
D Feer �l 1 2- , feet
1
Box C. Distance to the shade reduction line
1 �
Feet
Distance to
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern i
lot line in feint
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
50 32 32 32 33 34 35 36 37 38 39 40 41 42
45 30 30 30 31 32 33 34 35 36 37 38 39 40
'419 28 28 28 29 1 32 33 34 35 36 37 38
35 26 26 26 27 28 29 30 31 32 33 34 35 36
30 24 24 2-; 25 26 27 28 29 30 31 32 33 34
25 22 22 22 2324 25 26 27 28 29 30 31 32
20 20 20 20 21 I22 23 24 25 26 27 28 29 30
15 18 18 19 19 If 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 "D" Maximum allowed shade point height feet
looin\viol■\solarbal
'ro VC
E '
CY
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INI
.40
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to cc
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9 4 h"5.&,"t '.5
CYTY OF' TWARD RFCEIP'r OV PAYME RECEIPT NO.
CHECK AMOUNT r 5364. 00
NAME BRUNKOW, INC. CASH AMOUNT t 0.00
ADDRESS 3940 SW TOWLR WAY PAYMENT DATE 06/16/94
PORTLAND, OR SUP1.)I V 16 1 ON
97evi—
PUFO-11tik' OF PAN ME AMOUNT PAID PURPOSE Of PAYMEN't (4M(11.1N V P1411)
BU11, D)NO PErm I k(4.IAO
MVICHAN I(,"AL PF 8. 00 ST. BUILD PER -so$. 55 1
F.Wf.-.'k IJ$A 9WH+rt---0i,-J0 PP011A. 00
Pl.AN (:;H .:C VE ,P. 4 i S,
Fif-,WE-.R INSPECr .35. (40 PARKS 80C
E0014M DRIPIN VX; POO. 01A RESIDE"NTIRL TliAVF IC; i+.L.4 141(A. 00
M"Stj TRANSIT TIF FRES 110.00
1,3679 SW OLLIF 13UM (-',RT
'0141L AMOUNI PAID >
Permit
• Residential Build'�n, c�P _ Application
City of Tigard
13125 SW Hall Blvd.
Tigard, Of? 97223
(503) 639-4171
Jobsite Address: A 7 f
Qlt—IC e_Use.OntY.
Subdivision: Loth
PlanrkJRec#
Valuation: `
Perinft
0woer: "fl Reissue of_
r yy}
,Address `•y�ke-> r ILI '4/e", d/iiry &TL #
pnorovals Required
Phone'
Planninq,,j
Contractor: IpgIni'ming
Address: ;�r 4!(i' S,�� idt�P✓ her
C?k 9" 7Z L/
Phone: z 3le —96,S 'i ____ tum Required
►ltractors
Contr is License I.
bco
(attach copy of current Oregon license) Y' '
aectiles�.
Subcontractor^: r ;
S<
Mechanical:'c/I/ ., -1" la
(aHach copy of curreri OR ConbacWs License)
ArclMaMMratnesr: J: LG. kj 1 iy_sie 1'k iLc
Address' /z-' ' :t %i Ale,
C it
Pune:
���•/
COMMENTS:
AgJ311cant Si ature I Phone number
Received by.
Date Received:
Permit # Account Description Amount And. Pd. Bal. Due
/h2jj _0_.�LO Bldg Permit (BUILD) 3,00 _/ ":✓
Plumb. Permit (PLUMB)
Mech. Permit (MECH) t ,p.uv
r'
l
State Tax (TAX)
Bldg: ,2 y . G i f
Plumb: 0 /
Mech: q v Z
Plan Check (PLANCK) 3 Z, �� 2,-�
Bldg: q 1_
Plumb:
Mech: _ / L ,
s
�witt •0W Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Ma:,s Transit TIF (TIF-MT) _ l t d J _ ll U
Commercial TIF (TIF-C)
Industrial TIF (TIF•1)
Institutional'TIF (TIF.-IS) _
(Vice TIF (TIF-0) _
Water Quality (WQI.IAL)
Water Quantity (WQUANT) _
Fire District (FIRE)
TOTALS:
K===>1 K`�101 K-�K====4 K====M M====4 K====4 K-71101 K_-=4 M='�y��u
STATE OF OREGON CONSTRUCTION CONTRACTORS BOARD
=j
REGISTRATION CERTIFICATE
This certifies that the person named hereon
is registered as provided by law as a
GEN CONTR/RF SIDt_wTIAL Registration
NON--X-MPT Number: [ e49n3
I CORPORATION
Expires: ( 07/21 /94
bRUNKOW I4C
(� 3940 Sw TOWER WAY ,
NORTLAN) OR 97221-3463 �
SIG AEG'ISMiNT
=�1��f K=�11G�11��1 K=�I IOl 1f'--�+1C�11t=�K-_?i K-'-'�K=�i►C�t
CITY O - 1*103ARD REC'EAPT (A- PAYME-1141 REGE I P'T N(J. c(�4-25. P 120
('HECK' AMOUNTs i?50. 00
NAME s skuwmm, I. ASH AMOUN 1 s 0. 00 1
ADEIREGEL....... F:AYMENI DATE s 05/eb/94
SUBDIVISIUN
PURPOSF OF PtlYMENr AM0(JNT PAID PURPOSE OF PAYMENT' AMOUN I' PA I
PLAN CHECK F=E. 21,10. lbs!
13679 SW RL OF GUM CT
701'111, At4llllN1 PAID -1 00