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13520 Sod ESSEX LR
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171
CERTIFICATE OF
OCCUPANCY
PERMIT 1#. . . . . . . i MST95-011 "
DATE ISSUED: 0'.1'/ 12/97
PARCEL v 2S 1040 D- 0850 1
SITE PDDRE5,,.3. . . 13520 SW EzGEX DR
SUBDIVISION' HILL.%4IRF ESTATES NO. 2 ZONINGtR-7 PD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . — 1084
CLASS OF WORK. sNEW
TYPE OF USE. . . iSF
TYPE OF CON5TR:5N
OCCUPANCY GRP. iR3
OCCUPANCY LOAD ra
Remarks : PATH I
Own P r i
SKYLIGHT HOMES BUILDERS
P 0 BOX E1315
LAKE WIWEGO OR 97
Phone #- 639-2994
Cant r actor: --- ----
9KYLIGHT F,.JME BUILDERS CO
P Cl BOX 2315
OSWEGO OR 97035
Phone #: 507-636-2994
Req #. . .- 34066
This Certificate yr ant t- ocmipancy of the above referenced buil diny or portion
i�ereof and confirms that the building has been inspectod for compliance with
!ie State of Ore0on Specialty Codps for the tp'o"P, OCC11.1pAnvy, and 1-tL;p under,
1)ich the referenced jermit wa,.-, isqued.
"PECI a
N C SUIL I f3 OF':F C I AL
POST IN CONSPILUC10 , Pt ACF
CITY O TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
, PERMIT #. . . . . . . M�"C97-00;:;x:
13125 SIN Hall Olvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 02/14/97
PARCEL: 251O4CD-08!7;Oi.
,3I'TF= ADDRESS. . . ; 13!5c0 SW ESSEX DR
9LJBD I V I S I ON. . . . ; H I I_.LSH I RE ESTATES NO. 2 ZONING: R- 7 PD
. . . . . . . . :064
rsl.-ASS-OF� WORK. . :ADD FI.00R FLIRN. . . . ; 0 EVAF (,OOL-ERS: 0
TYPE: OF I.1SE. . . . :SF UNIT HEATERS. . : 0 VENT FANS— : 0
OCCUPANCY GRP. . :H;-: VENTS W/0 nPP1..: 0 VENT SYSTEMS:: 0
STORIES. . . . . . . . 1 0 PO'L.E'RS/COMPRESSORS HOODS. . . . . . . : 0
F.IJfL. TYPF9------- ___. 0 _3 HP. . . . : I DOMES. TNCIN: In
—15 HP. . . . : 0 COMML_. T NC I N: 0
MAX INPUT: 0 ETU 15- 3Q, HP. . . ., : 0 pF.F,(I'(R UN I TS: 0
FIRE DAMPERS% . : 30--50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRF`.SI._IRE. . . : 50+ HFA. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS------- -- AIR HANDLING UNITS OTHER UNITS. : 0
TURN ( 1.qioV% STU: 0 ( - 1.0000 rf m : 0 GA9 OI.ITI._ET!;. 0
�JRN > =i.O0K BTU-. 0 > 10000 r:,f m : 0
marks : INSTI.. 1 BOILER/HEAT PUMP/AC #613O1.7
nwner: FEES
WALT/'T-ERRY JOHNrON type amoi.int by (IatA rncpt
1352O SW ESSEX DR PRMT $ 16. 00 TAT 02/1 +/97 97-29041 '.
5PCT $ 0. no TAT 0211
TIGARD CTR 97223
Phone #:
Contractor: -__._.____________..__..__....__.---•---___._.
Cl._T MATE CONTROL HEFT T NG
15 NW 26TH AVE
IRT'1_Ahlll OR 9721O
one #: 23--4393 $ lf:,. 80 TCITAL.
ng #. . : 621.96
---- ---- - REC?IJ I RFD I NSPEC"F T OtJI,
This permit is issued subject to the regulations contained in the Gas Line Insp -
Tigard Municipal Lade, State of Ore, Specialty Codes and all other Mechani.r..al Insp __—
applicable laws. All work Mill be done in accordance with Mise. Inspection __.-_—_ — ..
approved plans. This permit will expire if woO i. not started Final Inspection r,
within 190 days of issuance, at- if work is suspended fat- sort _ -----
'"an 180 days. —
t,m i t t;e e Gig n �_�� . __. —do J_1—
s t.i a cd B y: �
all. for inspection - 639--4175
I
Plan Check•_
CITY OF'TIGARD Mechanical Permit Application Recd By
131.25 SW HALL BLVD. ,� Commercial and Residential DaleRecd�
TIGA RD, OR 97223 Date to P E
Date to os'
(503) 639-4171, x304 _
permit a
Print or Type �% '` ' :•�v
Called
Incomplete or illegible applications will not be accepted
Deve"WhawPro1W Description —_
Table 1A Mechanical Cade aTY PRICE AJ4T
Job $loco ' p8161111111111 A► Permit Fee -0- -0- 10.00
Address � ) w �t ----
Bldg* toe o B) Supplemental Permit 3 00
vj
None for none of busms4 1.) Furnace to 100,000 BTU 6.00
vents
inJ.ducts b ve
Owner ,1 Ilb`L --
Ma"AeerOM 2.) Furnace 100.000 BTU+ 7.50
incf.ducts R vents _
citwswe zip Phone 3.) Floor Fumace 6.00
incl.vent
Name jar none of buanaaa) 4.) Suspended heater,will heater 6.00
or floor mounted heater --
Occupant Me"Addre" 51 vent not nd.in 3.00
appliance permit
cowsui» ap Ph" 6.) Bahr or comp,heat pump,am card. 6.00 a,
to 3 HP;absorp unit to 100K BTU n
7) Boder or comp,heat pump,au Gond. 11.00
3-15 HP,absorp unit to 500K BTU
Contractor Mar^q r 8) Boder or comp,heat pimp,air coni. 15.00
l
-I, �� L- 1 S•30 HP:absorp unit.5 1 min BTU
Aftw:k copy of C Phare 9.) Borer or comp.heat pump,air gond. 2250
Current Licenses r ( I r •� ' 1 )' L� _30.50 HP:absorp unit 1-1,75 mil BTU _
Oregon Cons Coft Board Lo-0 aN 10) Baler or cxxnp,heat pump,au Gond. 37.50
50 HP;absorp unit 1 75 and BTIJ
r BusnevTa.or Mgeo 0 ( 11.) Air handling unit to 4.50
10,000 CFM
Architect Name 12.) Ar handling unit ---- 7.50
10.000 CTM+
or µ -u 13) Non portable 4.50
evaporate cooler _
Engineer ceyrsun ---- :�P Phan !— 14) Vent fan connected v 3.00
to a single dud
Describe work New O Addition O Affetabon O Repair O 15) Ventilation system not 4.S0
to be done Residential O Non-residential O ended in appaance permit
1 Additional nescnpdon of work — — dru
16) Hood served by
mec hanrol exhaust 450
I �
17) Domestic ncvlerators 7.50
Exatung use of- 7 18) Com meroal or industrial 30 L 0
building or property_ ` type incinerator
19) Clothes dryers,etc. 4.50
Proposed use of 20) Other units 450
building or property
Type of fuel-or O natural gas O LPG O elednc O —_ 21) Gas prpmg one to four outle.i- -- 200 -
I hereby acknowledge that I have read this application,that the 22) More than 4-per outlet (each) 50
information given is corec L that I am the owner or authorized agent of _ _the owner,that plans submitted are in compliance with Oregon State O I-Y.SUBTOTAL
taws. l
Signature of OvknerfAgent — Date a -- 'SUBTOTAL
t%SURCHARGE
Contact ersan Name Phan! PLAN REVIEW 25%OF SUBTOTAL
TOTAL _ t
VdstVTXN:hpmldoc ----- - 'Minimum permit fee is S25+5%surcharye
rev 7/96
RECEIVED
FEB 1 3 1997
COMMUNITY UEYELUPMENI
Home Layout
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Windows — WindoD o II
Floors Illy
c�
I
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL F,E RM T T
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #: ELC97--0084
DATE TSSUED: 02/133/97
PARCEL: 2S104CD-08501
'73'rTE ADDRESS. . . : 13520 SW FSS)EX 7C--
IUBDIVISION. . . . : HILLSHIRE ESTATES NO. J' ZONINGtR-7 Pr)
?LOCK. . . . . . . . . . .. LOT. . „ . . . . . . . . . . :0,814
rIt-oject Description: INSTL I BRANCH CIRCUIT
UNTI---- SRVC/FEEDERS-- --.--.-M I SCELLANEOUS--
1000 SF OF? LESS. . - - - 0 0 1'00 Amp. . . . . . . : in PUMM/IRRIGATION, . . . 7. 41,
EACH (;DD' L 500SF. . . - 0 J:'01 400 amp. . . . . . . : 0 SIGN/O1.JT LINE LTG. . : 0
I..TM,TTED UNERriv. . . . . : 0 401 600 amp. . . . . . . . 0 STGNAL/PANEL. - . . . .. . : 0
mnNF. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
_---SRn1\1CH CIRCU1'1G-- INSWIECTIONS
'17,00 --imp. . . . . . g 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
17,01 400 ai,,p. . . . . . 0 1.5t: W/11 93pyr np, rD P, . t PFR HOUR. . . . . „ . . . . . : 0
401 600 a P p. . . . . . .. 0 EA AUDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 1000 .-AMP. . . . . - 0 1 1 ---PLAN RF.VTEW SECTION
1000+ amp/,/Olt. . . . . 0 ) =4 RES UNITS. . . . . . . . 600 VOLT NOMINAL. . :
Per.ontipri: on I y. SVC/FDR ) - 2215 AMPS. . . CI.A9, 9) AREWSPEC OCC.
Owner: -- --------------------------------------------------- FEES
wnt-T TOHNS(')N type amount by date v,ecpt
13520 SW ESSEX DR PRMT $ 35. 00 TAT 02/13/97 97-290376
7W)'"T $ 1. 73 TAT 02/13/137 07 -,:!19077F
TTCARD OR 97223
1-11-ione # t
PHOENIX r",I-FrTRIC CC $ :3(=,. 75 TOTAI_
7379 SW TECH CENTER DR.
REDUIRED INSPECTIONS
TTc)npp np 9*7 22,3 C 0 i I i T1 g Covet- Undei-gi,ol-ind Cc
Phone #: 503684-3600 Wall Cover Elpctl I Spr-yir
264-7
This peroit is issued subject to the regulations contained in the
i i
,;.,rd Municipal Code, State of Ore. Specialty Codes and all other f7l
'-ilicatle lar.. All work will be done in accordance with
roved plans. This pervit will expire if work is not started
1hjr 180 days of issuance, or if work is suspended for sore
,n to@ lays. 1.5_i�,��td B y.
OWNER TN9)TAt...j._ATTOtN1 ONI. Y.
!e installation is being made an pr-operty I own which is not intended for-
.JNER' S SIGNATURE: DATE:
--f7nNTRAf-TOP TNOTAI-LATION ONI Y
! RNATURE OF suPp. Fl..ECIN: DATE:
' CENSE NO:
Call for inspection E39 4175
Community Development ELECTRICAL. PERMIT APPLICATION
13125 SW Hall Blvd. ll//
Tigard, OR 97223 Permit # _ -��c 1-03E4
Date Issued
Phone (503) 639-4171
�K 411-1-CITY OF TIOARD FAX (503) 684-7297
TDD No (503) 684-2.772
Inspection (503` 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development __ Number of Inspections per permit allowed
Address Service included' Items Cost(ea) Sum
City/State/Zip �_� ;,�., 4a. Residential - per unit
` 1000 sq. ft. or less $11000 _ ^
Name (or ^ame of business)h�0-�► - �V.r �--- Each a $q n or 325 00
portionn thereof
—
Limited Energy $2500 _
Commercial Ll ResidentiaX Each Manufd Home or Modular
Dwelling Service or Feeder $88.00
2a. Contractor Installation only: 4b. Services or Feeders
installation,alteration,or relocation
Electrical Contract)r - 200 amps or less $6000
Addle >.t-L [ L- l ��v �'� ( 201 amps to 400 amps $8000
I — 401 amps to 600 amps $120 00
Cit, _ State(..N(- Zips sot amps to 1000 amps $16000 2
Phone NZ_L,,t - a �'l9-4L1 Over 1000 amps or volts $3ao 00 2
Job NO. —�LNSt, Reconnect only $50.00 2
Contractor's license NO ->,Ci - 4c. Temporary Services or Feeders
Contractor's Board Reg. No. Installation,alteration,or relocation
Signature of Supr. Elec'n �— 200 amps or less 2
201 amps to 403 amps $50.00 2
4
License No. hone No �� AO amps to 600 amps $us o0
Over 600 amps to 1000 volt$ $100,00
2b. For owner installations: see"b"above
4d. Branch Circuits
Prin' Owner s Name_ New alteration or extension per pane
Addre;ss a)The fee for branch clrcufts with 2
purchase of service or feeder Asa.
City_ _ State_ Zip Each branch circuit $5,00
Phone, No. _ _ h)The fee for branch circuits without 2
The installation is being made on property I own which is purchase olservice or/eadarfee� 2
First branch circuit $3500
not intended for sale, lease, or rent. Each additional branch circuit $5.00
Owner's Signature ___ 4o. Miscellaneous
(Service or feeder not included) ?
3. Plan Review section (if required): Each pump or lrrigotinn circle $40.00
Each sign or outline lighting $40 00 _
Signal circuit(s)or a limited energy
Please check appropriate Item and enter fee in section 5R I panel,alteration or extension $4000
4 or more residential units in one structure Minor Labels(10) $10000
Service and feeder 225 amps or more 4f.Each additional Inspection over
System over 600 volts nominal the allowable In any of the above
Classified area or structure containing special occupancy per Inspection $3500
as described in N E C Chapter 5 Per hour $5500
In Plant $5500
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
6a. Enter total of above fees $ U
NOTICE 5%Surchrrge (05 X total fees) $ -
g _
PERMIT S BECOME VOID IF WORK OR CONSTRUCTION tab. Enter Subtotal
tal of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS, OR IF PIa.1 Review li required (Sec.3) g
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal g
A PERIOD OF 160 DAYS AT ANY TIME AFTER WORK IS
COMMENCED ❑ Trust Account ill
P1.wn
Balance Due $
l..
WASHINGTON COUNTY
Department of Land Use & Transportation it R EGST1'1R�I CTE D
Electr155Nirt FrstA en Section ELECTRICAL ENERGY
155 North First Avenue, #350-12
Hillsboro, Oregon 97124 APPLICATION
lrlformaiion: (503) 640-3470 Fax: (.503)693-4412
PRINTPLEASE
Pleas& complete all sections, 1 through 5. Permit No.
1. Location of installation Date
Address_ 13 S Zo �1W, ESSeA
city _T t Q p . , 011L, Zip Code 4. Type of work:
Map No, Xlbk 460 Tax Lot 15� RESIDEN-IAL Restricted Energy Fee $40,00
Thomas Map Book: Page Section (for all systems)
Directions Check type of work involved:
Audio and Stereo Systems*
Commercial ❑ Residentfi urglar Alarm
Telephone Systems`
Tenant Name _ Garage Door Opener'
(it commercial) —.,.., _ Fire Alann
Heating,Ventilation and Air Conditioning Systems*
2. Contractor application: Vacuum Systems*
F Other _��- }-� -'TV
Electrical Contractor T- fJ1VAT�Z.(?l�J t c.S i��gCr� L6
Address J)() 'Pi o F
COMMERCIAL Fre fcr each system $40.00
City_ T StateLj&_Zipt � eeOAR 918.260-260)
Date -l4 " S ob Number Check type of work involved:
Property Owner 1�:,Y LIClIHT_QN{
Contractor's License No. _ �3 -- S.S` C..l„c_
Contractor's Board Reg. No. Boiler Controls
Phone No. _. f�s'c, — ,33Z Clock Systems
Data Teleco imunications Install
Fire Alarm Inslaotion
3. Owner application: HVAC .�
Instrumentation (L,
Print Owner's Name Phone No. Intercom and Paging Sys
_ Landscape Irrigatior(Control*
Address Medical i
_.. _. Nurse Calls
Ciry State Outdoor Landw9 Ughting"
This permit Is Issued under OAR 816-320-370. The applicant agrees Protective SIgnall g
to make only restricted energy installations(100 volt amps or less) Other
under this permit and to do rhe following:
1. Only use electrical licensed persons to do Installations where
required. (Certain residenticl and other transactions are exempt Number of Systems
from licensing. These have asterisks("). All others need linens-
Ing.)
2. Call for an Inspection when all the installations under this permit 'No licenses are required. L icenses are required for all other installations
are ready for inspection.
3. Purchase separate permits for all installations that are not read)' 5. Fees
for inspection when the Inspector is out to inspect under this Q
permit. Enter fees $ l
4. Assume iesponsiblllty for assuming that all corrections required
by the Inspector are done,and
S. Assume responsibility for calling for a final Inspection when all of 5% Surcharge (.05 X total above) $ �the corrections are completed.
The person signing this permit must be the applicant or a person Trust Account $
authorized to bind the applicant.
Signature Total $
r, -f other than applrnr ___ This permit becomes null and void It the work authorized by the
R permit Is not commenced with:n 180 days from date of Issuance
For inspections call of such permit or if the work authorized is suspended or abandoned
640-3561 or 693-4415 at any time after work is commenced for a period of 180 days.
Electrical Permits are nonrefundable and non-transferable,
2,3 h,sur recorder, one working day in advance of deed Plea 114
CITYrOF TIGARD MASTER VIERMI*f
� T .COMMUNITY DEVELOPMENT DEPARTMENT DWE RIYIISS . . . . . . : IM S T I..
UEDi
13125 SW Hall Blvd. Tigard,Oregon 97223o8199 (503)639-4171
V-'I HRL LL I 04L,1).--i1fu'b0yi
b.1 V1 S51 ON. HILLSHIRE ESTATES NO. ZONING: R-7 P,D
. . . . . . . L.0 I . . . . . . . . . . . . . ..Oh'i
BUILDINI-)
0WLL1_lN(j UNiTS. 3, BASEMUI T. . . . . . . . . 6 a F
AliF.) Of- WORF1. NE W BEDRMS:4 BA"I HS:,,-., GARAGE". . . . . . . . . . :696 s f
FLOOR PREPS REGI!IRED
L)f LUIN'c:)*1 . '-JN 1.kc-i I . . . . : I L,.3 c-, s f LEF 4. ri- ft R 1 W-11. b ft
EL ON 1). ' 1 b 1 s f F R LJ k'1 c�'O f i: k I:--H p :40 I't
. . . . . . . F I N13b,YIE N 1 0 7f k m(0.LJ I R L 1)
5mol"L 01_�. I I.A., I Wc.'.
I U,I i'i . . . . . . . . .L'3 -1.A. YOTAL- sf
jjtjl� i-OPL). . . . :40 pcf VALUE.. . . . . $ 198691 PARKING SPPI(,Ec�,.
1.
-------------- PLUMBING - --
FLO(Jf? DRA 11 WS. . . . Ill LOW PREVNI'RS.
:5 WA'f[--R HEA%Rb. . . TRAPS. . . . . . . . . . . . . . ..0
LAUNDRY 0 . . . . . . . .0
i LLUbt.. I SEWER LINE (ft ) . :0 GREASL 7 RAPa. . . . . . . :0
WO-FLf? i-.lNL (ft ) . : 100 U"I'l-L(i -Vi
b A G E D 1 1.3 1-1, 1 RAIN DRAIN (ft ) . :0
30 1 pju 1,101"11. 1 5F Pf')IN DRAINS.
MECHANICAL -- t-Ef;,_
UNI I- 10 W�. -0 t yle y1-4ea n r)f..k n t b y cl�i-,p
VLN [b W lip $ 1b5o. 00 B 03/E8/9F.
A U I 0 VU41 I-ANb. ; �.� Swill $ loll'. 00 IS 031L(!
H' ' 1001, 0 HOOD5. . . . . . : 1 SWM $ 100. 00 b OISIEL
WOOD5 TOVE G. s0 BF—RI 1i ('6111. 2 03/ iG ``4
I JPN. .0 CLO DRYERS. : I SPLC $ 442. 33 BM 03/07/95 r
0 O)HL UNI 1 -2- 1 IY.-.JP(_ $ .34. 03 f-3
CAS 0 U'T L E f I PARK $ 500. 00 b
111PH I t 1+L." 100
ie. ov b 0 3
3LA I H 9 i5. OW B 111312819�
L t^L Cj $ t-,,4. 1110 b lila/c•6/4i
C-0.
!ML L.0 L RI'C:, $ L.'O. (30 b 03r
)rs contained in the k!.A,!Ul RLD 'LL I i L_N�
Codes and 611 other f C,2t I T:9 1 V" P Plumb (op
I urdarice mlith approm F-vundi.Aticiy) Insp F ram I Tig 1
."'t �tart@u within Is@ 1`o-.t/Seam Struct Fireplare lrryr
- — :- 180 uys. f-'cj5t/L-leam MPuhan G-As Line Insp
brain lnsulati �)n
lett) t!lsp U V p b L, A!'O
P1_M/u1)dt?rf I ocr Rain drain lii,F.
��`-w kkL--- ["',e.c t-'j rl I c a I 111 f;p W i.A t e i, L i r,
f"All for irispt.mctinn 639-4 1 iF,
SL LL11'141"�Li_ I IAN
CITY OF TIGARD PERM I I
COMMUNITY DEVELOPMENT DEPARTMENT FERMI I #. . . . . . . : SWR950113
DATE ISSUED: 03/28/95
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639.4171
PARCEL c5104CIJ-08500
J I L A D D R.L IS 5. . . : 1.a' �.'O 5W ESSLX DFi
juLij)I V I i i ON. . . . : H11LLSHIRL ESfWIES NO. 2 ZONING. R- 7 PI)
. . . . . . . . . . . LUI . . . . . . . . . . . . . 112184
---------------------------------------------------
I LNF4N'T NWIL. . . . . FIXTURE UNI'(5. . . I
JSA NQ. . . . . . . . . . .. DWELL I 1\16 UN I TS. . : I
+:L.PSS OF WUW":. . . :NEW
I Ypt- Ut- USL. . . . . :W, NO. OF SUILDINGS: 1
INS"rALL TYPE. . , . :FAUSWR
Romarks. PATH 1
FEES
SKYLIGHT HOMES BUILDERS type involint by date r-ecpt
0 If [Aux d3lb PRMT $ 00 S 03/28/95
INSP S 35. 00 B 03/28/95
OSWEGO OR 1)
:,,one #:
0401 LIN FILEZ,
OTHL
Req REQUIRED INSPECTIONE,
5 Applicant agree= to comply with all the riles and regulations Sewer Ins pei:-t i on
the Unjfjjc sewage Agency. The permit expires 180 da,?,s from
the d-tt issued. 10t total amount paid will be forfeited if the
permit expires. The Illgency noes not guarantee— I curacy of the
-i sewer laterals. If the sewer noAted the measurement
.In, the installer fl,, directions from
distance g;ver- If not SO located, t shall purchase
lap and Side Sewer' Plerait and tt,p tali a lateral.
e 0 1 1
i t�LJ V
f or inspec7tior 6,S9-4175
rf r a4 3
Residential Building Permit Application
City of Tigard
13125 SW Wall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: ( 3 SZ� Ch- FJ�rx I�P-
Subdivision: W lLL t)+,rta, Ltt# $ Office Use Only Y
Valuation: Planck/Rec
�%� li �� -
• Permit -j�
Corner Lot? Y %7 ----
Reissue of
Flag Lot? Y
Map & TL #
Owner: Approvals Required /
Address _ ?;15 (Alpe v.c►.,-x 6 Y ell _ Plannin `�� ��as a SO lap"
Engineering
Phone G 6 -z y
--- Other
Contractor: Ck 1 i e NT tko Q-e IrLIfJZO-v r Items Re uired
Address GSR 0t-
----- —*--- Subcontractors
-- Truss Details
Phone
--- - , Other
Contractor's License
(attach copy of current Oregon license)
Contact Name & Phone ng cy >t
Subcontractors: Architect/Engineer:
Plumbing: 1k/o/r oar ?- Address.
Mechanical X11 v ; �4 _
(attach copy of current OR Contractor's License)
1 Phone
JOB ESCRIPTION: C,c')L r7 = trSs•� /
l
Applicr ti6haftire & Phone number
f �ceived by Date Received: /
��►C1 r� S C C AR rAC,of ff k./A► 1 F'r' n P'4 p� GO06&0 1
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a, ..
Permit # Account Description Amount Amt. Pd. Bal. Due
Pl.>t'1) 65/1, Bldg. Permit (BUILD) ,-y
Plumb. Permit (PLUMB) z 2 S-..a ZZ s
Mech. Permit (MECH) -/,Yl✓v
State Tax (TAX) 9
Bldg:
Plumb: 2 _
Mech: .y
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
,jG lei;
&.d 3 Sewer Connection (SWUSA) ' ' _ f�• v��
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) y _ S 6"'
Residential TIF (TIF-R) / -Y L' /V;L)
Mass Transit TIF (TIF-MT) / z�_ _ Zp
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Q,jality (WQUAL)
Water Quantity (WQUANT) o
Fire Life Safety (FI.S)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) O�S'� c77/n4::v
Erosion PlanckJCOT (EROSN)
TOTALS:
FROM SKYLIGHT HnMcBUILDERS COMPANY PHONE NO. 6978419 Mar. 08 1995 121:-9PM P2
HIlLrNIIPE V'—aTLr
SKYLIGHT H0Nl=J►LDfFC
P.O. Dox 2316
16AM O8WEOO. VR 97M
h � �
1 �\
C.!'J CP/
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o�mac— iot
?i��-Ai,u�•� I�� Z�I V4A ERcl,d�Y �.�,rTrrOj \ b
�#�I�Nf GF MIP 30 � 1►. �ar.�+ly �.�r>, ►•,pls.e. I��i°� �
�vr e/'V ljvn CI ♦7l/p7 r \O
Ih A»I L tt 4t /O y t�► t 044.6. :n %V♦, (9,) G c r1v
vi ��vtirle♦�' �v/ -fkt—
P Hi-Au_
J— . . . ,.
LUBING
CITY OF TIGARD PPERIVMII f #. . .PERMIT. . . . . � 4l i .�
COMMUNITY DEVELOPMENT DEPARTMENT DAIL. 18SULD: 111,6/d8/95
13125 SW Hell Blvd,Tigard,Oregon 272230199 (503)639-4171 PARCEL: 25I04CD-0(3!:;00
3
1352121 SW ESCE X
DR
,t,bl)1VlS10N. HILLSHIRE ESTAI'ES Nu. ZONING: R-7 PD
LOT. . . . . . . . . . . . . :084
_1_45s OF WoRl". . NEW GARBAGE DISPOSALS. . : 1
-0-'L OF LK:A... :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVN'FRS. . Cl
_(JPANCY 6kP. R3 FLUOR :0 I'RAPS. . . . . . . . . . . . . . .0
WATER HEATERS. . . . . . . I CATCH BASING. . . . . . . :0
LAUNDRY TRl4Y'3. . . . . . ::0 -DF PAIN DRAINS. . . . . . .L
. . . . . . . . . . HAPS. . . . . . . 12
1_i-4f�IORIL5. . . . . .*`5 011 iErR F I x"l-URE-5.
11-VSHOWERS. SEWER LINE (ft ) . . . . :0
- �'. (ft � . - . . z 100
r _14 C L.0 S ET S. 3 W('TER LINE
D1 SHWASHE RS. . . I Rr4IN DRAIN (ft ) . . . . :0
mark: : PIAIH I
-------------------
(1-16FI-1 HOMPS BUILD RS TIF $ 1,550. Oe 8 03/d8/115
BOX a.311b bwm $ 160. OQA B 03/d8/95
GWM $ 100. 00 8 03/ib/lib
OSWEGO OR q7 13 P R1 S 6 F0. t,0 LA 0 3/1.`.'a/1)b
FPLC $ 442. 33 SM 03/07/95 95--262568
S5PC t 34. 03 LA 03/28/95 -
.1mbirn (.tmtrgkct ov,- F"AIRI's, 1 `'500. 00 a 03/28/95
MP R rr $ 48. 00 13 03/128/95
zLk Plw7bnO C,045 MPLL"' 00 b 03/28/95
mut-'u 40 B 03/28/95
11, 11-4 L2LIZ). 00 B VA.�/a*8/')5
ty ':it A t e
0 T)e# P51~,u 11. 25 B 03/28/44
#: Additional tee_; n a t shown here. . . . . . . . .
RLUUIRED INSPEC11UNS
Pet"Mit IS ISSUed subjel.:.t to the reqI-
atiuns contained in the Tigard Municipal Footing Insp, InSUIat 10T) IT)S;
Je, `ituate. Ur Ore. Specialty Lodes and all Foundati,.,i Insp Uyp boaro i ip
her applicable laws. All work will be done Plost/Deam _truct Rain drain 17isp
aL'Cordatice with approved plan,,. This Post,llle;.im Me,_han Water Line Insp
will expire if work is not started Crawl Drain Water Set-vice In
t-!--tin 180 days of issuance, or, if worl, it, Plmiundslab Insp Appr/5)dwIk Insp
c;pendeo for more t(tan 160 days. PLM/Underfloor Mechanical Fznal
Iviet-Alanicai 111sp Plumb Final
Plumb lop but building Final
Framing Insp Erosion Lonti-ol
f' ireplace lnsp
Gag LiTie Insp
I .,Pd a .J, IT)y C,ontr-autt, L'i gnat ut-e
Lai 1 i ov- inspec-.,+ inn - 639-4175