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11049 SW GENEVA STREET 1. u,. a .i +t •:+ wkaa� n+t�++v7s:w-.i �. u•f;.e .,s.rkh-+�•..,fin.,. nth :whx rw.,, t 4.1Jar ,.F { 1,➢ S}' (a 1 J j 1 �i 1 C- J i. t: i II CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT CEP f T F r LATE OF 1,112613W Hall Blvd,Tigard,Oregon 91223.3199 (503)639-4171 OCCUPANCY PERMIT #. . . . . . . . MST94--004 . ' 539--4171 owrE 11;aUED: 11 /16/94 PARCEL: 1 S1;34AC-OWl 160 SITE Arit)Rt<'3s. . . : 1 W49 SW GENEVA ST SUBDIVISION. . . . s JEFFREY ESTATES `l.ON I NG:R--4, c PD I I BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . :0 15 A CLASS OF WORK. :NkW TYPES OF USE. . . :SF r OCCUPANCY GRP. :R.3 A OCCLJ;:-ANCY LvAF?e iR27 4 TENANT NAME, . . : j i r Remarks : CATH T fOvnera ...__._._..._...........__.._. .__ _._..____,..._..._._.__..__..---._.___._ J'F:�G ALWAY 24300 STAFFORD RD TUAI_ATiN OR 97062 Phone 0: 638-0718 IContractor: __..._._.._.._.......... ......_____._.,_._______..___ j JI SS AL-WAY INC 1 24300 SW � TAFFORD RD TUAL..ATIN OR 97062 Ph ori e #: 503--f~..8--x+718 I Furl d#. . : 902'7 Occupancy of the above referenr_lbd bmilding is hereby given, and certifies the cumpl. iance with the State Of Oregon Specialty Codes for the group, arr upancy, and usre kmrier which the referenced permit; was i suited. (r BUILDING INSPECTOR i .....:...__._._._----. SUILVING OFFICIAL. i {� POST IN CONSPICUOUS PLACE J PTIOW f I I 11 a .. , r. r jiBPE(nION NOTICE city of Tigard Building Derrart0e-'- 13125 aM Ball Blvd. Tigard, regon 97223 Inspection Line (Rec-O--Phone)= 639-4175 iusine. -% Phone: 639-4171 Ir-pectIon:� -- ------ — -- ' FootingPlbg. Underslab Rech. Rough-in Appr/Sdwlk Pound. -Ibg. Top Out Gas Line F,MAL*) Post/Beam Stract. San. Sewer Framing -Bldg.' Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. rinderfloor Water Line 1 ` Gyp. Ld. -Mach. Date RoqueRtedi h- PH , AddresR• 1 1 C� A�� 'L��-- Permit 1: 1 Builder:—__ THE FOLLOWING CORRECTIONS ARE REQUIRED: j \ _--�--�� Inspector: -- gate: /APPROVED DISAPPROVED APPROVE:, SUBJECT TO ABOVE r^) Call For Reinsp. a MENNEN 1 7 W NI .^aPECTION City of Tigard Buildiaq Department 13125 Sw Ball Blvd_ Tigard, -regon 97223 Inspection Line (Rec-G-Phone)t 639-4175 Bveinaae Phone: 639-4171 i � Inspection:- -- — t ~� Footing Pll�g. Underelah Mech. Rough-in Appr/Sdwlk I Found. P1bg. Top Out Gas Line PINALt Poet/3eam 3trur;t. San. Sewer Framing Poet/Beam Moch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Rd. Mach -� me • Date Reaueatedt Ti : _—AM - PM Addreeat i 'elf _ Permit #t Builder:-&.-3k- 07/Z i TBE FOLLOWING COARHGTIONS ARE REpUIREDt r. t i i Inspector:_ ` �� " --__ Datet +L 15— 5 �^APPROVED -- DISAPPROVED 7A PROVED SUBJECT TO ABOVE / v Call For Reinap. V� yr r , I INSPECTION NcYPICE r City of Tigard Building Department 13125 Sw Hall Blvd_ Tigard, Oregon 97223 j Inspoction Line (Rec-O-Phone): 639-4175 Business Phone: 539-4171 Inspection•.-__W Pootinq Plbg. Underslab Mach. Rough-in Appr/8dwlk E ~ Pound. Plbq. Top Out Gas Line FIcccNALs / Fest/Beam Strutt. San. Sewer Pramirg Fald� 1 ` I Post/Beam Mach. Rain Drain Insulation Plby. Undarfloor Water Line Gyp. Bd. i r Date Rrsgssosted: T��i��ml1es AM PM j Address: / U C GL. p'et Builders TBS FOLLft7ING OORRECPIOMS AAS DIRSDt J C, .I1�1 11 �•' L' � � ��._ � .�..� �•s s was A c.� c �.Q- ✓Z-ct�,. �,,(�-7 Nom.-�}..A.T , V2t' c� -- Inspectors f4 Date: � I � t _APPROVED __j/_ FOI8APPROVSD APPROVED SUB.IEc'[ TO ABOVE V call For Reinsp. f t� 1 i � (�ty • J I ! 3• �.i 111III Y 'Iyq '.T I, .. - r t, INSPECTION NOTICE City of Tigard Building Department 13125 OW Ball Blvd. Tigard, Oregon 97223 l Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171 Inapection:p� f Footing Plby. Underslab Mech. Rough-in Appr/Sov.ik i Pound. Plbg. Top Out Cas Lire PINAL: j Poet/Beam Struct. San. Sewer Framing -Bldg. !' i Poet/Beam Hoch. Rain Drai•: Insulation -Plumb. i� Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requonted:_ __ Times `AM PH Address• _ Permit 1 C) L 06 3 Builder:_ - THE FOLLOWING CORRECTIONS ARE REQUIRED: 12 74 n L s S Inspector:_ �� Dat_es_/ 4 APPPovEn i—DISAPPROVED APPROVED SUBJECT TO ABOVE -,--Call For Reinep. i d • ZNSPL*CTION NOTICE City of Tigard Building Depar*aie+* 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Lina (Rec-O-•Phone): 639-41.75 Business Phone: 639-4171 Inapection:_ Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line Poo! /Beam Struct. San. Sewer Framing -Bldg. 40 Post/Beam Mech. Rain Drain lnoulation &moi;_) Plbg. Underfloor Water Lino Gyp. Bd. -Mach."' Date R"queoted: 1 --Time: AM y� a 7lddreoa:_ r11" _ Permit �U_�G Builder: - O ? &7IE 4`1- 7 1 THE FOLLOWING ODRRECTIONS ARE REQUIRED: R y ' Insper_tgrs_ Date: /.APPROVED DISAPPROVED APPROVED SU&tECT TO AWArE — Call For Reinap. H JWLM t� INSPECTION NOTICE City of Tigard Bu;.Iding Department 13125 SW Ball Blvd. Tigard, Oregon 97221 Inspection Line (Rec-O-Phone): 639-4175 Busi.neus Phone: 639-4171 Inspection:_______ Footing Plbg. Underelab Mach. Rough-in App[/6dwlk Found. Plbg. Top Out Gab Line 6:11 1IN . Post/Beam Struct.. San. Sewer Framing -Bldg. Post/Beam Mech. Rain nrain Insulation -Plumb. ,% Plbg. Underfloor Water Line Gyp. Bd. -Mech. J5 - Date Requeated:- ___ z�� C�� Time: AMy_�_ PM le 7 ) yPermit Builder: �/ S.S / riit�7�l (/�Q - THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:_--"°N =�/ -_._ Data: _APPROVED ' D7IS":11 OVED APPROVED SUP-TxrT TO ABOVE For Reinsp. mow,........ �t t4 DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON 155 DEVELOPMENT" SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 %v - COUNT, PHONE: 503/640-3470 OREGON / INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 ermi.t ff: 05051.579 Project # : P0039282. Status APPROVED Page 1 of 2 • ,FA' wk Applied : 03/31/94 Issued 03/31/94 Expires 10/01/94 06/29/94 05 : 52 RESELEC Permit Title SFR - ELE"/NEW HOUSE OTH Description UP TO 2000 SQ FT Begun: 03/31/94 Job Address 11049 SW GENEVA ST TI Owner Name INSPECTION - TIGARD Region D Applicant Name NORTH VALLEY ELECTRIC _ Phone number 932-5916 Valuation: 0 Approve - _ I i _inspector Comment�s :�,, Rejected---- IVR-RESULTS ejected. ---IVR-RESULTS _----_--------_-------- _----- REQUEST ERROR! j - 7'- .inspected by : _ Date:__ �Q F Inspection Requested: * Final. Electrical 06/29/94 RI PH r J-1 s�' J INSPECTION NOTICE j i City of Tigard Building Department 1 i 13125 BW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rea-O-Phons): 639-4175 Business Phone: 539-4171 i Inspections Footing Plbg. Underelab rZch. Roug' l Appr/Sdwlk Found. Plbg. Top Out �Gae Line FINALS Post/Beam Struct. San. Sewer Framing—� -Bldg. Post/Beam Hoch. Rain Drai.n Insulation -Plumb. Plbg. Underfloor Water. Line Gyp. Bd. -Mach. Date Requested: _ Tin.-.: �.AN\/ PM Address: f'�y;��'7 Permit I: Ck� Build9r: THE FOLLOWING CORRECTIONS ARE REQUIRED: f, v e .s ,.i inepactors _ Date: �D DISAP1R31RD _ APPROVED SUBJECT TO ABOVE _Call For Reinsp. a+t4p�.ty i ,r • INSPECTION NOTICE City of Tigard Building Department- !1 y 13125 SO Hall. Blvd_ Tigard, Oregon 97223 # Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Mach. Rough-in r/gdwlk Found. Plbg. Top Out Gas Line FINAL$ Post/Beam Strict. San. Sewer Framing -Bld • g• Post/Neam Aech. Rain Drain Insulation -Plumb. I Plbq. Underfloor Water Lino Gyp. Bd. -Merh. Date Requested:`___ y-�G `9j --Time= V,AN PM Address: V 1 '1 \-��— eiln--Permit Builder: JLL,,r Y THE FOLLOWING CORRECTIONS ARE REQDIREU$ ,STALL LIAI C- f�IV ///dh ST , -f3- t li T- Inapectors`c- ==L -� Date �I,LG�t%Y APPROVED DISAPPROVED ( k6iR VD SOSJECT To ABWi� Call For Reinep. r .y, w ,.M I . yY 0. INSPECTION NOTICE city or Tigard Building Departa=ent 13125 SW Ball Blvd. Tigard, Oregon 97223 L Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 i Inspection:_ Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing Bldg. f P-st/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Hater Lina pyp. Bd. -Hoch. Date Requested= Times AM PM Address_jZ97 Pi7e[leL, P'�rF�At Builder= CSS Q�t�cx< O 7/ a TBE FOLLOWING CORRECTIONS ARE REQUIRED: 116- Inspector! _� _--- Date: _- APPROVED - D?SAPPROVED ,ZAPPROVVD SUBJECT TO ABOVE i I Call For Reinsp. i Ail T r.� M T fl 4 INSPECTION NOTICE \ / City of Tigard Building Department 13125 SA Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone: 639-4175 Business Phone: .639-4171 F Inspections Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk )j E vc•!nQ. P1bg. Top Out Gas Line lam// FINAL: i Post/Beam Struct. San. Sewer j--f-raming Bldg. - _ 4 Post/Beam Hoch. Rain Train Insula"ion --plumb. Plbg. Underfloor Water Line Gyp. Rd. h. Date Requested:- / —��-Time: _ --AM � PM Address: ]/ _�7C,{�� PeYmiC i: �/7 j Builders E THE FO NG CORRRCTIONS ARE REQUIRED- zz Uo _ Cl) - - f i - i i Inspector. \ _ Date: �� APPROVND __ DISAPPROVED �' APPROVED SUBJRCf TO AROVE Call For Reinsp. ` I i i Y. h' 'f r I' r I i �NSPRCTION NOTICE � City of Tigard Building Department I 125 Eft 8a11 Blvd. Tigard, 13 4 Oregon 97223 8 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inopec ion: — ,e -_ c.,�r c Y Footing Plhg. Undsrelab Mech. Rough-!n Appr/Sdwlk J � I 3 Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer. raming -Bldg. Poet/Beam Koch. Rain Drain (Ineulatlon_�> -Plumb. - I Plbg. Underfloor Water Line Gyp. Bd. -Koch. i Date Requested: l7 - q !L_ Titm�ech r ' PAM PM Addreae: n v�" Permit �� 4 Build-,r: THE rv(. ING CORRECTIONS ARE REQUIRED: J I 1 I 1' = Inspector: Data: � __..—APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _k�al:_ For Reinsp. I I l r DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY INSPECTION REQUESTS: 503/640-3561/693-4415 PHONE: 503/648-8781 OREGON � Page i of 1 Date 04/11/94 Time 1.5 : 17 ! Permit 'Type Residential Electrical Porrnit Permit: # 05051862 �! Permit Status APPROVED Applied 04/07/94 Situs Address 11049 SW GENEVA ST TI Issued 04/11/94 � Permit Title SE'R - ELEC/ALL ENCOMPASING LV Completed Permit Descr. To Expire 10/08/94 Project Title SFR - ELEC/NEW HOUSE Project # P0039282 Project Descr. UP TO 2000 SQ FT * EROSION * • Parcel Number 251T1 - Land Use District Valuation 0 t Legal. Descr. Owner INSPECTION - TIGARD Construction OTH Applicant Name GARY'S VACUF'LO Classification 900 Applicant Addr . : 9015 SE FLAVEL Occupancy : R3 PORTLAND, OR 97266 Validated by KE Applicant Phone: 775-2042 Inspector Area CONTRACTOR : GARY 'S VACUFLO Lic. C 26-7280 775-2042 1 Fee description U,Zits Fee/Unit Ext fee Data t' -------------------------------------- -__-- Limited E'ntegy/Alter./Extension 1 40 , 00 1() UU Subtotal Electrical Fees : 40 . 00 _+ State Surcharge of 5 2 . 00 { Total Electrical Fees : 42 . 00 *** Nees Required *** *** Fees Collected & Credits *** «- -- -- Method Check # Receipt No Date Payment- -- r CK 9601 04/11/94 42 , 00 TOTAL THIS DATE *rt,M****** 42 . 00 Fees : 42 . 00 Adjustments : . 00 Total Credits : UU Total Fees : 42 . 00 Total Payments : 42 . 00 Balance Due: , Op t , 1 NOTICE: This permit becomes null sod void It the work or construction for which It Is Issued Is not commenced within 180 days. Once construction has started, the permit becomes null and%:)Id If-ons,ruction Is Interrupted fora period of 180 days. I cerllfy that the Information presented by:he applicant and his agent or agents In support of Iris permit Is true and correct to the best of our knowledge. 1 acknowiedge that the Building Department's reliance upon false ani misleading Inform lion may Invalidate this perm". All pr wlslons of applicable laws and ordinances goveming the construction and use t of this building or structure will be complied with whether or 1101 specified on lire plans or noted on the pians correction sheets. I acknowledge that the granting of a perm"does not grant authority to access private property or to ties easements. 1 further acknowledge that the use or occupancy of a the structure or building permitted depends upon my calling for Inspectior•at various times during the process of construction and the building Inspection staff verifying compliance with the various codes. use or occupancy of the building or structure permitted print to approval by the Building Department Is solely of the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and approval Is given by the Building Official. I farther acknowledge that a lien may be pieced on the title of the property upon which the permit in issued specifying that the use or occupancy of the building or structure Is provisional and rdvocable until the satisfaction of all Inspection requirements APPLICANT'S SIGNATURE y Y i INSPECTION NOTICE City of Tigard Building Department 13125 BA Ball Blvd. Tigard, Or"gon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone= 639-4171 Inepectio2=_ — Footing P'lbg. Onderelab Nech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL= Post/84e1Y, trual. San. Sewer Framing -Bldg. � a�/B�a?tiaph. Rain Drain Insulation -Plumb. Ply. Onderflo3r Nater Line Gyp. Bd. -Koch. S r Date Requesteds _ V -__Times AM PM Address e',nc V °+rmit Z Builders THE FOLLOWING OORRECTIONS ARE REQ IRED= Inspector: - Dat e=- -- �,' d -`_APPROVED DISAPPROVED APPROVED BDBJRCT TO ABOVE •Call For Reinep. t ' r 1= i I Fib I WASHINGTON COUNTY Department epartment of Land Use & Transportation �...1 Electrical Inspection Section • ► 155 North First Avenue, #350-12 ELECTRICAL ENERGY Hillsboro, Oregon 57124 lnforina'ion: (503)640,3470 Fax: (503)693-4412 APPLICATION t "se ' ll Sections, . • throughProject No. _—____ Permit No. 1. Location Installation Label No._ Date ---- AdaressIssued By Office cm—hwhejeLT Zip Code -- 4. Type of work: Tax Map Map No. RESIDENTIAL Restricted Energy Fee $40.00 Thomas Map Book: Page Section _ (for all systems) i Directions_` C ^ L%�.��'.�_� Check type of work irw Ived: and Stereo Systeme" t Commercial ❑ Residential urglar Alarm Tenant Name elephone Systems" (If commercial) .� &rage Door Opener* This permit becomes null and void If the work authorized by the re Alarm I mit Is not commenced within 180 days from date of issuance such permit or If the wotk authorized Is suspended or abandoned i(eating,ventilation and Air Conditioning Systems* MG at any time after work Is commenced for a period of 180 days. acuum Systems" Eletitrical Permits are non-refundable and non-transferable. her_ 2. Contractor bip lication:, Electrical Co tractor �� 4 / COMMERCIAL Fee for each system $40,00 (see OAA 418.280-280) Address Date in Number Chrck type of work Involved: Property Owner _�'_�7- t Contractor's License Ntb: — Boller Controls f Contractor's Board Reg No. = Clock Systems Phone No. 17 _ C Data Telecommunications Installations Fire Alarm Installation 3. Owner application: HVAC Instrumentation Print Owner's Name Phone No. Intercom and Paging System _ Landscape Irrigation Control' Address — Me,1ic,Ul _ Nirse Cells t ��- 'Mato ip outdoor Landscape Lighting" This per mit Is Issued under OAR 910-320-3T0. The appikent&prove Protective Signaling to make only restricted energy Inst Mations(100 volt amps or lose) other under this pormlt end to do Aire following: - - ----------- 1. Only use electrkal licensed persons to do Installations when required. (Certain ro#Wentiol end other transactions are exempt Number of System* from licensing. These have asterisks P7 All others need lkens- 2. Cil for an Inspection when all the Installations under this permit "No licenses are required. Licenses are required for all other installations, aro ready for Inspection. 1 3. Purchase separate permifi for all Installations that are not ready 5. Fees I{{{ for inspection when the Inspector Is out to Inspect under this l permit. Enter fees 4. Assume responslbllNy for assuming that&/I corrections required 4 by tho Inspector are done.and ' 3. Assume responsibliffy for calling for a final Inspection when all of 5% Surcharge (.05 X total above) $ the corrections are completed. The person slgnln I It must be the applicant or a person TOt19I $ authorized to a 1 fit. Signature Space below reserved for validation. ' -- Authority H other then applicant For Inspections call 640-3561 or 693-4415 M 24-hour recorder,one working day In ndva�." of need �.�.� 11/92 a. 44000e-* .0616 tr ., ............ ... �.wa`:.,a t i i 1 � A 4 INSPECTION NOTICE City of Tigard Building Department 13125 am Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone)s 639-4175 Bunineas Phone: 639-4171 {{� i Inspection: Footing Plbg. Underelab Nech. Rough-in '') Appr/Sdwlk Found. Plbg. 'fop Out Gas Lica FINAL: Post/Beam Struct. San. sever ( Prwninq -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Lina Gyp. ad. -Hoch. Date Requested:_ "� lL� ' _Time: --Am Address: j l LnY Y`�V`i t_Permiit 1: Builder: ✓� ld l V l ' :'BE FOLLOWING COPRECTIONS ARE REQUIRED: ail -4 i Inepeckor•--- -� _ — n ste t 7 - �- f 7 APPROVED DISAPPROVED _ AFPgOYRD SUB'ECT To ABOVE { - "- C`lfll For Reinep. M1 LA ,i I i o DEPARTMENT OF LAND USE & TRANSPORTATION WAS�iINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 • 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 erinit 515'79 F'rc,�e:��. # P0039282 Statu:.. P,PPii(�VF.L• F'a+fie I „, pplied ; 03/3,/94 IsE,Oed 03/31 /94 Expires 09/2'7/24 04/04/94 06 01 µ RESELEC "I`ermit Title SFRI ELEI,"/NEW HOUSE UTH escription UP TO 2000 SGS FT Begian . 03/31 /94 • ob Address 11049 SW GENEVA ST TI wner Name INSPEC.'TION - "IGARB Region. D ,pplicant Name NORTH VALLEY ELECTRIC lhone number 982-5916 Valuation : Approved_ • inspector ,'y mmeats : ` e?�c t'�____-•-� se ly!{ nspected. Ly .._ - -- -- LatF . ti. Inspection Requested * Cover & Service 04/04/94 RI 14JF 932-5916 ,.w......�.....».... W. rPoarU4kk �h:,v+ .ir„- ,•a.b.. ,vN'wcw•<^' • �f' v f•.,iy”.-. Y""' ' t '� r is 9 .�i r r.4,.,- : • • PL p11110;111 MPECTION NOTICE City of Tigard Building DepartaenL L312S SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-,O-Phonel): 639-4175 Business Phone: 63(�9-4171 I:depections ' Y p �_� _ `( Je-c (V jea- --- Footing Plbq. Underelab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Lina FINAL: r Post/Beam Struct. San. Sewer Framing -Bldg. "a Poet/Beam Mech. Rain Drain Ineul.atlon -Plumb. f Plbg. underfloor Water Line Gyp. Bd. -Mech. Date Requested: ' (/ 1 Times AM PM Address sqIA Permit i s Builder: 1 TETE FOLLOWING CORRECTIONS ARE REQUIREL: i M .tC4 ry Ny Innpector:_T Date- ---.-APPROVED ate:--__APPROVED �- DISAPPROVED -� APPROVED SUBJECT TO ABOVE t' Call For Reinep. IMME r .aA r W , W7 F7 INS DEPARTMENT OF LAND USE b TRANSPORTATION LAND DEVELOPMENT SERVICES DIVISION WASHINGTON 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415 PHONE: 503/648-8761 OREGON Page 1 of. 1 ' Date 04/01/94 A ; Time 15 : 34 {G;y.S Permit Type Residential Electrical Permit Permit # 05051579 Permit. Status APPROVED Applied 03/31/94 Situs Address 11049 SW GENEVA ST '1'I Issued 03/31/94 • Permit Title SFR - LLEC/NE:W HOUSE Completed Permit Descr. : UP TO 2000 SQ FT To Expire 09/27/94 � Project Title SFR - ELEC/NEW HOUSE. Project # P0039282 Project Descr. UP TO 2000 SQ FT * EROSION r Parcel Number 2S1TI - Land Use District Valuation 0 Legal Descr . Owner INSPECTION - TIGARD Construction OTH t. i Applicant Name NORTH VALLEY ELECTRIC Classification 900 Applicant Add.f . : PO BOX 222 Occupancy R3 WOODBURN, OR 97071 Validated by KF Applicant Phone : 982-5916 Inspector Area CONTRACTOR : NORTH VALLEY ELECTRIC, INC Lic, C 24-3020 982-5916 Fee description Units Fee/Unit Ext fee Data ----------------------------------------------------------------------------- Square Footage [Enter Sq . Ft . ] 2000 160 . 00 Subtotal Electrical Fees : 9.60 , 00 State Surcharge of 5% 8 . 00 Total Electrical Fees : 168 . 00 *** Fees Required *** *** Fees Collected & Credits ,Rrr,t ---------------------------- _-------------------------------------------- Method Check # Receipt No , Date Payment CK 2818 03/31/94 159, 00 Fees : 168 . 00 Adjustments : , 00 Total Credits : . 00 Total. Fees : 168 , 00 Total Payments : 168 . 00 Balance Due: . 00 a NOTICE This permit becomes null and void If the work or construction for which It Is Issued LA not commenced within 180 days. Once construction has started, the permit becomes null and void If construction Is Interrupted for a period of 180 days. t certify that the Information presented by the applicant and his agent or agents In support of this permit Is true and correct to the best of our knowledge. 1 acknowledge that the Building Deparlment's reliance upon taloa and misleading Information may Invalidate this perm". All provisions of applicable laws and ordinances governing the construction and use of this building or stricture will be compiled with whether nr not specified on the plans or noted on the plans correction sheats. I acknowledge that the granting of a permit does not grant authority to access private property or to use easements I further acknowledge that the use of occupancy of the struclure or building permitted depends upon my calling for Inspections at various time%during the process of conshuctlnn and the building Inspection staff verifying compliance 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 applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied--,d approval Is given by the Bulld;ng Official. I further acknowledge that a Ilen may be placed on the title of the property upon which the permit Is Issaed specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of e9 Inspection requirements. APPLICANT'S SIONArURE a ' a ; &*"Waal -_.;•, 4' WASHINGTON COUNTY ELECTRICAL PERMIT a. Department of Land Use & Transportation ,./ f Electrical Inspection Section APPLICATION 155 North First Avenue, #350-12 Hillsboro, Oregon 97124 Information: (M3j 640'3470 Fax: 503 693.4412 f- Project/Permit 3�3 j_ Bill PLEASE PRINT Number Date Please completesections, . . 1. Location of Installation Complete Fee Schedule below Address-1Number^f Inspections per permit s:;_wed Buildingg Service included: Items Cost(ea.) Sum City �j• - Suite N0. Tenant N e A. 9esidential-per unit (if commercial) 1000 sq.ft.or less _ $110.00 I (� '( � _ 4 Each additional 509 sq.ft , 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 Directions-____. ______ -_ Dwelling Service or Feeder $68.00 - 2 r B. Services nr Feeders - s Commercial r ] Residential Installation,alterations or relocation 200 amps or less $60.00 _ 2 201 amps to 400 amps �_.- $80.00 2 2a. Contractor installation only: 401 amps to 600 amps _- $120.00 __- 2 Electrical Cpntrac.lor e-' tt Or"d l rIf _t 1J L 601 amps to 1000 amps $180.00 2 Address �'.,�i (�U�C .-�a a o tom{OIL q7v-1 I Over 1000 amps or vclts A___ $340.00 __ 2 Date 3- Job Number Reconnect only $50.00 - 2 i Property Owner 7c s:. Il IL �- Contractor's License No. � 3tJ a �- C. Temporary Services or Feeders Contractor's Board Reg. No. _ n Installation,alteration or relocation / 200 amps or less $50.00 2 Signature of Su r. Elec'n !._ 201 amps to 400 amps �_ $75.00 2 g p �- 401 amps to 600 amps _ $100.00 � 2 License No. Y401-<; Phone NO. - I Over 600 amps to 1000 volts sae W above 2b. For owner Installations: D. Branch Circuits New,alteration or extension per panel -- a) The fee for branch circuits with t nnr's'Name hone o. purchase of service or feeder fee. i Addfog -- -- Each branch circuit -__ $5.00 _ 2 b) The fee for branch circuits without City --- - tat-fie-"" - purchase of service or feeder fee. First branch circuit $35.00 2 The installation is being made ori property I own Each add ril branch circuit $5.00 __- 2 which is not intended for sale, lease or ren!. E. Miscellaneous (Service or Feeder not included) Each pump or irigalion circle $40.00 _ 2 Owner's Signature Each sign or outline lighting $40.00 2 Signal circuit(s)or a limited 3. Plan Review section (if requiril energy panel,alteration or extonslon $40.01 Please check appropriate item and enter fee In section 57. _ 2 1 & 2 family dwellings over 320 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 anlps; feeder 400 amps or more Per hour T $55.00 System over 600 volts nominal In Plant $55.00 _ i 't Building over 3 stories in height I Building over 10,000 sq. ft. 5. Fees _ Occupant load over 99 persons A. Enter total of above fees $ I Manufactured Structures Park or Recreational 5% Surcharge (05 X total fees) $ Vehicle Park; new, addition or alteration Subtotal $ 1 L LY au _w Classified area or structure containing special B. Enter 25% of line A for occupancy as described in N.E.C. Chapter 5 Plan Review if required (Section 3) $ - l --- Subtotal $ Submit 2 sets of plans with application where any of the Less Bulk Label Fee $ above apply. Not required for temporary construction - Services, Balance Due $ 1 LSct For Inspections call This perm%becomes null and void if the work authorized by the permit fir not commenced within Ian day*Low of Issuance of such per or M the work authorized 640-3561 or 693-4415 f awpanded or aban on.d at any time after work is commenced for a period of 18e days i t 24-hour recorder,one working day in advance of need Electrical Permax are non refundable .nd non-transferable. Y 'a 5.,M3 t ri r l - Ti, INIPSC 1ON iqcncz City of Tigard Butidlrg Department 13125 SW Hall Blvd. Tigard, Oregon 97233 N Inspection Line (Rec-O-Phons): 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. Underelab Neck. Rough-in Appr/Sdwl.k round. Plbq_ Top Out Gas Line FINALS Post/Beam Struct. San. Bawer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. y Plbg. Underfloor Nater Line Gyp. Bd. -Mach, Date Re(Iuested:y� - 3 L,, / � Tunas AN Address I guilders i THs FoLLowING CORRECTION ARE REQUIRED: Inspectors _ Date: V__APPR(M3D DISAPPROVED APPROVED SUBJECT TO ABOVE 1 )1 _Call For Reinap. I 1 1 1 i y ,c r. ... - - l h H f Y jNSPECTION NOTICE / City of Tigard Building Department 3.3125 811 Hall Bl.vd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone): 639-4175 Baeineas Phone: 639-4171 Inspection -- -- -- — M1 Footing Plbg. Underislab Mech. Rough-in Appr/Sdwlk i Found. Plbg. Top Out Gas Line FINAL: S et/Beam Struc /`San. Sewer Framing -Bldg. Post,/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor water Line Gyp. Bd. -Mech. r Date Requested:_q � —Time: AM PN Address- l . 104 l�� Permit Builder: 'L `� L`�a_l� THE FOLLOWING CORRECTIONS ARE REQUIRED- OVA A �-C. _ Inspector: � '^' - ��-- Date:_�-- { APPROVEn DISAPPROVED 7APPRtri/ED SUBJECT TO ABOVE _Call For Reinep. n aJ 1 k Op FULLER DESIGN fi ENGR. 301A 24'-Ai 5977 P. 01 �•-f -"If �Cl-� Fuller ll(i Y ID. (J ; .Design & Engineering ---- ''��25 ��Z. o!NC cheri' I Fold I►-I)'�J, i � .h`� • r JJ�• � ISL Of(ECIM JOtS I �Ugs- _ I- IOL �vI� III • J G>L<-; -AlL t- I T t XP.'O?a,1/E8, -- -- — — — —_ — r- E i a. Y,. 7171,19 MIT 77 INSPECTION NOTICE I1 W City of Tigard Building Departm!knt 13125 Bw Ball Blvd. Tigard, Oregon 97223 / Inspection Line (ROC-O-Phone)s 639-4175 Business Phones 539-4171 Inspections �1�� l,/t' ,e_.C...Aj" Footing Plbg. Underalab Mach. Rough-,in Appr/Sdwlk round. Plbg. Top out Cam Line FINAL: �__ Btm_t San. Sewar Frami.rg -Bldg. S Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. _Mach, � a Data Requested: 1 Times 11M PM Address ` 1 l� ="'\ �. �„ zk- Permit t s Brllders TBE FOLLOWING CORRECTIONS ARE REQUIRED: C--f- < < J2 y ZL_� - r Q c ti•r r c,r. E ►'1 Inspectors Dates APPROVED V DISAPPROVED APPRO"n SUBJECT TO ABOVE �( Call For Reinmp. ' y - .,.".. .. ••..�.....,�..,...M,.d+.4ui�. ..SilY4iia4.#n' Iki7�7s Yr 1� y' _INSPECTION NOTICE City of Tigard Building "'vartnmt 73125 Bw Hall Blvd. Tigard, Oregon 97223 Inspection Line (R(-c-O-Phone)e 639-4175 Business Phone: 639-4171 eInspection:—_ --- -- Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk ) Found. Plbg. Top Out Gas Line FINAL: r Post/Beam Struct. Ran. Sewer J Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Linu Gyp. Bd. / -Hoch. AM PH w --. Data Requaekeds�_� /� ^� �-t�`se '! Address:_, 1 1 -U�. 617C'1J P�Iit ,_ i CJ��'( 3 Flu I1dar:' 1;'. ''� ��La-� —�z 7�1 O THE FOLLOWING CORRECTIONS ARE R-3QUIREDs Inspector -- —_� _ — Date: PROVED DISAPPROVED DISAPPROVED _T APPROVED SUBJECT TO ABOVE Call For Reinap. i Now- M I i fir,. 4 IN,; ECT10N NOTICE City of Tigard suil.din9 Departsent P ' ' 1.3125 611 Hall 9;:vd. Tigard, Oregon 97223 + Inspection Line (Rec-o-Phoneys 639-4175 Business Phone: 639-4171 1 r Inspection: 1' ``.i�" �i '" ( V — {` • Tooting Plbg. ^_nderelab Mach. Rough-in Appr/sdwlk. Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struet. ban. Sewer Framing -.Bldg. Post/Beam Mech. Rain Drain Insul ' Lon -Plumb. Plbg. underfloor Nater Line Gyp. Bd. -Meeh. 1 �7 � iB Date Requested: C T ime/ AM PM Address: C'��G' ^C.VicQ el Permit #1'�� -71 Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector• �1_f --- Date:.___. APPROVED 4 DISAPPROVED APPROVED SUBJECT TO ABOVE Jam` Cal: For Reinsp. r t , f ,_ .:117+: h,V• N .[., .. "e :'G V 1�Tib. I INSPECTION NOTICE City or Tigard BuP.ding Department 13115 SM Hall Blvd. Tigard, Oregon 977.23 Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171 Inspection:_-_-� _-- ---_-- — _-�-- 'a Footing Plbg. Underalab Hach. Rough-in Appr/3dwlk - n Found. Plbg. Top Out Cas Line FINAL: s A1 et/seas ftruat.YJ San. Sewer Framing -Bldg. }' •tt/Man_Neoh. Rain Orain Insulation -Plumb. - Plbg. IInderllewr Hater Lina Gyp. Bd. -Mach. Data Requested& q TJme: AN PN Address: `'eI V(L�ej Permit #R 1`,T l`1��IJ Builders �` ) (�I O VL,. THE FOLLOWING CORRECTIONS ARE REQUIRED: Jj 4 Inspector• Dates _-�� / _APPROVED - DISAPPROVED APPROVED SUBJECT To ABOVE Call For Reinap. �r 1 81 pqNt -��° M .Z - � I Y 13• I i�rrr,7h rx 4 I �ryq.t 9''!1� dL1{ � � I Y t 1 � �y �� t� Y y(•S rt'.7: ,�'Jyb ;ff Si(� M :/�• ".i} Z'�L�"jC>ti"T+p'11 !�' {�� I :y� a; i INSPECTIO'- NOTICE City or Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phore): 639-4175 Business Phone: 639-4171 � Inspection:__ Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Founce. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. Ban. sewer) Framing -Bldg. -,i 1 Post/Beam Mach, Raii/nD i Insulation -Plumb. - Plbg. Underfloorblt L e Gyp. Bd. _Koch, Date Requested: 1 /n-� G� TLnet AM �pM Address: \V� I 611 V�(i�/�� PermLt(�Je ' `l7� Cj Z)113 Builder:' -rr : b TBE FOLLOWING CORRECTIONS ARE REQUIRED: 'L - F . i ` 1 Inspector: -'— Date:_ ? APPROVED _ DISAPPROVED APPROVED SUBJECT TO AB(MX --_Call For Reinsp. Mvfn tit++ ;Z' ! 5w: rt• MASTLR PERMIT CITY OF G.,� RE) DATE I i SSUED: . 4 02/11/94004 u COMMUNITY DEVELOPMENT DEPARTMENT • 13125 SW Hall Blvd.Tigard,Oregon 97223.8100 (503)839.4171 /✓�L/ BUJ PARCEL: 1 S 1:34AC--JE 00`= SITE ADDRESS. . . : -1+Z+t}ac� SW -11 1-TH AVIS lot.'Gl j SUED I V I S ION. . . . : JEFFREY ESTATES 1 � ZONING: R-4. 5 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :005 � BUILDING REISSUE: DWELL ING UNITS: 1 BASEMENT. . . . . . . . :0 s CLASS OF WORt- :NEW BEDRMS:4 PATHS:3 GARAGE. . . . . . . — :484 S • TYPE OF USE. . . :SF FLOOR AREAS-•----__-_.._....- REQUIRED SETBACKS------------ TYPE OF CONST. ;5N FI RST. . . . - 1 145 s f LEFT. . :2.0 ft R I GHT. :r ft OCCUPANCY GRP. :F(3 SECOND. . . : 1106 <_;f FRONT. :25 ft REAR. . :20 ft STORIES. . . . . . . :? THIRD. . . . :0 s REOUIRED--__.______________._.___HEIGHT. . . . _ . . r T ft TOTAL- - ----.-:,2C.'5 I s f SMOKE DETECTORS. :Y FLOOR LOAD. . . . :a0 p i" VALUE. . . . . $ : 112258 PARKING SPACES. . : 1 Remarks : PATH 1 PLUMBING -_-_____.__________._.__._.-•---•---______._._ fob SINKS. . . . . . . . . . : 1 FLOUR DRAINS. . . . :0 BACKFLOW P,REVNTRS. . :O LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 , TUB/SHOWERS. . . . ::3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . -3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWnaHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0 1 Gir4RBAGE DISP. . . : .1 RAIN DRAIN (ft ) . :O a WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 t ----------------- ME.CHANICAL - ---__.____ ____.._____.___._____.__..____ FEES --_--__--__.--- FUEL TYPES•------------ UNIT HTRS. . :O type amount by date recpt /GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 JF 02/11/94 - MAX JNPUT:O BTU VENT' FANS. . :4 BPR1 g 4b 5. 50 JF 02/il/94 - FURN ( 100K HOODS. . . . . . : 1 BPLC $ 302. 58 JLH 01 /04/94 94-247255 TURN ) =100K . . e1. WOODSTOVES. :0 B5PC i' 23. 28 JF 02/11/94 - FLUOR URN. . . . :0 CLO DRYERS. : 1 SSDC $ *_80. 00 JF 02/11/94 BOIL/CMP < 3HP:0 OTHER UN1TS: 1 PARK $ 500. 00 JF III2/11/94 - GAS OUTLETS: 1 MPRT $ 45. 00 JF 02/11/94 - Owner- : -.____.____---.__._.____________._______-_--_MPEG $ 1 1. 2:5 ,JF 02/11/134 - JESS ALWAY MSPC $ 2. 25 JF 02/11/94 - 24300 STAFFORD RD PPRT 4 152. 50 JF 02/11/94 PSPC $ 8. 13 JF 0F'/11/94 - TUALATIN OR 97062 1_Ihone #: C-+38-0718 Contractor: J'E:SS AL_WAY INC 24300 SW STAFFORD RD TUALATIN OR 97062' Phone it: 503-838--0718 fi Rey #. . 39007 - - ---- ------_- ---__ ---____ __- --- ----- !. 332:0. 49 TOTAL This perait is issu!:, subject to the regulations contained in -------- REUU I RED INSPECTIONS -------- Tigard Municipal Code, State of Ore. Specialty Codes and other Foot/found Insp Fireplace Insp applicable laws. All work will be don lin accor• n h approved Post /Ceam Struct Gas Line Insp plans, This perait will expire if is s d thin 188 most/Beam Mec_han Insulation Insp days of issuance, n if work is suspen o n days. Plm/undslab Insp Gyp Board Insp FILM/Underfloor Rain drain Inso Permittee S, gnaturer. ___ _ Mechanical Insp Water Line Insp Plumb Top Out Appr/Sdwlk Insp Issued By : (4_ ._.. _____ ._ ___._ Framing Insp Mechanical Final Call -- inspection - 639-4175 L I° l� v'r°,. b' i°Fr''w,�.. f t"��IF . + �� "'4 ? FFJ _ L.. PERM I T'. .CITY OF TIGARD DATEIT SU • SWR94- ��;' DATE ISSUED: OL/11 /94 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Orogon 97223.8199 (503)830-4171 PARCEL: 1 S 134AC-JE005 SITE ADDRESS. . . : 8W 1 1 1 TH AVE //li"M SUBDIVISION. . . . : JEFFREY ESTATES ,'1�"� ZONING: R-4. 5 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . a0@5 • TENANT NAME. . . . . : _ USA NO. . . . . . . . . . : FIXTURE UNITS. . . : CLASS OF WORK. . . :NEW DWELL I NG UN I Thi. . : 1 w TYPE: OF' USE:. . . . . :SF NC. OF BU I LD I NGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : Sf Remarks : PATH I • ,. wner. ----_----- -_______________-- __..__________----____.____..._.. FEES TE SS ALWAY type amo�.lnt by date reCpL- 24300 STAFFORD RD F'RMT• $ 2200. 00 JF 02/11/94 - INSP $ 35. 00 JF" 02/11/94 - TUAL.AT I N OR 9-062 Phone #: 6:38-0718 Contractor: CONTRACTOR NOT ON FILE Pv)ane #: $ 2435. 00 TOTAL. Rey #. . . - _--- REQUIRED INSPECTIONS -- ----- This Applicant agrees to comply with all the rules and reoulations Sewer Inspect ion _ of the Unified Sewage Agency. The permit expires 188 days from _ the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the �Y— -side sewer sewer laterals. If the sewer is n t locat them rement given, the installer shall prospect 3 et in al cti ns f the distance given. If not so located i s mse a "Tap and Side Sewer" Permit and t A en i a teral. t_'e r m i t t e e S i g n a t i.t r e: s ISS ,e cl B y : - -- ----- -- I Call, for spection - 639-4175 S <.... 1 y Y. ,! Yom, CITY OF TIGARD F'L_UMI?1NG PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST94-004 0 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 DATE: ISSUED: 02/11/94 //Uy`J 9P7-e✓2_. PARCEL: 1SI34AC-•JE005 ADDRESS. . . : 10932 SW --'. ' 'T" f Y EI JBD I V I S I ON. . . . : JEFFREY ESTATES ZONING: R-4. 5 PD BLOCK. . . . . . . . . . . I-01.. . . . . . . . . . . . . :005 CLASS OF WORK. . :NEW GARBAGE D T 3POSALS. . : 1. I.YPE OF USE. . . . :5F WASHING MACH. . . . . . . : 1 BACKFLOW PRFVNTRS. . :0 OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . :0 TRAVIS. . . . . . . . . . . . . . :0 � STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : :. CATCH BASINS. . . . . . . :0 _ FIXTLIRES-----____ _____-- LAUNDRY TRAYS. . . . . . : : SF RAIN DRAINS. . . . . : 1 SINKS. . : 1 GREASE TRAVIS. . . . . . . :0 i-AVATORIES. . . . . :5 OTHER FIX rURE i. . . . . :0 TUB/SHUWERS. . . . : SEWER LINE (ft ) . . . . :0 WATER CLOSETS. . :3 WATER LINE ( ft ) . . . . : 100 DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0 Remarks : ^TH I OWNER. FEEa JESS ALWAY TIF $ 1520. 00 JF 02/11/94 - 24300 STAFFORD RD BPRT $ 465. 50 JF 02/11/94 - BF'LC ::;0r '. 58 JLH 01/04/94 94-r_'A7c:5` TUALATIN OR 97062 BSPC $ L3- dB JF- 02/11/94 -- Phone #: 638-0718 SSDC $ 280. 00 JF 02/11/94 - PARK E 500. 00 JF 02'/11/94 �_I - Plmbi.ng Contractor:--------�`�_---- MPRT $ 45. 00 JF 02!11/94 MPL..0 $ 11. 25 JF 02/11/94 - Name : I/47P E �_ " tom M5PC $ 2. 25 JF 02/11/94 Address :Y u11PPRT $ 161. 50 JF 02/11/94(;itYe it ate : C� P5F'c $ 8. 13 JF 02/11/94jip: 1! Phone#: 5U,3 Reg #: ._.._._.__..__..._ ECT T ONS!NSF' This hermit is issued subject to the reg- REGIO!RE L1 ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp ode, State of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp Other- applicable laws. All work will be done Post/Ream Meehan App•r/Sdw1k Insp in accordance with approved plans. This Pl.m/undslab Insp Mechanical Final permit will expire if work is not started PLM/Underfloor Plumb Final within 180 days of issi.lance, or, if work is Mechanical. Insp Building Final suspended for more than 180 days. Plumb Top Out Erosion Control Framing Insp Ci-awl Drain Fireplace Insp l' Gas Line Insp Insulation :.,gip Gyp Board Insp _ t;V Authorized Plu ing Contractor Signature Contractor Notes : Call for inspection 639--4175 MI �xr�• �6 I .y �. '"�' 7 i ; '�-,, 3. .,•,;F It y, ,.. . • a a LITY OF TISARD RF.I..A.' IPI Of- F'HYMwNI R .CF:IVI N11. 744•--P48828 (:Hh:C;K HMOON f b- 305. 49 I�•�ttitF: IFAIS' HI—WAY INC: C:W*4 1•lMOON f- a W. Oa POYMF::N1 DN 1 F s Oil/I 1/94 + + l.lRPOtiA-- OF PAYMF.-.N'1' AMOUNr N.11f) Nl.1RFfAJ 01 F(•IYMF.Nl F1MO(:1N( EIIll) 31-111..DING PERM M(3T'44--004 T 465. 50 PL.I.IMNINH Pf'.RM l6i.'. 50 4F-.C:NANICAL PIPE 45. 00 � T. F{1.1,11.1-1 F'I.F'' ;3.;, foE, I—AN CMFX K FE 63. 83 SEWER 1-1FiH i'�r-XiA. Ow l ;f-.WF Fl I NSPF::C;T 35. 00 PARKS SDU Wo. 00 i'TORM DRAIN SDC: 280. 00 HP3IDENfIAL. FRAFFIC' FLEES 1.410. 00 ( ;, •IG=1SS TRANSIT TIF- F'F.F::l-� 110. 00 4 i i i i 0932 SW 111TH AVIS, JEFFREY F s-rpT'Fy, LOT 5 , t 11"AI_ AMOUNT PP I D - _ _> 5 3051. 49 � i Mal i s s + E t l t f;t Residential BuMing Permit Ap E a`ion , City c; Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 t Jobsite Address: Z6212 5W Subdivision: of e�`1 �S�Qr Lot �k S Office Use Only Plandc/Rec # Valuation 3' = n Permit Owner: Jess 14 �1) 11G Reissue of Address:_ 1141100 Approvals Required Planning Phone: l ----- JENineering Contractor: e5-5 A� ( v1L Other Address: Items Reaulred Subcontractors �r..• Phone: Truss Details Contractor's License # (attach copy of current Oregon license) Other Subcontractors: `- Plumbing: e� �5 h I�1 QC(1 Mechanical: ` e u I�`�(.� �% (attach copy of current OlY Contractor's License) ArctdtectiEngineer: Address: Phone: _ COMMENTS: Applicant Si a r Imber Received by: Date Received- (' i I .�J 0 • Permit # Account Description Amount Amt. Pd. Bal. Due i h15te1 - V z13 Bldg. Permit (BUILD) s: 2-,/ Z Plumb. Permit (PLUMB) /� S v '� — /�Z >' j Mech. Permit (MECH) i State Tax (TAX) I Bldg: Plumb: Mech: .)-1 �� j,, Plan Check (PLANCK) /', Y Bldg: Plumb: i Mech: Sewer Connection (SWUSA) ;?.2 u,) _�2 c.0 Sewer Inspection (SWINSP) �� jar i Parks Dev Charge (PKSDC) Storm Drainage Chg (SD3C►C) �3�/ ,. d'U_ Residential TIF (TIF-R) /y t U y o Mass Transit TIF (TIF.-MI-I i Commercial TIF (TIF-C-) i Industrial TIF (TIF-1) _ Institutional TIF (TIF-IS) _ Office TIF (TIF-O) Water Quality (WOUAL) Water Quantity (WQUANT) Fire District (FIRE) — TOTALS: � ,S O •c�q , L� , y t.r t :c W T 16ARD - F2EGF=I PT OF PAYMENT OF CE I PT NO. a 94-• L4"iria V4.) � L:HFCK AMOUNT a 5011. 00 IApIG _ 1�.tif3 AL_WAY 1 NG CASH AMOUNT a 0. 00 0.)I)f3ESS s P4:300 SW STAFTORD RD PAYME.N'T DATE a (41/04/94 TUALAT:IN, DR ISAMI) a 9706P.-- .OPPOSE OF PAYMENT AMOLIN T PA I L) Of F rA YME:,N I AM0111V 1 I. AN CHECK FF:: 1 —bfi P5Z Wil F'I_AN [::Iif..CK F- 1 '7R dslA. ON II I f:RFY ESTATES, !.OT3 .3 & `r � �I l71 AL AMOUNT PA I O _ ) 500. 00 Y• ;M,