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11635 SW GREENBURG ROAD F. uWi V EZ E;,) 11 p CD M f =1 Q C h l0 1 � Q i J fSi I 1 civo,d J2anHm rwo MS cc^I[ CITY CSF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(603)639-4171 PERMIT #. . . . . . . : PLM98-041*7 DATE ISSUED: 1111219e PARCEL: 1S135DC-02700 SITE ADDRESS. . . : 11.635 SW GREENBURG RD SUBDIVISION. . . . : ZONING: R-7 BLOCK,. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG ----------------------------------------------------------------------------- CLASS OF WORK.. . :NEW GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . - 0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . : 0 TRAPS. . . . . . . . . . . . . . . o STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . 0 GREASE TRAPS. . . . . . : 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . - 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft) . . . : 70 WATER CLOSETS. : 0 WATER LINE (ft) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0 Remarks : Sewer- 11. ire fat, new single family dv)elling. Owner: ------------------------------------------------------- FEES SHERI OUPINTANCE type amount by date recpt 22435 VENTURA BLVD PRMT $ 30. 00 DST 11/12/98 98-310740 WOODLAND HILLS CA 9 C,7 P C 1. 50 DST 11/12/98 98-310740 Phone #: Cant rart AFFORDABLE CUSTOM HOMESnUILDER TIMOTHY P BRIZENDINE 7155 SW 189TH AVE ALOHA OR 97007 Phone #: 591--9604 $ 31. 50 TOTAL Reg #. . : 24277 ----- REQUIRED INSPECTIONS This permit is issued subjer+ to the regulations contained in the Sewer Inspection Tigard Municipal Codt, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All werk w41A be done in accordance with approved plans. This remit will expire if work is not started within 180 days of issuance, or if work is suspended for tore than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Ctnter. Those rules are set forth in OAR 1352-888I-6016 through OAR 952-888I-8888. You may obtain copies of these rules or direct questions to OLINC by calling Issued By , 4L '—Permittee Signature .......... ++4-++++4-+++4-++ .......4-++++++++-++4....................4-++++4...................... Call 639-4175 by 7v00 p. m. for an inspection needed the next business day ..............................4-++++4-++++4.....................4.................. CITY OF TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Recd By 14GARD, OR 97223 DateRec'd __— (503) 639-4171 Dale to RE. Print or Type Date to DST _ Incomplete or illegible applications will not be accepted Permit* Ci" d /� Related SWR Called,-___ i Name of Development/Project FIXTURES (individual QTY PRICE' AMT Job Sink 900 Address Street Address Suite Lavatory 9.00 I( C 3 S Tub or TublShower Comb 9.00 \,t'\\ Bldq# City/State ZIP Shower Only 9.00 Name �1"' Water Closet 9.00 qty, IS K �u,Y R.S Dishwasher 9.00 Owner Mailing Address Suite Garbage Disposal —� � 9.00 16 3 5- 5. W, _��Y f Pt\i+rx — Washing Machine i i — : 01 City/State Zip Phone i�� Floor Drain/Floor Sink 2' 9.00 — Nai a 3" 9.00 4" 9.00 Occupant Mailing Address Suite Water Heater O conversion O like land 900 Gas piping requires a separate mechar i l�iermit, City/State Zip Phone Laundry Room Tray — 9.00 Urinai 9.00 Name — — -- Other Fixtures(Specify) 9.00 Contractor Mailing ffddress Suite _ — 9.00 9.00 Prior to permit City/State Zip Phone Sewer-1st 100' —L 30.00 issuance,a copy — Sewer-each additional 100' 25.00 of aft licenses are Oregon Const.Cont Board L!c.# Exp.Date --- —_ required if Water Service-1st 100' 30.00 expired In COT Plumbing Lic.* Exp.Date Water Service-each ndditional 200' 25.00 database _ _ Storm&Rain Drain-1st 100' 30.00 Name Storm R Rain Drain-each additional 100' 25.00 Architect Mobile Home Space — 25.00 or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device Engineer �—cltylstate Zip Phone Residential Backflow Prevention Device- 15.00 (Irrigation timing devices require a separate Describe work to be done — �— restricted ew_germit`)_ _ New O Repair O Replace with like kind. Yes No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential X Commercial O Catch Basin 9.00 Additional description of work — — — — �� I r\G, Ivl n il.tw Insp,of Existing Plumbing 40-00 Specially Requested Inspections 4000 4,-k V'4- Z 1.',ie5 ep rfhr Rain Drain,single family dwelling 3000 Are you capping,moving or replpcing any fixtures? -- — — Yes O No 9 Grease-traps 9.00 If yes,see back of form to indicate work performed by I QUANTITY TOTAL — fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometncorriser d!oararnisrequiredMQuantrtyTotal is >9 WORK COULD RESULT IN INCREASED SEWER FEES. — *SUBTOTAL hereby acknowledge that I have read this application,that the informationt— given is correct,that I am the owner or authorized agent of the owner.and 5% SURCHARGE c�T� that plans submitted ar compliance with Oregon State Laws. signature of Owner en Date "PLAN REVIEW 25%OF SUBTOTAL ? -4 D Re uimd only 0 fixture it toy tal Is?9_— .•(�. . I fti l—� — TOTAL r•y� Contact Person Name f Phone _ _ c T7 T ;y( '.Yl(,1 y\k? +0 -'10 CL 6 'Minimum permit fee is$25+ 51,k surcharge,except Residential Backflow Prevention Device.which Is$15+5%surcharge _►� "ADI New Commercial Buildings require plans with isometric or riser diagram C)wv\Av = rnbtJj,�v �/t4'"1�•�� and plan review I tdsislprumapp doe 112M PLEASE COMPLETE: Fixture Type Quantity by Work Performed _ ^� New Moved k-iplaced Removed/Capped Sink_ --- - _—�� Lavatory V.— — — ---� -- — Tub or Tub/Shower Combination — Shower_Only _ -- Water Closet - Dishwas,hP; _----_—,----- — - - -- Garbage Disposal Washing Machine ^— ---- Floor Drain/Floor Sink 2" —Water Heater Heater --- Laundry_Room Tray - -- -- Urinal Other Fixtures (SN9cify) -- COMMENTS REGARDING ABOVE: I WitMpkimepp COG 7l1F I CITY OF TIGARD DEVELOPMENT SERVICES SEWER CONNFICTION 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 PE RM i T PERMIT #. . . . . . . : SW R98-0308 DATE ISSUED: il/17/96 PARCEL: IS135DC-02700 SITE ADDRESS. . . : 116.35 SW GREENBURG RD SUBDIVISION. . . . : ZONING: R--7 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTIONs TIG ',ENANT NAME. . . . . :QUAINTANCE, SHERI Ur1A NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL. TYPE. . . :L_Tp'SWR 1 1PERV SURFACE: 0 s f Remarks: Sewer r_.onnertion for, a new single family dwplling. Owner: ____.___-------___.._--.---------_____. _.—.____________._.___ FEES SHERI QUAINTANCE type rmo+.tnt by date rer_pt 22435 VENTURA BLVD PRMT $ 2300. 00 JSD 11/17/98 98-310844 WOODLAND HILLS CA w I NSP $ 35. 00 .TSD 11/17/98 98-310844 Phone #: Contractor: ----------_----_.-------------- OWNER -------------------------------------------- Phone #: $ 2335. 00 TOTAL Reg #. . : ------ QU T RED INSPECTIONS This Applicant agrees to comply with all the rulP, and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of thr side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions fron the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by this Dregon Utility Notification Center. Those rules are set forth in OAR 95Z-001-0010 through OAR 952-0001-0080. Yoe may obtain copies 0 these rules or direct questions to callin 15031246 1981. C Issued b Y: Permittee S i nature .IIr ` ----� ++4.+++++ ++++++++++{.+++.+++++++++++++++++++.f.+++++++++++++++++++++++ Call 69-4175 y 7:00 p. m. for an inspection needed the next bL%Siness day +•+++++++++++++++++++++++++++++f•++++t+++++++++++++++++++++++++++++++++++++++++++i CITY OF TIGARD Plumbing Permit Application Plan Check# _ 13125 SW HALL BLVD. Commercial and Residentiai Recd By TIGARD, OR 97223 Date Recd _`-- (503) 639-4171 Date to P.E. Print or Type Date to CCT _ -- Incomplete or illegible applications will rot be accepted Permit Related SWR C �j Called —_ �- - Name of Development/Project FIXTURES (Individual) QTY PRICE AMT Job Sink 9.00 Address Street Address `` Lavatory 9.00 Tub or Tub/Shower Comb. 9.00 Bldg 4 CI ylStale Zip Shower Only 9.00 ' Name Water Closet 9.00 t~Y f C�; 5(wY l�(��llf rr Dishwasher _ _ 9.00 Owner 1111 Mailing Address Suite Ga•bage Disposal 9.00 b,v e Washing Machine ��— ---,--- — o nn City/State Zip Phone — rloor Drain/Floor Sink 2" 9.00 `J Name --'--- 3" - 9 00 4' 9.00 Occupant Malhqg Address Suite Water Heater O conversion O like kind 9.00 Gas piping requires a separate mechanical Prmit. - —_ City/Stato"� . Zip Phone Laundry Room Tray 9 00 Linnal __ 9.00 Name - -1 j q t• -0 l( r Other Fixtures(Specify)--- Contractor Mailing Address D GI Suite 9.00 v _ -� __ __-_ _. s.00-- Prior to permit Cit / tale Zip Phone Sewer-1st 100' 3000 issuance,a copy ' o q _)L17O0.7 511- 04 — - Sewer-each additional 100' 25.00 of all licenses are Oregon Const Cont.Board Lic.# Exp.Dale - _ Water Service-1st 100' 30.00 required if "-'� 2 7 7 3 expired in COT Plumbing Llr_. Exp.Date Water Service-each additional 200' 25.00 database Storm 8 Rain Drain-ist 100' 30.00 Name Storm 8 Rain Drain-each additional 100' 25.00 Architect Mobile Home Space - 25.00 or Mailing ACdress Suite Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device _ Engineer City/State Zip Phone Residential Backflow Prevention Device' �- 15.00 _ (irrigation timing devices require a separate _ Oestri;:^wort to be done' — restricted energy permit.) New 0 Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential & Commercial O _ Catch Basin 9.00 Additional descri tion of work: -- Insp of Existing Plumbing 40.00 � _eerA rr Specially Requested Inspections 40.00 r/hr Grease Drain,singlet 30.00 Are you capping, moving or replacing any fixtures? GLily dwelling _ Yes O No 0Grease Traps 900 If yes,see back of form to indicate work perforated by - - QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or user diagram is equlre9 H Ouanrrry Total Is >9 WORK COULD RESULT IN INCREASED SEWER FEES. *SUBTOTAL I hereby acknowledge that I have read this anplicatien,!hat the information given is colTect.that I am the owner or authorized agent of the owner,and 5% SURCHARGE that lans submitted are in compliance with Ore on State Laws. SI$paeure of OwnerlAgent Date "PLAN REVIEW 25%OF SUBTOTAL Regw,,d ont 9 fixture qty total is>9 TOTAL Contact Person Name - Phone— 'Minimum permit fee is$25+5°n,surcharge,except Residential H•,ckflow Prevention Device,which Is$15+ 596 surcharge "All New Commercial Buildings require plans with isometric or riser d;agram and Dlan review I V1stslphxnapp dot MIM PLEASE COMPLETE: Fixture Type TTQuantity by Work Performed New Move Replaced Removed/Capped- Sink Lavatory Tub or Tub/Shower Combination _ —^ Shower Only Water Closet Dishwasher -- 'S_arbage Disposal Washing Machine � � — Floor Drain/Floor Sink 2" 411 iNater !-leater -- Laundry Room Tray _ -- —�-- Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: i as �iumarr dx';rv,3e CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -----— — euP Date Requested "5 a dy AM PM __ BLD Location__— z I' Suite —_ MEC Contact Person —� Ph (PLAIT% 9i--coyl7 Contractor_ Ph _ _ _ (Sivp) BUILDING Tenant/Owner ELC ` Retaining Wall — ELR Footing Foundation FPS Fig Drain NOT REQUESTED Crawl Drain II FOUND DURING RESEARCH SGN —_ Slab -- NO INSPECTION(S) FOUND IN FILE SIT Post&Beam ----- Ext Sheath/Shear >GW4A col r) I-)C f) I [ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall ` Fire Sprinkler I li Fire Alarm Susp'd Ceiling Roof Misc _ Final --- -- — F'A S PART FAIL _ — — UMBIN Post& Beam Under Slab • Top Out _ Water Service Rain Drains na S PART FAIL ME ANICAL Post&Beam _-- Rough In Gas Line Smoke Dampers Fina! -- — — -�.. ------- ,� PASS PART FAIL ELECTRICAL -- Service Rough In UG/Slab — Low Voltage r Fire Alarm — Final PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd r Catch Basin Fire Supply Line [ ]Please call for reinspection RE: — __ _ [ J Unable to inspect-no access ADA Approach/Sidewalk Other Date �J Q - Inspector _--_ Ext� _ Final PASS PART FAIL O NOT REMOVE this Inspection record from the job site. :i CITY OF TIGARD BUILDING INSPECTION CIVISiON MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — -- BLIP �1('/L % Date Requested 1 1 ` 7- /� AM _ PM BLD Location_ 13c3 ' Suite MPC Contact Person _ �t,�'►'� �� Ph 7! 9C1� PLM Contractor _ Ph _ SWR BUILDR4G Tenant/Owner —� -- ELC) Retaining%/Vall ELR Footing Access:, Foundation /)a� � �� n i /J o FPS Ftg Drain �.. �(x,�� SGN Crawl Drain Inspection No es: -------- Slab Post&Beam SIT — Ext Sheath/Shear Int Sheath/Shear ---- Framing Insulation Drywall Nailing - -- 2 —•C�-c�� -�_F"' Firewall Fire Sprinkler - - --- - - - ------- — Fire Alarm - T Susp'd Ceiling Roof - -- ---- ---- misc. - Final PASS PART FAIL -------..-.__ .- - ---- _ PLUMBING Post& Beam - Under Slab Top Out - Water Service Sanitary Sewer _ - Rain Drains Final -- PASS PART FAIL _ MECHANICAI. Post& Beam - �.- -- ----------- Rough In _ Gas Line - - - - ---- - --- -- --_ Smoke Dampers Final -- -- - PASF ART FAIL EL C TRICAL e Service Rough In UG/Slab Low Voltage - arm 01PAS5 PART F AIL — -------_ -- _..-- ----------- --- -- —___- Backfill/Grading — - Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Ha,l Blvd Catch Basin Please call for reinspection RE: _ Fire Supply Line [ J p _ [ J Unable to inspect nc access ADA Approach/Sidev►atk A -" / Other Date _ Inspector _ =t--� - Ext Final PASS PART FAIL j DO NOT REMOVE this inspection record from the job site. CITY CSF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0658 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 12/02/98 PARCEL: 1S135DC-02700 SITE ADDRESS. . . - 11635 SW GREENBURG RD SUBDIVISION. . . . : ZONING:R-7 BLOCK. . . . . . . . . . : LOT. . . . . . .. . .. . . . . . JURISDICTION: TIG Project Descri pt ion: Relocate 1 branch circuit. --------------------------------------------------------------------------------- ---RESIDENTIAL UNIT---- -----TEMP ERVC/FEF_DERS---•-- ------•MISCELLANEOUS—..--- 1.000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE L?G. . : 17, LIMITED ENERGY. . . . . : 0 401 — 600 ar,p. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR,, . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( if)> . . . : 0 ---SERVICE/FEEDER---- ----BRANCH CIRCUITS------ ---ADD' L INSPECTIONS-- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 1 PER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER Hf1UR. . . . . .. . . . . . : 0 401 600 amp. . . . . . . 0 EA ADD' L BRNCl-1 CIRC: 0 IN PLANT. . . . . . . . . . . : 17, 601 — 1000 amp. . . . . : 0 -----------------FLAN REVIEW SECTION.------_.--------_-. 1000•+- amp/Volt. . . . . : 0 >-4 RES UNITS. . . . . . . . . > 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FAR 1- 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: __...._...---__..__.__—_.___.____.__.._________.________.____..__--__—__ FEES SHERI QUAINTANCE type amoi.int by date reept 22435 VENTURA BLVD PRMT 35. 00 DEB 11/02/98 98-310471 WOODLAND HILLS CA 9 SPCT $ 1. 75 DEB 11/02/36 9e-310471 Phone #: Contractor: ---_------------------------- MARK BURKES $ 36. 75 TOTAL. 11635 SW GREENBURG RD ------- REQUIRED INSPECTIONS TIGARD OR 97223 Eler-t' l Service Phone #: Elect' 1 Final Reg #. . -. --------_ ._ This pewit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This pproit will expire if work is not started within 180 days of issuance, or if work is suspended for Bore than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0.01-001 Doug '952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling 7( !)246-l(9M87. Pay-mittee Signati-kr-e : � Issi.ted ------------------------------OWNER INSTALLATION ONLY----------------------------- the installation is being made on pr eerty I own which is not intended for sale, lease, or rent.. OWNER' S SIGNATURE: �r / /(J`�"� DATE: --CONTRACTOR INSTnl-1..ATION SIGNATURE OF SUPR. FLEC' Na DATE: LICENSE NO: +++++++++++++++++4 ++++++++t++++++++++++++ !+++++++++++..4..++++++++++++++++++++++ Call 639-•4175 by 7:00 p. m. for an inspection needed the next bi-tsiness day ++++++++++++.F++++++++++++++++++++++++++++++i-+++++.I•+++++++++•+++++++++++++++++ 14 + CITY Of ;IGARD Electrical Permit Application Plan Ohec 13125 qW HALL BLVD. fj Rec'd By TIGA,f,u GH 97223 ^f_' Mid r��c'� / Date Rec'd� _ nate to P.E. Phone (503)639-4171, x304 Date to DST Inspection (503) 639-4175 Print or Type Permit# 9LEU-?5- Fax (503)684-77.97 Incomplete or illegible will not be accepted Called 11. Jnb Address: y ^ �4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name(or name of business)_"✓ 31,1+' } s _ Service included: Items Cost Sum Address �, S•lh' G fbe�,y )c Ut• 4a. Residential-per unit 1000 sq.1t,or less $110.00 City/State/Zip rT v O R _ Z 3 �_ Each additional 500 sq.It.or Commercial El Residential portion thereof $25 00 Limited Energy � $25.00 Each Manul'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: (Attach ropy of all current licenses) 4b.Services or Feeders Electrical Contractor Installation,alteration,or relocation - 200 amps or less $60.00 2 Address --- 201 amps to 400 amps $do.00 2 City State Zip 401 amps to 600 amps $120.00 _ 2 Phone No. 601 amps to 1000 amps $180.00 _ 2 Job N0. Over 1000 amps or volts _ $340.00 _ 2 Elec. Cont. Lire. No. Exp.Date - Reconnect only $50.00 _4 2 OR State CCB Reg. No. Exp.Date- 4c.Temporary Services or Feoders COT Business Tax or Metro No. _Exp.Date- ,.__ Installation,alteration,or relocation 200 amps or less _ $50.00 2 Signature of Su r. Elec'n 201 ^Mps to 400 amps $75.00 _ 2 p - - 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License. No __-Exp.Datesee^b"above. Phone No._. - _- 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name A r U " feeder tee Address 116 57 W G( ►) jv Fach branch circuit $5.00 r -- h)The fee for branch circuits City State Zip ?1 L 2 wlthou:purchase of Phone o. o3 5 r Z service or feeder fee. First branch circuit �_ $35.00 2 The installation is being made on property I own which Is not Farh additional branch circuit $5.00 2 intended for sale,lease or rent. 4e.Miscellone.,us �� (Service or feeder not Included) Owner's Signature , _�. Each pump or irrigation circle $40.00 --- - 2 Each sign or outline lighting $40.00 2 3. Plan RE-view section (if required):* Signal circuits)or a limited energy panel,alteration or extension $40.00 ? Minor Labels(10) $100.00 - Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 411.Each additional Inspection over Service and feeder 22.5 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.00 -_- _ Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C.Chapter 5 In Plant $5'no 'Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 5s.Enter total of above fees $ -- -- 5%Surcharge(.05 X total fees) $ NQTICE Subtotal $ 5b.Enter 25%of line 5s for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reauir (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDOP' D FOR A PERIOD OF 180 DAYS AT ANY To TIME AFTER WORK IS COMkIENCED. TTrust Account# $ 3 C Tota!balance Due I 0STMELC96 APP aw ww; CITY OF TIGARD MASTER PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : M ST98-0301 13125 SW Nall Blvd., Tigard,OR 97223 (503)6394171 DATE I SSIJED: 07/ 17/98 F=,AR(,EL: 1 S 135',DCc-02700 S I TF_ ADDRESS. . . : 11635 SW L REE=NBUR1:3 RD SIJBDIVI910N. . . . : ZONTNI3: R—'7 BI._0C;K. . . . . . . . . . 1_01*. . . . . . . . . . . . . . JL1R I f:iD I(;T'I0N: T I G Remarks: Reduce the size of the existing garage, to provide for 151 easement for access to possible lot in rear -------------------------------------------------------------- BUILDING --------------------------------------------------------------- REISSUE: STORIES.......: 0 FLOOR AREAS----------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQIiiRED------------- CLASS OF WORK.:ALT HE1GH1........: 0 FIRST....: 0 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS: TYPE OF USE...:SF FLOOR LOAD....: 0 SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: 0 TYPE OF CONST,:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 0 OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL------: 0 sf VALUE..$: 1700 REAR..........: 0 ---------------------------.------------------------------------- PLUMBING ------------------------ --------------------------------------— SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER 01E ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB/SHOWFRS...: 0 GARBAGE D1SP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 ----------------------------------------------------------------------------- MECHANICAL -------------•---------- ----------•------------------------------- FUEL TYPE-S----------- FURN ( IW0 ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CL0 HES DRYERS: 0 TURN )=100K ..: 0 UNIT HEP-ERS .: 0 HOODS......... 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FIOOR FURNACES: 0 VENTS...... ..: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0 ELECTRICAL ------------------- ----------------------------------------- --RESIDENTIAL UNIT--- ----SERVICE/FEEDER---- --TEMP ERVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPFCTJ0N5-- IW SF OR LESS: 0 0 - 200 amp..: 0 0 - EW alp..: 0 WfSVC OR FDR .: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 FA QD'L 500SF.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED E.4F.RGY.: 0 401 - 680 amp..: 0 481 - 6N amp..: 0 EA ADDL BR CIR: 3 SIGNAL./PRINEL...: 0 IN PLANT...... ; 0 MRNF HM/SVC/FDA: 0 601 - 1000 amp.: 0 601+amps-IMM v: 0 M1I4OR LABEL 10: 0 1000+ amp/volt.: 6 --------- --- ----------- --- - PLAN REVIEW SECTION - --------------------- ----- Reconnect only.: 0 )=4 RES UNITS,.: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: -------.---_-------------.--------_---.--- ---_----- _-- ELECTRICAL - RESTRICTED ENERGY ---------- A. SF RESIDENTIAL-------------------------- R. COMMERCIAL-------------------------------------------------------------------------- nUDIO I STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: OTH:X :: BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER,.: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC...........: DATA/TELE COMM.: NURSE C.ALLS....: TOTAL I SYSTEMS: 0 Owner: - -- - -- --------_.___-____--Contractor: ------------------------..---- TOTAL FEES:$ 113.60 5HER1 (AUAINTANCE TIM AR17ENDINE This permit is subject to the regulations contained in the e.2435 VENTURA BLVD 7155 SW 189TH AVE Tigard Municipal rode, State of Ore. Specialty Codes and ali WOODLAND HILLS CA 9 ALOHA OR 97007 other applicable laws. All woo will be done in accordance with appr•cved plans. This permit will expire if work is Phone I: 818-598-8657 Phone I: 591-%04 not stat . J within 188 days of issuance, or if the work is Reg I..: 084242 suspended for more than IN days. ATTENTION: Oregon law ------------------------------------------------------------__.------ requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-081-8810 through OAR 952-801--1088. You may obtain copies of these rules or direct questions to OUNC by calling 1583)246-1387. r----------------------------------•----------------- REQUIRED INSPECTIONS --------------------------------------..--------------------- Erosion 844-8444 Rain drain Insp Footing Insp Building Final Foundation Insp Framing Insp _ Shear Wall Insp _ i �� Iss�_ied Py : _ Rer'mittee Si gnat ur^e[• �""""' +++++++++ ' ++++++-h++ ++++++++++++++•++++++i-++++•F+++++++++++++++-++++++ +++++++ Call 639-4175 by 7:00 p. m. for- an inspection needed the next bi_isiness day I Plan Check# j Ce 4C :ITY Or TIGARD Residential Building Permit Application Recd By _11-i25 60 HALL BLVD. New Construction Additions or Alterations Date Recd TIGARf),OR V 17,23 Single Family Detached or Attached (Duplex) Dace to P E. V 503 639-4171 Date to DST F"58:1-6 84-7297 Permit# Print or Type Called- i Incomplete or illegible, applications will not be accepted Name of Project �`— Name F— Job �� u'1t�Nir-E c. tlt_ SCA � I � - Address Site Address Archit Mailing Address 16 '.33 5 uf- Gr4" ,-ei Pj. I _ Name City/State Zip Owner Mailing Address Name 221}3r �hfUr� �IVd. C)'ty/St Zip Phone Enggg�er Marling Addres-- .. .,) 1i-�(I - V 18)-0 It,�7 / s General Name j City/State - - Zip Phor., Contractor Tf n. Y t Z.W. r 1 V,-R— Describe work New O Addition O Alteration(1( Repair Q Mailing Address to be done. Prior to permit Ave Additional Description of Work: issuance,a copy Cit�(/°t to Zip Phone C-f u C k ar• G f_� cy l r�Se cfaHlicenses /{�u�U vu' Sy! "y�,��. CY\u C4. aTprouc W `yylk ♦ Cur . are required it Uregon C nst. Cont. Board Exp DatePROJECT expired in COT Lic# ou database �1- 27T _(2 lvao VALUATION V (1,7ov) _ Mechanical Name NEW CONSTR-UCTION ONLY: Moilrn Sub- S .Ft. House �� Contractor g Address --- - q Sq. Ft. Garage Prior to permit Cerner Lot YES NO Flag Lot YFS�O sof ante, opy City/State Zip T?hone (check one) _ (cheek one) or all li rises Restricted v Audio/Stereo Burglar are required if Oregon Const Cont Board Exp Date expired in COT Lic# Energy System_ Alarm database v_ Installation Garage Door HVAC Plumbing Name Opener _ Systems_ Sub- (check ill that Other ContractqrMad ray Address apply)_ Will the electrical subcontractor wire for all YES NO Prior Wermit City/State Zip Phone rest icted energy installations? ssuap�e. a copy I Has the Subdivision Plat recorded? I N/A YES NO of all licenses are Oregon Const Cont Board Exp Date required if Lic# Solar Compliance - expired in COT (Calculation Attached)_ database Plumbing Lic # Exp Date I Nearby acknowledge that I have read this application,that the _M information given is correct, that I am the owner or authorized Name —— - agent of the owner, and that plans submitted are in compliance Electrical with Oregon State laws. - _ Si ture of_pwner/Agent �' Date SUb� Mailing Address L C 7- q ` q Contpdctor -Contact Pers�oon NamDA Phone# City/State _-- Zip Phone _._�� P * Pr I -k-k"64`,rl-k 59l- X 6 0 4 Pr r to perm! FOR OFFICE USE ONLY: Piss Bance.a copy _ _ Plat j� Ma�;L# or all licenses are Oregon C d onst.Cont. Board Exp. Gate /rJ'G 9 -pq�(o _� ! 7l.3✓� required Lic# -• _ K� _ expired in COT Setbacks Zong Solar database Electrical Lic # --bate - 7 _ Engineering Approval: Planning Approval. TIF I:SFREM DOC (DST) 4/97 4 6 35 r w, Grae,,,bery pRRc�� 1 G msrq�-03o I qj ` �� PRaioscD NEW Wgl L. EXISTING wALc- '� RLI-ou✓ fb R I� Ehsim-M�--NT To .DIVISION LINA - ��, 3hd< PAl-cEL IP2 i I � r ao�1 NTOcr 30 -3 Iac l �-,wti�ER S�'l.Q-�l Q�.t4infahc-C._ ,- 015 - sqa - 8657 I z k G kA h 70 71 nl 2 �I cr d N 9 m NEW 2-x4 W L 2 — — -- •— —W4LL ,_o� 1 FovT IN G I � I � I wAL►- 22' �L00 R PLAN F0 v NT>ATI O N TLANN c,).v 6J N T i9 QVC F .T i CITY OF TIGARD BUILDING INSPECTION DIVISION g' - 5 Cil 24-Hour Inspection Line: 639-4175 Business Line; 639-4171 l� MST BUP / Date Requested �/ "/ - !X AM^� PM BLD Location-- 35� ��( _ Suite MEC - Contact Person ,� �4 PLM Contrac -,_ th.r dlj7 Ph SWR ILDI Tenant/OWne ELC _ Retaining Wall ELR Footing Access:(XI n� `/ FPS Ftg Drain -La Crawl Drain InspecNotes: , SGN Slab n Cl_ Post Beam L'r )� SIT Ext Sheath/Shear C �n Int Sheath/Shear — Framing Insulation - -----—_----- Drywall Nailing -- Firewall --- Fire Sprinkler Fire Alarm - Susp'd Ceiling Roof pFinASS PAR-; FAIL ING _ Dost&Beam �� t - 7-- Under Slab Top Out -- _-�—` Water Service Sanitary Sewer --`---- - — - Rain Drains F anal _-- ------- - -- - PASS PART FAIL MECHANICAL - - -- --- Post& Beam Rough In -- - Gas Line ----- - _ Smoke Dampers —^ Final ------- _ PASS PART Fl.!� -` --� ELECTRICAL -- ------ — _ Service Rough In - --- - -- — - --- — UG/Slab _ Luw Voltage -- --'-- -- Fire Alarm Final f PASS PART FAIL SITE — Back frll/Grading Sanitary Sewer Storm Drain ( (Reinspection fee of$ required before next inspection Pay at City Hail, 13125 SW Hall Blvd t Catch Basin Fire Supply Line [ J Please call for reinspection RE _ _ _ [ J Unable to inspect- no access ADA Approach/Sidewalk Other Date - i ,S Inspector —-- - Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.