13809 SW NORTHVIEW DRIVE Ha M31AHIBON MS 609U
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13899 SW NORTIM EW DR
ELECT
CITY OF TIGARD PERM I R I#: ELL..C96 I 0440
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/08/96
12125 BW HW Blvd.T19wd,OnVm OTP23•41M (602)994171
SITE ADDRESS. . . : 13809 5W NORTHVIEW UR PARCELS 2S104BA-06100
SUBDIVISION. . . . s CASTLE HILL #2 ZONING:R-12 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :094
Project Description: Installil►g two branch circuits.
----
---RESIDENTIAL UNIT----- ---TEMPI SRVC/FEEDERS---- -----MISCELLANEO(iS-----
1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . a 0 PUMP/IRRIGATION. . . . 1 0
EACH ADC' L 500SF. . . s 0 201 — 400 amp. . . . . . . s 0 SIGN/OUT LINE LTG. . s 0
L1MIl�D ENERGY. . . . . .. 0 401 — 600 amp. . . . . . . # 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. s 0 MINOR LABEL (10) . . . s 0
-------SERVICE/FEEDER--— ------BRANCH CIRCUITF----- --•--ADD' L INSPECTIONS---
0 — 200 amp. . . . . . .. 0 W/SERVICE OR FE:EDERs 0 PER INSPECTION. . . . . : 0
cot — 400 amp. . . . . . : 0 tat W/O SRVC OR FDR. s 1 PER HOUR. . . . . . . . . . . : 4
401 — 600 amp. . . . . . , 0 EA ADD' L BRNCH CIRCs 1 IN PLANT. . . . . . . . . . . s 0
601 -- 1000 amp. . . . . 1 0 ------------------PLAN REVIEW SECTION,-----
1000+ amp/volt. . . . . : 0 ) a4 RES UNITS. . . . . . . . s ) 600 VOLT NLIMINAL. . s
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. s
Owners ------ -------------- ---------------------------------- FEES ------------------
MATTHEW HO type amount by date reept
13809 SW NORTHVIEW PRMT $ 40. 00 CJS 07/08/96 96-281402
T I CARD OR 97223 SPCT $ 2. 00 CJS 07/08/96 96--281402
Phone #t
Contractors ---------------------------------_-----------------------------------------
DOONES FERRY ELECTRICAL $ 42. 00 TOTAL
PO BOX 628
REQUIRED INSPECTIONS - - --- -
WILSONVILLE OR 97070 Wall Cover Elect' l Final
Phone #: 503-682-4936 Elect' 1 Service
Reg #. . : 88482This permit is 1ssited subject to the regulations contained in the
Tigard Municipal Code, State of (h,e. Specialty Codes and all other Permittee Signature
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not sta ted
Within 188 days of issuance, or if work is suspended for more �r
than :86 days. Issued By
__ -_--___•____.___---________04)NER INSTALLATION ONLY--_---_- --------------------._._._
IL 1he installation is being made on property I own which is not intends•d for
Hsale, lease, or rent.
OWNER' S SIGNATURE: _ DATE
- ------------------------CONTRACTOR INSTALLATTnM
ONLY-------------------------------
S I GNAT!�.F OF SUPR. ELEC' N't
W s IL �_.____ __ DATE e
LICENSE NO:
Call for inspection - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # - —_--
Date Issued S`-!',-q-__
Prone (503) 639-4171
FAX (503) 684-7297
CITY OF TIOARD TOD No (503) 684.2772
Inspection (503) 639-4175
7, .lob /address: 4. Complete Fee Schedule 0clow:
Name of C1�t:vJ��lo�p�ent_ MG1gaS�_Y1Q r J Number of Inspections ver permit allow9A
PddresS—l�- -—5- .J3d1tL-1�.-`-��-1-Qle.�- Service indudAd items Cosl(ca) Srtm
CitylState/Zip T t^.� Q_�-__ eta. R hart to -perunit 4
1090 eq.q, a
k les sttot>a
Each Additional goo sq n or
Name (or name of business) _ portlon thereon 52S.n0 t
Llml!ed Energy $25.00
Commercial F-1Reside,(tial Each Menurd Moma or Modular
,swelling Service at Feees? sea.00
2a. Contractor Installation only: 4b. riervices or Feeders
y�e ` [�p ��Qp� ^' In1tal aomn,aherellan,or relocation 2
Electi2�nrct r %yL�L_�S.i e �-ki -�!L - 200 amps or lepa $6000
- sae 00 -�__ 2
Addr �.�. 10,.imps to 000 Pmpe �— 2
1� amps to E00 Amps S120.00
City_ ti ��_._ SWe_g[�Zip�Q1(Z 6'it empsto 1000 amps $100.00 2
`_ $140.00 _ 2
Phone No. _�-.�-{ _� Civet 1000 PAPS or Vohs $SO coo
Jot] NO. _� __�,_ fieconneclonly
contrzCtor's license NO. ��� - 4c, Temporary Services or Feeders
Contractor's P^ard Rag. NO tellatlen,Arareticn,or relocation 2
$
i nature of Sr l r i 1P.C' _ 200 amps or less p
9 — uu 201 empa to 400 Amos $50.00 2
License No Phone ".1Q 0,01 amps to 600 amps 37500
Over 600 amps 10 1000 vo11S $100.00
2b. For owner installations. see above
4d. Branch Circuits
Print Ownpr'9 NamE —__ _ Naw,sheretlwr or smenalen per pens
Address; __ _ a)The tea for branch circ,nto►•hh 2
poviliase or anrvlce or feeder fee.
State Zip f°aeh branch cimo 55.00
Phone No _ __ b)The fee for brbnch chcufls wide*"? 2
l he installation is veiny made on property I own which is pflrelU►ebrenoh haae IaP or h1ef1M fay. Z
cifeu t;reun J^ $95.00
riot intended for sale, le:Ise or rent Each additional borleh tircuh 1 $9.00
Owner's Sigrature __ 4e. Miscellaneous '—T— 2
(SerVlee or feeder not included) 2
Each pump or inigatton circle _ $40 00
3. Plan Review section (if required): Each vin mr buione llghi ng $40.00 q
signal CKcuR(s)at a:Imhed energy
IL Please check appropriate Item and enter fee in ;;Qcllnn RA. )Anal,aheration of ecleneion $4000
a q or more residential units in one structure
M nor)Abets(I0) $100.00 T
Serving and feeder 235 Amos or mote 4f. Each additional inepertion over
.. $ys!em over 5C0 volts nominal the ,ilowabte In any of the above
Classified area or structure containing special 0"%Ipar,cy per Inap-ictlon $35 or)
as described in N.F C. ChApler b Perhg',r $5500
in Plant 1116111.00 _�.
Stibmlt 2 sets of plans wilt,application whore any of the above
apply. Not required for temporary construction enrvf:es. S. Fees: ��
Sa. Enter toed of above fees S p
NOTICE 5'M Surcnige (.03 x total teas) g
submtel $
PERMITS 8F.GOMi:v )ID IF WORK OR CONSTRtiCTION Gr7. Enter 25% of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 150 DAYS, OR IF plan Review if required (See 1)
CONST-RUCTION. OR WORK IS SUSPENdED OR ASAND7NED FOR Sffbfnral g
A PERIOD OF 180 DAYS `T ANY TIME AFTER WORK IS ❑ Trust Account #
COMMI=NCEP i
Balance Due _ ''"`
Wei im f em=
PERMIT
10Cw17y OE TIGARD DATTEI ISSUED e• 07/09/966 -0E 18
COMMUNITY DEVELOPMENT DEPARTMENT
13125 W Mag Wd.T",oreW OrMoSiM (S)OU-4171 PARCEL a 2S 104BA-06100
a1 TE ADDPES,13. . . : 13809 Sr' NORTHVIEW DR
SUBDIVISLDN. . . . e CASTLE Hi- #2 ZONINGS R--12 PD
BLOCK. . . . . . . . . . t LOT. . . . . . . . . . . . . sO94
-------------------
CLASS OF WORK. . :ADD FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF* UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRF-'. . :R3 VENTS W/O APPLs 0 VENT SYSTEMSe 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . e 0
FUEL TYPES-------------- 0-3 HP. . . . a (b DOMES. I NC I N: 0
:/GAS/ / 3-15 HP. . . . : 0 COMML. INCINe 0
MAX INP'- 0 BTU 15-30 HP. . . . e 0 REPAIR UN?TSe 0
FIRE DAMPERS?. . : 32-50 HP. . . . : 0 WOODSTOVES. . e 0
GAS PRESSUH . . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. s 0
F=URN < 1O0K 13TIJ: 0 10000 cfm: 1 GAS OUTLETS. : 0
FURN > =1O0K BTU: 0 > leoeo cfm: 0
RemarkF : Adding an ;air handling unit to 1O, O00 cfm.
Owner: ----------------------•-------------------------•------- FEES ---.-----------
MATTHEW HO type amount by date recpt
13809 SW NORTHVIEW PRMT f 25. 00 CJS 07/09/96 96-201431
SPCT f 1. 25 CJS 07/09/96 96-281431
TIGARD OR 97223
Phone #s
Contractor: ------------------------------.-
TRI-COUNTY TEMP CONTRIOL
13651 SE AMBLER RD
CLACKAMAS OR 97015 -------------------.--•------------------
Phone #: 654-3115 t 26. 25 TOTAL
Req #. . : 72623
------- REQUIRED INSPECTIONS ----_.__
This permit is issued subject to the regulations contained in the Mechanical Insp —
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection _
applicable laws. All Mork will be done in accordance with Final Inspection
approved plans, This permit will expire if work is not started
within l88 days of issuance, or if work is suspended for more
than 18B days: — �^
jl 4 e T-m i t t e e
3 s s ed BY
s -
u� Call for inspection - 639-4175
J
City of Tird MECHANICAL PERMIT PlancWRec. # 95- W111-1 I _
131"25 SW Hall Blvd. APPLICATION Permit # M6C96 cal
Tiga , 3
(503) 639.4171
ase
•• Dosonpdm
A Table 3A Mechanical Code CITY PRICE AMT
Job /380 9 vcu tiQ'I)-M01eZ0 j 1) Permit Fee J- -0- 10.00
Address �1
4 .3 2) Supplemental Permit 3.00
umace io
1) ind.duds a vents 6.00
"" umace +
Owner 2) (rid.duds a vents 7.50
WFERTurnarion
3) incl.vent 6.00
...•�.. Suspe heater.wall heater
4) or floor mounted heater 6.00
+ .rVent no r`3Tx n
Occupant 5) appliance permit 3.00
.aRepair of hosting.refrig.
6) cooling,absorption unit 6.00
a-011w or camp,heat pump,air co6d.
7) to 3 HP absorp unit to 100K BTU 8.00
Boiler or comp,heat pump,air
Contractor `� maee tzb 8) 3-15 HP absorp unit to 600K BTU 11.00
Boiler or come,fient pump,air
9) 15 30 HP absorp unit.5 1 mit BTU 15.00
• Boiler or comp,heat pump.a
10) 30.50 HP absorp unit 1-1.75 mil BTU 22.50
T .Frei yacknowl a that I have rema MIR aP kation, i e Boiler or comp,hest pump,a c
information given is correct.that I am the owner or autliorized agent 11) a 50 HP absorp unit 1.75 mil BTU 31.50
of the own9r,that plans submitted are in compliance with State ---Xrr7a-ndUng unit to
laws,that I am registered with the Construction Contmctort Board, 12) 10,000 CFM 4.50 7.
that the number given is correct. (If exempt from State registration, Air r.'WFUR,
please give reason below.) 13) 10,000 U.M+ 7.50
Non porta A e
14) evaporate cooler 4.50
Vent tan F,3 nec
15) to a singln dud 3.00
Ventilation system not
7 16) Included iri appliance ponnit 4.50
O E9WW
17) mechanicexhaust _ 4.50
a we leve Q -41ffilw 3 teradon repair 0 C4)MffWfdWor Industriai �-
to be done (asideni 10 r-anxidentinl Q 1 P) type incinerator 30.00
xisting use n Other i.e., era
building or property `�51��C e/C C C 19) heater,solar,daillm dryers,etc. 4.50
0.
Proposed u..e of 20) Gas piping one to four outlets 2.00
bLiHing or property
211 More than 4-per outlet
Type of fuel-oil C1 natural gas LPt3 Q electric Q
NOTICE 1.0
Minimum Fee=25.00 SUBTOTAL �
W PERMITS BECOME VOID IF WORK OR CONSTRUCTION
J AUTHORIZED IS NOT COMMENCED WITHIN 1R0 DAYS,OR 3%SURCHARGE ��s
IF CONSTRUCTION OR WORK IS SUSPENDED OR �J
O BANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 2!.%OF SUCTOTAL /
AFTER WORK IS COMMENCED. ---' -
TC TAL
Special Condtions
Date issued --b,,
cnrcj".lir
CITY OF •TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Lime: 639-4176 Business Line: 639-4171
q�J BUP
Date Requested ��� ! ` f AM�PM_ BLD _
Location 0!1 0 Suite MEC
Contact Person Ph Ph PLM
Contractor _ Ph SWR
BUILDING Tenant/OwnerELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SR'
Post&Beam
Ext Sheath/'hear
Int Sheet;JShear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling �-
Roof
N1isc:
Final
PASS PART FAIL
PLUMBING
Post a Beam /�
Under Slab ,�h Y �l Ig-0 _ 3t�� �, rl I SQ
Water Service _
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL —_
MECHANICAL
Pc st&Baam — - -- --
Ruugh In
Gas Line ---
Smoke Dampers
Final -- —
PASS PART FAIL
<Mcmm
CIL Servirrs _
Rough In
N UG/Slab _
Low Voltage
Fire Alarm
J_
m S� ART FAIL -
t7
W
--� Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next Inspectitm. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE: — [ ]Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date V L ? Q� In_;pActor Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
w
ICATE OF
RTIF
CITY OF TIGARD PERMITE0. . . ... .OCCAaYMST9'.5-0141
COMMUNITY DEVELOPMENT DEPARTMENT DATE I SSL IE.D s 04/25/96
17126 SW NO Blvd.Tlgwd,Orpon 97227.8102 (507)9704171
PORCELs 2S104BA--06100
SITE ADDRLSli— a 13609 5W AOR T HV I LW DR
SUBDIVISION. . . . a CASTLE: )TILL #2 ZONINGsR-- 12 PD
BLOGK. . . . . . . . . . s LOT. . . . . . . . . . . . . s094
CLASS OF WURK. sWQZ
TYPE OF USE. . . s S �``��''
OCCUPANCY GRP. sSN
OCCUPANCY LOADs2
Remarkss PATH I
DON MORISSE:TTE.
5000 SW MEADOWS RD
SUITE 151
LAKE OSWEGO OR 91035
Phone Ms 620-7536
Contralctorc
DON MURISSETTE HOMES
3000 SW MEADOWS RD
SUITF. 151
LAKE OSWEGO OR 97033
Phone #1 620--7538
Reg #. . a 35533
This Certificate grunt a occupancy of the above referenced building or portion
thereof .and c,onfirmm that the building have been,. ectgd for c_omplialice with
erre 5tgAe f Or eynrr fauveialty CodeQ for the Ur0)&l/0r.,c!'-lpAJjy, and use under
which f$ "refer en/ mit wagissued.
i
BUILDING INSPECTOR BUILDING OFFICIAL
POST IN CONSPICUOUS PLAC
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CirlOF T 9 MASTER PERMIT
PERMIT' bM . . . . . t MST95-0141
COMMUNITY DEVELOPMENT I:�:IMENT DATEISSUED: 10/16/95
13126 SW Hall BNB.Tigard,Oregon 97223*8199 (603)930.4171 PARCEL t 2S 104BA-06100
SITE ADDRESS. . . : 13809 SW NORTHVIEW DR
SUBDIVISION. . . . : CASTLE HILL #2 ZONINGt R-12 P:--
BLOCK. . . . . . . . . . .
:BLOCK. . . . . . . . . . .I LOT. . . . . . . . . . . . . t094
-------------------- ------------ BUILDING ----..------------------------------------
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:4 BATHSt4 GARAGE. . . . . . . . . . s700 sf
TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS-----------
TYPE OF CONST. .-5N FIRST. . . . s1455 q! r LEFT. . t6 ft RIGHT. :5 ft
OCCUPANCY GRF,. s R3 SECOND. . . : 1587 s f F RUNT. r 20 ft REAR. . s 20 ft
STORIES. . . . . . . s2 FINBSMENT:O sf R17QUIRED-------------------
HE IGHT. . . . . . . . :30 ft TOTAL------:3042 s f SMOKE DETECTORS. s Y
FLOOR LOAD. . . . 340 psf VALUE. . . . . $: 1-:08085 PORKING SPACES. . t 1
Remarks : PATH I
_________________
----------------- PLUhIB I NG ---------------------------------------
SINKS. . . . . . . . . . : 1
------.-------------------------------
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . sl
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . t0
TUB/SHOWERS. . . . :4 LAUNDRY TRAYS. . . 10 CATCH BASIN . . . . . . . :0
WATER CLOSETS. . :4 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . 10
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . sO
WASHING MACH. . . : 1 Sf RAIN DRAINS. . : 1
----------------- MECHANICAI- ----------------------------------- FEES --_---_.-__
FUEL TYPES------------- UNIT HTRS. . :O type amount by date reept
/GAS/ / / VENTS . . . . . .0 SWM $ 180. 00 JDA 10/16/95 95-271696
MAX INPUT:O BTU VENT FANS. . :5 SWM $ 100. 00 JDA 10/16/95 95-271696
FURN ( 100K . . e0 HOODS. . . . . . : 1 BPRi $ 705. 50 JDA 10/16/95 95-271696
FURN ) =100K . . tl WOODSTOVES. :O BPLC t 458. 38 SW 03/24/95 95-?63361
FLOOR FURN. . . . sO CLO DRYERS. : 1 B5PC $ 35. 28 JDA 10/16/95 95-271696
BOIL/CMP ( 3HPt0 OTHER UNITStl PARK f 50x. 00 JDA 10/16/95 95-271696
GAS OUTLETStl MPRT $ 48. 00 JDA 10/16/95 95-271696
Owner t --------------------------------------MPLC $ 12. 00 JDA 10/16/95 95-271696
DON MORISSETTE M5r,1-- $ 2. 40 JDA 10/16/95 S5-271696
5000 SW MEADOWS RD :3BT'H t 225. 00 JDA 10/16/95 95-271696
SUITE 151 P5PC $ 11. 25 JDA 10/16/95 95--271696
LAKE OSWEGO OR 97035 EROS $ 88. 00 JDA 10/16/95 95-271696
Phot.- #: 6c0- 7538 ERPC $ 28. 60 JDA 10/16/95 95-271696
Contractor: ---_.__.____---_.__________________ERPC f 28. 60 JDA 10/16/95 95-271696
DON MORISSETTE HOMES
5000 SW MEADOWS RD
4. SUITE 151
a I._AKE OSWEGO OR 97035
Phone #; 620-7538
Reg #. . ; 3S'533 ---------- -----�--------------.---- ----
f 2423. 21 TOTAL
This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS - - --
m Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp Plt.t+mb Toy rn,+
Wapplicable laws. All work will be done in accordance with approved Foundation Insp Framing Insp
J plans. This permit will expire if work is not started within 18B Cost/Beam Striact Fireplace Insp
days of issuance, or if work is susR!nded for more han 184 d ys. Post/Beam Mechan Gag Line Insp
Crawl Drain Insulation Insp
f ermittPe 5i gnat�_ir e; O _ Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
1 r;sl_ied By ; _ _,Q._lr ,,�!�,� .! Mechanical Insp Water Line Insp
Ca 11 for inspection - 639-4175
CIT( OF TI GARD SEWERPERMITGTION -
PERMIT 0. . . . . . . : SWR95-0132
COMMUNITY DEVELOPMENT QMAF W-,NT DATE ISSUED c 10/16/95
131:6 BW Ham Blvd.T19wd.Orpon 07223.8100 (603)630-A17/
PARCEL.s 2S104BA-06100
SITE ADDRESS. . . : 13809 SW NORTHVIEW DR
SUBDIVISION. . . . : CASTLE HILL #2 ZONINGt R-12 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :094
-------------------------------------------------------------------------------------
TENANT NAME. . . . . :
USA NO. . . . . . . . . . t FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS" . t1
TYPE OF USE. . . . . s SF NO. OF PLO I L r 1 NGS t 1
INSTALL_ TYPE. . . . :BUSWR IMPERV SURFACE. . s :sf
Remarkss PATH I
Owners ---------------------------------------------------- FEES
DON MORI.SSETTE type amount by date recpt
5000 SW MEADOWG RD PRMT $ 2200. 00 JDA tri/16/95 95-•271696
SUITE 151 INSP $ 35. 00 JDA 10/16/95 95-271696
LAKE OSWEGO OR 97035
Rhone #: 620-7538
Contractors ------------------------------
CONTRACTi-A NOT ON FILE
---------------------------------------
Phone #: f 2235. 00 TOTAL
Reg #. . .
--- ---- REQUIRED INSPECTIONS -------
This Applirant agrees to comply with all the rules #.A regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 188 days from _
the date issued. The total amount paid will be forfeited if the
permit txpires. The Agency does not guarantee the .:curacy of the
side stover laterals. If the sewer is not located at the seasureaent _
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will Install a lateral. _
Permittee S i g n a t u r e:JD� Lkw— j�(
Issued B y t
IL Call for inspection — 639-4175
F-
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Ate'
1te i - ntial 13y91dU g Err-mit Awls gbor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Addreaa,• 15fj�n !�nW I�UY-�h�rxy
� w�v � ``11 q�
Subdivision:
l/ A-v Lot
ti i Z Ot(Ice Ube
�/+rn
Planck/Rec �_
Valuation:� y� O �
Permit#
Comer Lot? Y N
Reissue of
Flag Lot? Y N ��
Map &TL#. 2. I OLI 84 -(a I(J o
Owner: Doti M og I tz _ �DMLh, I • L"2. vats Rte+ ui
Address: gW HQI11!J Planning:__...__.� _ .___._� •
rK Gi'20� ;dua.
---f- EngineRrirw<I
r. Phone: Le.�p - � J CJS <they
Contractor: J' l�th'I� ms gsmuiret'
Address:
rus Qetaits
t Phone:
Other
'. Contractors Ucense 155 3� iB1l l�•
(attach copy of current Oregon kvnse) act C1
C,onhict Name & Phone:
IL
>� t Subcontractors: Ar�hlaect/Engineer.--[n�-1 62boc. _
fes•-N " I t` Address � S Ijjplumbing:
} , Mechanical: _l�^JT ��• LhLI&C 3035
-� (a.'ach copy of current OR Contnactnr's !.hmmse)
_m Phone: Leo
W
.-.1
• JOB DESCRIPTION:
Applicant Signature & Phone number
Received by: Date Received: cl_
1 rrnNortrncaMoelM[sAPr
Pemk 0 Account Description Aewunt Amt.Pd. Sall. Due l
,"ASt'rjj U/�� Bldg. Permit (BUILD) u : -v --� "ZU'r,
Plumb. Permit (PLUMB) _ sit S
Mach. Permit (MECH) �% �. -Y /
State'rax (TAX)
Bldg:-
Plumb: L ��
Mach:
Plan Check (PLANCK)
Bleg:
Plumb:
Mach:
J w Rq Sewer Cwnecdon (SWUSA) Z Z
Sa+Kar Inspection (SWINSP)
Pants t?r:Charge (PKSDC)
Storrs Drainage Chg (SDSDC)
' Residential TIF MF-R) - ► �`- L�
Masa Transit TIF (TIF-MT) - ...
Commercial TIF TIF-C)
Industrial TIF
Institutional TIF (TIF48)
Office TIF (TIF-0) � noadu+?
f
Water Quality (WQUAL)
J K A- - -Waw Quan". (WQUANT)
District (FIRE)
J
Erosion Cntrl Permit (ERPRMT) �r
-- Erosion PlancWUSA+(ERPLAN) - o
Erosion Planck/COT (EROSN}
TOTALS:
Credit No:
Date Issued.• S?)i f
TRAFFIC IMPACT FEE
CREDIT VOUCHER
accordance with the Traffic Impact Fee Ordinance, Matrix Development Corporation v
In ac a 9
is entitled to in Traffic impact Fee Credits that can be applied to TF charges
on lot(s)66-131 of the Castle Hill No. 2 Development. The use of 71F credits
are subject to the rules and 4,r.7itations of the TIF Ord'nance. WARNING:
This voucher mus.,be presented at the time of issuance of the Building Permit, deferral
was granted Issucrwo of an Occupancy Ferrnit.
MATRIX DEVEL OFMEN T CORPORATION hereby assigns all its right,
title and interest in and to that certain Traffic Impact Fee Credit to be granted
jai ti upon the Issuance of a building permit for Lot
CA STL- HILL NO. 4" subdivisidi;, Washington County, Oregon, to the order ot.
This assignrnert ct Traj'�-c impact Fee Credit is made and given this Z.
day of
MATRIX DFVE-IOFMEPIT CORPORATION,
an Oregon Corporation
EY: E vv 'JLSd f ° t
Title or Position
• 401 /
1 6000 S.W.Yaidows Rd.,Sti.161
L dW O nnp,Ok 97085 i
Phone(608)880=1688
FAR:(608)840-7486
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PLUMBING PERMF
OFT DATE PERMIT I SEUED s . 10/16/9g',j-0'.41
MMUNITY DEVELOPMENT DEPARTMENT
13128 8W Hag Blvd.Tigard,Oregon 972234196 (303)M4171 PARCcL: 2S 104BA-06100
SI-CE ADDRESS. . . : 13809 SW NORTHVIEW DR
SUBDIVISION. . . . t CASTLE HILL #2 ZONINGS R-12 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . s094
CLASS OF WOrK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE Or USE. . . . :SF WASHING MACH. . . . . . . . 1 BACKFLOW PREVNTRS. . t l
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 10 TRAPS. . .. . . . . . . . . . . . 30
STOFi I ES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES-------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : )
SINKS. . . . . . . . . . al OREAGE TRAPS. . . . . . . a@
LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0
TUR/SHOWERS. . . . : SEWER LINE (ft ) . . . . tO
WATER t3LOSETS. . :4 WATER LINE (ft) . . . . : 100
DISHb;ASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . s0
Remarks : PATH I
OWNER: --------------------------------- ------------------FEES----------------
DON MORISSETTE GWM f 180. 00 JDA 10/16/95 5t;-271696
5000 SW MEADOWS RD SWM f 100. 00 JDA 10/16/95 95-?71696
SUITE 151 BPRT t 705. 50 JVA 10/16/95 95-271696
LAKE OSWEGO nR 97035 BPLC $ 458. 58 SW 03/24/95 95-2263361
Phone #: 620--7538 P5PC 35. 28 JDA 10/16/95 95-271696
Pr RK $ 500. 00 JDA 10/16/95 95-271696
Plumbing Contractor:-------- ---------. MPRT f 48. 00 JDA 10/16/95 95-271696
MP!C t 12. 00 JDA 10/16/95 95-271696
Name :�� � ���� M5PC $ 2. 40 JDA 10/16/95 95-271696
Address . _ W 3BTH $ 225. 00 JDA 10/16/95 95-271696
City: ate : PSPC f 11. 25 JDA 10/16/95 95--271696
Zip: Phone#: Z EROS $ 88. 00 JDA 10/16/95 95--271696
Reg #: �_ Additionel fees not shown Here. . . . . . . . .
- ------ REQUIRED TNSPECTIUNF -This permit is issued subject to the reg-
ulation? contained in the Tigard Municipal Facting Insp Insulation Insp
Code, State of Ore. Specialty Codes and all Foundation Insp Gyp Hoard Insp
other applicable laws. All work will be don* Post/Beam Struct Rain drain Insp
in accordance with apprrved plans. This Post/Beam Meehan Water Line Insp
permit will expire if work is not started Crawl Drain Water Service In
within 180 days of issuance, or, if work is Plm/undslab Insp Appr/Sdwlk Insp
suspended for more „_!i#n 180 days. PLM/Underfloor Mechanical Final
= Mechanical Insp Plumb Final
r Plumb Top ' ut Building Final
Framing Insp Erosion Control
Fireplace Insp
x Gas Line Insp
p Aut)i rued lumbinq Contractor 9!'g'a Elire
Call for inspection - 639-4175
COntractor Notes:
r
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # 95-a72103 _
Permit # ac'9S= og97
Phone (503) 639-4171 Date ISSlfed lo-
FAX
CITY OF TIOARD (503) 684-7297 Issued by _rho,/es
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development��, A I � � Number of hlepecdons per peanut aNw.d
o
Address /.1&29S 0erU40 Ip.) bg-. Service Included: IMms CosgN) sum
Cfty/State/ZI MaACI /V�. 06 . y7 21-3 4s. Residential-per unit f� 4
��}} 1f=p N or wee {110.OG /21•'V
Name (or name of 0usiness)Ian hstC-t►r'_ An
Each a n therl 60o p " °'
— poAlon 1llered tt2s.00 1
Commercial❑ Residential UnitedErergy "Goo
Each Manurd Hones or Modular 2
OwMfnp Service or Feeder in 00 _
29. Contractor Installation only: 4b.service.or Feeders
Installation,dNrdion,or relocxllon 2
Electrical Contractor_ 200 anpe or Was time 00 2
Address 201 tops to amps Woo � 2
�n — p ICI r pe to amp• Ngo 00
r 2
City Aea �.rr}n,•r State_K.L1. zip- sol arr�.tolocIW o«mp. _� aeo 00 2
Phone No. (D w- over 1000 Stripe° vd1. sm,00 2
Contractor's License No. db - {�y�- Reconnect only eeom '—
Contr�tcMr's Board Reg. No. ' = _ 4a Temporary Services or Fesders
Inbdhlion,alferation,or relocation 2
Signature of Supr. Elec' _ zoo amp.Of l«. t1f30 00 2
License N0. Phone N0. 201 amps to 400 amps an 00 2
101 amps to Wo amps $10000
Over 800 amps to loco volts
2b. For owner Installations: a«V above
I� Print Owner's Name 4d.Branch Circuits
New,aMerallon or exterebn per panel
Address a)The Ise for branch cimuits with
City__ State__ Zip Pao^ase Of so Vive or Asdr Am 2
Each branch circuit 8900
r
Phone .J. b)The lee for branch circus s1/Aeut `
Tho installation is being made on propert•, I own f which is ) pumft"of so It or bedrr be. 2
not intended for sale, lease or rent. Fill branch ci'cuil am 00 2
Each additions;branch circuit 8500
Owner's Signature 4e.ffU mOonsous
(Service or feeder not Included) 2
3. Plan Review section (it required): Each pump or irrigation cinM 94.00 2
Each sign or outline lighting $10 00
ignal
Seircuil(s)or a limited energy —� 2
Plesse check appropriate Item and enter fes In section 58. panel,alteration or evionelon woo
4 or more residential units in one structure Minor Labels(10) $10000
a Service and feeder 225 snips or more
System over 1300 volts nominal V.Each additional Inspection over
Classified area or structure oontaining special occupancy the allowable In any of the above
ce as described in N.E.C. Chapter 5 Per Inspection 06.00
Pet Dour am 00
In Plat 0600
J Submit 2 este of plans with application where any of the above
m r apply. Not required for temporary construction services.
5. Fees:
W 1&Enter total of above Ion
$
-�(�,
`��
J 6%Surcharge(.05 X M' saes) S �1V
t WERMITS BECOME VOID IF WORK OR CONSTRUCTION .4ubrotal =
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYC,OR IF ab•Enter 25%of fine A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec.9) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Submw^ Z
COMMENCED. LJ Trust Account N =
Defame Due s
.CITY OF TIGARD ELECTICAL PERMIT
RESTRICTED ENERGY -
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT *a FLR95-0248
1=146 8W H&N OW.Tlewd,dseon 9M308/99 te01n OW4171 DATE I SSUED t 12/29/95
PARCELt 281O48A-06100
SITE ADDRESS. . . : 13809 SW NORTHVIEW DR
SUBDIVISION. . . . : CASTLE HILL #2 ZONINGsR-12 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .094
Project Description:
A. RESIDF_NTIAL-------__.- B. COMMERCIAL-----------------------------------------
AUDIO R STEREO. . . e X AUDIO R: STEWO. . t INTERCOM & PAGING. . t
BURGLAR AI-ARM. . . . : X BOILER. . . . . . . . . . I LANDSCAPE/IRRIGAT. . t
GARAGEOPENER. . . . :X C!_OUK. . . . . . . . . . . t MEDICAL. . . . . . . . . . . . s
HVAC. . . . . . . . . . . . . ..X DATA/TF_L.E COMM. . t NURSE CALLS. . . . . . . . :
VACUUM SYSTEM. . . . : X FIRE ALARM. . . . . . I OUTDOOR LANDSC LITEt
OTHER: : : X HVHC. . . . . . . . . . . . I PROTECTIVE SIGNAL. . a
INSTRUMENTATION. t OTHER. . t s .
TOTAL M OF SYSTEMSt
Applicant : --------------------------------------------._----- FEES ---- ------- ___.__
GARY' S VACUFLO type a►..,uni• by date recpt
901.5 SE F=LAVEL IPRMT $ k,ia. kj0 CJS 1c^^./29/95 95-274446
SPGT $ 2. klm rJS 12/29/95 95-274441:
PORTLAND OR 97266-5583
Phone ti: 503-775--2042
rontra tors --------------------------------------------- ---------
i - -^~ _-------•------------------- --------- _____-- __-----
CI)NTRACTOR NOT ON FILE t 42. 00 TOTAL
------- REQUIRED INSPECTIONS •-------
Ceiling Cover Elect' l Service
Rhone #: Wall Covey, Elect' l Final
Req #. . :
This persit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Cpdes and all other Perla i t ee Signature
applicable laws. All stork Mill be done in accordance with
Mroyed plans. This pereit will expire if work is not started
within 188 days of issuance, or if work is suspended for oore
than 189 days. Issued By
-------- -[]WNER INSTALLATION ONLY-------------------------------
rhe installation-is being made on property I own which is not intpndpd for
sale, lease, or rent.
0. OWNER' S SIGNATURE:
----- __--- DATE s
�' CONTRACTOR INSTALLATION
U) --- ---------------_--_
S 1 GNA TURE UF= SUPR. ELLC' N: i ICP �____.._-__ _ _ DATE:
L T CENSE NO:
J
4 Call for inspection - 639•-4175
I
DEC-29-1995 10:59 JAW'S VACIFL09 INC. P•02
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
- 13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT # -
Phone(S03)6394171
FAX(503)15114-7297 DATE ISSUED_Z,2- .19- 9 S^
TDD No. (503)6842772
CITY OF TIGARD Inspection(503)639-4175 ISSUED BY
PLEASE COMPLETE AU SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
5, W- A1MfJ�. CL :
cess RESIDENTIAL.—Restricted E Fee. . . . . . . . . law
q �_ _ �' 1�3 (FOR AL 1 SYS 1
City .State 'ZipCha&T111a af Mfgd
6 NOT STAR[N(M-rMANS"MARLE AND IID WITH 1M 80 DAYS OF ISSUANCE OR�WORK if LE AND SUSPENDED FOR 04ME IF WORK '��,�^u�"k'and Stereo Systems"
100 DAYS %-9u ar Alarm
2. CONTRACTOR APPLICATION Door Opener•
��eating,Ventilation and Air Conditioning System"
Contractor Type _ Z'�1,8c��uum SyMems°
IfrOther
Address
GARY 'S VACUFLO, INC. 775-2042 COMMERCV.L—FreforeachSystem . . . . . . . . . "a-on
9015 9E JLAVEL . PTLD, OR 97266 (SEE OAR 916-260-260)
0 : / / JUH — ClTM of Work Ira hod-,
OWNER:
CLE 28728 . JLE: 985 , CCB: 59047 ❑ Audinand Stereo Systems•
❑ Boller Controls
Phone# — -- _ ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ fire Alarm Installation
❑ HVAC_
Print Owner's Name Phone No
❑ instrumentation
Address ❑ Inrercom and Paging Systems
❑ Landscapt?Irrigation Control*
City State Zip ❑ Medical
Thh mens I.hmpni under CMR 91&320.370,This applicant a/e s to mala only ❑ Nurser CAS
n-stri ted e^Mir inoallatI m(100 volt amps or leo)under this pannit and b do Ile ❑ Outdoor Landscape Lighting"
fallorA�
i. onlyuse okmwkal licensed persona in do Installations wrhe i required.(Ckttain ❑ Prgtet tip Signaling
residential anti nther transactions are"oMpt from Iktnft Thm hwe ❑ Other
a asterislcsl•).All olhrn m+ed Ik'ensinR). �——
2. Call for an inspection when ON of the Installations under thin lw omit art ready
i2 for inspection at 903-63941 r!. ❑ Number of Systems
N 3. Purchase separate permits for ON Installations that are not ready kw inair tion
when the impactor Is out to Inspect under this permit. •Nn Ikenrn are'eqrequired for as ale.InwAations
uired. Uto w an _
4. As ue responsibility for assuring that allw�w Anes mlion-d try the Inspem r
m
are done,and
M 5 Aikens resixxrsRoAty for culling for a final Inspection when an of doe cnnwrtino% S. FEES
O are completed.
The person signing fox this permit must be the applicant or a person a. Enter Fees $
authotlzed to blvd the applicant.
b. 5%Surcharge(.05 x total abotrel $ r.Z —
Signature —�
TOTAL 3
Authority if other than applicant
ENERGAP.CHP
mon
0 en