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CERTIFICATE OF
CITY OF TIGARD . . . . .. r1. Y r
PERM I T #. . . . . . . MCT95-07-: � �r
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: OC/15/96 k
13126 SW Hall Blvd.Tigard,Oregon 07223.8199 (503)830-4171
PARCEL : 1S135CA--00500 ;
0')775 CW NORTH DAI,OTA ST �
)UDDI V ISION. . . . : ZONIhiG: ft- 3
LOLIC. . . . . . . . . . . LOT. . . . . . . . . .
CLASS OF WC:RK. :NEW
"'YPE OF USE. . . :DUP
`CC:UF'RNCY CRF',. '5"
':)CCUPANCY LOAD:c
sl
+?a lrf arks: PATH 0 DUr'LC'Y WITH I-IPOPERTY LINE THROUT,1 a VIE Ih I I)OLE
!='er-mit includes 9771 SW North Dakota St
314M.11-2 _ ...___..........__ -.
..3BP PROPERTIES
9.639`:] ^W LACI-L rn
�31-ItrRWOOD OR 97140
I-'hone It. 050
:ontvactor: __. ........_.... _.... ___....._ ..._._.___. _........ ..
71 & r rROPERTIGS
:6305 OW DELL RD
7.1-(ERWOOD OR 07104
Phone #: 229 17:3:'
Reg i#. . . 91,373
This Certifi,cati-I grants occUpancy . f the Above referenced bUi. lding or oortion
thereof and canfi)-ms that the b!-ti.] (;ing Has br,en inspected for- ;^omp1ianU.L wi.i F
the State of Oregon Specialty Codes for tt and i.tse .1-dei
which the ref°er•enced Pe)•mit was issl-keci.
1711 T'
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POST IN CcjNC.,'I CUOUS PLACE
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CITY OF TIGARD BUILDING INSPECTION NOTICE a
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
IFoundation Plba. Underslab Mech. Rough-in Fireplace
I
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing Z- 1 umb
Insulation `.
Water Line _ ech.�
Alarm w
Underflr. Insul. Shear Wall Gyp. 8d. calect..
`^ Time: AM PM
Jate Requested:— ) � l
9Sou vrz 1J A�(.O
Address: n n 5
_ i" GIi� . c 25� 2 3&� ermi�#: �1 '—D 3 3
Builder:54 t,L�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
i
Inspector: Date:
VAPPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
1
� CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: 2 (.
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing Plumbi
Alarm Water Line Insulation -Mech. o
Underflr. Insul, Shear Wall Gyp. Bd. - lect._'
Date Requested: ,�? 1���� Time: AM PM
Address:
Builder: 14 5b — ,3 �� .� Permit #: �� - — I
THE FOLLOWING CORRECTIONS ARE REQUIRED:
97ZZ4
�� cis.���c.�c. �-�•�.ru-n ,�.,.;_ ���s�1�_�.
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Inspector:_ Date:
_APPROVED ,DISAPPROVED _APPROVED SUBJECT TO ABOVE
/Call For Reinsp.9 7��
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''t°I 'y.it
r CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
l •
Inspection:
Footing Susp. Ceiling Sprink. Rough-in AppNSdwlk
Foundation Plbg. Underslab Mech. Rough-in rFireglace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in
Post/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm Water line Insulation -Mech.
Underilr. Insul. Shear Wall Gyp. Bd. Elect
Date R uested: � — /^ 9
� 5 Time: AM PM ,
Address: 2 -71 -1)S
Builder:_ J� r> >t.�,�, z ermit#:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ,'rJ
��-e to
Inspector: Date:_ Z'
_APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE •
Inspection Line (Rec-O-Phone): 639 4175 Business Phone: 639 4171
Inspection:
•
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg. `
i
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. •
•
Underflr. Insul. Shear Wall Gyp. Bd. -6eci:`
Date Requested: I 1 Time: AMPM
Builder: Permit #;
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: //,7 .l d, 61CW e \ ( e
�., t:.t _ [' Date: � / 2- L
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
4call For Reinsp. t
i
0 r ,
i CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwik
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
s,
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall/ ( Gyp. Bd. -Elect' ��
Date Requested: / 1 C Time: AM PM
Address:—
Builder:
ddressBuilder: Permit #: 577
THE FOLLOWING CORRECTIONS ARE REQUIRED:
03
P, T
C. i�T
lC: d rl s9 C!4C�i✓t 4 d'HGYC �'
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Inspector: 21k-fi- C -1 jpvc - Date:
I _APPROVED ISAPPROVED PPROVED SUBJECT TO ABOVE
_XC all For Reinsp. Cfl rt. A 7
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1
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 `
w ►
Inspection:_ I
Footing Susp. Ceiling Sprink. Rough-in (%ppr/� Sdwl.%
Foundation Plbg. Underslab Mech. Rough-in Fireplace •
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Undertlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: I ;1 14' Time: �KAM PM w
Address: ` 7 C� 1 v- %� �, c+•. -
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
() Ce D Apt- o N w,Na a Arpp,a^a,..Gw
111e. i�64 4tco Tb
Inspector: �� Date: '
_APPROVED _DISAPPROVED C�PPR`OVED SUBJECT TO ABC V
_Call For Reinsp.
i
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: e�_ p
Footing V Susp. Ceilirig Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
I
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. �, s
Date Requested: ( �) ( �� Time: AM PM
Addrisis:V C-1 _j ._
Builder: Permit #:
1 u
THE FOLLOWING CORRECTIONS ARE REQUIRED:
IA_f,T0 Cr70N A.IeM fi\C2L,os b,
�( -� C.v A Lk-, 1 t
PT—lb AC�1—t CT ��
�f
41
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Inspector: Date: 4,Z-41, gG,
_APPROVED _DISAPPROVED - APPROVED SUBJECT TO ABOVE
_Call For RFinsp.
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1.
CITY OF TIGARD BUILDING INSPECTION NOTICE h� •
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ' A'
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL:
Post/Beam Mech. San. Sewer '�_ -Bldg. +.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect. •
Date Requested: [ Q,_ Time: AM PM
Address:___ q 7 7 Noan4 i�►tL.+T-rte
Builder: a 7 7Permit #: q$= Q 33/ `
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: s ' Date:
(AcF P ED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE •
Inspection Line Rec-O-Phone): 639-4175 Business Phone: 639-4171
17
Inspection:
Footing S sp. Ceilin Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam StrUCt. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg. ,
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. -
Underflr. Insul. Shear Wall CBd? -Elect. •
Date RequestedTime: AM _PM
Address:
2 :7 7C
K
Builder: Permit#: 2 5 CJ _3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: 1
_APPROVED _DISAPPROVED VAPPROVED SUBJECT TO ABOVE
-Call For Reinsp.
r
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CITY OF TIGARn BUILDING INSPECTION NOTICE a
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: `. C._
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line n a ion C.,,0- t_Mech•
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_- ry l CJ's Time: AM PM
Address: / /
h,o4•c.
Builder: G,fy - 'z 38 ,r Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
ri L.4nn i
fib' ti. yc.'c-u!•7y/L.l.e7 L � =�L ..-.c -r� .
Inspector: Date:
.—APPROVED —DISAPPROVED 4tPMOVED SUBJECT TO ABOVE
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec O Phone): 639-4175 Business Phone: 639-4171
Inspection: /
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in 'ireplace
Post/Beam Struct. Plbg, Top Out (:te). Rough-in ) FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg. `
Plbg. Underfloor Rain Drain Framing -Plumb. r
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. •
I f
Date Requested: /,)-_I ->—y� _ Time: AM
PM
Address: !2 :2 -7 _5
Builder: Permit#a c 0
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r;7C--t
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Inspector til Date:
PPROVED _DISAPPROVED —APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec O Phone): 639-4175 Business Phone: 639-4171
Inspection: 'L�-w '
Footing Susp. Ceiling Sprink. Rough-in AppNSdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace y
Post/Beam Struct. Plbg. Top Out lec Rough-in -AY-) FINAL: t
Post/Beam Mech. San. Sewer Gas Line -Bldg. l
Plbg, Underfloor Rain Drain Framing Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wal Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address: (777L C16
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: 1
A 1
Date: �2
Inspector:
jf \PROVED —DISAPPROVED —APPROVED SUBJECT TO ABOVE
Call For Reinsp. '
l
1
v CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: �� R
-T
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab _rMech. Rough-in , Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Frami ? -Plumb.
Alarm Water Line Insulation -Mech.
Underilr. Insul. ShearrWall Gyp. Bd. -Elect.
Date Requested: ( (�' �C', 5-- Time: M T_PM
C C A--.
Address: , 7 L! L �l
Builder: _ "� Permit #: �(
THE FOLLOWING CORRECTIONS ARE REQUIRED:
(�`/ Cii�=,,:�,,,�.✓<�' (pct:.. L i%c'.✓ �G1�l . r <
Inspector: _ Date:
_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
•
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41771
Inspection: 1 t�iC�.A _ 2 CA-
Footing Susp,Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslabecu --=» Fireplace
Post/Beam Struct. ~--- ec:Rou i FINAL:
Post/Beam Mech. San. Sewer "EMs Line / -Bldg.
Plbg. Underfloor Rain Drain F, -Plumb. •
Alarm Water Line Insulation -Mech. •
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
_ i
Date Requested: z. '`, S Time: AM PM
Address: 2 -77 S
Builder. Permit #:
I
THE FOLLOWING CORREcrIONS ARE REQUIRED:
i
� .
Inspector:_ Date: /Z-
_APPROVED DISAPPROVED L/1-APPROVED SUBJECT TO ABOVE
Call For Reinsp.
f •
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslabech. ogh:W uFireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Dra.nraining -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: -2 Time: AM PM
Address:
Builder: Permit rY:C7,� - K33
L1OWING CORRECTIONS ARE REQUIRED:
1
� ' l" Gi i/�-si"'�L rlli-s S r=J7i.ur- l^=��—,•.�.� 4�SJ'7Z�F/� 7'-T�
� eY •./JrTJC/G���'its✓{X.G G tC C"� T�'Sri���`0 �/-!�Ci�/i'L
TIZ,'S S'
za-sl'.cT7�7/L=
Inspector:_ Date:
_APPROVED C—D"PPROVED _APPROVED SUBJECT TO ABOVE
For Reinsp.
/� "r7-��S i•.+.<Sj7�v�✓ f�''o�rs fid,+---i�lC'.��.,r�L � - ,
Y
i
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone). 639-4175 Business Phone: 639-4171
Inspection:__—,o/-
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out �o�gh� FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
UnderfIr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: _ x Time: AM PM
Address: 7
Builder: Permit #: �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
9
/s
Inspector:__ Cate:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICEl�
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63 4171
�....
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. �T g. Top 2i_ Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Undedloor Rain Drain Framing -Plumb.
�■D
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall I Gyp. Bd. -Elect.
Date Requested: 1 1 ` 1 1 I �1 5 Time: I \ AM PM
Address:
Builder: �(' Permit #: l
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspecto�7 �� Dat
APPROVED __DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
; N,.� ;Y' .'1F""' `�'Y'(�,•.rktr.5.�. . i y,.:r... x,•. :("''.M^:.,�pn wM�"M �,�.,. .!nk.! ''M"' 'Ar"bT,"n.yy'{,vr, a';4•at'
ELECTRICAL PERMIT V '
CITY OF TIGARD DATEIISSUED: 11 15/95 ,
COMMUNITY DEVELOPMENT DEPARTMENT
13125 8W Hall Blvd.Tigard,Oregon 07223.6100 (503)636-4171 PARCEL. 1 S 135CA DKV02
SITE ADDRESS. ,: . : 09775 GW iNORTIJ DAKOTA AVE x:..
SUBDIVISION. . . . . DAKOTA VILL_AGE.. ZONING: R-12
BI_OCh.. . . . . . . . . . . LOT. . . . . . . ., . . . . . :02,
Project Description: Residential 1, 500 sq. ft
__...RESIDENTIAL UNIT-------_. _ •-'TEMP SRVL/FEEDERS-._..._ -- ---M15CEl_LANFOUS-- -
1000 GF OR LESS. . . . : 1 0 200 amp. . . . . . . : iT PUMP/I RR i GAT I ON. . . . 0 y
EACH ADD' L. 5005F. . . : 1 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE L.TG. . : 0
LIMITED ENERGY. . . . 0 4.01 - 600 amp. . . . . . . : 0 SIGNAL./PANEL.. . . . . . . : 1
MANE. HM/ SVC/FDR. . : 0 6014amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : it) ra
- _-SERVICE/FEEDEI?- -- --•- -DRANCH CIRCUITS _------- -_ -ADD' I_ IN5PECTTONG.. .....
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
01. 400 amp. . . . . . : 0 1st h'/0 SRVL OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PI_.ANT. . . . . . . . . . . : 0 «�
601 •-• 1000 amp. . . . . . 0 -__.___.____._._____._-FL.AN REVIEW SECTION--._.._.-._-_-._
1000+ amp/volt. . . . . : 0 )-4 RES UNITS. . . . . . . . . ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = Ccs AMPS. . : CLASS AREA/SPEC OCC. :
Owner: --_..._-....-_----_-._ __.---.._.__._.___....--_.._.____..._____.______.__.________-_- FEE.
,.JIM BEECHE:R ELECTRIC type amo1_lnt by date recpt
PO BOX c PRMT $ 175. 00 CJS 11/15/95 95-."_'7 888
-PCT 1, A. 75 C,JS 11/15/95 95-c,72%8 nA
GASTON OR 97119
Phone #: 50,2-662-3898
Contractor: -----___._.__..___._........_.__. __________.__._________.__.___---___--•.-------__._._------•-___-..
CONTRACTOR NOT ON FIL-E $ 15-3. 75 TOTAL
REQUIRED INSPECTIONS
Ceiling Cover Elect' ] mel vice
Phone #: Wall Cover Elect' 1 Final I
Pe7 #. .
Y
This oermit is issued subject to the regulations contained in the _ _ ------ _...__,_.._...
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signati_ire
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 188 days. Issi_led By
TNGTAI__1_ATlnhl
The installation is being made on property I own which is not intended for
, gale, lease, or rent.
OWNER' S S I GNATURC: DATE
IN�':)TAL.L..ATION ONLY---- -- --
TCNATIJRE OF SIJPR. ELEC' N: DATE: /-
L...I CENSE NO:
Cell for inspection - 639-4175 w
Its,
ti, .. ... -..._
ICVIIIN7�yrrwl.� . , �a,,,
.�. 19RAiF1:IrE^��N!Vka, r.s.rte,Y.fn'1„".'*9Yt9N+slryplFevdW�dnwRlSxn;f/6}er.c,Mr'rpy.,.,,•. . „,..,...,�„�i-t,t3n..PM^r^.w^1.,n,v+ni.ron+'v4i:.�r�*� r�..,,.ri '$i 17� -. ', .
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #QS .Z 7Q YSV
Permit # &7, l<--c)5_s7
Phone (503) 639-4171 Date Issued /i 15 91; _
CITY OP TIOARD
FAX (503) 684 7297 Issued by
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
127-4-rI
,/
Name Of DevelUpment�/�r� - 4ZLr!/4CNumber of Inspections per permit allowed
r �Ma
AddreSS � 2 Al _ Service included: Items Cost(ea) sum
City/State/Zip` , 277-2--3 _ 4s. Residential-per unit //d op 4
l 1000 sq If or lase $11000 �� f
Name (or name of business) Each additional 500 sq It or
portion thereof 92500 a+`
Commercial[� Residential Limited Energy $2500
Each Manut'd Home or Modular 2
Dwelling Service or Feeder 11100 _
2a. Contractor Installation only:
4b.services or Feeders
�—�- Installation,alleratron,or relocation 2
Electrical tractor �!1 1'YI1' ���C-1� ��� 200 amps or lets sec 00 2
Address ef ��x 201 amps to 400 amps $8000 2
�/�.�_s�,.n 401 amps to 600 amps $12000 2
City��— / v tat. Zip 601 amps to 1000 amps $16000 2
Phone No. — Over 1000 amps or volts $34000 2
Contractor's License No. V-- (Z.— Reconnect only $5000
Contractor's Board Reg. No. 4c. Temporary Services or Feeders
Inetellation,alteration,or relocation 2
Signature of Supr. Elec'n Phone ,C 200 amps or less $5000 2
201 amps to 400 amps $75 00 2
License No.a 3-9No. 401 amps to eco stripe $100()o
Over 800 amps to 1000 volts
t
2b. For owner Installations: site W above
4d. Branch Circuits
Print Owner's Name_ Now,alteration or extension per panel
Address n)The fee for branch circuits with
City _
purchase of"n ker or feeler W. 2
StateZip Each branch circuit $500
Phone No. h)The fee for branch circuits Wthout
The installation is being made on property I own which is purchase of seryka or leader lee. 2
First branch circuit $3500 2
not intended for gale, lease or rent Each ade4rarwl Wrench circuit $5()()
Owner's Signature 49. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (it required): Each pump or irrigation circle _� $4000 1 2
Each sign or outline lighting $4000
Signal circuit(-)or a limited energy 2
Please check appropriate Item and enter fee in section SB. panel,alteration or extension $4000
4 or more residential units in one structure Minor l abels(10) $1()000
Service and feeder 225 amps or more
System over 600 volts nominal 41. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.0 Chapter 5 Per rrnpeehon �_ $3500
Per hour $5500
Submit 2 sets of plans with application where any of the above In Merit $5500——
apply. Not required for temporary construction services. S. Fees:
NOTICE
So. Enter total of above fees $ z2j: . ,.
5%Surcharge(05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED E7 Trust Account M $
Balance Due $ A0 JC
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ELECTRICAL PERMIT
CITY OF TIGARD DATE T ISSUED: 1'1/15/95
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223.8199 (603)839-4171 P PRCFI_.: 1 S 135GA-DKV 01
SITE ADDRESS. . . : 097-71 SW NORTH DAI;OTA AVF
SUBDIVISION. . . . : DAKOTA VILLAGE ZONING: R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :01
Pr-o,ject Descr-iption : Residential 1, 500 sp. ft.
- -RESIDENTTAL UNIT•----- ---'fEMp' SRVC/FEEDERS----•- ----•--MISCELLANEOUS-__.__
1,000 SF OR LESS. .. . . : ]. 0 200 amp. . . . . . . : 0 PUMP/I RR I GAT I ON. . . . : 0
EACH ADD' L 5005F. . . : 1 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE t_TG. . : 0
I...IMITF_D ENERGY. . . . . . 0 401 - 600 <amp. . . . . . . : 121 GIC•3NAL_/PANEL. . . . . . . : 1
MIND
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
_____SERVICE/FEEDER- __.._ _._.__-•BRANCH CIRCUIT,-_._____ _._..--ADD' L INSPECTIONS._-_.
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : (7.1
-.01 - 400 amp. . . . . . . 0 1 st W/O ERVC OR F'DR. : 0 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA FDD' 1.. BRNCH CIRC: 0 11\1 PLANT. . . . . . . . . . . : 0 �
601 - 1000 amp. . . . . 0 ___._____-___..__..._____._PLAN REVIEW 51717.1-IC)N- ---- -- _...__._ _._.......
10004 aMp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL.. . :
Reconnect only. . . . . 0 ;VC/FDR ) = 221215 AMPS. . CLASS AREA/;PEC: OCC. .
Owner. ____._._______.______.------____..____.___________.___.______._._ FEES
,JIM BEECHF_ ELECTRIC type amount by date recpt
PO BOX 2 PRMT F 135- 00 CJS 11/15/95 95- 272887
6. 75 CJS it/15/95 95-272887
GASTON OR 9'7119
Phone #: 503- 662-3898
JIM BE.ECHER ELECTRIC 9 141. 75 TOTAL..
r-'O BOX
REQUIRED INSPECTIONS
- -- -
GASTON OR 97119 Ceiling Cover F_lec,t' 1 Service
Phone #: 662--3898 Wall. Cover Elect' 1 Final
Rea #. . 23463
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Cndes and all other Per-mittee Signat,.lre.._-
applicable laws. All work will be done in accordance with
approved plans. his �ermit wil�f )Mpif s���rn e�'�orsiaorteed
within 180 days o iss ante, or
than 180 days. I s s i-led By
INSTALLATIOt\I
The installation is being made on property I own which is not intended for-
sale,
orsale, lease, or- rent.
OWNER' S SIGNATURE: _._. DATE:
._.___--_-CONTRACTOR I IVGTAL..I_-AT T ON
SIGNATURE OF RUF'R. ELEC' N: �LLh �? _ __.__._.. DATES
LICENSE NO:
Call for inspection - 639--4175
,
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M�kCd��r�,.r,,,.. .,ger.x:M�"awc�n'�s�x•3rt;nl:a.�-o arr,cwxet t~vey.,�,,,,,,,,,;, , ,, � '
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # 99 a i,28,9 7
Permit # 56
Phone (503) 639-4171 Date Issued
FAX (503) 684-7297 Issued b �1
CITY OF TIOARD TUU No. (503) 684 2772 Y
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Developrnent Number of Inspectione per permit allowed —
AddressfZ7/ -5', w V Ld-ka7`/- Service included: Items Cost(ea) Sum
City/State/Zip 4a. Residential•per unit 4
tach a II or lees $11000
_.../lZ f' �(c•���` 77 Each ddt erel f eq 11 or
Name (or name of business) 1
portion thereof $2500
Commercial❑ Residential Limited Energy $2500
Fach Manuf'd Home or Modular 2 ffl
Dwelling Service or Feeder $88 00 I
2a. Contractor Installation only: 4b.Services or Feeders
Installation,alteration,or relocation 2
Electrical C ntractor / Y►'l 200 amps or less $Bo 00 2
Addre . 2... 201 amps to 400 amps $8000 2
City 401 amps to 800 amps $12000 2 j
Stat 801 amps to 1000 amps $18000 2
Phone No. Over 1000 amps or volts $340.00 2
Contractor's License NO. — Reconnect only $5000
Contractor's Board Reg. No. 4c. Temporary Services or Feeders
14 Installation,afteralion,or relocation 2
i Signature of Supr. Elec'n 200 amps or time $5000 2
I License No.,;.), 1-75 — Phone No. 201 amps to 400 amps -- 00 2
401 amps to 800 amps $10U100 00
Ovor BOO amps to 1000 volts
2b. For owner Installations: one•b•above
i
4d. Branch Circitlls
Print Owner's Name_ Nsw,alteration or extension per panel
Address a)The lee for branch circuits with
City State Zip purchase of service or tieder W. 2
Phone No. Each branch dicot f5 00
b)The fee for branch circuits wilhouf
The installation is being made on property I own which is purchase of service or reader tie. 2
not intended for sale, lease Or rent. Rml branch circuit $3500 2Each additional branch circuit 115 00
Owner's Signature _ 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Fach pump or irrigation circle _ $4000 2
Each sign or oulhne lighting $4000
Signal cimwt(s)or a limits py 2
Please check appropriate item and enter fee in section 58. panel.alteration or extension $40 00
4 or more residential units in one structure Minor Labels(1r)) $10000 _
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C.Chapter 5 Per impaction $3500
Per hour $5500
$55
Submit 2 tete of plane with application where any of the above n Plant 00
apply. Not required for temporary construction services. 5, Fees:
So. Enter total of above fees $ ,
NOTICE 5%Surcharge(.05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b.Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ❑ Trust Account# $
Balance Due $
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 63-j-4175 Business Phone: 639-4171
Inspection: —
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation. Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Elec, Rough-in FINAL:
Post/Beam Mech. Cs2Gas Line Bldg.
Plbg. Underfloor I r a m i n g
-Plumb.
Alarm r Line Insulation -Meeh.
Underflr. Insul. Shear Wall Gvp. Bd. -Elect. SII►
Date Requested: Z U� _Time: AM �PM
Address: 7 /K � �
Builder: -:�?- c3'3 9_� _Permit #: ��-5- ?.3Z
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:, Date:
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone):
�639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. ough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
.
ost/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM .�
Address.
Builder: Permit #: rj S�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_ ''�� Date:1Q—��-�S-
4PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
�i
1
t
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _ I
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
r-
�P s/Bearn c . Plbg. Top Out Elec. Rough-in FINAL:
Post
/Beam San. Sewer Gas Lina Bldg.
Plbg. n eriloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
t
Undertlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM __PM
Address: ?
Builder: �� / 7 — Permit #: �� " r'� 33 t J
THE FOLLOWING CORRECTIONS ARE REQUIRED:
01
I evil
1
�
f
> I
/ t
ate:
Inspector: D
_APPROVED iX'DISAPPROVPD _APPROVED SUBJECT TO ABOVE
Call For Reinsp. ►
i
I
1
S f': YYq 5 ti
CITY OF TIGARD BUILDING INSPECTION NOTICE ax 7
639-4175 Business Phone: 639 4171
Inspection Line (Rec-O-Phone): t
S
Inspections-�� ---
S rink. Rough-in Appr1Sdwlk
Footing Susp. Ceiling Sp
rink.
Rough-in Fireplace
Foundation P l nderslab 9
Elec. Rough-in FINAL: +
�a .
PIg ;C
San. ewer
Gas Line Bldg.
Framing Plumb.
Ib� Rain Drain�1�r� ,
Alarm Water Line
Insulation -Mech. «
-Elec
Underflr. Insul Shear Wall Gyp. Bd.
.
Time: AM PM
Date Requested:
Address: —
Builder:
THE FOLLOWING CORRECT ONS ARE REQUIRED:
—
i
Date:zd
I�npec tor�
PPROVED _DISAPPROVED —APPROVED SUBJECT TO ABOVE
Call For Reinsp.
v
' 4�
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171
Inspection:
Footing Susp, Ceiling Sprink. Rough-i Appr/Sdwlk
i
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor 5-in- Framing -Plumb.
r
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
C
Date Requested: Time: AM PM
— �►
Address: �� / 7� tJ
Builder: Permit #: Z, U-3 3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
C
J `
I
Inspector: .� _ Date:
_APPROVED __DISAPPROVED APPROVED SUBJECT TO ABOVE
,/Call For Reinsp.
a
y
w �
CITY OF TIGAFiD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Porin�' /' Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor lain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date fZequested: ZC- / ( � /�J �j� Time: AM PM
Address: 7 fq
Builder. 3 ,� ' Lt C% C/,-,D Permit #: 0 -2) 31
_T
THE FOLLOWING CORRECTIONS ARE REQUIRED:
'I
Inspe tor: �— Date:
7PROVED DISAPPROVED APPROVED SUf:JEC TO ABOVE
-T, _� _Call For Heinsp.
,y
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection a (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ,
P _
Inspectio ,�i"cx G��' , 1�4-C,L '1 C.' C,
ootin Susp. Ceiling Sprinl�. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post,'Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. +
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: C, _Time: M PM
.r
Address: 9 -7 71 [\j
c
Builder: �� _ 3 �•.S Permit #:_��� x,••33
THE FOLLOWING CORRECTIONS ARE REQUIRED:
b—L61 GCS l4niy�
Inspector:.� Date.
_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
--\ A _Call For Reinsp.
l�
PLUMBING F' .RM T
CITY 4F TIGARD DATEIISSUED: . 09/2795J`0331
C0MMUNITY DEVELOPMENT
DEPARTMENTPARCEL: 151 5CA- 00500
SITF *I
ST
SUBDIVISION. . . . : ZONING: R-12
BLOC'K. . . . . . . . . . . LOT. . . . . . . . . . . . . .
---------------------------------------------------------------
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . :2
TYPE OF USE.. . . . :DUP WASHING MACH. . . . . . . :2 BACKFLOW P'REVNTRS. . :a
OCCUPANCY GRP'. . :R3 FLOOR DRAINS. . . . . . . :0 TRAP'S. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . :2 CATCH BASINS. . . . . . . :0
FXIURES-------- -- -- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . :'_
SINKS. . . . . . . . . . :2 GREASE TRAP'S. . . . . . . :0
LAVATORIES. . . . . :6 OTHER FIXTURES. . . . . .0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :6 WATER LINE (ft ) . . . . ::='0,0
DISHWASHERS. . . . :2 RAIN DRAIN (ft ) . . . . 10
Remarks : PATH 8 DUPLEX WITH PROPERTY LINE THROUGH THE MIDDLE f`
i
i
(JWNF...R: --_._._.________________-.--._._.___ ___-----___._---•_-_-.-.FEES---------------
S&P PROPERTIES TIF ! 3180. 00 JSD 09/26/95 95-270995 l
]6395 SW BELL. RD SWM $ 360. 00 JSD 09/26/95 95-270995
SWM $ 200. 00 JSD 09/26/95 95-270995
SHERWOOD OR 97140 BPI RT $ 673. 00 JSD 09/26/95 95-270995
Phone ##0 250-2. 85 BPLC $ 437. 45 JD 08/24/95 95--2:69720
BSPC $ 33. 65 JSD 09/6/95 95-270995
f='l umbing Contrar_ter^: -__.._____..__._ ..__._....._._ PARK $ 1000. 00 JSD 09/26/95 95-270995
MPRT $ 77. 00 JSD 09/26/95) 95-270995
Name : _N.W._Plumbinq SpecialtiesL__Inc-___ MPLC $ 19. 25 JSD 09/26/95 95-270995 , ; ;:,{:•
Address : P.O. Box 606 _-� M5P'C $ 3. 85 JSD 09/26/95 95-270995
CitState: OR_-- - PPRT $ 4`.i0. 00 JSO 09/26/95 95--270995
_
7_iPc 9703Q-----_-_-F'hone#i:_ Q66 --~^ P5F'C $ 22. 50 JSD 09/26/95 95-270995 rs'�
Reg #: 2� ��_.PB_. Additional fees not shown her^e. . . . . . . . .
REDU I RED INSPECTIONS) --•------ -
This permit is issued subject to the reg-•-
ulations contained in the Tigard Municipal Footing Insp Gas Line Insp
Code, State of Ore. Specialty Codes and all Foundation Insp Insulation Insp
ether applicable laws. All. work will be done Post/Beam Struct Gyp Board Insp
in accordance with approved plans. This Post/Beam Mechan Rain drain Inso i a
permit will expire if work is riot started Underfloor insul Water Line Ins .
P •iii+::
within 180 days of issuance, or iF work is Crawl Drain Water Set-vice In
suspended for more than 180 days. F'lm/undslab Insp Appy^/Sdwlk Insp
PLM/Under-fIoor Mechanical Final
h
Ftng Drain Psm' t Plumb Final
Mechanical Insp Building Final
Plumb Top Out Erosion Control
>< _ .�._. ` / Framing Insp
'Teat or zed P11umbin Con ractor"Si gnat _ire
Call for inspection - 639-4175
C'ontractor Notes :
ti
,
..� �:rra ...„ ,,:.,.,,.-, .r.+•_ • ...:. .. ,f,..., w ,�,.• ..a�+;o!�_y�l'!¢q Mr�MrSk !rnr.+•..a. .. �°r,.,,- ,+:, ,,w.Ni�^''"v f
d �f•: ate fwd. '� r 'r r , + `'`, .
All,
r.,i
MASTER PERMIT
CITY OF TIG PERMIT #. . . . . . . MST95--0331
DATE ISSUED: 09/06/95 `f� X
COMMUNITY DEVELOPMENTMWPNT '
13126 SW Hall Blvd.Tigard,Oregon 07223.8180 (603)630-4171 PARCEL: 1 S 1.35CA--00,�C 00
SIT'F_ ADDRESS. . . : 09775 SW NORTH DAKOTA ST
ZONING: R-10
SUBDIVISION. . . . :
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . .
BUILDING _-----_
REISSUE: DWELLING UNITS:2: BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:6 BATHS:6 GARAGE. . . . . . . . . . :456 sf
TYPE OF USE. . . :UUP 1:1-OOR AREAS----------'- REQUIRED SETBACKS-
TYPE
_
TYPE OF CONST. :51N FIRST. . . . : 13,92 sf LEFT. . : 16 ft RIGHT. : 17 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1500 sf FRONT. :20 ft REAR. . :22 ft
STORIES. . . . . . . :2 F•I NBSMENT:0 sf REGU I
HEIGHT. . . . . . . . :214 ft TOTAL---•-'--:2912 sf SMOKE- DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VAL.UE. . . . . $ : 195709 PARKING SPACES. . :2
Remarks: PATH 6 DUPLEX WITH PROPERTY LINE THROUGH THE MIDDLE .►
_- _- PLUMBING ----
SINKS. . . . . . . . •'=
FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :'
LAVATORIES. . . . . :6 WATER HEATERS. . . :2 TRAP'S. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :4 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :6 SEWER LINE (ft ) . :V GREASE: TRAPS. . . . . . . :0
DISHWASHERS. . . . :2 WATER LINE (ft ) . :2'00 OTHER FIXTURES. . . . . :0
GARBAGE DISF'. . . :2 RAIN DRAIN (ft ) . :O
WASHING MACH. . . *2 SF RAIN DRAINS. . :
-- - FEES
MECHANICAL - --------_.____._..
FUEL-TYPES- ___._._._____. UNIT-HTRS. . :0 type amol-Int by date recpt
/GAS; i / VENTS . . . . . :0 TIF 3180. 00 JSD 09/26/95 95-270995
MAX INPUT:O BTU VENT FANS. . :8 SWM 't 360. 00 JSD 09/26/95 95-270995
FURN ( 100K . . :2 HOODS. . . . . . :2 SWM $ '00. 00 JSD 09/2'6/95 95-270995
FURN ) =-100K . . :0 WOODSTOVES. :O BPRT 't 673. 00 JSD 09/2'6/95 95-270995
FLOOR FURN. . . . :0 CLO DRYERS. : 2 BPLC $ 437. 45 JD 08/24/95 95--269720
BOIL/CMP ( 3HP:0 OTHER UNITS:= B`PC 4, 33. 65 JSD 09/26/95 95--270995
GAS OUTLETS:2 PARK $ 1000. 00 JSD 09/26/95 95--070995
Owner: -__.__.________._.___.___....__._.__._____..____.____Mp,RT $ 77. 00 JSD 09/26/95 95--270995
S&P PROPERTIES MPLC $ 19. 25 JSD 09/26/95 95-270995
16:395 SW BELL RD M5PC $ 3. 85 JSD 09/26/95 95--270995
PPRT $ 450. 00 JSD 09/26/95 95--270995
SHERWOOD OR 97140 17'5PC $ 22-1. 50 JSD 09/26/95 95- 270995
Phone #: 250-2385 EROS i 64. 00 JSD 09/26/95 95-270995
Contractor: ----------------------------------- $ 2i;T. Go JSD 09/26/95 95-0'70995
S & P PROPERT TES ERPC: t 20. 80 JSD 09/26/95 95-270995
16395 SW BELL_ RD
SHERWOOD OR 97104
Phone #: 229--17.3=
Req #. . : 91375
$ 656,_. 30 TOTAL
This permit is issued subject to the regulations cnntained in the - ---- -- REQUIRED INSPECTIONS ---- --
Tigard Municipal Code, State of Dre. Specialty Codes and all other Footing Insp Ft n g Drain Bs m' t
applicable laws. All work will be done in accordance wi'.h approved Fol-tndat ion Insp Mechanical Insp
plans. This permit will expire if work is not started within IN Post /Beam StrLtct P1•_imb Top 01.1t
days of issuance, or if work is suspended for more. han IN'days. Post/Beam Mechan Framing Insp
�- Underfloor ins,_tl Gas Line Insp
I' -Mittee Signat�_�r^e:�-` Crawl Drain Ins'_ laticn Insp
��--� � Insp yp Board Insp
L et- oor Ain drain Insp
Call for inspection _ 639--4175
9
d� '.rT r{4- ( ,i•, l�i�l'"1p��F111C1� ���'�"7I1� �1:,
SEWER CONNECTION
PERMIT
CITY OF t PERMIT #. . . . . . . SWR95-0379
MA
DATE_' ISSUED: 09/26/95
COMMUNITY DEVELOPMENT DNT
13125 SW Hall Blvd.Tigard,orogon 97223.6199 (503)639-4171 PARCEL: i S 135CA-00500
SITE ADDRESS. . . : 09775 SW NORTH DAKOTA ST #1&•2
SUBDIVISION. . . . : ZONING: R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS. . :2 �
TYPE OF USE. . . . . :DUP NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE—..., : sf
Remarks: PATH 0 DUPLEX WITH P'ROP'ERTY LINE THUR THE MIDDLE
Owner: ______.__-----_.__._____—___________---.---••---------_--.______—_ FEES ___.._._______.__—•--
S&P PROPERTIES type amoLtnt by date recpt
16395 SW BELL RD PRMT $ 4400. 00 JSD 09/26/95 95--270995
INSP $ 70. 00 JSD 09/226/95 95--270995
SHERWOOD OR 97140
Phone #: 250—r,-_'385
Contractor: -- -------- -----.____-----_---_
CONTRACTOR NOT ON FILE
Phone #s $ 4470. 00 TOTAL
s Reg #. . t
------ REQUIRED INSPECTIONS ---- - -
This Applicant agrees to comply with all the rules ane rey i,tions Sewer, Inspection
of the Unified Sewage Agency. The permit expires IN days from
the date issued. The total amount paid will be forfeited if the
I permit expires. The Agency does not guarantee the accuracy of the _
side sewer laterals. If the sewer is not located at the mea�urvment -
given, the installer shall prospect 3 feet in all directions fr,m — —__—___ ----•
the distance given. if not so located, the installer shall purchase —.-—---
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
Per-m i t t e e S i g n at e
Is s i_r e d By .
Call for- inspection 639-4175
I
'�1"' �r Rd... tl ,f �� �x�n�9kn• �p }"i'�ypppr'f-. �," � 'q�ln'„pr'a""'�"'a�y' MSA'l�lr'",�''�"'q�''.'�'�''�M1lIlI'I I�i,"'�
r
u
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd. '
Tigard, OR 97223
y,
(503) 639-4171
Jobsite Address: r� r' t 5W
Subdivision: o Tit- kl&,46c5 Lot #_ Office Use Oniy
--� Contact Date / / Initials I.
Valuation,,/ / U Result •
New Construction Only: (Square Footage)
HS-6 -LPlanck/Rec #
� Permit #�' ..' /
House: Garage: .�✓� L{ _ Reissue of
%�j C�-aps
Corner Lot? Y N Flag Lot? Y N Map & TL# C'0Zone
Owner: �/Z�(�=/z'Tl��� Plat #
Approvals Required
Address: ��/-� �- GCS ..e'C�(/ �ce-C
7 o Planning Setba�jks Solar
Engineering OY` ' 1 Pull
Phone. c�.S� Other
1
Contractor: T/� Items Reg�ired
����� �,J_ �c� ,c�jd�� �� Subcontractors
Address:
y �7 Truss Details
f T/Sz Other _
Phone: L �� ) --<g4 '3 S Notes i
Contractor's License # _� �S f(✓
(a ach_coyy_of current n license)
Contact Name'
Contact Phone:
Subcontractors: ;i6chitect/Engi er:[�"Uf�1/ /1
Plumbing: ��� � - 1 ji Address: _
(alta copy of current OR Contractors "se)
( Phone: ( 1
JOB DESCRIPTION: /f/L L(J ?rp�� ri'XcL����•c �� f
Applicant Signature �/ Applicant Phone number
Received by: _ �- Date Received:
y'MQII�IIY Mpp 1 I
i
1
Permit 0 Account Description Amount Amt. Pd. Bal. Due
m i f1.33Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) 450 S�
Mech. Permit (MECH) --7
State Tax (TAX)
Bldg:
Plumb: 42.2
Mech:
Plan Check (PLANCK) ..ZU
L� - ........
4
Bldg:
Plumb:
Mech: '
Sewer Connection (SWUSA) ��U _ lv
Sewer Inspection (SWINSP) _w /U
Parks Dev Charge (PKSDC) l000 Oz/d
Residential TIF (TIF-R) Cr
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
IndustNal TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (F-'.S)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) ` O�� d
Erosion Planck/COT (EROSN)
TOTALS: Z� ��iLLsl�� ,3v �.
l�
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[ 130 Evaluation Service, Inc..
' �• _ ;ubsidiary corporation or the International Conference of Building Officials
t
- t
EVALUATION REPORT iaeF°rt "°.4Z„
Cooyflghro 1994 IC30 Evaluation Setvtce,Inc.
Filing Category: FASTENERS—Steef Gusselt Plates (066) f
COMPUTRUS AUSS PINES 1. The connector are installed as :et'orth in;his report.
COMPUTAUS, INC. r 2. Allowable loads are as set forth in Table 40. I. _
1307'NEST 6TH STAE-. TE 1 3
- SUITE . The 311owaole loads may be increased for duration of load in ac-
CORONA, CALIFORNIA 91720 cordance with Section 2504(c) 4.
I. Subject:'Comoui'rus Truss ?!ares. 4. Connectors are installed in oairs an opposite laces of the mem-
II. Oesulotion: A.Generar.ate C,;rou IfUS 7fL'Sz _,'at25 are cuncaea Ser connected ono are not Installed at;oc.;uans„here gnats pc _
from Nos.t 8 ara 20 gauge gaivanizea sneer steel meeting mecnanical re- cur.
qulrements es aplisneo in U.3.C.Stannard No.2' 1 for A4a6 uraae A or S. Aoolication of lrusn plates to Hood members with a moisture
higher steel. "he dates^ave 9.4 teeth per square nctt of plate, each ao- content exceeding 19 percent requires that only 80 percent of the
proximately Ila Inch n Iergin and aouroxlmat?ty 0.106 inch n width.The load values in Table No.I be used.Plans submitted to the build-
teem are ouncrled in pair. r ith each pair spaced'14 ince on ranter along ing articlal for aooraval must indicate 3 maximum moisture con-
Mi wrath otthe plate.3na 0.35 incn an center along the length.Altemattng tent for the woad at the time of plate installation.
rows of teeth are staggerea.10 inch from adjacent rows,Ine -,N"penes o. Stresses at the net section of steel plates are hat m excess ar the
plates are Identical'a the 'C"series, except that every thyro row of teeth values permitted in Chapter 27 of the code. The maximum ten-
ts omltiea.?fates are available In increments of 1/-)inch in witith.uo to 12 slle load is determined by multiplying the edic:ency ratio times
inches,and 0.85 inch In length,as required by the resign.The otates are the grass area of the plate times the steel design stress.
applied to truss members m pairs on?acts face of earn joint NIM a power 7 Where one-hour 'ire-resistive construction is required, see
{ press=nstriucted in acct raance with the manufacturer's specifications.
1 Evaluation Reports Ons. 1352 and 1632.
8. Identification:The ComouTrus series C plates embossed Nlth the
i letter"C"'or The No.C0 gauge plate and'C18"for the No. 18 gauge plate. 8. The allowable load values are recommended only when plans.
1 The No.20 gauge CV series is identified by the letters'M'emoossed on Iruss designs and calculations are submitted and accepted by
the plate,and'CN 18"for Me No. 18 gauge plate. the building official as showing compliance with the Uniform
i Building Cade and specifying that fabncotion inspection will be
III.Evidence Submitted:Descriptive literature.details,calculations and provided in accordance with Section 2510(1)of the code.
load tests are submitted in compliance with U.9 C.Standard No.25-17. 9. Trusses are individually designed in accordance with recog-
Findings nized engineering principles.
1993 Accumulative Supplement to the U.3.C.: —,his recer s unaffec:z
I IV.Findings:Thatthe CamouTrus Truss Plates described in this report by the supplement.
comply with the 1991 Uniform Building Code",subject to the fallowing
This report is subject!are !xaminatian in two years.
conditions:
y TABLE NO.1—ALLOWABLE LOAD IN POUNDS PER SQUARE INCH OF PINE CONTACT AREAI
I. LUM"A wum I
SDAUfE—SINE___" I Nfl�—�lR YBALW PINE I JGUGIAt NR-UAC71 FP7GEAR 9At101M P£ACt]li
1raaUw w Lane time Naefea U I Jlreauw a1 Lwa a�An"a u I aura way Loaf w"Nesaaa la ]Irwlon of Le LN
M Rtlae[1 to JlreCiaa al lean.Ile Anaea le Ude
( RM Lopata Ile= r Uqd the laefa farad
at roe Plan "I Rau to tM Rare I if Ria Pfau Ills elate
. 1TTE Of run 1$�5a 1 usa'a + la pea uP y 90° as u gag +a'+ D itF I t°'a W 1 W!a v —Jr I AN I
C I65 146 165 lab Z(34 161 i a}t 161 :9 I 12 1
CN IIU 97 I10 97 136 IU. I I�6 10'2 I s 1 4'-
ILaadf etc based an the following specific gnvitief:SpNrc-9um-ruU.4'_hem-&0.43-0.»6.Caugiss lirlarcti 0.r9-A]_50 end so�them pine 7.:i
=toads etc calculated an the buff gross plate sora.
orntation m C.ass.A members c ICBG,,,�g the code upon rhich the report
EvaLtatton rrpory of 1CB0 Eraluatinn Service.Inc.,art issued solely to prvridr oaf f
it bated.Evaluation repos are nor to be consaued as rtpresendn`orstlutitf grassy ether aarrbturs not spm fica/ly addrmed nor as an endorsement or ncomnaen-
dadon for use of the subject rcpom
The report is baud upon independent ustr or other rechnica/data submiad by eft appivant.The ICBG Evaluation Servier.Inc.,technical staff hat reriewed the
test midis and/or other dam but don not possesi rest facilites to mate an Ldr'ea/ru TM^f tcataR•There is no.arranity lly/CBO Evaluation Service,Inc„espitss
or implied.as to any"Finding"or usher maser in the report or m m any product
teatrtd by the report This disclaimer includes,but isnot hmitd m,nrrrchantaMllsr.
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INSPECTIOtL NOTICE
city of Tigard Building Departnent
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec/-o-Phone)s 639/-4175 Business Phone: 639-4171
Inspoctionsv `->,f�u'�ev
Footing Plbg. Underelab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
i
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Undarfloor Water Line Gyp. Bd. -Meeh.
Date Requested: `1 �I � Times M PH
POUF I_Dt._
Address: /L I ( � !�1 � Permit �sD 2_
Builder: Leo Pll/1(.o&C.I "
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-----
Inspector: Dates
�i APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE.
Call For Reinsp.
x µ
-
,Qt.l.
BUILDING PERMIT
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CIT-YOFTIFARD CITYOFTI►BARD PERM 1-1 #. . . . . . . . 1 UP9/—tT03r-
CO MMUN(TY DEVELOPMENT DEPARTMENT ONOON
131268WHWIBlvd. P.O.Bay233117,TOM,Or.pon D7r23(W63"117. DATE I S5UED: 02 104/ 01
PARCEL: 1 S 1:35CA•••O0500
vITE: ADDRESS— oq//� SW NCJidTH DFiKOTA ST ZONIiJG: R- 1
SUBDIVISION. . . .
REISSUE* -^^�__"-`-______• FL.00RrAREA y---_____._--..-_ EXTERIOR WDLL CONSTRUCTION--
CLASS OF WORK. :DEM FIRST. . . . : sf N: S: E: W:
TY14.- OF USE. . . SECOND. . . : sf PROTECT OPENZNG57-_._._____.-
TYF-Er OF C'ClN5T. :5N
"HIRD. . . . : sf N: S: E_: W:
OCCUPANCY GRP. :P3 Tl]T AL-_..__.__; 0 sf ROOF CONST: PIPE RF
OCCUPANCY LOAD: BASEMENT. ; sf AREA SEP. RATED:
STOR. : H1'. : ft GARAGE. .. . : sf OCCU SEP. RATED:
BSMT?: MEZZ ): REG?D SETBACKS--------- REGIUIRED------------------
�..
FLOOR LOAD. . . . : ps f LEFT: ft RGIAT: ft FIR SPKL: SMOK DE.1*. . :
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDIUP' ACC:
IMP SURFACE, PRO CORR: VARKING:
L•aE:DI�MS: >�F1'T115: r
Vl=LUE. $ : �
Remarks: DEMOLITION PERM I•f -- SEWER MUST' BE CA�'GET) � INSPECTED. ALL DEBRIS MU5T
13E REMOVED FROM S I'TE.
FEE5
OW TI e
PAYM $ 15. 75 JLH 02/04/91
CONWAYype amok-Int by date
I-.E:O r'e'1'F'l
LED SW AY
F'RMT $ 15. 00
PORTLAND OR '~i'CT' $ X71. 75
/
Phone # :
Contractor.
OWNER/CONTRACTOR
t
i'honp #! $ 15. 75 TOTAL. �
Reg
-- - REUU T RED INSPECTIONS
This pereit is issued subject to the requlations contained in the Sewer Inscrr--
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All Nark will be done in accordance with
approved plan. This pereit will expire if work is not Started ....--._.._r_ __._ __._.—_ _ _---••_ •- --- I
within i80 days of issuance, or if work is susverded for sorr
j
than 186 days.
2 P e r^m i t 1:e e Sig n a t (_i v e: �C - -------
Call for inspection - 6 39--4175
i
.y '• 1 -.
I
1
- Permit No:
Address: --
N(�, Issued by:_ _ —_-.. — Date:
�.•• '' _,_ _FOR OFFICE USE ONLY__— _1
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS a'
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants
who are not registered with the Construction Contractors Board to sign the
following statement before the building permit can be issued. Licensed Architect
and Engineer applicants, exempt from registration under ORS 701.010(7), need
not submit this statement. This statement will be filed with the permit.
i
Fill in the applicable blanks, and initial box 1 and either box, 2A or 2B:
1. ��i, I own, reside in, or will reside in the ,ompleted structure.
Y
?_. A. O M general contractor is
r
Contractor registration number
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
OR
B. C I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the
Construction Contractors Board It I change my mind and do hire a General
contractor, I will contract with a con-ractor who is registered with the
Construction Contractors Board and I will immediately notify the office
issuing this building permit of the name of the contractor.
I hereby certify that the above Information is correct or d that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
Signature of Permit Applicant Date
i
CONSTRUCTION CONTRACTORS BOARD
0244J 1190
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINk COPY TO APPLICANT
ri
i
t:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
NOTE This Information Notice to Property Owners About Construction
Responsibilities was developed by the Construction Contractors Board in
accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature.
If you are acting as your own contractor to construct a new home or make a substantial improverflent
to an existing structure, you can prevent many problems by being aware of the following responsibilities
and areas of concern.
EMPLOYER RESPONSIBILITIES: .Vf
If you hire persons not registered with the Construction Contractors Board to do labor in constructing
or assisting in the construction or improvement of a residential structure, you will, in most instances, ,r �
be ruled to be an "employer" and the people you hire will be "employees". As the employer, you must r
comply with the following:
Oregon's Withholdin T� m ax Law: As an employer, you must withhold income taxes froemployee wages
al tt mn employees are paid. You will be liable for the tax payments even if you don't actually withhold �4t,
the tax from your employees. For more information, call the Oregon Department of Revenue at 378-3390. `
Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance j
purposes on the wages of a employees. For more information, call the Oregon Employment Division DHR i
at 378-3224.
Workers' Compgnsation Insurance: As an employer, you are subject to the Oregon Workers' Cornpensa-
tion haw, and must obtain wormers compensation insurance for your employees. If you fail to obtain workers'
compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of
your employees Is injured on the job. For more information, call the Workers' Compensation Division DIF
at 373-7434. E
U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' `
wages. You will be liable for the tax payment even If you didn't actually withhold the tax. For more informa-
tion, call the Internal Revenue Service at 221.3980.
i
i
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
CodeCompliance: As the permit holder for this project, you are responsible for resolving any failure
to meet code requirements that may be brought to your attention through inspections.
Liability-and� Property D�aanna_ge (Insurance: Contact your insurance agent to see if you have adequate
nsurL ante coverage or accidents cidents an omissions such as falling tools, paint overspray, water damage
from pipe punctures, fire, or work that must be redone.
Time to Supervise Employees: Make sure you have sufficient time to supervise your employees.
Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate
tie worn of rough-in and finish trades, and to notify building officials at the appropriate times so
they can perform the required inspections.
If you have additional questions, write to: Construction Contractors Board
700 Summer St, NE, Suite 300
Salem, OR 97310-0151
Phone 503.378-4621
0244J 10124189
,
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CITY' C1F" 1'I CIE�f2U RECEIPT Off' PriyMEN FtECI.: I PT NO. a 91 .8093', '
0/�rim AMOUNT 15. 75
CAE:",H AMOUNT n 0. 0o
14AME CONW.1Y, l_EO PAYMENT DATE
f4V DRk.:SS SI JI3D I U I S I{JN
9.775 NORTH DAKOTA
I , f{2f�O�lE C)f F'f�YMF N'1" AMOUNTT PAID PURPOSE OF PAYPI�NT AMOUNT PAID �
�
i NUII D PER 0. 75
31.{I L.D I NG F'E RM HUP9 I..—O 3fi
i
1 ()•Tfal_ AMOUNT' f W'D _ _ ... _.1 15. 75
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