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Dotal t tr..„y 3_: TECHNICAL GU I OANCE FW�10800K Entrance •• +•........r ,.�,., —tell DATE �-11-�1�. REV g T.41* L- G �.�'00 L. Sall � ES L. Ph P T I N �.—. ' DRAWNCHKO Imo' JO! NO 12887 SW Ridgefield Lane 1 of 1 Shl. OF I If this notice appears clearer than the JUL U R 1998 document, the document is of marginal quality. N'jICi O IL,MEi D Jill l , l ; J � �EI { tf � � tJill INCH � � i ( M � l iNJijjJ1 fel 11111Ii I Iji : ��Iiiiiliii�l�l�i :Ill�il��I1111l111illliit11t� 1 lii �111'!!!!1,!!Ilii►:,i.�Ilii�llii�llll�iill�iill ii.!S„Iliiftli }� 11t1 i1#�” _r —rAo30 111lh1411iI -It 1► 111Uo1111il��11tili �iiitili �'ll! �!!!{111 t. is\records\microfilm\targets\building.doc (CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW mall Blvd., Tigard,OR 97223 (503)639-4171 i Ci RTIFICATE. OF OCCUPANCY PERMIT #. . . . . . . a M5T96--0376 DATE: I SGUCD a 05/ 14/147 UTARCEL..a � 1t hGC► k�c:a00 SI1t" (4DDRF_SS. . . + 1j'887 SW PIDGEFIEt-D LN Stair)I V 151 ON. . . . r MOLIN T'A IN HIGHLANDS # ' ZON I 101 s R .4. PL) . . . . . . . . . . _ 11PIy"DIC 1JONr C'LAGS G'` WORK. r NEW TYPE OF USE. . . a�rF TYPE OF CONSaTR s 5N OCCUPANCY GRP. a RS OCCUPANCY LOAD-d-1 Remarks a Construct new 5F residence.rfATH I Owners RICE; L_AUINGE.R 127:55 SW WASHINGI"UN BF AVL RTON OR 97005 Phone #a 50:3-•60:6--6623 Contractors MAREK .B K S K ME R[`Y. CONSTRUCTION I NG PO BOX 7157 ALOHA OR 97007 Phone aka 591 -541#8 Reg #. . a 000501 Thin F`errtificate grants occUpanry of the above referrencerl builr_ling or portion thereof and confirms that the building haiw 12et�n inspected for compliancrr with the ;tate of Oregon Specialty Codes for the ;Irok p� ocr.upanr..y, and use trnder which the r^ererenced permit wag issued. S1I1_UZNL� IWsr'F CtC)R V80fik-I11C FF F'W',T IN CONSPICUOUS Pl_ACE CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639.4175 Business Pb.me: 6394171 Date Requested: l tc/ A.M. P.M. MST: Location: 1 BLIP: Tenant: quite:_ Bldg: MEC: _ Contractor: Phone: PLM: Owner: Phone: ELC: ELR: SIT: _ BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post[Beam Post/Beam Cover/Service Sewer/Storm Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spk:Ir/Alm Crawl/Found IN Heat Pump Low Volt Approved Approved Approved Approved Approved Appr/ dwlk Not Approved Not Approved Not Approved Not Approved Not Apo-oved FINAL FINAL FINAL FINAL FINAL d Call for reinspecti 0 Reinspection fee of S required before next inspection 0 Unable to inspect Inspector: —�- ---_-- Date: ��— Page of_ i CITY OF TIGARD BUILDING INSPECTION DIVISION c 24-Hour Inspection Line: 6394175 Business Phone: 639-4171 Date Requested: �-1 11 � �91 A.M. P.M. — MST: Location: c� 8 Bim: -- Tenant: Suite: Bldg: NEC: Contractor: Phone: FCy A PLM: Owner: Phone: ELC: ELR: SIT: _ BUILDING BLDG(con't)Y— PLUiMBING MECHANICAL ELECTRICAL SITE Site Post/Beam PosU13eam Post/Beam Cover/Service Sewer/Storm Footing Roof 1JndF1/Slah Rough-In Ceiling Water Line *Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceil,tg Rain Drain A/C UG Slab Shear/Sheath Fi•e Spklr/Alm Crawl/Found I t Ileal Low Volt Affprov, Approved ro Approved Approved Appr/Sdwlk toved Not Approved Not Approved Not Approved Not Approved (11-NAL,) FINAL, FINAL FINAL FINAL O Call for reinspection O R-inspection fee of S_ required Iw,for�next inspection C3 Unable to inspect Inspector: r910 Date: _� (- /,5' .- __--_ Pnge_—`--of_ _—_— CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL Foundation Water Line Ceiling -Plum Post/Beam Mach. Shear/Sheath Framing -Mach. Plbg.Und/Fir/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct, Mach. Rough-in Gyp. Bd, San. Sewer Gas Line Appr/Sdwlk sin Other: A.M _ P. ._ _ En,ry: Date: 1-- _ / ��,, , Address: _1sz� 11 –_ Tenant: _ _ e: MST: �CC// BLIP: . Con/Own:�11 � — MEC: _ PLM: ELC: _ THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR. Inspector: _ —_- Date: 44 —APPROVED VEDlCALL F REINSP� CF CO CITY OF TIGARD BUILDING INS CTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Servi a FINAL: Foundation Water Line Ceiling Post/Beam Mach, Shear/Sheath Framing -Mach. Plbg.Und/Fir/Slab Plbg.Top Out Insulation 1 -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. San. Sewer Gas Line Appr/Sdwlk Reins." Other: - Date: _� -P.M. Entry _-- ---- Address: —_- g _� 67 / Tenant .-------- — --- - Ste:-- ST: -�/4 7 BLIP: Pl.M: - ---- ELC: .- - -- - THE FOLLOWING CORRECTIONS ARE REQUIRED ELR: --rte _ ititI1r, ;�1o..��_-" r•r'- - Inspector: Date: _APPROVED _,DISAPPROVED ALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTIG:i NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing ec . Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. 61A_ San. Sewer Gas Line Appr/Sdwlk. Reins. Other: _._ I - ----- ----_._.... Date: _� C _a A. . _ P M. nt -- —7 A' Address: Cry Tenant: ---------.----_-----.-- - _. ----_.__--_ Ste. MST: l� C1 - BLIP: Con/Own: —S _- ------- MEC - —..-- �_.�� �. PLM: __-----_—_--_-- ELC THE -FOLLOWING CORRECTIONS ARE REQUIRED ELR _v...__...-.__._._.._._. ------- J ,e met- 1�''_ _��.rl���o__ C/N�.7�,�L'.�t.'c�Tr'��1. ►..5._ E7C.��5.�� } _ —c6eyLT Pi /+-U 7Cts 7Zs. InsiPPROVED tor: _ - -- --- - -- Date' _ —DISAPPROVED/CALL FOR REINSP CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639.4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Me,:h. Plbg.Und/Fir/Slab Plbg.Top Out Insulation Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: --C;k A.M T P.M Ent :,, _ 7 Address: --- Tenant: - - -- — -----_. Ste: -- MST: - ... -_3-� BLIP: o Own: ' MEG: ' ��� -II PLM: _ ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: I:•.LR: — —�. Inspector -_C_L.L -, a �_ —�_.__ Date�� _APPROVED —__DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 63� 4171 Footing Rain Drain Cover/Service FINAL Foundation Water Line Calling -Plu Post/Beam Mach. Shear/Sheath Framinge Plbg,Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. Bldg) San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: - C, c A. P.M., Entry: Address: Z _ Tenan'. _ te: MST: ( CJ BLIP: Con/Own: MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Coo✓) SvPt �f (rA5 Pw'L&&5; ; .AVX !/{yasffitit Xy C"t7tGif— i J Tit' / l"�i)/ Lmt 1/�Jc,rZ-F 2 .-O-/t �',)r"�i4 (g 1� `'/A19 rzr"c. � /.�r S/'fit-G� i�.����) � U.V!✓� P�7�lVEi� Inspector: _ Date: <G __APPROVED ` PflOVED/CALI_ FORD> CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service Foundation Water Line Ceiling tb � Post/Beam Mach, Shear/Sheath Framing -Mach. Plbg.Und/Fir/Slab Plhg.Top Out Insulation -Elect. Post/Beam Struct, Mach. Rough-in Gyp. Bd -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins r� Other: Date: _ P.M._i Entry Address: 1. � C Tenant: ---,--.---•- ---- . Ste.__-_-- MST: BLIP: Con/Own: � _ �lj_f _ MEC: PLM: — EL.0 __-- THE FOLLOWING CORRECTIONS ARE REQUIRED ELR: iInspector: --__ Date:'Zl ROVED —DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: _ A.M. P.M, Entry:_ 7 Address: Tenant: _ Ste: T. _ o Con/Own: c2 3 yS — �-� '� SUPMEC: PLM: ELC: -THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR OK f Inspector _ Date./ _ AP OVED _DISAPPROVED/CALL FOR REIN SP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Calling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Plbg.Top Out Insulation ceca�. Post/Beam Struct. Mach, Rough-in Gyp, Bd. San. Sewer Gas Line Appr/Sdwik Reins. Other: Date: % —� A. P.M. E try _ Address: --- Tenant: St MST: :3 BUP: Con/Own: _ MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE HEOUIRED: ELR: Inspector: --- Date: '! _APPROVED _DISAPPROVED/CALL FOH REINSP. CF CO PECTION NOTICE ;s Phone: 639-4171 Footing Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mach, Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line ppr/S Reins. Other: Date: A.M,\ P.M. Entry: Address: Tenant: _._.. Ste:_ MST: BLIP: Con/Own: MEC: PLM: ELC: _ THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: --- Date: .PROVED ___DISAPPROVED/CALL FOR REINSP, CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639.4175 Business Phone: 639.4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Plbg,Top Out Insulation -Elect. Post/Beam Struct. Mach, Rough-in Uyp. fid, Bldg, San. Sewer Gas Line Appr/Sdwlk Reins, Other: Date: M. P.M. Ent _ Address: Tenant: ____._ Ste: MST `�6. 6)3.7C Con/Own: MEC: PLM- ` ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELK Inspects: ` � `-� 4 Dater Z� _PPROVED __DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Mech. Plbg.Und/Fir/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct, Mech. Rough-in Gyp. B -Bldg. San. Sewer Gas Lim `dAppr/S* dwQf Reins. Other: Date: �_ A.M. P.P.M. Entry: Address: �� TL c� Tenant: ___ _ S ._ MST: . L)_3 7 BUP: . Con/Own:, _J �— ,�� __"_ MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: Date: !--APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE— �--� Inspection Line. 639.4175 Business Phone. 639 4171 r, Footing Rain Drain Cover/Service FIN Foundation Water Line Ceiling -Plu Post/Beam Mech. Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mach, Rough-in Gyp. Bd. -Bldg. San. SewerGas a Appr/Sdwlk msui Other: Date: ����_—_ A. P.M. _ Entry: Address: _1,q Tenant. _ - -__ Ste.-._-_- MST: 74*_0_37�0 BLIP: _ -- &C /Own: L_5_' _. Q_-_-- _�._._._._. MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: / Inspector: Date: // —APPROVED APPROVED/CALL FOR INS CF CO 71 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone 639-4111 Footing Rain Drain Cover/Service FINAL: OAV Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mach. Plbg.Und/Fir/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line> Appr/Sdwlk Reins. Other: Date: -�Lr r��.- A.M. T_P.M. Entry:_« Address: K Tenant: _ Ste:` ST: r- _ �C q BUP: _ Con/Own:_— -11 J _. MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: �P KSS'----- - - -- Ab_ r Inspector: _APPROVED --_DISAPPROVED/CALL FO �E CF CO I ----— _- --- i CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line. 639.4175 Business Phone. 639-4171 Footing Rain Drain Cover/Service FINA Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath raming -Mech. Plbg.Und/Flr/Slab Pibg. Top Out nsu ation" -Elect. Post/Beam Struct, Mech. Roou h_-iiGyp. Bd -Bldg. San. Sewerasline Appr/Sdwlk Reins. Other: --- -- — �.------� __------ Date: t ��'4e A.M. __-.—P.M. Entry:----.---- Address: , V've:_F"�s5�-X22-------. Tenant: ._-------- _ Ste: MST' BUP Con/Own:2 yf— 2-08'7 MEC _. S*/- -rvve PLM: -_ ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED ELR: Ins ctor: �_-_ _ Date:/� APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639.4175 Business Phone: 639.4171 Footing Rain Drain Cover/Service FINAL: Foundation 'Nater Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mech. Plbg.Und/Flr/Slab Plbg. Top Out -_,� Insulation -Elect, Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line A'p`p`r/Sdwlk Reins Other: Date: A. Entry Address: Tenant: te: MSTr` '- ..7 BUP Con/Own:_ _ _-- -- -.- MEC PLM ELC THE FOLLOWING CORRECTIONS ARE REQUIRED ELR _. In pectora �" _—_ __. Date: APPROVED —DISAPPROVED/CALL FOR REINSP. F CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639.4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath �Fram~ -Meth. Plbg Und/Fir/Slab Pibg.Top Out Insulation -Elect. Post/Beare Strutt. ec Rough-in Gyp. Bd. -Bldg. Sari. Sewer as Appr/Sdwlk Reins. Other: — — VkA- Date: M. P.M. Entry: _— Address: ` Tenant: 239— Z087 BUP: Con/Own:_?1� - fib � YA&J`�— PLM: ELC: THE FOLLOWING CORRECTIONS AHE REQUIRED: ELR: Inspector: r J� Date:�. APPROVED DISAPPROVED/CALL FO EINSP CF CO ' r L CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone! 639-4171 Footing Rain Drain Cover/Service FINAL Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mech. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd -Bldg. San. Sewer Gas Line Appr/Sdwik Reins. Other: Rd Date: __.��' ��a A.M. P.M. Ent Address: vZ S"-.) _ Tenant: _ ._� ----..-___- Ste'--- MST-91,_0.3_ � BUP: . ____ . Con/Own: 4A Ll, MEC: --- - G 39 - 31 J Esc _ THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR Inspector: -� _. . Date APPROVED ISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL Founde(ion Water Line Ceiling •Plumb. Post/Eeam Mach. Shear/Sheath Framing Plbg,Und,'Flr/Slab Pibg. Top Out nsulation -Elect. Post/Beam Struct. ch. Rou - Gyp. Bd. -Bldg. San. Sewer s L—i n—e-> Appr/Sdwlk Reins. Other. Date: TO_ A.M. _ P. Entry: Address: o t'►9.'t 0 Tenant: Z��__�_E[�.._._�---_—_ Ste:-__- _ ST: L- 3?-C Con/Own: �11 ).L dc --- MEC _..__..--- — ,7 7 �" �✓ �� y PLM: -,__ ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: _- ____ Date: __APPROVED =�TSRPPROVED/CALL�FOR A ,_ CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639.4175 Business Phone: 639.4171 Footing Rain Drain Cover/Service FINALt Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath in -Mech. Plbg.Und/Fir/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwik Reins. Other. Date: �� �e—_ j.M. _P.M.;_7r Entry: Address: _j� Tenant:.. __ Ste: .._____ MST:74..0-_ _1L BLIP: Con/Own: � � �- _—— MEC: PLM: ELC: __.----..— THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _ _ moss__ -5 1'�i r�_l Wig... . .J.Lr 6fftq.-77__! Inspector: ___ Date: _ _APPROVED AD PPA9VE9fCALL FC CF CO _ 1 14 -5 CITY OF TIGARD BUILDING INSPECTION PbfICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FIN Foundation Wa Ce ng -Plumb. Post/Beam Mach. he /Sheath 0&_ ming -Mach. Plbg.Und/Flr/Slab Plbg Top Out Insulation -Elect. Post/Beam Struct, QS5. Rough-in Gyp. Bd. -Bldg. San. Sewer as Lin Appr/Sdwlk Reins. Other: �_- Date: 1 � _ A.M/�� �5tw ._ Entry: Address Tenant: __ — __ __ MST: ' BLIP: Con/Own: 1.= —_____-_. MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: VzZP&C 77 Inspector: -- ��— --- -- DTI _APPROVED D� ISAPPROVEDJCALL FOR REI SP. 0 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business 9-4171 Footing Rain Drain over/Service FI Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing Mach. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: _ c� _ Date _ 30 /tG?-"� A.M. P.M. Entry: Address: �_2-p_L_ 1 1 d / Tenant: __---- Ste:_ S : I_G. =� 3?4 BUP: A Con/Own: - MEC — '/ PLM: _ ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED. ELR: Inspector D<ate/Y��L _ PROVED ___DISAPPROVED/CALL FOR REINSP CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL. Foundation Water Line ^�,,(�.C�fling Plurnb. Post/Beam Mech. ear/Sheat Framing Mach. Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: �_ -- -- �. -- -- Date: � aZ _ A.M. _P.M.____ Entry: Address': z Tenant: Ste IM 11��Jf 1� _ BLIP. ConiOwn: MEC: PLM: .____ ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED ELR: -- _ Inspector: - ____ Date:14 _APPROVED _DISAPPROVED/CALL FO RE CF CO CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 RESTRICTED ENERGY PERMIT #: ELR96--0328 DATE ISSUED: 10/24/96 PARCEL: 25104DD-02400 51"IFE ADDRESS— : 12887 SW RIDGEFIELD LN SUBDIVISION. MOUNTAIN HIGHLANDS #1--_' ZONING: R--4. 5 PD BLOCK. . . .. . . . LOT. . . . . . . . . . . :021 Pt-o,ject DEseri ptiOrl: PREWIRE HOUSE FOR ALARM SYSTEM A. RESIDENTIAL--.- B. COMMERCIAL--.- AUDIO & STEREO. . . : AUDIO & STEREO. . ; INTERCOM & PAGING. . : BURGLAR ALARM. . . . : X BOILER. . . . . . . . . : LANDScnPE/IRRIGAT. . : GARAGEOPENER. . . . . CLOCK. . . . . . . . . . . : JIEDICAL. . . . . . . . . . . . .. HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . : NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : 14VAC. . . . . . . . . . . . . PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . : TOTAL # OF SYSTEMS: 0 Owner,: FEES SANDY LAUINGER type amol.int by date r-eept 1i-2755 SW WASHINGTON P 11 M T $ 40. 00 TAT 10/24/96 96-r,-_,85654 5PET t 2. 00 TAT 10/24/96 96-285654 BEAVERTON OR 97005 Phone #. 503--626--6623 ADT SECURITY ALARMS $ /12. 00 'TOTAL 703 NE HANCOCK REQUIRED INSF*ECTIONS PORTLAND OR 97212 Elect' l S L,i-v i c e Phone #-. 503-284-3263 Elect' 1 Final Reg it. . -. 599244 This peroit is issued subject to the regulations contained in the c- m-a- Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm it; i gnat 1.1t-e applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within IN days of issuance, or if work is suspended for more than 180 days. I s S"It e d B ..OWNER INSTALLATION ONL'e- 1he installation is bring m�.-ide on pr-operty I own which is not intended for- sale, lease, or rent. nWNERIS SIGNATURE: DATE: ___.____._...__._._._.._._....__._........--_-CONTRACTOR llqSTnl LnTION ONLY- SIGNATURE OF SUPR. FLEC' N: DATE: LICENSE NO: Call for, inspection -- 639 4175 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. !_ Tigard,OR 97223 PERMIT# Phone(503)6'�9-4171 FAX(503)684-7297 DATE ISSUED TDD No. (503) 684-2772 (CITY OF TIOARD Inspection (503) 639-4175 ISSUED BY _ PLEASE COMPETE ALL SECTIONS 1. LOCATION OF INSTAALl.A ION /f 4. TYPE OF WORK 42!kL Xd1flrlp" RESIDENTIAL--•Restrided Energy Fee. . . . . . . . . 14ALt14 / / � ,4- p- .3 (FOR ALL SYSTEMS) ct /-/ State Zip of Work Involved: y � ec vnE PERMITS ARE NON-TRANSFERAI]L1 AND NON-REFUNDABLE AND EXPIRE IF WORK n At,t{in and Stereo Systems 15 NOT STARTED WITHIN 180 DAYS()F ISSUANCE OR IF WORK IS SUSPENDED FOR `��f 180 DAYS. Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* I - EJ Heating,Ventilation and Air Conditioning System' Contractor ADT SECURITY SYSIFMS,*0- Type �'I� ❑ Vacuum Systems' —703 NE FIANCK- --- --- PORTIANO,OR 97211 ❑ Other _ _ __ _ Address f50312843265__ Date "L/ COMMERCIAL—Fee for each system . . . . . , . . . 1<gQ.QQ (SEE OAR 91 11-260-260) Property Owner�1 t1 ��-�U,L�.�>�/ Check Type of Work Inwtyci: Contractor's Board Reg. No. )C ` `� _ ❑ Audio and Stereo Systvms ❑ Boiler Controls Ph(nm # _ -- ❑ Clock Systems ❑ Data Telecommunication Installations 3. OWNER APPLICATION ❑ Fire Alarm Installation ❑ IIVAC Print Owner's _ e / _A�> y Ae No (_] Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City State Zip ❑ Medical This permit Is issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls restricted energy Installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting' following: ❑ Protective Signaling 1. Only use electrical licensed persons to do installations where required.(Certain residential and other transactions are exempt from licensing.These have ❑ Other—_ _ asterisks(')•All others need licensing). 2. Call for an inspection when all of the installations under this permit are ready for Inspection at 503-639.4175. ❑ Number of Systems 3. Purchase separate permits for all installations that are not ready for inspection _ when the inspector is out to inspect under this permit. •No licenses are required. Lkenses are required for all other Installations. 4. Assume.responsibility for assuring that all corrections required by the Inspector -- ----•—------- — ---are done,and 5. Assume responsibility for calling for a final inspection when all of the 5. FEES corrections are completed. ,1/�+� The person signing for this Fivrinit must be the applicant or a person a. Enter Fees $ 1. 60 author) d to hind Ih allpli(ant. b. 5%Surcharge(05 x total above) $ �� .ignature TOTAL $ Authority if other than applicant ENERGAP.CHP CITY OF TIGARD BUILDING INSPECTION NOTICE Vil Inspection Line: 639-4175 Business Phone: 639-4171 NJ Footing Rain Drain Cover/Service FINA 4. ndatlon Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mech. Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gars Line Appr/Sdwlk / Reins.Date: 11 - 7- Z4 A.M. P.M. Entry: Address: /- k�7 S(� / �� FLZ � Tenant: _ Ste:__ MST: f6 03"lam BLIP: Con./Own: IC /��. lC .S�'S y MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED ELR: i Insp _APPROVED —DISAPPROVED/CALL FOR REINSP CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct, Mach. Rough-in Gyp. Bd. -Bldg. San. Sewers Gas Line Appr/Sdwlk Reins. Other: C . ,0Y � SC-4 3 f ArP4** & " , Pa uJ�"` Date: b ^ ?L— A.M. P. Entry- Address:' ntry:Address: —? %L_ __. Tenant:_ .. V r___-.-__ _- - _--- Ste: --_-__ MST: /_=0i Z-W 5`� / Sy s BLIP. " yrJ _ MEC:_ FLM: _ ELC: TIi LLOWING CORRECTIONS ARE REQUIRED: ELR: LInecplr. Date: rlG ROVED `APPROVED/CALL FOR EINS CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Mech. PIbg.Und/Flr/S Plbg.Top Olit Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: d _ A.M P.M. Entry: Address: - 7 ' Tenant: _�__ _-- Ste MST: . BLIP: Con/Own:_ _3� __ MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: — eA 77 Inspector: t7APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE J Inspection Line: 639-4175 Business Phone: 639.4171 ooti � / Rain Drain Cover/Service FINAL: a Foundation Water Line Ceiling -Plumb. Post/Beain Mach. Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: _ Date: ZZ� A.M. P.M. E ry: Addiess: _ /7- Tenant: Tenant Ste MST: BLIP: Con/Own: _ MEC: PLM: ELC: THE FO LOWING CORR CTIONS ARE REQUIRED- ELR. oe C-7 - 4 4� In pector Date: PPROVED DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone. 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: I M. _P U �_. Wiry Address ? i C -- -- if Tenant: -_- ---_- __.._._-._-__ Ste. MST: y 7� BUP: Con/Own _ _ MEC: PLM: . ELC: E FOLLOWING COR ECTIOi43 A E REQUI fP ELR a C: ���(JY\�i",S�-'✓-ern C..e-_J, L7XI 1 + In ector: _--_ Date: APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO l CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE DAVID JEROME ELECTRIC PO BOX 751 HILLSBORO OR 97123 Electrical Signature Form Permit # . . . . : MST96-0376 Date Issued. : 08/15/96 Parcel . . . . . . : 2S104DD-02400 Site Address : 12887 SW RIDGEFIELD LN Subdivision. : MOUNTAIN HIGHLANDS #2 Block. . . . . . . . Lot : 021 Zoning. . . . . . : R-4 .5 PD Remarks : Construct new SF residence.PATH I Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of work. No electrical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: ELECTRTCAL CONTRACTOR: RICK LAUINGER DAVID JEROME ELECTRIC 12755 SW WASHINGTON PO BOX 751 BEAVERTON OR 97005 HILLSBORO OR 97123 Phone # : 503-626-6623 Phone # : Reg V . : 036051 Signar ture o3Superv' ins ectrician Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. #310 CITY OF TIGARD AUG 13125 S.W. HALL BLVD. 2 X398 TIGARD, OR 97223 IMPORTANT PERMIT NOTICE MICHAEL & CO PLUMBING P O BOX-�3 -,231908 T✓ycl •/ TIGARD OR 97281 ,f l� Plumbing Signature Form PErmit # . . . . : MST96-0376 Date Issued. : 08/15/96 Parcel . . . . . . : 2S104DD-02400 Site Address: 12887 SW RIDGEFIELD LN Subdivision. : MOUNTAIN HIGHLANDS #2 Block. . . . . . . . Lot : 021 Zoning. . . . . . . R-4 . 5 PD Remarks : Construct new SF residence.PATH I Your company has been indicated as the plumbing contractor for the permit indicated above- In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: PLUMBING CONTRACTOR: RICK LAUINGER MICHAEL & CO PLUMBING 12755 SW WASHINGTON P O BOX-43066 ;9fe aC BEAVERTON OR 97005 TIGARD OR 97281 Phone # : 503-626-6623 Phone # : Reg #. . :;67877 Signature of Authorized Plumber Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639 4171 , ext. #310 --- — MASTER PERMIT CITY OF TIGARD DATE:IISSUED: . 06/1115/966-0376 COMMUNITY DEVELOPMENT DEPARTMENT 13125 8W Hall Blvd.T19erd,Or*Pon 97223.0199 (503)639-4171 PARCEL.: 2S 104DD--02400 S I 'f l= ADDRESS. . . : 1,2887 1 W 111 L)GLF-1 LL_U L-IA SUBDIVISION. . . . : MOUNTAIN HIGHLANDS #H2 ZONING: R-4. 5 PD BL_OCIJ. . . . . . . . . . . LOT. . . . . . . . . . . . . :021 Ramarks: Construct new SF resinence.P4TH 1 --------------------------------------I------------—-—--------- BUILDING ----------------------------------------------------------- REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------ CLASS OF WORK.-NEW HEIGHT........: 21 FIRST....: 1770 sf GARAGE.....: 900 sf LEFT..........: 30 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 774 sf FRONT.........: 20 PARKING SPACES: 1 TYPE OF CONST.s5N DWELLING UNITS: I FINBSMENT: 0 sf RIGHT.........: 11 OCCUPANCY GRP.:R3 BDRM: 3 BATH: s TOTAL------: 2544 sf VALUE..t: 179885 REAR..........: 20 ---------- PLUMBING -----------------------—--------------------------------- SINKS.........: 2 WATER CLOSETS.: 3 WASHING MACH..- 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 4 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB/SHOWERS...: 3 GARBAGE DISP..: I WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 ------------------------------------------------ ------- MECHANICAL -----------—----------------------------------------------- . FUEL TYPES--- ------ FURN ( 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS..... : 4 CLOTHES DRYERS: 1 /GAS/ / / FURN )=100K ..: 1 UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....s 0 GAS OUTLETS...: 1 ----------------------------------------------------------•- ELECTRICAL --------------------------------------------------------- . . —RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1000 SF OR LESS: 1 0 - 200 a9p..: 0 0 - 200 alp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPEC110Ns 0 EA ADD'L 5008F.: 5 201 - 400 asp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 — 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL./PANEL...: 0 IN PLANT......: 0 MANF HM/SVC/FDR: 0 601 - 1000 amp. : 0 601+amps-1000 v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: 0 ------------------------------------ PLAN REVIEW SECTION --------------------------------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDA)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: -------------------------------------------- ELECTRICAL - RESTRICTED ENERGY --------------------------------------------------- A. 5F RESIDENTIAL---- ---------- B. COMMERCIAL—----—-----—--------------------------—---—------—------------------- AUDIO OM ERCIAL----------------------------------------------------------------------- AUDIO I STEREO.: VACIAJM SYSTi_M..: AUDIO L STEREO.: FIRE ALPRM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNLs GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL 11 SYSTEMS: 0 Owner: --------------------------------Contractor: ----------—-------------- TOTAL FEES:$ 4825.20 RICK LAUINGER MAREK B K 12755 SW WASHINGTON B K MEREI( CONSTRUCTION INC P 0 BOX 7157 BEAVERTON OR 97005 ALOHA OR 97007-0000 Phone N: 503-626-6623 Phone 11: 503-591-5448 Reg C.: 50152 This permit is iss <d subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. -------------------------------------------------------- REQUIRED INSPECTIONS ------------------------------------------------------ _ Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Appr/Sdwlk Insp Erosion Control Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final Post/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Mechanical Final Post/Beat Meehan Electrical Servi Fireplace Insp Rain drain Insp Plumb Final Crawl Drain Electrical Roug16e Insp Water Line Insp Building Final I e mittee Sign Ati_sr-e: _ �• _ Iss1-:i>ci 1)y: Call for- inspect i 6 39- 41 7 a PERMIT #. . . . . . . CITY OF T I GARD DATEPERMIT ISSUED: 08/15/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PARCEL: 2SI04DD-02400 511E ADDRESS— : I cB8 7 L'W RibbEl"ILLD LN SUBDIVISION. . . . MOUNTAIN HIGHLANDS #L--" ZONING: R--4. 5 r1D Pl- OCK. . . . . . . . . . a LOT. . . . . . . . . . . . . :021 ---------------- TEENANT NAME-". . . . . :LAU I NGE R USA NO. . . . . . . . . . . FIXTURE UNITS. . . a 0 CLASS OF WORK. . . -1\11*-'W DWELLING UNITS. . : I TYPE OF USE. . . . . :Sf- NO. OF BUILDINGS: I INSTALL TYPE. . . . :LTPSWR IMPERV SURFACE: 0 sf Remarks: Construct new SF residence. Owner; FEES RICK LAUINGER type amount by date reept 1,2755 SW WASHINGTON PRMT $ 2200. 00 JSD 08/15/96 TEMP3058 INSP $ 35. 00 JSD 08/15/96 TEMP3058 BEAVERTON OR 97005 Phone #: 503-626-6623 Contractor-: ---------------------------------- CONTRACTOR NOT ON FILE Phone 2235. 00 TOTAL Req #. REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulatiors Sewer Inspection 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 the side sewer laterals. If the sewer is not located at the ieasuresent 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 A en i 11 in 11 a lateral. f"'Prinittee Signati.tre: ................... I s s t-i e d av:c- ------ Call for inspection 639-4175 Plan Check# r':ITY OF TIGARD Residential Building Permit Application Recd By :3125 SW HALL BLVD. New Construction Additions or Alterations Date Recd `'IGARD, OR 97223 Single Family Detached or Attached Date to P.E. 703) 639-4171 Date to DST Permit# i" I/ < , f i,• Print or Type r Called, , Incomplete or illegible applications will not be accepted - Name of Subdivision Lot �# N Job Ad� Al�i t' � l ` � � /�' ' ' F Site Address Architect Madin50ddress' Address , rt 1. C)lylSlate �ip 1 Phone Name Owner Mailing Address ti ? r S p ^!' Engineer WlailinflA,dress itylState Zip P g )) r 1 I Name eY/State Zip Phone � �l ),, �� -12s,") General j 1 . cribe work new(9'" addition O alteration O repair O MailingAddr ss to be done: ,) ContractorAdditional Description of Work: tyl t to Zi Phone � ) J r/ •! f Oregon Const.Cont.Board Lic.# Exp.Date Attach Copy of Current COT Business Tax or Metro# Ex Valuation $ Exp. Da __Mechanical >Licenses Name NEW CONSTRUCTION ONLY: ?il? q'1 Sq.Ft. House:. Sq.Ft Garage: ,��t r r/ 7 � Sub_ Mailing Address `;// _/ Contractor � Z? 117S Corner p �;v Corner Lot Yes No Flag Lot Yes No Ity/stlteZip Phone (check one) �, (check one) ?Z 2 / - 7'? Restric'ed Audio/Stereo Burglar Oreg n Wrist Cont Board Lic# Exp. Date („� Ene'C,y �%� System �' Alarm >tlach Copy of _j - Current CO Business Tax or etra# Exp, ate Irstalla:ion Garage Door HVAC Licenses Q �6;�%' . �•r-� _ Opener (r Systems Name (check all that --tOther: Plumbing ,R , apply) Sub- Mailing Address Will the electrical subcontractor wire for all Yes No Contractor _ restrict4d energy installations? _ �2 C7�' �� Has the Subdivision Plat recorded? NIA Yes o itylState Z Phone „ (� egon Const.Cont.Board Lic Exp.Oat �, FZeissue of MST# Solar Compliance Attach cony of E• - —7(Calculation Attached) Current Plumbing Lic,# xp.Date I hereby acknowledge that I have read this application, that the Licenses �'- -' f` / information given is correct. that I am the owner or authorized agent of CUT usiness Tax or Metro# Exp Date the owner, and that plans submitted are in compliance with Oregon State laws Name Signatum OwnAge Dat Electrical ? ' / Co c arson a e / [L Ph9ne Sub- Mailing Addressr / „ r Contractor Z X �S_/ FOR OFFICE USE ONLY: City/State Zip PhonePlat# - � ✓V1ap/T!_#: Oregon Const.Cont. Bc rd ic.# Exp.Date Attach Copy of � "S `i l� 9 7 Setbacks 7nne Solar Current Electrical Lic.# Exp ate Licenses ,/ �� it'll(I f" COT Business Tax or Metro# Bxp. Date Engineering Approval: Planning Approval: TIF: rldsts"stopp.doc Permit # Account Description Amount Et,_P� Bal. Dig Ir—'; `6 cI---, 'MST. Permit (BUILD) w. w � ��,", '-� Plumb. Permit (PLUMB) Aa.5�©n Mech. Permit (MECH) ELC/ELR Permit (ELPRMT) State Tax (TAX) Bldg: Plumb: Mech: ELC/ELR: Plan Check MST: (BUPPLN) �%, �- �� 161 X15 Plurnb: (PLMPLN) N/lech: (MECPLN) //,ZP ac CDC Review (LANDUS) 1/0, Sewer Sewer Connection ( )SWUSA _'. Yl� O- C- L c Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) 10 5 1) lOSC3 �' Residential TIF (TIF-R) / , 70 Mass Transit TIF (TIF-MT) / ?ti l 2-U Water Quality (WQUAL) �Z) /�-v Water Quantity (WQUANT) lea Erosion Control Permit (ERPRMT) �e el, — Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) .�� .Sri Fire 'ife Safety (FLS) _ TOTALS: ; , 2 5r Cc? i`dststmstapp.doc CI(C Rev 7/96