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JUL 0 8 1998
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i:\records\microflm\targets\buiIding.doc
i
CITV OF TIGARD BUILDING INSPECTION DIVISION
24-Hear Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: __-- - I / ^ I A.M. C-M � MST:
__
location f Z45 rt��.� BUP: -� _/_�.. —.
Tenant: � �� f r - P C y Suite: Bldg: _ MEC:_1!-V+
Contractor: Phone: ,J� PLM:
Owner: Phone: �/p 0" [�70 3`�f- ELC: I
ELR:
BURDING BLDG(con't) PLUMBING -_MEC4ANICA�. � ELECTRICAL-- SITE
Site Post/Beam PosUf3eam Post/Beam Cover ervtce Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsml Damp Drywall Storm �F ce Temp Service MISC.
Masonry Ceiling Rain Thain R-_ UG Slab
Shear/Sheath Fire Spklr/Alrr. Crawl/Found Dr I leat Pumz LOW Volt
Approved Approval Apprhved1�proved Approved
Appr/Sdwlk Not Approved Not Approved =1NAL
i1 eyed Not Approved
FINAL, FINAL FINAL FINAL
O Call for reinspection O Rcjnspcctionof$ required before next inspection O l lnnhle to inspect
Date: - Page _oI
CITY O F TIGAR D ELECTRICAL PERMIT
PERMIT #: ELC97-0479
DEVELOPMENT SERVICES DATE ISSUED: 07/21/97
13125 SW Hall Bivri., Tigard,OR 97223 (503)639.41711
PARCEL: 2S104BD-RM008
SITE ADDRESS. . . : 13745 SW ROSY C1
SUBDIVISION. . . . :ROSE MEADOWS ZONING: R--7
BLOCK. . . . . . . . . . : LOT. . . 008 JURISDICTION- T1
Pt-oj ect De ser i dt i on: Installation of air conditioner unit.
---RES I DENT I AL U14IT----- ---TEMP SRVC. t-EEDERS---- ----.---MISCELI-ANEOUS,---------
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
11OLH ADDIL 500SF. . . : 0 201 - 400 amp. . . . . . „ : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 6014-amps-1000 volts. : 0 MINOR LABEL ( 1.0) . . . : 0
----SERVICE/FEEDER---- ----BRANCH CIRCUITS------- ---ADDIL INSPECTIONS---
0 200 amp_ . . . . : Q, W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 400 amp. . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 1000 amp. . . . . : 0 --------.----------FLAN REVIEW SECTION-----------------
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
iReconnect only. . . . . : 0 SVC/FDR >= 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: FEES
DALE MCCUEN type amoi.int by date t,ecpt
1.3745 SW ROSY CT PRMT $ 35. 00 DRA 0*7/21/97 97--297344
TIGARD OR 97223 5PCT $ 1. 75 DRA 07/21/97 97-297344
Phone #:
CHANDLER ELECTRIC INC $ 36. 75 TOTAL.
3521 SW CARSON ST
REQUIRED INSPECTIONS
PORTLAND OR 97219 Elect' l Service
Phone #: 1'45-7774 Elect' l Final
Reg #. . - 000949
This permit it issued subject to the regulations contained in the TiQard Municipal Code, State of Oregon 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. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility NotifiLatiOn Center. Those rules are set forth in DAR 952-0@1- OAR 952-MI-1987. You may obtain a copy
of these rules or direct questions to alling (%3)246-1987.
P -rmittee Signati Issi.ted
..t r,e :
Vf '
INSTALLATION ONLY----------------------------
The installation is being made on proper-ty I own which is not intended for
sale, lease, or• rent.
OWNER' S SIGNATURE: DATE:
INSTALLATION ONL.Y---------------------
SIGNATURE OF SUPIR. ELECIN, 11_� DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++.4-++- i 1-+••+++++-++++-1-+++•t+++++++-+++-++++++-1-+-1-++++
Call 639-4175 by 6.00 p. m. for- an inspection needed the next business day
+++++++++++++++++++++++++ I 1 + 1 4-1+++-t-+4-+++4-++4......... 1-1 F. I I f A +A V I A 4 1-P-+4 4 4 f+++ 1 +4
CITY OF TIGARD Electrical (Permit Application Plan Check-#
13125 SW HALL BLVD. Recd Bim
iIGARD OR 97223 Date Rec'd_"'�'�l
Date to P.E.
Phone (503)635-4171, x304 Date to DST _
Inspection (503) sag-4175 Print or Type Permit a C4-0- ��/
Fax (503)684-7297 Incomplete or illegible will not be accepted Called ---
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development // Number of Inspections per permit allowed
Name(or name of business) �f� ��5�G Service included: Items Cost Sum
Address/_ �Lr✓ ` _- 4a. Residertial-per unit
1000 sq.fl.or less s 1 t0 rrn
City/State/ZipS� C_ N Each additional 500 sq.ft.or
Commercial ❑ Residential portion thereof $25.00
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00
Za. Contractor Installation only:
(Attach copy of all current It Ie4b.Services or Feeders
`, G Installation,alteration,or relocation
Electrical Contractor C{'�Rrl [:� 200 amps or less $60.00
Address_ 11di_tO 201 amps to 400 amps $80.00
City_ Po,-+AA Old' State_ Ok Zip_ l.-A 49 n 401 amps to 600 amps $120.00
Phone No. o�J-{ �11 601 amps to 1000 amps $180.00
Job No. Over 1000 amps or volts $340.00 2
Reconnect only - 2
Elec.Cont. Lice. No.�Ia Exp.Date_[f?T ---
OR State CCB Reg. No. KQQ"_Exp.Dateil_q�- 4c.Tempa try Services or Feeders
COT Business Tax or Metro No.- 01(j_E p.Daatte �TT Installation alteration,or relocation
200 amps t7 less $50.00201 amps 400 amps - $75.00
Signature of Supr. Elec'nvA" 401 amps'o 600 amps $100.00 _
/ Over GCC,amps to 1000 volts,
License No. UO q? � -Exp.Date see"b"above.
Phone No._ p7N,27?77U
T - 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Namefeeder fee.
-- -- - -
Address Each branch circuit 5.00 _-- 1
Cit State---_ ZI b)The fee for branch circuits
V--- _-_ P without purchase of
Phone No, service or feeder fee.
First branch circuit $35.00
The installation is being made on property I own which is not Each additional branch circuit $5.00
intended for sale, lease or rent. 4e.Miscellaneous
(Service or feeder not Included)
Owner's Signature __ Each pump or irrigation circle $40.00 _
Each sign or outline lighting $40.00 _
.3. Plan Review section (if required):* Signal circult(s)or a limited energy-
panel,alteration or extr,tslon _ $40.00 _. ._
v
Please check appropriate Item and enter fee in section 5B. Minor Labels;10) a 100.00
4 or more residential units in one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
, described in N.E.C.Chapter 5 In Plant $55.00
i Submit 2 sets of plans with application where any of the above apply. 5. Fees: c
Not required for temporary construction services. 5a.Enter total of above fees $
5016 Surcharge(.05 X total fees) $ -(- '-
NOTICE Subtotal $ --
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If required(Sec.3) IS
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ]
TIME AFTER WORK IS COMMENCED. ❑ Trust Account b aJ(P
Total balance Due
1AD5T5\ELC96.APP Rev 9196
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES r.:t-'.'R M I T #, . . . . .
. . . . . .PERMIT. : MEC97-01
13125 SW Hall Blvd., Tigard, OR 97223 (503)6394171 DATE ISSUED: 07/21 /9*7
PARCEL: 2SI04BD—RM008
SITE ADDRESS. . . : 13745 SW ROSY CT
SURD I VI S I ON. . . . : ROSE MEADOWS ZONING: R -7 f
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :008 JURISDICTION:
CLASS OF WORK. . :PLT FI .00R TURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : CA VENT FANS_ - 0
OCCUPANCY GRP. . :R3 VENTS WIO APPL: 0 VENT SYSTEMS: VA
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . : 0
FUEL. 0 HP. . . . : I DOMES. INC IN: 0
315 H F-:,. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 RE171AIR UNITS- 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : tio+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS------------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K 6TU: 0 10000 C-rm : 0 GAS OUTLETS. : 0
r'1JRN BTLJ: 0 > 10000 cfm: 0
Remar-i(s - Installation of air con,litioner unit.
Owner: FEES)
DnLE MCCUEN type amol.int by date I-ecpt
:13745 SW ROSY CT PRMT $ 25. 00 DRA 07/21/97 97--297344
TIGARD OR 9722-2 5PCT $ 1. 25 Drn 07/Ll/'37 9.7--:97344
Phone #:
Cont r-act or-:
APOLLO AIR, INC.
17525 SW OVIATT ----------------------
$ 2-'6. 25 TOTAL
ALO11A OR 97007
Pyrone #:
Reg #. . : 0 0 0 8 75 9
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 Cooling Unt Insp
applicable laws. All work will be done in accordance with Final Inspec-tion
approved plans. This permit will expire if woris not started
within 180 days rf issuance, or if work is suspended for more
than IN days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 95e-001-0010 through OAR 952-001-0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246-9187,
I S S 1_1 ePermitteePemittee SignatfArle - _�/ sem'` —
F+++++++++++-1+++4........4............4.........++++++++4++4-+++++4++++-4-++-+,+++4-+4
Call 639-4175 by 6:00 p. m. for inspections needed the next bi-isiness day
F++4.............++4..............F+++++++4...4-++++-f-f 4......4
Plan Checac4
CI i'Y OF TIGARD Mechanical Permit Application Recd By(_`,_
13125 SW HALL BLVD. Commercial and Residential Date Recd ? i -i 7
TIGARD, OR 97223 Date to P E.
(503) 639-4171, x304 Date to DST
Print or Type Permit K
_ Incomplete or illegible applications will ncaned
Name
be accepted _
Name cito ec_ uP ; Description
2 vim, r _ Table 1A Mechanical Code Olti PRICE_ AMT
.lob sueea A) Permit Fee 0 -0 10 00
Address
Brdga cny/srate Zip 1.) Furnace to 100,000 BTU 6.00
including ducts&vents
Name for name of b uiness) 2.) Furnace 100,000 BTU+ 7.50
Owner �y C C UC`/t- including ducts&vents
all 4`5 Intm, / CL �S 3.) F'oor Furnace-- - 900
including vent
r lata Zip I P"pgrts 4.) Suspended heater,wall heater 6.00
:1 L-T v h �n,�>;U or floor mounted heater
Name jdr nan1b of busm ) 5) Vent not included iri appliance permit 3 00
Mailing Address 6 , t
Occupant M / 9oiler or comp,heat pump,air Gond. � 6.00
to 3 HP;absorb unit to 100K BUT"
City/Stats zip Phone 7.) Boder w comp,heat pump,air Gond. 11.00
3-15 HP:absorb unit to 5t3GK BTU"
Contractor Name / b) Boiler or comp,heat pump,air coed. 15.00
(Prior to V r f` 15-30 HP:absorb unit5-1 mill BTU'
issuance Mal!Address ` /� 4, 9.) Boiler or comp,heat,•ump,air cond. 22 50
applicant '' 11 / _ 30-50 HP:absorb unit 1-1 75md BTU"
must provide all C stne Z)p Phone 10) Boiler or comp,heat pump,air rand, 3750
contractor - L� L- �1/ 7 �-B,�) __>50 HP:absorb.,,it 1 75 mill BTU"
license Oregon gist.Cont. Lc.0 Exp.Dile 1i ) Air handling unit to 10,000 CFM 4.50
,nformation � 79
for COT COT ew.teae taxor_Maao a Exp Date 12.) Air handling unit 10,000 CFM 7.50
_database). _
Architect Name 13.) Non-portable evaporate cooler 4.50
or MnJing Address 14) Vent fan connected to a sinyte Duct} 300
Engineer cdy'state Zip Phone 15) Ventilation system not included in 4.50 —
appliance permit
Describe work New O Addition O Alteration O Repair O 16) Hood served by mechanical exhaust 450
to be done Residential O Non-residential O
Additional Description of work 17.) Domestic incinerators — 7.50
16.) Commercial or industnal type 3000
Incinerator
Ext-sting use of 19.) Repair units 4.50
building or property -------_----
20) Wood stove 450
Proposed use of 21.) Clothes dryer,etc. 4.50
building or property
22.) Other units —4 50
Type of fuel-oil O natural gas O �_PG O electric O 23.) Gas piping one to four outlets 2 00
I hereby acknowledge that I have read this application,that the 24.) More than 4-per outlets(each) 50
information given is correct.that I am the owner or authorized agent of
the owner,that plans submitted we in compliance with Oregon State QTY.SUBTOTAL
laws
Signature of Owner/Agent Date *SUBTOTAL -,
5%SURCHARGE — -- 0�
(Con ct Person Name Phone PLAN REVIEW 25%OF SUBTOTAL
Cwt/L �1?/�/ TOTAL
is stlmechpmt doc (rev 9 'Minimum permit fee is S25+5%surcharge
"Re:idential NC requires site plan showing pleeerrtent of unit.
aattitititit��a�r
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CITY OF TIGARD BUILDING INSPECTION DIMS
24-Hour Inspection Line: 6394175 Business Phon 9-4171
Date /1 C) / A.M. P.M. MST:
Location: 3�_�''S 514 CA BUR
Tenant: Suite: Bldg: MEC: ti d kl„Q.
Contractor: Phone: PLM;
Owner: Phone: ELC:
ELR: L—
SIT:
BUILDING BLDG(con't) PLUMBING CIELECTRICAW SITE
Site Post/Beam Post/Beam Post/Bcarnover ervice Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storm F � 'Temp Service MISC.
Masonry Ceiling Rain Drain <Y(_" UG Slab
Shear/Sheath Fire Spklr/Alm CrawVlbund Dr Heat 111unp l.ow Volt
Approved Approved A my J Approved Approved
t/Sdwlk Not Approved Not Approved of of A r ve Not Approve)
FINAL FINAL !NAL NAL FINAL,
J'9-C_e._ _ L/VN x
-fir--e _Ln.� J`9 (,\Vt t
1 vl,'�--✓� � c9 � �N� C�• ��--,� m � `V`,� rte.
ux
S
LAS k'�kJ1 � 0�
A a w- --:..�,sem• -
d Call fff4owkp"Llq O Reinspection fee of$ required before next inspection CI Unable to inspect
� G
Inspector:�_ ( �_ Date: Page of
CITY OF TIGAHD BUILDING INSPECTION i,,)TICE
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/3eam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plum
Alarm Water Line Insulation -Mech.
Underflr. Insul. / Shear Wall 'yp. Bd. -Elect.
Date Requested:_/�,����� _Time:X_AM PM
Address:
Builder: Permit #:
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: 630-4171
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Be im Struct. Plbg. Top Out Elec. Rough-in FINAL:
Postl3earri Mech. San. Sewer Gas Line -Bldg.
Nlbg. Underfloor Rain Drain Framing �, )
Alarm Water Line Insulation -Mech. /
UnderfIr. Insul. Shear Wall Gyp. Bd. -Elect.
r
Date Requested: C �_Time: AM PM
Address:_
Builder: — -d� ✓ permit #: c�
-+-44
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: / - Date:��
_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
�6all For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4
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 L F_ I__NA
Post/Beam Mech. San. Sewer Gas Line —
Plbg. Underfloor Rain Drain Framing um
Alarm Water Line Insulation
Underflr, Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address: l
Builder:� �_ /.SCJ Permit #:_��j G<)-�p9
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:/ Date:
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
C/—Call For Reinsp.
1�
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: J
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in �ftNA�L,'`
Post/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation �Y
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �' '� Time; AM PM
Address: Com'
Builder: b - �l 1 Permit k.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectcr:,4 _ Dater 03 ¢
_<—�_IOVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
F
CITY OF TIGARD CEPTIFICArE OF
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 OCCUPANCY
PERMIT #. . . . . . . . MST,..:-'.'
DAII.- ISSUCE)l 11/03/9'1
SITE ADDRESS. . . : 1,3745 SW RW.3Y C'(
SUBDIVISION. . . . : ROSE MEADOWS Z ON I Nt-.A R 7
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .00i
CLASS OF WORK. :N17-W
TYPE OF UE-'&--. . . :SF
OCCUPANCY GRP. *40
OCCUPANCY LOAD-.2,
Remarks : PATH 1
Owner:
JAY MILLER
P 0 BOX 23091
TIGPRD OR 97224
Phone #: 664-7543
Ccliitractor:
KLN WATTS COWiTRUCTTON IN(
-0 i3ox 1'2109e5
TIGARD OR 97281
Phone #a 684--4431
Reg 1910336
This Certificate qt,anis oc,cmpan(,,y (-0- the above vel"pi-enced bLtilditig or k
thereof and confirms that t h P bt.t i I d i i ig has be er,s i nq peC t;e "'I- "-"f umpl i ance wi tf�
I �
the State of Oregon Specialty Codefor the yOC
Tirol-tp, C.'Ip- t'v' And use I.mder
whi ^h the refere-nced pet mit was iss-,ied.
PUILDING 1N5PVCT()P BUILDIMI ,
F10' T 111. CONS.'PICAK)W5 FLOC
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
Plbg. Underfloor Rain Drain Framing Plumb
Alarm Water Line Insulation
Underflr. Insul. Shear Wa I Gyp. Bd -Elect.
Date Requested. Z� Time: AM '�,PM
Address:
Builder: Permit #: � U�'(
i'HE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectar: Date:
_APPROVED _DISAPPROVED APPROVED SUBJE T TO ABOVE
_Call For Rein sp.
CITY OF TIGARD BUILDING INSPECTION NOT
Inspection Line (Re(,-O-Phone): 639-4175 Business P no: 9-4 71
Inspectico; 41",/
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 Insulation -Mech. 1
Underflr. InRUI. Shear Wall Gyp. Bd.
Date Requested: lC'L wJ `J _TimP AM ___PM
Address.
Builder'T`� Permit 4 2 5 U c
THE FOLLOWING CORRECTIONS ARE REQUIRED:
O f r s:57XeP aoGC his �s�,
Inspector __ Date:_
PPROVED — DISAPPROVED _APPROVED SUBJECI TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 539-4175 Business Phone: 639-4171 l-/
Inspection:
Footing Susp. Ceiling Sprink. Rough-in <11 NSd
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 -Plumu.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wull Gyp. Bd. -Elect.
Date Requested: 1 C: Time_ M _PM
Address: �j c
Builder: _ Per
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�4-'`
v�✓
I pector: j G S Date: I D Q -
_—APPROVED _DISAPPROVED APPROVED SUBJECT TO AB6VE
_Call For Reinsp.
CITY OF rIGARD BUILDING INSPEC'rION NOTICE
Inspection Line (REc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing S.isp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation P bg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Pibg. 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 p. B Y -Elect.
Date Requested: 1�`t (l5 Time: AM PM
Address:
Builder:_ _ �Permit�#:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: r�� Date: Z
611FPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE /I
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171/
Inspection: -,t.�
Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab ech, ough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer as Line - _e g.
Plbg. Underfloor Rain Dain Framing -Plumb.
Alarm Water L no Insulation •Mech.
Underflr. Insul. Shear`:fall Gyp. Bd. -Elect.
Date Requested: Z Time: AM PM
Address: Z 7 1.�
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector: Date: 2 2/ '
_APPROVED DISAPPROVED _RPPRfjVED 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. Underslao �CA Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in y/13 FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain <ffaminb`') -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ 1� Time: AM –X—,PM
Address:
Builder: / "2/ �/ ermit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L
U
Inspector:__ Date:
_APPROVED ^DISAPPROVED /2�Pl"ROVED SUBJECT TO ABOVE
r _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. Undersiab 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 ,=raming -Plumb,
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address:
Builder ✓�l _�p y0— 6 SS(r Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: 11
ter
�tZL—
Inspector:
7LG�'*1_� /� ZC ate:
_APPROVED `DISAPPROVED _,f�PPROVED SUBJECT TO ABOVE
`Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639- 1
Inspection:__
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct.c -T:q 9. Top Ou Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Insulation -Mach.
Underflr. Insul, ar Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address: :z L/S1
Builder: PermitS—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:
ROVED _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. Coiling Sprink. Rough-in Appr/Sdwlk
Foun Plfag. Underslab Mech. Rough-in Fireplace
Post/Beam StruCt. lPlbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. flan. Sewer Gas Line Bldg.
Plbg. Underfloor j4 Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mec).
I-inderflr Insul. Shear Wall Gyp. Bd. - K
Gate Requested: c� Time: AMPM
Address: _
Builder: ermit #: I
THE FOLLOWING CORRECTIONS ARE REQUIRED:
(5r)A,
7P
e,kk
Inspector: ✓��' Date 1
_APPROVED —DISAPPROVED /APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING JN�PECTION NOTICE
Inspection Line (Rec-O-Phone): 6�9}Y1�5 Business Phone: 639-4171
Inspection: / q
Footing Susp. Ceiling Sprink. ugh-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Bearn 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:_ 3
c
Builder: Permit q:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
A_-
Inspector: W Date:
_APPROVED _DISAPPROVED PROVED SUBJECT TO ABOVE
k _ _Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Ins;.�ction Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _. m•�ltit/���✓ 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. Qan. S w r Gas Line -Bldg.
Plbg. Underfloor ain QCgia� Framing -Plumb.
Alarm •ter Line_ Insulation -Mech.
Underilr. Insul. Shear Wa!! Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address: / Lf5r --L (�._
Builder: Permit #: c-f .S—t,.�(C r/
THE FOLLOWING CORRECTIONS ARE REQUIRED: I
Inspector: Date:
11PPROVED __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. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
g. Underfloor . Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear /Wall Gyp. Bd. -Elect.
Date Requested: J! �_1 5 Time: AM PM
z,
Address: Y5 _ lL
i
Builder: Permit#: �1 — C cI r
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Dater
_APPROVED DISAPPROVED LAPPROVED SUBJECT TO ABOVE
_Call For Reinesp.
CITY OF TIGARD BUILDING INSPECTION NOTICE � {
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-441>-
Inspection:_ � `�� ��,� •�'_. (a- ` �:,��
Footing , Susp. Ceding Spnnk. Rough-in Appr/Sdwlk
-Foundatiofi Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Eloc. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: / j `^7 Time:: AM PM
f /
Address:
Builder: r
_� l`i —�' �3- 1 ( ,�� Permit #: l •� fl
THE FOLLOWING CORRECTIONS ARE R UIRED:
Inns�spec��tor: Date:_?
XPPROVED -_DISAPPROVED __APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE I J ^
Inspection Line (Rec-O-Phone): 639.4175 Businecs Phone: 639-4171) ((�
Inspection:
ooti. Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
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 -I ch.
Underflr. Insul. Shear Wall Gyp. Bd. Gnect.
Date R time: �;IAMnested: .�_ � —QPM
Address:
Builder: �� `l �-- (( ( ' rmit #: �-� '�-� �=4-
THE FOLLOWING CORRECTIONS ARE REO IRED:
I I 57�"frl
e eas,-0-v c�o
Inspector: Date:
_APPROVED DISAPPROVED _< BROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD D07 15 Eli: 07i 6/9
COMMUNITY DEVELOPMENT DEPARTMENT
.3125 SW Hall Blvd.Tigard,Orogon 972230199 (503)539-4171
I ..J ISION. . . . ROSE MEADOWS ZONING: ?----7
. . . . .. . . . . . . L07 .. . . . . . . . . . . . . ..0 V.:
OF WORK,. . .NEW
GARBAGE DISPO'.1
E UF" LJ S E. . . . SF WASHING MACF--1. . . . . . . : 1 BACKFLOW PREVNTRS. I
_7 J "1t':!*'.'y' CRP. . :R.3 FLUOR DRAINS. . . . . . . ! Ql TRAPS. . . . . . . . . . . . . . .0
. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASING. . . . . . . :0
-, - -—----1-1---.1- 1. LCU'IrR'V TRFt`,'::. . : 1 r.. RVilk! DRAINS
. . . .
.. . . . . . . . . . . I •
.
GREASE TRAPS. . . . . . . :0
.. . . . . :4 OTHr-'"R rIXTURE.. . . . . :0
LJV,-'S)10WERS. . . . SEWER LINE (ft) . . . . :0
WATER LINE 'ft ) . . . . . 100
PS. . . .
RAIN DRAIN! ft ) . . . . -0
'TIF S 15x)0. 00 n 07 1,Ij✓1)5 9 5 E G a 2
DOX PPR T $ 545. 50 B 07/19/95 95-2682L�
D PL C $ 30. 00 LION 07/0f,195 95--2(1,7 6 n
OR 7224 B5171c + 27. 28 B 07/19/95 95-268L7
- --7r)4- -4 F 00 1-1 0 19/95 95-2166
4. 6C4 174' �1 1,
MVIRT 1, 4.5. 4W 3 e7/19/95 95-.26S:-
t lir 1-c I 11. 5 B 11!7!13/95 968,
M'
PF F T $ C� 5. 071 07/19 L3 9 263.":
Tez'w- F15PC $ 11. 25 B 07/19,'95 9 5-2 6 OIL"22 1
-T, ,t(-t rd, /1 )/')5 A4)7 ')5-"-G Al 2
�t v SWM 1 180. 140 D 1
l- h u i i v fl . (9 SWM 3 IMOO P 07/19/93 95-26822.1,
Ci c'i.I i t i onial. fees n u t ji,.w% hery. . . . . .
REPUIRED INSPEcTIONS
s c,u e d s u bj e c t t til
contained in the Tigard Municiptr.tl Vout- ing Insp Insulation Insp
to of Or
-e. '71poci-altj C ],des and A]. 3. T i cj,-.A t i o T i In 5p Gyp Poard Insp
cp p I i cab I e laws. Al 1 work w i 11 be done Pust/Beain 5truc.,t Pain drair Insp
1 - !IL'e with pl,-o v ed p"-w'F., T1,i Post/Bealn Nec-1 pan Water Line Ini:1
vv. 11 (�x p i r-e if work is not started Ci-awl Drain Water Service
rpt .. r'1M/,-tT)dSl;RL 11-ISP ApPi-/"jdWlk ITISP
-- ) tjoys or i�:, 3uance, (W-I wfii-i,
e rid v d Cor, more than 180 daFILM/Under- riou, Mechanical Final
Mk-z[-i�;.k n i ca I I i i P I'..t M h II i 11 ZA I
Plumb Top Out Building Final
Insp
1-i osion COntt-0i
ril�eplcALe Insp
/ve; 'L.Ave Insp
JIM()
PLUMLAINO
rLr,MTI" LJ
. . . . . . . MST95-026
CITY OF TIGARD E)(-ITE IE;ELJED- 07/19/95
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: .1151040D-R11008
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)L39.4171
0 WING: R--7
MEADOWL�
. . . . . . . . . . . .
BACKFLOW F.',REVNTRS. . : l
WASHING MACH. — o — * 1
FLOOR DRAINS. . . . . . :0 TRAP'S. . . .. . . . . . . . . . . :0
W(ATER HEATERS. . . . . . : 1 CATCH BAS31NS. . . . . . . :0
LAUNDRY TRAY 5. . . . . . ; 1 GF RAIN DRAINS. . . . . : 1.
GREASE TPAPS. . . . . . . :0
OTHER f.7 I XTURES. . . . . :0
SEWER LINE (ft ) . . . . :0
WPTEQ LINE (ft ) tOV)
RAIN DRAIN
..._._._._..______..__.FEE(;_...-_..__._TIF $ 1500. 01i P X7/1')/`.5 95-268LLi
BPRT $ 545. 50 B 07/ 95--268221
BPLC t' 50. Q10 1210h; 07/06/95 95--;26 763
1. i7 4 S5PC s c7, .7`8 LA 07/19/95 95-268221
4 EBF 754 . PARK $ 500. 00 B 07/ 1 )/9c 9-1-d-26322
wwr � 45. 00 13 07/19/95 95-268221
Mr-,LC I i 1. -,5 B 07/1r) 195 95- GIK.1121
M5Pc 25 B 07/19/95 95-268021
[-,PRT EL5. 1210 B 0'7/19/95 95- 2f�l 0
P5PC 1, 11. 25 B 07/19/95 95-2C
180. 00 IA 07/19/95 05-268221
_WM -268221
# $ 100. 00 B 0'7/19/95 95
Mown here. . . .
REQUIRED 11,45PECTIONS
I led subject to the reg- Footing ITISP Insulation Insp
r:t -�AIT'IrPd in the Tigard Municipal Gyp Board Insp
5pe(:!jalty C-01-JeS and .-All Found at on Insp
All work will be (June Post/Seam rtruct Rain drair, Insp
I approved pl-ATIS. 11 1 _. PoEt/Deam MechaTl Water Line Insp
r-e if work is not started Cy-awl Drain Water Service In
or iE :>,.tance, or, if worn is PlM/1.At1d5lAb TTis;) nppr/Sdw1k Insp
mclr (- than 180 days. PLM/Undev-f loot, Mechanical FinEl
Mer_hAniL,'-Al Insp Plumb Final
Plumb Top Clut Building Final
Framing Insp Er a s i 0 T) C Q n t V`0 I
171r,eplaut, ln�;p
lnt�p
I ITI 1.)i 11 fA CoT, actor Si un at I.[)- e
639-4173)
I L
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Perrnit # CL-C
Phone (503) 639-4171 Date Issf ed 1 - I`1 -`1S
FAX (503) 684-7297 Issued by ; i'Au(t--r-4_4
CITY OF TIGARD rDD No. (503) 684-2772
Inspection (503) 639-4115
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development LUS � OVJ`� Number of Inspections per permit allowed
Address _J /I 1 ✓V v _ C _ Service Included Items Cost(ea) Sum
r
City/State/Zip (✓ C I�� /�/` 4s. Residential- per unit 4
1000 Rn It or leas $11000
_
Name (or name of business ad �-l i hwl I(�PN FAa addoral sq n or ,�-
portion thereof $2500 � I
M
Commercial❑ Residential ch anergy $25oo
__
Each Manufd Noma or Modular 2
Dwelling Service or Feeder $6800
2H. Contractor Installation only: 4b.Services or Feoders
IrratallAlion aterAlion,or relocation 2
�1 I 1 l� (C ry 2
Electrical Contractor _ I(✓ -1'11 C- zoo amps or lea.. $eo no
Addre s ( _ I i 201 amps to 4'in amps ti90 00 _ 2
$L_ zz l 401 amps to 60"Amps $12000 2
City 1 I��i/0 State. Zlp_I � _ 601 amps!o 1000 amps $18000 2
Phone No. 2�:7)0- I I '`pp Over l0QJ amps or volts $34000 2
Contractor's License No.���I`l OL _ Aanonnfcl only $5000
Contractor's Board Reg. No._ 4c. Temporary Services or Feeders
—� I 2
Installation alteration o,relocation
Signature of Supr. Elec'n _ zoo amp,or lana a_5o 0o 7500 z
License No. Gr�l�; _ Phone No _ 4o amps to 600 ampto 400 am pss $ 0000
Over 600 amps to 1000 volts
2b. For owner installations: soe*h•above
4d. Branch Circuits
Print Owner's Name Now Alto ation or extension per panel
Address a)Tho toe for branch circuits with
city State, Zip
purchs"of Nrvice or Feeder fee. 2
I Each branch circuit $5 00
Phone No. b)The foe for branch circuits without
The installation is being made on property I own which is purchase of sonfice of Willer Apo.
2
First hranrh circuit $1500 2
not intended for sale, lease or rent. Each addFionel branch circuit $500
Owner's Signature 4a. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $4000 _ 2
Each sign or outline hg.`ttmg $4000
Signal circuit(s)or a limited eno:gy 2
Please check appropriate item and enter fee In lection 513. panel alteration or extension $4000
4 or more residential units in one structure Minor I Abets(10)
Service and feeder 225 amps or more
4f. each additional inspection over
System over 600 w11ts nominal
Classified area or structure containing special occupancy the allowablo in any of the above
Pnr nn;r�:han 535 00
as describe,in N E.0 Chapter 5 Por hour $5"00
„Plant sss o0 _
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees: G
Se. Enter total of above fees $ ( O��
NOTICE 5%Surcharge(05 X total fees) $ A 1)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,CR IF Sb Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR A3ANDCNED FOR Plan Review if requlroe (Sec 3) $
A PERIOD OF 100 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED LJ Trust Account k $
Balance Due $
_ J
•Ulrr`[Er1WN�MtjxT rrpp
ASTER PERM
CITY OF TIOARD PERMIMT #. . . . . . . I:T MI]T950,-,fc.1:
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/19/95
13125 SW Hall Blvd.Tigard,Oregon 97223,4199 (503)839.4171
PARCEL:
, TC PDDRESS. . 13745 SW ROSY C1
_'BDIVISION. . . . ROSE: MEADOWS ZONING: R7
L . . . . . . . . . . L-OT. . . . . . . . . . . . . :008
BUILDING
DWELL It,,1G LJNITC- : 1 BASEMENT. . . . . . . . .0 s
ASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . 9481 Sf
PF. OF USE. . . .sr FLOOR AREAS REQUIRED SETBACKS-
,,i.,E OF CONST. :5N F I RST. . . . : 12 L,1 9 f LEFT. . :5 ft PIGHT. :5 ft
"CCUPANCY GRP. : "13 SECOND. . . :807 5f FRONT. :216 ft REAR. 32 ft
UR.I I`S. . . . . . . :2 FINBSMENT:0 S f REQUIRED_..._----_.
17,14T. . . . . . . . :27 ft TOTAL- - :.2103 Gf SMOKE DETECTORS. :Y
-DON LOAD. . . . :40 psf VALUE. 1441 a'9 PARKING SPACES. . : I
Pem.ir-ks ,-. PATH I
PLUMBING
NKS. . . . . . . . . . t I f.L L)o R D R A I 1q'3. . . . :121 BACKFLOW PRCVNTRS. . : 1
tVA1ORIES. . . . . .4 WATER HEATERS. . . : 1 TRAP'S. .. . . . . . . . . . . . . :0
:D/SHOWERS. . . . :3 LAUNDRY TRAYS. . . I CATCH BASINS. . . . — :0
-,TER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
HER5. . . . : I WATF'R LINE (ft ) . : 10121 oim7R FIXTURES. . . . . :0
,F?DAGE DISP. . . : I RAIN DRAIN (ft ) . :0
SITING MACH. . . : 1 SF RAIN DRAI'45. . : 1
MECHANICAL FEES
R71_ TYPES- UNIT HTRS. . :0 t y P E., amci,.knf, by &at e I-ecpt
X1215/ VENTS . . . . . :O TIF $ 1590. 111121 B 07/19/95 9 5--26 8 J.'2 I
1X INPUT.-O STU VENT FANS. . :4 a 17,R T $ 545. 5111 D 07/19/95 93 -..2&8 221
!RN ( 100K . . :0 HOODS. . . . . . : 1 BPLC 1 50. 00 DON 07/06/95 9 5--s':26 7 6 8 7
. . : I WDODCITOVES. :it 7. 5 07/I IJ/15 95- clac-
_UUR TURN. . . . :0 CLO DRYERS. : I PARK 500. 00 B 07/19/95 95--26622.1
)IL/CM"' 3HP-.0 OTHER UNITS.-1 MP5T 4 4:x. 00 D 07/19/'75 95-2C,87
GAS OUT LETS I MPLC 11. 25 D 07/19/95 95-26
11 17,C -.15 F3 071 J.9
Y 'J 95-E&82E.']
MILLER PPRT 225. 12710 B 07/19/95
0 BOX 23,1131 P-5r":: 11. c.":7 S 07/1')/1)'.7 9S-268,- I
SWM $ 180. 00 B 07/19/95 95--268L-_L-.
C:ArxD OR '77.-_,_-.4 13 W 1,1 .1, 100. 00 A 07/1.9/75 15
one #: f,847543 EROS $ 64. 00 B 07/19/95
T I-j
- to : _ ...__... _ __ ._ _......._.. _. -ERPC t L2,0. 8k1, B 0', / I�'/95 95-261-1221
.N WATTS CONSTRUCTION INC ERPC $ 22. 8171 B 07/19/95 95--268221
J BOX, 230925
BARD OR 97281
-)rig, #: 6134-44,31.
Reg
3393. 13 TOTAL
is pproit is issued subject to the regulations 1-vitaired in the REQUIRED INSPECTIONS
,ard wunicipal "ode, State of Ore. Specialty '.odes ani all other Footing Insp Pl�imb Top Out
applicable laws. All work will be done in accordance with approved Fokmcl,.Ation Insp Ft-timing Insp
ans. This permit will expire if work is not started within 180 FIost/Beam Stt.ict rit-eplace Insp
=ys of isviarce, or if work is s,ispe I RVVL I - - P thad Adays. Plost/Beam Mecham Gas Line Insp
Crawl Drain ion Innp
Sig t Plin/l.tridslab In'. p [Syp BoarLi Insp
PLM/Untjortf I clot, Rain dv,cA.in Insp
I Py ktL"\1A V 11e(_Ji,_knic-i41 Insp Watei- Line Insp
Call fot inspec,tion x,394175
6cwLk LONII&L,TI&N
CITYOF TIGARD i-1-*mm I T
PE P lyl I T #. . . . . . . .
. SWR95-0E71i
COMMUNITY DEVELOPMENT DEPARTMENT DOTE ISSUED: 0-7/19/95
131125 SW Hall Blvd.Tigard,Oregon 97223*6199 (5031 639.1171 F-,PRCEL: 2SI04BD—RM008
TE
ADDRESS. . . : 13745 GW ROSY CT
,-.JBDIVISION. . . . : ROSE MEADOWS ZONING: R--7
i-ILCCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..008
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS 017 WORK. . . :NEW IDW17-LLING UNITS. . : 1.
OF USE. . . . . 4.8F NO. OF' BUILDINGS: 1
INSTALL TYPIE. . . . :bUSWN IMPERV SURFACE. . : Sf
Pemarks : F-IATH I
Owner: ------------------------------------------------------------ FEES
JA'( MILLER type aMOI.Ant by date r 9 pt
PI 0 BOX 213291 r-,RMT $ 2200. 00 B 07/19/95 95-268221
"35. 0121 0 07/19/r)5 9S-- 13.2 01
TIGARD OR 97224
;:11-ione #. 6,94-7543
Contractors
CONTRACTOR NOT ON PILE
Phone f37S. 00 TOTAL
Reg it. .
REQUIRED 1P4SFE-.CT IONS
This Applicant agrees to comply with all the rales and regulations Sewer InEipertirin
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be farfeitii. if the
permit expires, The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the neaslrement
given, the installer shall prospect 3 feet in all directions fr.o
the distance given. If not so located, the i-,taller shall purchase
a 'Tap and Side Sewer" Permit and the Ill lstpral.
Ple),mittee
CL11 i-LI I irispec.:tion 639--4175
Residentirl Build in Permit Application
City of Tigard
13125 SW Hall Blvd. �'� I 1
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
I 'n
t'l �;� � or r LQ(i '�" ` 7 Lout Office Use Only
S
ubdivlslon: l
Valuation:
Permit # to'. _ "11j-
Corner Lot? Y 1
Flag Lot? Y
Reissue of
LN),
Map t~ TL #
Owner: Approvals Required
Address: �-L �L,C—_— Planning `zS.�\�.�c.1t�7✓�' .�W�C�yt:
Engineering
Phone: ?� 1 �� Other
Contractor: _ Items Required
Address: a4 Subcontractors
L'
Truss Details
Phone: Other
Contractor's License #
(attach copy of current Oregon license)
Contact Name & Phone:
e.
II ��
Subcontractors: Architect/Engineer:
Plumbing: V �Kr + Address:
'Pl
Mechanical: _
(attach copy of current OR Contractor's License) t
Phone:
J013 DESCRIPTION:+
A I c nt Slgnaty & Phone number J rr
Received by: l I U-0 k«-D P-1 Date Received:
N%WORD`COMDMFIFSAPP
Permit 0 Account Description Amount Amt. Pd. Bal. Due
D;L-G '
r Bldg. Permit (BUILD) ', c ). �)U ^���'S' o
Plumb. Permit (PLUMB) �Z)�`✓ -� S
Mech. Permit (MECH) "I,,W��` _� U ✓
State Tax (TAX)
Bldg: ✓
Plumb: _ -
Mech: 2'1'' ✓
Plan Check (PLANCK) 5o
Bldg: U
Plumb:
Mech:
y 2 7 Sewer Connection (SWUSA) 221-10
Sewer Inspection (SWINSP) -h 31-
Parks
,"Parks Dev Charge (PKSDC) �� 1)`'y v
Residential TIF (TIF-R) �� 1 X17y_ '✓
Mass Transit TIF (TIF-MT) I J A) l zs►
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0) _
Water Quality !WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) , Y _'
Erosion Planck/USA (ERPLAN) ���' tti ✓
Erosion Planck/COT (FROSN) ,)V, hi
TOTALS: 5� 0
Address
Box A calculations : North-South dimension for the lot . Box A:
This dimension is determined by finding the midpoint of the
North lot line and drawing an intersecting line perpendicular
to that point . Measure the distance from the midpoint of the
North lot line to the South lot line along the described line .
Dox B calculations : Shade point height from your structure . Box B :
1 . Determine whether measurements will be based on th(-- peak
or eave of your structure . The orientation of the ridge
is also important . Which
la : If the roof line runs North-South, measurements will be describes
based on the peak of the roof . your lot?
lb : If the roof line runs East-West and the roof pitch is less (Circle one)
than 5/12 , measurements will be ha-ed on th(-- eave .
ic : If the roof line runs East-West and the roof pitch is 5/12 la lb lc
or steeper, measurements will be based on the peak.
-
2 . Measure change in elevation from front property line to
finished floor elevation. ft I
; . Measure distance from finished floor elevation to the
affected peak/eave . + Z��,`� ft
4 . If the roof line runs North-South, deduct three feet .
If the roof line runs East-West , deduct nothing. �
ft
S . Subtract one foot for each foot of difference in elevation
from the front property line to the rear property line, if
the tor_ slopes up from the front to the rear. If the lot
has no slope or, slopes up from the rear to the front, =k--- -
deduct nothing .
� . otal figure for bcx B :
Box Distance t_ ) the shade _eduction line . 5',x C :
_ . Measure the distance from the North property line tc the
foundation.
2 . Measure the distance frac; t a foundation to the affected
ft
peak or eave .
i
3 . '_'otal figure for bcx
I
_ ' ft
Solar Balance Paint Standard
Box A. North-South dimension for your lot Box B. Shade point height from your structure
feet (I feet
Box C. Oiatance to the shade reduction line
Feet
I
Distance to
shade 100+ 95 90 35 30 75 70 65 60 55 50 45 40
reduction line
from northern
lot line in feet
70 40 40 40 41 42 43 44
65 39 39 38 39 40 41 42 43
60 36 36 36 37 38 39 40 41 42
55 34 34 34 35 36 37 38 39 40 41
50 32 32 32 33 34 35 36 37 38 39 40 41 42
45 30 30 30 31 32 33 34 35 36 37 38 39 40
40 29 28 29 29 301 31 32 33 34 35 36 3 38
35 26 26 26 27 28 29 30 31 32 33 34 35 36
24 24 2 4 25 -_2.6 _.;_7_.._ 23 29 30--3.1. 3 2 33 34
25 22 22 22 23 24 25 26 27 28 29 30 31 32
20 20 20 20 21 22 23 24 25 26 27 28 29 30
15 18 19 19 19 20 21 22 23 24 25 26 27 28
_3 �6 15 16 _7 19 19 20 21 22 23 24 25 26
3 _4 14 _4 15 15 17 13 19 20 21 22 23 24
j.-
3cx "D" Maximum allowed shade joint height �� � feet
CITY OF TxGARr) - RECEIPT OF PAYMENT RECEIPT NO. :95-P68221
CHECK AMOUNT e 5772. 3a
NAME s JAY MILLER BUILDER, INC. CASH AMOUNT s 0. 00
ADDRESS a PO BOX 23291 F)PYMENT DOTE s 07/19/95
PORTLAND, OR SURD IVisinN
97281--
PURPOSE OF PAYMENT nmouNT PAID PURPOSE OF PAYMENT AMOUNT PAID
BUILDING PERM 545. 050 PLUMBING PERM 2PIS. 00
MECHANICAL PE 49.00 ST. BUILD PER 40. 78
PL.AN CHECK FE 11. p5j SEWER USA 2POO. 00
SCWER INSPECT 1315. 00 PARKS GDC 500. 00
H2,0 QUALITY FACILITY FEE 180. 00 REST.DENTICt. TRAFFIC FEEy :1470. 00
MASS TRANSIT TIF FEES 120. 00 H2O QUANTITY FACILITY FEE 100. 00
EROSION CONTROL PERMITFFE 64. 00 EROSION CONTROL PLAN CK 20. kFio
E"ROSION CONTROL x'0. 80 E-L.FCTRTCAL PERMIT 185. 00
51 . BUILD PER 9. 27 i
13745 SW ROSY CT. ms,r 95-0,269
TwAL AMOUNT PATI) 5772. 38
CITY OF TIGARD -- RF-UF"JFlT OF r,r4YMV-t4T Rr.( ETPT NO. Ft P 6 7(-t S 7
CHECK AMOUNT 5"0. 00
NAME JAY M11-1-17,R WJ.H-DER, INET. CASH AMOUNT 0. 00
00, I)REIGS Flo BOX P329 I PAYMENT DATE 07/06/9�`i
P(-)RTLnNr,), Of? �-,IJPD T.V 19 1 nN s
97iESI-. I
PURPOSr OF I , MFNT AMOUNT PAIL) PURPOSE OF' PAYMENT nNjnUNI' PAID
..........
CH .......—
11 1
.0114 FCK PE 7-14R 1!50. 910
SW RC*.)Y ("T.
TOTAL.. AMOUNT PAID 1-00. Owl