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iArecords\mr crofIm\targets\building.doc
�A CITY OF i I^ARD BUIL-DING 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/Fir/Slab Plbg.Top Out Insulation a
Post/Beam Struct. Mech. Rough-in Gyp. Bd
San, Sewer Gas Line
� Appr/Sdwlk Reins.
Other: 4d
Date: _ Q ) _�P.M. Ei,t �
Address: ��-
Tenant: _ _ Ste:.---- MST:
BU P:
Con/olw .. Q�Q G _.�_u�=t._ _ MEC: _
y PLM: a
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: ._
!n -c tor: _ __ Date Z
_APPROVED _. DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INP`SCTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Husiness Phone: 639-4171
Inspection:_
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beane Struct, Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. 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
BUiider: _ Permit#: ��, _O
THE FOLLOWING CORRECTIONS ARE REQUIRED:
� � 1
p f--�—�/
Ins actor: ' t-% Date:
APPROVED —[`ISAPPROVED )4APPROVED SUBJECT TO ABOVE
Call For Reinsp.
Cor tmunity Develo7ment ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Prlrmit # f L C, L) , d l C
Phone (503) 639-4171 Date issued 7/ y -
CITY OF TI�3ARD FAX (503) 684-7297 Issued by _ /-" I e
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development PIC, R's L�4j 1 Number of Inspections per permit allowed --
A.ddress fflgn R�t U�Ir U.R? _ f
Survi:.c!IrnaudPd ItHms cst(ea) Sum
City/State/Zip_TI 4s. Residential• per un;t +^
/ 1000 aq fl or leen $11000
Name (or name of businessMi CtQ_\4 (Dwtyyc. tc j Each additional 500 eq fl nr
portion thereof $2,100
Commercial ❑ Residential -imded Energy $2500
Each ManAd Home or Modular
Dwelling Service or Feeder $6800
2a. Contracts, installation only. 4b.services or Feeders
Installation,alteration,or relocation 2
Elecbical Contractor _ __ __ _ 200 amps or leas woo
Address — 201 amps to 400 amps $8000
401 amps to 600 stripe $12000 2
City State _ lip_ 601 amps to 1000 amps $18000
Pho-.e No. over 1000 amos or volts $340 00 2
Cont actor's License No. T Reconnect only $5000 R ^�
Contractor's Board Reg. N0. 4c. Temporary Services or Feeders
Installation,alteration,or relocation
Signature of Supr. Elec'n _ 200 amps or less $5000 _
License No. Phone No. 201 amps to 400 ampa $7500 _
401 amps to 600 amps $10000
Over 600 amps to 1000 volts
2b. For owner installations: see*b•above
4d.r3rench Circuits
Print OWne"'S GName , 4) N � ` y��a �� __-- New alteration or extension per panel
Address 1 ✓ J> n The fee for branch circuits Wlfh
r, — purchase of wrvks a Nada Ne.
City C State Zip __-- Each branch circuit $500
Phone No. - 9V4 b)1 no tee for branch circuits Without
The installation is being made on property I own which is purchase of awyke or Nader Ne. ed 2
not intended for sale, lease or re t. Each
branch nalcirI-r $35 CO _
Each edddional Irtench arwil $500
Owner's Signature_ . __ ____ 4e. Miscellanso!Is
(Service or fo?der tot included) 2
3. Plan Review section (if re ired): Each pump or irrigs ion circle It:o,,o
Each sign or outline lighting S4000
Signal circuit(s)or a limited energy
Please check appropriate item and enter fee in section 5B. panel,alteration or extension $4000
4 or more residential units in one structure Minor tatvls(10) $10000
Service and feeder 225 amps or more
4t. Each additional inspection over
System over 600 volts nominal
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 rnr hour
$ 00
55
Per hoour _ $55 00
In Plant $5500 _
Submit 2 sets of plana with application where any of the above �-
apply. Not required for temporary construction services. 5. Fees:
NOTICE
5s. Enter total of above fees $
5%Surcharge(.05 X total fees) $ T
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 3u $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. EntPlan Review
r of line A for
if required(Sec 3) $
CONSTRUr.(ION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ --�
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS ^^COMMENCED lJ Trust Account 8 $
Balance Due $ !�
rertcon,MNNK am.np
CJ'JY TIGARD RECEIPT OF' f.)AYMENT RF-CU T PT NO. -9 5f—F,,'G f 098
CHUGV� AMOUNT - 36. 75
NAME VODAY CONSTRIK'710114 CW;I-I AMOUNT 0. 00
A D 1)H 17.,""i"'I SCA, NTCTILF CAIURT f-`,f-)YMF'MT DATE=
07/17/95
Wf,:.ST LINN, I`M S)UBD T V I S I ON
97066—
PURPOSE OF-, PAYMFNT fio0ll IN'r r',o i t CW V,AYMETNT ()MOUNT F-1111)
.............. ...........
ELECTRICAL PrRmi,r 35. 00 "'j. PUMD lEP 1. 7"
9891A SW RIVERWOOD LANF-
ELC95-0168
TW AL. AMOUNT FSA ID 36. 75
CITY OF TIGARD BUILDING INSPECTION NvTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
t_
Inspection:__r___�_�
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Merh. 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 ramin ✓ -Plumb.
Alarm Water Line Insulation -Mach.
Underfir. Insul. Shear Wal 9A_'
--
Gyp. Bd. -Elect.
Date Requested: _Time: AM PM
Addresr•_
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REOUIRED:
Inspector:_— Date:
_APPROVED _DISAPPROVED 04.,APPROVED SUBJECT TO ABOVE
Call For Reinsp.
BUILDING ",ERIIIT
CITY OF TIGARD P C r'M IT it. . . . . t : DUP�41- 0'..
Dr"ITE IS:7;Ur-D. 06/29/95
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Or*gon 97223.9199 (603)639-4171
PARCEL: :,Si14BD-0. 1Q10
S'ITE ADDRES)S). O', 3`)O SW R'lVET FOOD LN
SUBDIVISION. . . . - PICKS LANDING 'ONING: R-Ii. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .7
REISSUE: FLOOR AREAS---- EXTERIVr, WALL CON" Truc-rto! ,
CLASS OF WORK. :ALT FIRST. . . . .S22 5f N: S: E: W.-
TYPE 01" USE. . . .3F SECOND. . . : r PROTECT OPENINGS'' - - - ----
TVPE OF CONST. :SNTHIRD. . . . S,f N: IS: E, W
OCCUPANCY GRP. . r3 TOTAL.,- - 5. L' s f ROOF CONST : 1:'IRE PET?:
OCCUPANCY LOAD: BASEMENT. : e,f AREA SEP. RATED-
�3TOR. :01 1-1 T. . I ILI ft GARAGE. . . : sf OCCU SEP. RATUD.,
B9MT? - MEZZ?. READ SETBACKS------------ REDUI
FLOOR LOAD. . . . :GO piii f LEF i . rt RGI IT r. F L FIR SMOK DLT. .
DWELLING UNITS: FRNT-. ft REAR: ft FIR ALRIM: HNDICP ACC:
DEDRMS: BATHS: IMP' SURFACE: ;7,no PARI" I NG.
VALUE. $: 15000
Remark 11,4CLOSING MAKING SUN ROOM
oWn
ROP & i- INDA rr_NST1'.4.RMAKCR t y i.)e ih in 0 U 11 t by date I-ecp,
98901 SW RIVERWOOD LN PRMT $ 110. 50 JD 06/29/95 95-26743'
PVA K t 71.. 83 JA VIC,/14/95 95--26 G 71
TIGARD OR 97224 5PCT t, S. 53 iD 06/M'9/95 95--2C 742",
Plicire ff- 639-481.4
COnt 1aUt pr`: ---- --- ----- _-._ - -- - --
VAPAY CONSTRUCTION
NICOLE CT
WEST LINN OR 97
Pficine fl 1"55 $ 167. 86 7OTf�[_
10 21,1 :11
REOU I RED I NSPLC-r I ONE.)
T,nis permit is issued subject to the rquiatiorns contained in the r7,r-,AMi1)W lr)5k')
Tigard Municipal Code, State of Ove. Specialty Codes and ,11 other Rairt drain lYL15P
applicable laws. All oark will be done in accordance with ririal Tris,pec.Aiciri
approved plans. This permit will expire if work is not started
within 16@ days of issuance, or if wurk is suspended for more
than 180 days.
f
Call f'ot, n is pn?Ltion 639- 417
Residential Building Parmit_Application �Lp
City of Tigard 1yJ
13125 SW Hall ,Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 11'I C� %��1 ,�1 C ti LL VW� I 1
Office Use Onl
Subdivision: CI L L-Gl f� I_Y��_-_ Lot #� �_
I r., CC (L Planck/Rec #
Valuation: � �,• --- '
CN Permit # Pjl�. ,L o2-20.
Corner Lot? Y <N
Flag Lot? Y ReiSSI e of_
Map & TL # r6 Q r)D _
Owner: c S I Approvals Required
Address: ac b nu-1 [`I V-f vLcro 'Cl L t 1 Planning .11\rc
Engineering _
Phone. ��f ' ,I - -_- Other
Contractor: (,lLIy j L-)i,) S11"O'L -1(;11
rr Items Rqqwired
Address: ^W KI Lcj� Lfi- Subcontractors
—W� L5+ U Truss Details _
Phone: &5 !5 - 40 O4 tither
Contractor's License # _103111
(attach copy of current Oregon license)
Contact Name & Phone: moi- 11 V'L1cta,
Subconiractors: Architect/Engineer: LT I TW511h _
Plumbing Q�11h��� _ Address: _I ( 21 r` S(� ��•, ���
Mechanical: 0ll '�'pi✓ __ �F�i_ r�MA;'M
(attach copy of current OR Contractors License) VJ� 2_0210 �-
Phone: �J
JOB DESCRIPTION. ;�a%� '�l�_i, r '�1'1� (. I V f b`�1 I�Q d�L�C., ( 61 �CtrG�C.
Applicant Signature & Phone flumber
Received by: Date Received:
77 r
Permit At Account Description Amount Amt. Fd. Bal. Due
Bldg. Permit (BUILD) ��� ' ? �� 5 0
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg: __
Plumb:
Mech:
Plan Check (PLANCK) �y• r�
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Irisaect:on (SW.4'4SP)
Parks Dev Charge (PKiDC)
Residential TIF (TIF-R) _^ _
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-I)
institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion PlanckJUSA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: 71 ! ice
CITY OV T r vit,Awo - ptcr*f vi OF P()YMENT Flr,,CF'.-IRT No. :95-267435
CHECK 01401ANT r. 116. 03
NAMI a VADAY CLINE,T PLICT I("IN cn,-;H (:imowu a 0. 00
PDORNSS PAYMEVT 1*1TF:' 0 6/i 19 q 5?
826 Nl("01.-I-' cr SUM)I V T c-,T 01\1 r
PIUM.'.10F3F Or- AYMENT (74' PPYMENT FIMOLINT F--'010
E�UILDTN17,.7 PERM SUP95-0.?c-Ab t Ilii„ "M T. BUILD F'r".P 5. r-;3
9890 SW RIVEPWOOD l..N
TOTAL. V)MOUN'T PF-111)
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f"t�pj'j 6,
PL PIN (A if I I.
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