6925 SW VENTURA DRIVE 1r
ADDRESS:
9 L.V-6, Prov
is\records\microfilm\t,-. jets\building.doc
CITY OV'TIGARD BUILDING INSPECTION DIVISION
244Hour Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: T' A.M. — P.M. MST:
Location: _-_-- w� a' ill('A BUP:
Tenant:_ Suite: ,Bloc;• MEC: _
Contractor: r4��_ ����i_ �� �/�, Phone: UC) PLM: _
Phone: ELC: "zo
ELR:
SIT:
BUILDING BLDG(con't) PLUMBING MECHANICAL E TRIC SITE
Site Post/Beam Post/Beam Post/Beam _o r, rvice Sewer/Storm
Footing Roof Undl'I/Slab Rough-In Ceiling Water Line
Slab Framing Top Chit Lias Line Rough-In 110 Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsint Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C 130 Slab
Shear/Sheath Fire Spklr/Alm Crawl.Tound Dr heat Pump IAM Volt
Approved Approved Approved ,pmvat Approved
Appr/Sdwlk Not Approved Not Approved Not Approved I Not Approved
FINAL FINAL FINAL F FINAL
A14
n Call for reinspect* D Reinspection fee of S __-mquired before next inspection 0 t Inable to inspect
Inspector: l/'/ Date:_ �" �d _ Page —of---
CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMEN"r SERVICES PIERMIT #: ELC98-0250
13125 SW Hall Blvd,. Tigard,OR 97223 (503)639-4171 DATE ISSUED: 05/11/98
PIARCEL- IS125DD--02400
SITE ADDRESS. . . :06925 SW VENTURA DR
SUBDIVISION. . . . :WASHINGTON SQUARE ESTATES 7ONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O15 JURISDICTION: TIG
FIr oj ect De scr i pt ion : Add a first !)ranch circuit to an existing single family
dwelling.
--RESIDENTIAL (JNIT------- ------TEMF:l SRVC/FEEDERS------- ------M I SCEI._LANEOUS--------
1.000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . 1 0 PIUMPI/I RR I GAT I ON. . . . 0
EACH ADD' I_ 500SF. . . - 0 2.01 400 amp. . . . . . . : 0 SIGN/OUT LINE 0
LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/P,ANEL. . . . . . . 0
MANF. HM/ SVC/FDR. . : 0 6014-aMpS--1000 V01tF,. : 0 MINOR I.-ABEL ( 10) . . . : 0
------_qERVIC1-:./FEEDER---- ----BRANCH CIRCUITS-------- — --PDDIL INSPIECTIONS-----
0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
201 — 400 amp. . . . . . : 0 1St W/O SRVC OR FDR. : I PIER HOUR. . . . . . . . . . . : 0
401 — 600 amp. . . . . . : 0 EA ADDIL RRNCH CRC: 0 IN P,LAN1.. . . . . . . . . . . : 0
60 1 — 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTION--_..____________.___.
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > 225 AMP'S. . : CLASS AREA/SPIEC OCC. :
Owner: FEES
IARI QUERIN type amount by date recpt
06925 SW VENTURA DR ,--RMT $ 35-. 00 GEO 05/ 11/98 98-305666
TIGARD OR 97223 5 P,C T $ 1. 75 uEO 05/11/98 98-305666
Phone #:
Contractor:
ACE ELECTRIC CO $ 36. 75 'TOTAL
2535 SW PIALATINE STREET
REQUIRED INSPECTIONS
PICIRII-AND OR 97219 Elect' l Set-vice
Phone #: ''44-0078 Elect' l Final
Reg #. . : 000706
This permit ii issued subject to the regulations contained in the Tigard Municipal Code, State of Ov,aon Spec,a!ty Codes and all other
applicable laws. All work will be done in accordance with approved plani. This permit will Pxpir- if nark is not started within 180
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oreo,n law requires you to folloo the rules adopted by
the Oregon Utility Notification renter. Those rules are set forth in OAR 952--F*I-*I@ through OAR 952-8F1I-19.87 You may obtain a enpv
of these rules or direct questions to OUNC by calling 1 6-1987.
F-ey-mittee Signati-tre* — I Is s i..i e d B_V-4�
INSTALLA ,AON ONLY------- ------------------------
'The installation is being made o- property I own which is not into_nded for
sale, lease, or, rent.
OWNER' S SIGNATURE: DATE
INSTALLATION ONLY------------------------
SIGNATURE OF SUPIR. ELECIN- DATE
LICENSE NO:
....... *.......4-++++4.................................4.........4..............4 + +
Ca- 1 639-4175 by 7:00 p. i. for an inspection needed the next bo-tsiness day
4--4-4...........................................4-4..........4-++++-#-+++4...............
■
�f 1,
CITY OF TIGARD Electrical Permit Application Plan Check#
13125 SW HALL BLVD. Recd By
Date Ruc'd
TIGARD OR 97223 Date to P.E.
Y/� _
Phone (503)639-4171, x304 print or Type r/`V- Date to DST
Inspection (503) 639-4175 Permit#,�f��yS-0.SU
Fax (503) E;84 7297 Incomplete or illegible will not be accepted called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development`,, 44?Z&/-9zger� 5 Number of Inspections per permit allowed -
Name(or name of business) 7Q r I ( �t wo n Y1 __ Service included: Items Cost Sum
�y .1 ,
Address 1 �)LA) �^�` �\ 4a. Residential-per unit
��1f 1000 sq ft.or less $110.00 4
City/State/Zip Lt �Arn Each additional 500 sq.ft,or
rr%� portion thereof $25.00 _ 1
Commercial ❑ Residential l� Limited Energy $25.00
�' �� r}4Each Manuf'd Home or Modular
L�
` ho-Y\Q.. p L Dwelling Service or Feeder $68.00 _
2a. Contractor installation only:
(Attach ropy of all current licenses) Ins Services or Feeders
ire, mtalletlon,alteration,or relocation
Electrical Contractor- «� ELE'-�fRr� - 200 amps or less $60.00 _ 2
Address xr� 201 amps to 400 amps $80.00 2
City._ aX ori-0 1J State 1r,'L _Zip M/P 401 amps to 600 amps ___ $120.00 2
Phone NO. 7`1�/-C'�76 601 amps to 1000 amps $160.00 2
'T- Over 1000 amps or volts $340.00 2
Job No._
Reconnect only $50.00 __ 2
Elec. Cont. Lice. No.L6 `> r. Exp.Date / ?R --
OR State CCB Reg. Neetrg-67 ,
�,Exp.Date /fir•- 9/ 4c.Temporary Services or Feeders
COT Business Tax or , _Exp.Date/e•- Installation,alteration,or relocation --
r , ,( '200 amps or less $`0.00 2
Signature of Su r. Elec'n //Ci>!�t.-T '� i�+�yt __ 201 amps to 400 amps $75.00 2
g p �--__7 401 amps to 600 amps $100.00 _ 2
Over 600 amps to 1000 volts,
License Nr _3 2Z 7 Exp.Date I'" 7e�' see"b"above.
Phone N _L_y 4d.Branch ClrculUt
New,alteration or extension per panel
2b. For owner in.wallations: a)The fee for branch circuits with
purchase of service or
Print Owner's Namefeeder tee.
---- - - - - Lach branch circuit __ $5.00 2
Address-- _ __ b)The loo for branch circuits
Cit State__ Zip_ without purchase at
Phone No. service or feeder fee. ;'-
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circuit_ $5.00 2
intended for sale,lease or rent. 4e.Ml,,cellaneous
(Service or feeder not included)
Owner's Signature_ Each puml or Irrigation circle $40.00
Each sign -3r outPri lighting $40.00 -_
Signal rlrrutt,,,;nr i lirrtlted energy
3. Plan Review section (if required):' o-,tel,alteration or extension _ $40.00 �.._.
Minor Labels(10) _ $100.00 -
Please check appropriate item and enter fee in section 5B.
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 r'.,minal Per inspection _ $35.00
Classified area or stru;ture containing special occupancy Per hour $55.00
as described in N,E.C.Chapter 5 In Plant
-- $55.00
"Submit 2 sets of plans with application where any of the above apply. 5. Fees: 3 ��
Not required for temporary construction services. 5a.Enter total of above fees $ 1 7 2
5%Surcharge(.05 X total fees) $
NOTICE 1 Subtotal $ -___---__
5b.Enter 25%oi one 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if re Ired(Se:2) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ElTrust At# 6,
TIME AFTER WORK IS COMMENCED. _ $
Total balance Due
IMSTMELcw APP Rm PIN
Page No. 1 CASE HISTORY FOR CASE NO.: MST95-0307
T'ARI QUERIN
06925 SW VENTURA DR
08/21/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA007 Applicatz)n received / / / / 08/09/95 PASS BON 08/23/95 BLT
MSTA010 Plan check deposit paid / / / / 08/09/95 PASS BON 08/23/95 FLT
MSTA020 Plan rheck by 08/23/95 / / 08/23/95 PASS RT 08/23/95 B',T
MSrA030 Check for prcl. restrict. / / OB/23/95 08/11/95 PASS BON 08/23/95 BLT
MSTA080 (F) Ready to issue / / / / 08/20/95 We have contractor information but no PASS BON 08/28/95 B
expiration dates.
MSTA092 (F) Issue combination permit / / / / 08/29/95 PASS JDA J8/29/95 JDA
MSTA705 Footin-1 Insp / / / / 08/30/95 APP GS 08/31/95 GES
MSTA706 Foundation Insp / / / / / / This is a deck N/A 08/12/98 WDJ
MSTA721 Framing Insp / / / / 08/12/98 PASS WDJ 08/12/98 WDJ
MSTA',70 Misr_. Inspection / / / / 08/10/98 Called owner (as listed on permit) and NOTE WDJ 08/10/98 WDJ
left a message asking her to call and
schedule a final inspection.
MSTA799 Building Final / / / / 08/12/98 PASS WDJ 08/12/98 WDJ
MSTA970 Case Finaled / / / / 08/18/98 08/18/98 JT
MSTB708 Erosion Control / / / / / / deck N/A 08/12/98 WDJ
I
CITY CSF TIGARDMASTERGF2M • PERMTTMST95 -03O
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 064`9/95
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)639.4171
PARCEL: 1 S 1 i=SDD 0._400
SITE ADDRESS. . . : 06925 SW VENTURA DR
SURD(V I S I ON. . . . : WASH T NGTON cCJUARr ESTATES ZONING: R-4. 5
FLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 15
BUILDING
REISSUE: DWELLING UNITS:0 BASEMENT. . . . . . . . :0 s f
CLASS OF WORK. :ADD FEDRMS:O BATHS:O GARAGE. . . . . . . . . . .0 sf
TYPE OF USE. . . :S1= FLOOR AREAS------- _ REQUIRED SETBACKS— - -_.....-_...-__-
TYPE OF CONST. :5N FIRST. .500 s F LEFT. . :5 ft R I GHT. :0 f't
OCCI.JPANCY GRP. :R " EC[)ND. . . :0 s f FRONT. :1a ft REAR. . :32 ft
STORIES. . . . . . . . I FINBSMENT:O S REQUIRED-•-
HEIGHT. . . . . . . . : 0 ft TOTAL.._-_.._.._-:0 S f SMOKE DETECTORS. :
FLOOR LOAD. . . ., :60 psf VAL.UE. . . . . : 9100 PARKING SPACES. . :0
Remarks : new der:k
PLUMBING
:.MINI:S. . . . . . . . . . :V, FI...00R DRAINS. . . . :0 BACKFLOW PP VNTRS. . :0
LAVATORIES. . . . . :0 WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . . :0
TUE/SHOWERS. . . . :0 1._AL1"')RY TRAYS. . . :171 CATL H BASINS. . . . . . . ..0
WATER CLOSETS. . :0 SEWER LINE (ft ) . :0 GREASE: TRAPS. . . . . . . :0
D I SHWASI IEE?S . . . :0 I„ATE R I_I NFu ( ft ) . .0 OTHER FIXTURES. . . . . .0
GARBAGE DISP. . . :0 RAIN DRAIN (ft ) . :O
WASHING MACH. . . :V SF RAIN DRAINS. . :0
MECHANICAL ...._......___. ._.__ ____..___...._..____.____._..........._.._._._._ FEES
FUEL. TYPES -__.___..__.._____.._..__ UNTT HTRS. . :0 type amol.Ant t)y date recpt-
VENTS . . . . . :O BPRT i� 80. 50 JDA 018/::'9/95 95-269923
MAX INPUT.-.0 ETU VENT FANS. . :0 FF':_C $ 5.2. 33 BON 08/09/95 95--"'690;37
FURN ( 100K . . :0 HOODS. . . . . . :0 P5PC t 4. 03 JDA 08/29/95 95-269923
FURN > =100K . . :171 W001)ST0VES. :0 EROS y', 126. 00 JDA 08/29/95 95-269923
FLOOR FURN. . . . :0 CLO DRYERS. : 0 ERPC $ 8. 45 JDA 08/,29/95 95•-269923
BOIL/CMP ( 3HP.-O OTHER UNITS:O f_:RF='C 4 0. 45 JDA 08/29/1)5 95-2699023
GAS OUTL.ETS:0
Owner:
TART OUERIN
17.1694_5 SW VENTI.IRA DR
TIGARD OR 972:23
r'h on e #: 2'454244
('contractor:
JRW CONSTRUCTION INC
17540 SPR I NGH I L.L_ PLACE
GLADSTONE OR 97017.17
Phone #: 656-7561
Reg #i. .
57769
1F 179. 76 TOTAL
This permit is issued subiert to the regulations contained in the -- - _-- - REOUIRED INSPECTIONS - -
Tigard Municipal Code, State of &-e. Specialty Codes and all other- Footing Insp _W _
applicable laws. All work will b! don^ in accordance with approved Foundation Insp
plans. This permit will expire if work is not started within 100 Framing Insp
days of issuance, or if work is suspended for mart than 180 ddys, S1.0 1 ding Final,
:rosioTl Control
P e m i t i;e e IS3 LU Tl it t
1_1 e d B y
Call for inspection -• 639--4175 ���
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-41171
Jobsite Address: n �iV-=_N�i-�•
11'. 11 �L,.L �'ci3 Office Use Only
W
Subdivision; 2`ak y n�, c✓1. Lot# �+
E�-�� Contact Date / Initials
Valuation: r l ---
Result
New Construction Only: (Square Footage) dS1C OQ Planck/Rec #
�t ) Permit #
House _ _ Garage: Reissue of
Map & TL # !_SII E,r 1�1�-02yn-e,
Corner Lott Y CN Flag Lot? Y CNZoneY-V..S
Owner: TCIr i Dh �, 1 r 1 y` Plat #
Address: A rovals Re ulred
-��----�-----
T 0.tj`- Planning Setbacks Solar
----�----
Engineering _
Phone: Other __..—�! �b �,6 �� c
n �"T Items Required
Contractor: .,� Rt. l l"(�Y1��'[ �[�. l�
Subcontractors
Address J 1 tj Sa ,Q_['_v.Q- 16j' -PlacC J Truss Details
C )0 Other -- — ---
Phone La)3 �.' t� - 5 Notes
�
Contrarior's License # 5� (0q - —' -- --- --
(attach copy of current Oregon license)
Contact Name: t.S► .,J p-t 51 C.)1�� —� -
l:,)ntact Phone'
Subcontractors: ArchitecVEnginser:
Plumbing: Address:
Mechanical:
(attach copy of current OR Contractor's License) -
Phone: L 1
JOB DESCR!PTION
Applicant Signature Applicant Phone number
Received by: Date-
Date Received:
�xgnsryv«�
Permit# Account Description Amount Amt- Pd. Bal. Due
A5 -U .3u'7 Bldg. Permit (BUILD) 'c>. "L� _ �-v . y U
Plumb. Permit (PLUMB)
Mech. Permit (MIECN)
State Tax (TAX) ' 71
Bldg:
Plumb:
Mech:
Plan Check (PU NCK) 5 ?' 3 ---53
Bldg: _ �—
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Par' s Dev Charge (PKSDC)
ResideWi,' TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WUUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (-RPRPd'T)
Erosion Planck/IJSA (ERPLAN) t-(f I�
Erosion Planck/COT (LROSM)
14
TOTALS
C."
xe' vl L4e"e 1 k ! `1>4 O ��e p I In,I I
~7
co
OJ00117S'
5
IT" �L)A- Or -C,KL �7j- C)C)
5
S �
I I
aspOnSi 7 r
j
r
S �
.-.`` ,r.+... - ...,...�. ....
ro
pop
zCONSTRUCTION
APPROVED ; Fr"1
6Df
a
PERMIT N0.MjNj-u 1)1.
DATE -l y
I � � ' ` � .. .., � .o.xjma�...MR.�r..ww.�.�„P,w.ra.�..ny'�•�,r.. , ,c
f I
1 2,5s
., .. DECKS by JOB
J R W CONSTRUCTION, INC. SHEET NO - OF
®r)
17540 Springhill Place --
6925 SW Ventura Drive r ' .r.r. GLADSTONE, OREGON 97027 CALCULATED BY- DATE_
1 of 2 V i N7 �kA Dyt Eastside 656-7561
Westside 636-3039 CHECKED BY _ DATE_
SCALE
PPODUCT 2061(Padded 11 FDGF)PRODUCT 206A-1(Padded 17 EDGE �je„Inc Groton Mass 01471 To Order PHONE TOLL F{, 800.225-6386 `
_- ... --
-T1-1`�T _. I i i l i 11 ( 111 1 Ill I I I I 1 I I ! III I 1 III ' � � I 1 T r17 i 11- l � r 111 1 T 1 T T1 11 III III III i l i I III III III 111 111 T11 1� 1� T11 T� 1-11 111 X 11 111 111 11 (1111 ill 111 11111
IF THIS DOCUMENT IS LESS , �I l 1 1� I 1
LEGIBLE THAN THIS NOTATI I j I I
ON .
---___ � - 4 _ .� � 8 � ,,1 R � 11, 1
IT TS DUE TO THr, QUALITY OF - IY??OCUMENT _ _ No.36 ��""'.�".�"' / �)
THE ORIGINAL D =-mjr
4qjt�j�
S6Z 8Z LZ 9Z 9Z �Z SZ Z TZ OZ T
ISI 8 LT 8T 9i int ST ZT IT ! i 6 8 L 9 9 � y Z
IIII flll IIII IIII IIII IIII IIII 1111 IIII IIII IIII IIII IIII IIII IIII IIII lilt IIII Ilii Ilii IIII III I Illi IIII IIII�IIII IIII�illl I��I�1111 ��I��i�ii �►�i��i� .
11111 IIII 1111 IIII III � ����III�� IIIIIIIII III II I�������� ��������� ��������� iii��iiii iiii�iiii
IIII i iiiil�ll
-Jul s ' s Zlie /0t Z
✓LArYi s - 41,1v lot 1 ac 4 i
Pevs-.5 ,� -4 Pt A
CA,,c..��';` v�� �,L�0 / y"(1 y0e1 Z ,%fix g0r Le'06etL _ .
Moft
S/ 8 4-4 ALV Z-Af S
0
S)
�-- � ,, I _. � N1%^5
AC 4- o�._ 4*4� er 8u�Te-D55 �
_
• -- I
0 L J 4jots . 1-.c
i
I
I ..
,
:
•
I
z T
1
I
rs
{F r
I �
Wr
. .. _
. . t O
I
i
_. .. ...... ......... ............ ._.. .. .. _... .... ..�.. I _.__
I ' fi 4, -fop L A?
z
-._
-
X ...... .
' .... .... e......... .. ....i..... t - - .. .. ... .....-. .... .
:.. .
s i
1
i
t
y
i i !
i
Le
x .. __
I
y
•
1
fop 6
t 4*z i r• 3__ .�
` ►�
F-0a-r11V -5 q , <//V-
'4
i.
I : I
i ..., .,.., ......
- � ' _^ � /"� STA► .. Ac.,�•S k
I " DECKS by JOB
J R W CONSTRUCTION, INC.
r� SHEET NO. _ OF
17540 Springhill Place
GLADSTONE, OREGON 97027 CALCULATED BY DATE
—^' Eastside 656-7561
/h�,�Oni L,�%P�' 4V A 9,6 LV Westside 636-8039 CHECKED BY DATE
6925 SW Ventura Drive ,/� -
2 Of 2ST- tgdSC.S SCALE
PRODUCT 206.1(Padaed 11 EDGE)PRODUCT 2D6A•1(Padded 17 EDGE)®,pInc Groton Mass 01471 To Order PHONE TOL_FREE r 800-225 638n
IF THIS DOCUMENT IS LESS I l � lll l ll ( III Ill I I I ) I III 111 I I III III ITT T�T 11 fl II I T I�T 1Tl T� I 111 III III III I I III III III l � lI�T l T T111TTi 111 �1i1 III illlllllll ) III III IIIII I -
, T, 1 1 1 1 1 14L �l 1 1 1 1 1 1 1 1 lrLEGJI3LE THAN PHIS 1v0� ATI0N , . 6 8 � 10 I llt 1
IT IS DUE TO THE QUALITY OF -- - _ - � � Uj4 /-3j /Y00 THF ORIGTINAL DOCUMENT . No.3d �
S6Z 8Z Lti gZ Z �Z SZ L tZ OZ 6t gt Li 9t 4t � t St ZI tt t 6 1111111,
L 9 4 S Z t3l.11"
III! IIII III! IIII IIII IIII IIII IIII IIII IIII IIII IIII IIII IIII IIII IIII IIII IIII IIII IIII IIII l III IIII IIII�IIII IIII�IIII IIIIIIIIilllll�llll llllllll
III 1111 IIII IIII IIII IIII I I IIIIIIIII IIIIIIIII IIIIIIIII IIIIIIIII IIIIIIII IIIIIiII IIIIIIII illlllll IIIIIII11111111