Loading...
9480 SW VIEW COURT ADDRESS: v �aLq., i:\records\rrnicrofim\targets\building.doc DEPARTMENT OF I-AND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES 15 0 5 NORTH FIRST,HILLSBC O,OR 971^4 C! i l I A I" INSPECTION REQUESTS: 503/640-3561/693-441 V'U��l PHONE: 503/648-8761 OREGON i Date 07/27/94 'Time 15 : 17 Pe.-mit 'Vype tiesidential Electrical Per mit Permit # 050564.19 pe-trait Statu:. APPROVED Applied 07/27/94 Situs 1,ddress 9480 '.iW VIEW '1'E 'VI Issued 07/27/94 Permit Title St'tt - 1 C1Ftt_'tl1'1' Completed Permit Descr .. 7`o Expire 01/23/95 Project 'Fit.'.e SE'R - 1 CIRCU1'1' Project # P00421.)64 Project Descr . * EktOS1UN Parcel Number 7.511I Land Use District : Valuation tl Legal Descr . Owner : 1NSPEC"TION - I'lGARD Construction O'l'H Applicant Name JAKMER ELECTRIC INC C:lassi -ication 900 Applicant Addr . : 5105 SW 4b'1'H Occupancy PUR'1'LAND OR 97'221 Validated by EB Applicant Phone : 246-51:181 Inspector Area CONI'8AC'1'OK : JAKMER ELEC"FIRIC Lic . C 26-144C '246-5381 F'ee description Units Fee/Unit Ext fee Data - -- 1st. Branch W/out F'eeder+[Ent-er-# J 1 3b . 00 35 . 00 Subtotal Electrical E'ees : 35 . 00 State Surcharge of 5% 1 . 75 'Total Electrical Fees : 36 . 75 k* * Fees Regiired *** *** Fees Collected & Credits -------- _- --------- ------- ----------------------- -------- ---------------- Method Check # RecelP t No . Date Payment. CK 100'13 O',?/Z'1/94 36 . 75 'l'O'1'AL 'PHIS DA'T'E ********* 36 . 75 Fees : 36 . '/5 Adjustments : OU 'Total C:rr-6lts; 0U 'Total Fees : 36 . 75 Total Payments : -16 . Balance Due: Oo NOTICE This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 180 days. Once construction tins started. the permit becnmes null and vold If conatructlnn Is Interrupted for a pailod of IRO days 1 certify that the information piesented by the applicant and his agent or agents In support of thls permit Is hue and correct to the best of our knowledge I acknowledge that the Building Department's reliance upon false and mleleading Information may InvalldW;Ila permit All pmvislons of applicable Iaws and ordinances governing the construc!ion and use of this building or structure will be compiled with Wier rr,r-,r not specified on the plans or noted on the plans correction sheets I acknowle Ige that the gronling of a permit does not grand authority to ar :ess private pmperiy or to use easemcnla. 1 further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the bu Iding inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department 1,)solely L-1 the rink of the applicant and such use or occupancy Is revocable until sit Inspection requirements are sallfPed and approval Is given by the Building 0111,181. t further acknnwiedge that a Ilan may be placed oh the title of the property upon which the pormit Is Issued specifying that the use or occupancy of inP building or structure Is provisional and revocable until the satisfaction of all Inspection requirements ,1 �- _ APP ANT'S SIONATU WASHINGTONCOUNTY ELECTRICAL PERMIT ,. Department antof of Land Use & Transportation Electrical Inspection Section 155 North First Awmue, #350-12 AP P �AT10 N Hillsboro, Oregon 97124 Information: (503) 640.3470 Fax: (503) 693-4412 Prolect/Permit,- --, , ,�, Date '7 PLEASE . . Numbur __�-E�"Vgjj!T r� 7 Paso ' ' 'INT 4. Gornolete Fee Schedule below Number of inspections per permit allowed 1. Location of lnstgllati n ---- .- J�� jeeWiL-- Service included: Items Cost(ea.) Sum Address L A. . ' ---- Address A. Residential-per unit City ) Suite No. 1000 aq.ft.or less $110.00 4 Tenant Name Each additional 500 sq.ft (if commercial) — __ _ or porton thereof $25.00 -- --- Limited Energy $25.00 _-_ 1 Tax Lc, Map No. - Each Manuf'd Home or Modular Dwelling Service or Feeder -- $68.00 -- Thomas Map Book: Page:.--___ Section:___ Directions---------- - --- B. Services or Feeders Installation,alterations or relocation 200 amps or less $60.00 -- 2 Commercial [� Residential l`X� 201 amps to 400 amps $80.00 2 401 amps to 600 amps $120.00 2 : 601 amps to 1000 amps $18000 --_ — 2 2a. Contractor installation only: over 1000 amps or volts $340,00 -� 2 Electrical ContractoQ' .rte P-connect only $5000 —.-- - 2 Address ►9 VE . �J �( Date . b Numbs r-77 _ C. Temporary Services or Feeders Property caner • Installation,alteration or relocation Contractor's License No. 1 t 200 amps or less $50.00 2 Contractor's Board Reg. No, _ 2u1 amps to 400 amps $7500 _— 2 g 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 rolls soe"B"above Signature of Supr. Elec'n 4y, License No. 2�-i.S_ Ptiont No.7"-"- D. Branch Circuits New,alteration o. extension per panel 2b. For owner installatian a) The fee for branch circuits with purchase of service or feeder lee. Print Owner's Name Phone No. — Each branch circuit $5.09 -- z b) Tne fe j for branch circuits without Address — purchase of service or feeder fee. '3 rJ-^�Q L t 2 First branch circuit 1 _ $35.00 _ State Each add'ni branch circuit $5.00 _ 2 E. Miscellaneous (Service or Feeder not incl:lded) The installation is being made on properly I .awn Each pump or irrigation circle $40.00 _—_ 2 which is not intended for sale, lease or reriif. Each sign or outline lighting $40.90 _— 2 Signal circuit(s)or a limited Owner's Signature -- energy panel,alteration or extension $40.00 2 F. Each additional inspection over the allowable in any of the above 3. Plan Review section (if required) Per inspection _ $35.00 —. Please check appropriate item arnd e►, --r fee In section 5B. Por hour $55.00 _4 rr more residential units In ane structure In Plant $55.00 - _Service over 800 amps; feeder 800 amps or more 'i. Fees _System over 600 volts nominal A. J71 It;,( total of above fees $ Classified area or structure containing special surcharge (.05 X total fees) $ --__1, 7� occupancy as described in N.E.C. Chapter 5 Subtotal $ -- B. Enter 25% of line A for Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ — above apply. Not required for temporary construction Subtotal $ — Services. Less Bulk Label Fee $ Balance Due $ For Inspections call This retmh becomes null and void It the work authorized by the permit Is not commenced 640-3561 or 693-4415 within 190 days from date of Issuance of such permit or H the work iuthorizad Is r r aspended or abandoned at spy time after vork Is commenced for•period of 180 days. 24-hour recorder, one working day in advance of need Etectricalpermilsare non refundable and n..+transferable, 1!94 MECHANICAL CITY OF TIGARDP ERMIT PERMIT #. . : MEC94-020 . COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07X1/94 13125 SW Hell Blvd.Tigard,Oregon 9722:•8199 (503)839-4171 PARCEL: 25 1 1 1 BO--07900 l liv. r�liURLS:�. . , 094BIZ, ';vJ VIEW TE.RR SUBDIVISION. . . . . JUBILEE p'L ZONING: R--4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :7 CLASS OF WORK. . :ADD FLOOR TURN. . . . : EVAP COOLERS: TYPE OF USE:. . . . :Sf UNIT HEA'TERS. . : VENT FANS— ; OCCUPANCY GRP. . : R3 VENTS W/13 r-aPPL: VENT SYSTEMS: STORIES. . . . . . . . . I POI1_ERS/COMPRE'.3SORS HOODS. . . . . . . : FUEL T'YF'tyS_.______._._..__.___.._ 0--:3 HP. . . . DOMES. INC IN: : /EEE/ 3-15 HP. . . . : COMML. INCIN: MAX INPUT: BTU 15—:3171 HP. . . . : REPAIR UNITS: FIRE DAMPERS?. . : 30•--50 1fF'. . . . : WOODSTOVES. . : GAS PRESSURE. . . : 50+• HP= . . . CLO DRYE_RS. . : NO. OF UNITS----------- AIR HANDLING UNITS C , I 'E_R UNI T'S. : TURN < 100K DTU: (- 1.0000 (Tf-m : 1. ( i-413- OUTLETS. : TURN ) -100K BTU: > 10000 c:-fm : Rr�marF<<.a : AIR CONDITIONLR Owner . ___.____._____.__._______.__.___._.__________.__.__.__._____._.___.. FEES MARK TAIT type amount by date recpt SW VIEW TERRACE PRMT f 25. 00 SW 07/21/94 - 5PCT $ 1. 25 SW 07/21/94 TIGARD OR 97224 Phone #: Con r,act or: --------------------------------- B ---_—_---._--.______—_-----_____B R T GAS SERVICE, INC. 5885; SW 177TH AVENUE ALOHA OR 97001 _- - Phone #: 26. 25 TOTAL. Rey #. . : 91104 -------• REQUIRED INSPECTIONS - -This permit is issued subject to the regulations contained in the Nec-hanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other, F=inal Inspection app:i:ahle laws. All work will be done in accordance wtth 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 dans. Permittee Signatr.lre : ► ._._....._ _ _ _ _.___ _ _M Call for ins;pectiorr — 639-4175 City of Tigard MECHANICAL PERMIT Planck/Rec. At 13125 SW Hall Blvd. APPL!CATION Permit # _ Tigard, OR 97223 (503) 639-4171 •M -__-_ - escnption Table 3A Mechanical Code CITY PRICE AMT Job 0A aD 1) Permit Fee -0- -0- 10.00 Andress � • �-- 2) Supplemental Permit 3.00 .,.,« a w•.+.•, urnace �L -la, �CLi 1) incl. ducts&vents 6.00 1 _ Furnace 100,000 bTU + Owner 2) incl.ducts&vents 7.50 VP Floor Furnanoo 3) incl vent 6.00 .»« e «• usheater,wall eater 4) or floor mounted heater 6.00 en no me. in Occupant 5) appliance permit 3.00 •� -- epair of Ve-ab-ng-,re r g 6) cooling,absorption unit 6.00 r _ Boiler or comp,heat pump,air cond 7) to 3 HP;absorp unit to 100K BTU 6.00 N• i er or comp,heat pump,air cond ole �^� 8) 3.15 HP;absorp unit to 500K BTU 11.00 Contractor13oilor or comp,heat pump,air co l�v1w.v01 _�Cij7 9) 15.30 HP;absorp unit .5.1 mil BTU 15.00 W. •1 07r�- Boiler or comp,heat pump,air coFO-. c) I,,_,j ( �,L3 7tu 101 30.50 HP;absorp unit 1.1.75 mil BTU 22.50 hereby ac ow ge Inaf I nave reacl this application,that me i er or comp,heat pump,air cond information given is corruct,that I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU 37.50 of the owner,that plans submitted are in compliance with State Air handFing unit to laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 , that the number given is correct. (If exempt from State registration, it handling um please give reason below.) 13) 10,000 CTM+ 7.50 -- on portable 14) evaporate cooler 4.50 -- - Vent tan connected 15) to a single dud 3.00 -' - -enti ation system not 16) included in applianua permit 4.50 '" qv • -- Hood served y 17) mechanical exhaust 4.50 -L)Gscnbe work n"u eaditwr IJ o tare onU repair U Commercialor in +stnal to be done residential O non-residential Q 18) type incinerator 30.00 Existing use of e.,woodstove,water building or property_ _ 19) heater,solar,clofhes dryers,etc. 4.50 Proposed use of 20) Gas piping one to four outlets 2.00 building or property 21) More than 4-per outlet Type of fuel-oil O natural gas O LPG Q electric O - - NOTICE �� - Minimum F 25A0 SUBTOTAL ,�a PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WI rHIN 180 DAYS,OR 5%SURCHARGE / 1 IF CONSTRUCTION OR WORK IS SUSPENDED OR " ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLA14 REV EW 25%OF Sl'BTOTAL AFTER WORK IS COMMENCED. TOTAL Special Conditions Date issued by `�A L•MFCNPMT rad�vrvf•v KIM CITY OF TIGARD CEROCCU AN C7 , C)CCUf='ANf�Y COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 4#. . . . . . . c 13125 sW Hall ylvd.Tigard,argon 9722296199 (603)930.4171 DATE I S SULD i 06/29/93 I='ARCE.L c 2'31 1 1 DA-079@0 SITE ADDRE O. . . 1 O9480 OW VIEW TE RP Z.ON:NG t SUBDIVISION. . . . t JUBILEE: PL- c I_L7T•. . . . . . . . . . . . . :7 __.... CL.ASS OF WORI{. cNEW TYPE of UGI~. . . 1 SF CIGC,UPANCY ORP. 1 R CILCUPANCY LOAD 1 1 .16 4 TLNAN'r NOME. . . Hc�mar• ks : PATH I .JAY MILLER BUILDUR INC P. O. BOX 23291 I'IL3ApD CJI? 97281 {''h(jng *it 684--7543 ,1•AY M I LL.ER Pa BOX 23291 i IGACar OR 97281 chane #1 684--'7543 icl�up�nc~y of the ;atuve 1 efwrenc�ed building i herebY givPrlr unci certifir^y , hp r.ampli�►r�ce• with the Stat14 Of lTretdan Specialty C.ade!s for the rJro+a n, iss'.�Qti• "ectipiAnc-y, :and use Wider which the r�efer- enc:e!d permit w-+s 1N:lt~'ECTOR �-t [ nfwr'AR"fMENT BL' i Lfi IN-4 OFFICIAL I r-W,)j IN CONSPICUOUS PL.ACE �.NsQE.4�IU�OT�CE city or Tigard Building Departasm -- - L3125 BW Ball Blvd., Tigard, Oregon 9 23 Inspection Lino (Rec-0-Phons)1 639-4175 Bnalneae Phonet 639-4171 Inspections Footing Plbg. Underalab Mach. Rouob in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Ream Struct. Sen. Sewer Framing -Bldg. Post/Boom Hoch. Rain Drain Insulation -Plumb. Plbq. Underfloor Nater Line Gyp. Rd. -Mach. Date Roquent.edi_ 2"1- I --_---Time. _ _AN X, PM �� li i l Permit it �;a Addreite: 1`' � Buildor• THE FOLLOWING CORRECTIONS ARE REQUIRED: Inepe^.tore __ � betas APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE ^ Call For Rainep. Mr wl� INSPECTION NrjTICE City of Tigard Builling Department 13125 SM Hall blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 6?3-4175 Business Phone: 639-4171 .aspect ion Foolinq Plbg. Underslab Mech. Rough-;n Appr/Sdwlk Found. Plbg. Top out Gas Line FINAL: Post/Beam Struct. /ban. Sever Framing -Bldg. Poet./Beam Mech. A Min Insulation -Plumb. Plbg. Underfloor Water Line .i r -Mach. bate Pequesttedsy,/ ' _Times _ MI PH Addrass: / % (/ (X.�-'L� S--T`' `-Permit Builders THE FOLLO"-_::C -nRRECTIONS ARE REQUIREDs i Inspectors Dates APPROVED DTSAPPROVF.D APPROVED SVWNCP TO ABOVE Call Per Reinsp. 1 --f�-- _-- _.. ._..---. �I � � �I Page No. 1 CASE HISTORY FOR CASE NO.: MST13.0038 JAY MILLER BUILDER I14C 09480 SW VIEW TERR 11/24/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA007 Application received / / / / 01/19/93 PASS JLH 06/09/93 TLP MSTA010 Plan check deposit paid / / / / 01/19/93 PASS JLH 01/22/93 BLT MSTA020 Plan check by 01/22;93 / / 01/22/93 PASS RT 01/22/93 PLT MSTA030 Check for prr.l. restrict. / / 01/22/93 01/22/93 PASS RT 01/22;93 BLT MSTA092 (F) Issue combination permit / / / / 02/09/93 PASS JLH 02/09/93 JH MSTA097 Issue plumbing signature form / / / / 02/09/93 PASS JLH 02/09/93 JH MSTA705 Foot/found Insp / / / / 02/11/93 PASS RT 02/11/93 BLT MSTA710 Poet/Beam Structural / / / / 02/24/9? PASS TLP 02/25/93 TLP MSTA711 Post/Beam Mechanical / / / / 02/24/93 PASS TLP 02/25/93 TLP MSTA71.7 PLM/Underfloor / / / / 02/24/93 PASS TLP 06/09/93 TLP MSTA720 Mechanical Insp / / / / 03/26/93 PASS TLP 03/30/93 TLP MSTA722 Plumb Top Out / / / / 03/18/93 PASS TLP 03/19/93 TLP MSTA725 Framing Insp / / / / 03/26/93 PASS TLP 03/30/93 TLP MSTA730 Fireplace Insp / / / / 03/23/93 PASS TLP 03/25/93 TLP MSiA735 Gas Line Insp / / / / 03/26/93 PASS TLP 03/30/93 TLP META740 Insulation Insp / / / / 03/30/93 PASS TLP 03/31/93 TLP MSTA745 Gyp Board Inep / / / / 04/01/93 PASS MS 04/02/93 MRS MSTA755 Rain drain Inep / / / / 02/18/93 PASS TLP 02/22/93 TLP MSTA760 Watei Line Inep / / / / 02/18/93 PASS TLP 02/22/93 TLP MSTA765 Apprr'Sdwlk Insp / / / / 07/74/93 Not ready for sidewalk and approach. NOT LTJ 03/05/93 NL Call for reinspection when forms are in place. MSTA765 Appr/Sdwlk Insp / / / / 04!20/93 1 Install one additional gain line to PEND LT 05/04/93 KE curb for two total. 2 Complete forms along approach. MSTA765 Appr/Sdwlk Inep / / / / 06/29/93 PASS LT 07/07/93 NL MSTA795 Mechanical Final / / / / 06/29/93 PASS TLP 07/01/93 TLP MSTA797 Plumb Final / / / / 06/29/93 PASS TLP 07/01/93 TLP MSTA799 Building Final / / / / 06/29/93 PASS TLP 07/01/93 TLP MSTA9F0 (F) Issue Cert. of Occupancy / / ; / 06/29/93 JF 08/10/93 JF MSTA970 Case Finaled / / / / 06/29/93 PASS TLP 07/01/93 TLP C17YOFTIGARD ClT1yOF116s1RE1 MASTER PERMIT COMMUNfTY DEVELOPMENT DEPARTMENT oaeooN PERMIT #. . . . . . . : IVIS F93-0038 13126 SW Hall Blvd. 11.0.Baa 23307,Tigard,Oregon 77713(603)830.4176 SITE ADDRESS. . . : 09480 SW VIEW TERR PARCLL: 2S1I180-JP00i SUBDIVISION. . . . : JUBILEE RL ZONING: BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . :7 BUILDING REISSUE:MST92-0152 DWELLINV UNITS: 1 BASE:MENT. . . . . . . . 80 sf CLASS OF WORK. :NEW BEDRMS:3 BA"THS:2 GARAGE. . . . . . . . . . a400 sf TYNE OFF USE. . . .-SF FLOUR AREAS----------- REQUIRED SETBACKS---------- TYPE OF CONST. :5N FIRST. . . . : 1568 sf LEFT'. . : 15 ft R I GHT. :5 ft OCCUPANCY GRP'. :R;3 SE'COND. . . .0 sf FRONT. :20 ft REAR. . :30 ft y T'OR I ES. . . . . . . : 1 THIRD. . . . :0 s f REUU I RED------•___.------------ HEIGHT. . . . . . . . : __----_--,- HEIGHT. . . . . . . . : 16 ft TOTAL-------: 1568 s f SMOKE' DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 79328 PARKING SP'AGES. . : 1 Remarks a PATH I ------------------------------------ PLLIMLAIIVG ------------------------------------ - SINKS. . . . . . . . . . .. I -.__--_SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . .0 BACKFLOW PREVNTRS. . r0 LAVATORIES. . . . . ..3 WATER HEATERS. . . - 1 T In^.PS. . . . . . . . . . . . . . t0 TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :2 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE ( ft ) . : 1Q10 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0 WASHING MACH. . . : 1 SF RAIN DRAINS—:1 MECHANICAL ---__ _.._.____._._._.__._._______-__.____ FEES FUEL TYP'Ea-_.__....___._.._._.... UNIT hITR5. . .0 type amount by date re1_pt /GAS/ / / VENTS . . . . . :0 T'IF $ 1460. 00 JH 02/09/93 MAX INPUT:O 131U VENT FANS. . :3 BPRT $ ;373. 0+ JH 02/09/93 - FURN ( 100K . . : I HOODS. . . . . . : 1 BP'LL $ 40. 00 JLH 01/19/93 93- FURN ) -100K . . :0 WOODSTOVE.S. :0 B5PC $ 18. 65 JH 02/09/93 - FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JH 02/09/93 - BOIL/CMP ( 3HP:0 014;ER UNITS: 1 PARK $ ;00. 00 JH 02/09/93 - :at1S OUT TS: 1 MP'RT $ 40. 50 JH 02/09/93 - Owner: -- -- --__.._...._......_.____.____.._.____...._.___.._..._...__.._.._.__ .__.-hiP'LC $ 10. 13 JH 02/09/93 - JAY P171_LER BUILDER INC M5P'C f 2. 03 JH 02/09/93 - V1. 0. SOX i?3291 P5PC $ 6. :.,; JH 02/09/9 ; - PPRT $ 1125. 00 JH 02/09/93 - T 1 DART) OR 97281 Phone #: 684-7543 Contractor: JAY MILLER P'O BOX 23291 TIGARD OR 97281 Phone #: 684-7543 Rely #. . 30109 285.x5. 56 TOTAL_ This permit is issued subject to the regulations contained in the ---- --- REQUIRED INSPECT IUNS ---- -- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Past/Beam Strutt Gas Line Insp plan!°. This permit will expire if wrrk is not started within 180 Post/Beam Mechan InSUlation I1-)sp days of issuance, or if work is suspended fir more than 180 days. Plm/undslab Insp Gyp Board Insp P'LM/Underfloor Rain (drain Insp 1='ermittee �iiynat�.lr'H : - C/�-�✓ Mechanical Insp Water Line Insp Plumb Top Out Appr/Sdwlk Insp [ssued By: �. �_..__._.____.___�_......_ __.__.... ......... Framing Insp Mechanical final Lal 1 for inspection 639--41 75 CITY OF TI ARD CrTYM OF WID SEWER CLINNECTION COMMUNITY DEVELOPMENT DEPARTMENT CM010" PE[,!',I I T M26 SW HWI Bbd. P.O.Box 23397,Dowd,Orogon 97223(603)639,4175 PE.Rlyl I T #. . . . . . . : SWR93­0036 639-4171 DATE ISSUL111 02/09/93 SITE ADDRESS. . . 09480 SW VIEW TERR PARCEL: tiS111BA.-JP00, SUBDIVISION. . . . ,JUBILEE PL ZONING: BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . :7 TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . - CLASS OF' WORK. . . :NEW DWELLING UN I TS. . : I TYPE OF USE. . . . . :SFNO. OF BUILDINGS. 1 INSTALL TYPE. . . :BUSWH IMPERV SURFACE. Remarks : PATH I owl-ler: FEES JAY MILLER BUILDER INC type Ainal-111t by date recpt P. O. BOX 2SP91 F-113114 $ 2100. 00 J11 02/09/93 I 1\1 f__;P ._-,5. 1A0 JH 02,/09/93 TIGARD OR 97281 Phone #: 684-7543 Coy-itractor: CONTRACTOR NOT ON FILE Pt-lay-le $ 2135. 00 TOTAL Re4 ------- REQU I RED INSPECTIONS ------- This Applicant agrees to comply with all the rules and regulations Sewer Ins:pection of the Unified Sewage Agency. The pereit expires 180 days from the date issued. The total amount paid will be forfeited C the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is riot located at the measurement 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 kgenry will install a lateral. FlermitLee Signati-tre : ISSI-ted By : Call for irispect i(-)Ti 639--4175 CITY OT rigT j` A D »125swIieulIwa. PLNCK/RECT q _ �7Y 1 j�� COMMUNITY DEVELOPMENT DEPARTMENT Tiigard.Oregon 972D PERMIT N (503)639-4171 DATE ISSUED JOB ADDRESS: q4 Vl,e-u-) --jie-►'✓a ce- TAX MAP/LOT -5 / 1/rA-SUB: Aa Com, LOT: LAND USE: _ VALUATION: OWNER SPECIAL NOTES NAME: _�Q�a fps ! l_a_( &d r- REISSUE OF: ADDRESS: 3 LAST REISSUE: f� Q at _ WE Q 7 FLOOD PLAIN/ PHONE: 75V-3 _ SENSITIVE LAND: _ CONTRACTOR APPROVALS REQUIRED NAME: MIA., r PLANNING: ADDRESS: ENGINEERING: FIRE DEPT: PHONE: OTHER: CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: Iden U41 t 5 LIST/SUBCONTRACTORS: MECH: BUS TAX: ARCH/ENGINEER; CALCULATIONS: NAME: — V) TRUSS DETAILS: ADDRESS: — OTHER: PHONE: PROPOSED BLDG. USE: el --- - - COMMENTS: APPLICANT SIGNATURE Received By: Date Received: k / 9 9.3 PERMIT ii ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees X 7'.?,-P -- x '323' «' �� 10-431 00 Plumbing Permit Fees 1Z5, SSS' 10-431 01 Mechanical Permit fees5�� 10-230 01. State Building Tax (5%) � - Building /�'.G�� v Plumbiny _ .._. Mechanical 10 433 00 Plans Check Fee `S0' Y Building Plumbing Mechanical 10-230 06 Fire 30--202 00 Sewer Connection ► o v 2f uU 30-444 00 Sewer Inspection --- 25 -448-02 Commercial TIF Fees - 25-448-04 Industrial TIF Fees — — 25-448-06 Institutional TIF Fees - 25--448-03 Office TIF Fees — 25-448-01 kesidential Traffic Fees 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) $pU _ __ ' Soo _. 31.450 00 Storm Drainage Syst Dev Chrg (SSDC) 24-445-01 Water Quality (fee in lieu of) 24--445-02 Water Quantity (Fee in lieu of) TOTAL_ ��.....- �� yyQ.sG rim/35,11 P.WPI