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Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in Post/Beam Mech. San. Sewer Gas Line ' Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insu;ation < , Undertlr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: ( 3 ley 5 Time: AM PM Address: L Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: Ln r H L Inspector Date / 5 DISAPPROVED APPROVED SUBJECT TO ABOVE. Call For Reinsp. ELECTICAL- PERMIT .CITY OF TIGARD RESTRICTED ENERGY ` COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 1#: ELR9 --0230 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 T ir:ITE., ISSUED: PARCEL- 2S104BD—RM003 5'IT1: ADDRF S. : 1'2774 rW 1313TH AV17 SUBDIVISION. . . . : RUSE MEADOWS ZUNJNG:R-7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003 Pr-o jest Description : ' A. RESIDENT IAT_—_.__.__.__-- B. COMMCRCIAL---_.__---_.__.____.__..__.._.___________.__.._______._ AUDIO & STEREO. . . . AUDIO & STEREO. . : INTERCOM & PAGING. . CIURGLAR ALARM. . . . : 1:'FILER. . . . . . . . . . : I._ANDSCAPE/ IRRIGAT. . GARAGE: OPENER. . . . s CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . 14VAC. . . . . . . . . . . . . : DATA/TELE COMM. . . NURSE CALLS. . . . . . . . . VACUUM SY S1 EM. . . . s I RE ALARM. . . . . . : OUTDOOR LANDSC LITE. OTHER: -. :XV mlAC. . . . . . . . . . . . . PROTECTIVE SIGNAL. . *w 1 INSTRUMENTAT I Uhf. : OTHE.R. . : TOTAL # Of- SYSTEMS: 0 Poplicant : ----_._____. ..__._._...___.---___.__.______._____...__ _____-___.-_ FEES ADT SFCIJRi �'Y type amoLlnt by date recpt 70.3 NE HAN[:OCKPORTLAND OR - PP1�11 $ 40. 00 CJS 12/ 11 /'T 95--x=:7.37413 SPCT $ 2. 00 CJS 1211 1/95 95-273746 Phone #: 503-284-3216:5 Contractor: CONTRACTOR NOT ON FILE $ 42. 00 TOTAL- REQUIRED OTAL_REQUIRED I NSPF..CT T ONS Ceiling C13Vear Elect, 1 Service Phone #: Wall Cover Elect' 1 f=inal Reg #. . . This permit is issue:' subject to the regulations containeo in the Tioard Municipal Code, State of Ore. Specialty Codes and all other F'ermitee 6i gnature applicable laws. All work will be done in accordance with anoroved plans. This oeroit will expire if work is not started within 190 devs of issuance, or if work is suspended for Pore r% t1/C,c,._. �•yi ;� than 180 days. Issued By _.. .__. ._ .__.__._._.......----__—__._— _OWNER INSTALLATION ONLY-----.,___—_—____---___...__--___.-. The in=.tallation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: a; INSTALLATION ONLY--------___.___--__.___., cc r S I GNATURF OF SUPR. FL_ECI N: Q/� 4 . DATE r L 1 CENSE NO: W Calc for inspection — 639--4175 J Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 PERMIT# �95 0�3C7 Phone(503)639-4171 FAX (503)684-7297 DATE ISSUED TDD No. (503)684-2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. "TYPE OF WORK AddressD RESIDENTIAL—Restricted Energy Fee. . . . . . . . . $40,124 cl? (FOR ALL SYSTEMS) City State Lip Check Tytte of Work Involved: PERMITS ARE NON-TRANSFERABI E AND NON-REFUNDABI.E AND EXPIRE IF W')RK ❑ Audio SSystems* IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR fI----�l o anStereo y 180 DAYS, LJ Burglar Alarm ❑ 2. CONTRACTOR APPLICATION Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* Contractor��— hype f ❑ Vacuum Systems* Address - �� �z� ❑ Other /y Date _ COMMERCIAL—Fee for each system . . . . . . . $40.00 (SEE OAR 918-260-260) Property Owner Check Type of Work Involved: Contractor's Board Reg. No. _E i3 Audio and Stereo Systems* �1�2 ❑ Boiler Controls Phone# "�.L ❑ Clock Systems 3. OWNER APPLICATION ❑ rata Telecommunication Installations ���f ❑ Fire A;arm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City State Zip ❑ Medical This permit Is Issued under OAR 918.320.370.This apgrficant 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 ars ready p� for inspection at 503.6.39-4175, � 3. Purchase separate prrrmits for all installations that are not ready for Inspection 11 Number of Systems Nwhen the inspector is out to inspect under this permlt •No licenses are required. Ucenses are required(cr all other installations. 4. Assume responsihility for assuring that all corrections required by the inspector are done,and H J 5, Assume responsibility fnr calling for a final Inspection when all of the corrections 5. FEES -- am completed. WThe person signin or permit must be the applicant or a person ;1. Enter Fees $ lJ authorized to,/biq4th pplicant. J h. 5% Surcharge (.05 x total above) S}gnatu a TOTAL $ 7 4- Authority if other than applicant ENERGARCHP ui CITY OF TIGARD OCCUPANCY PERMIT #. . . . . . . : MST'95--0070 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 11/13/95 13125 SW Hall Blvd.Tigard,Orsgon 9722398199 (503)839-4171 PNRCEL: 25104BD-RM003 SITE ADDRESS. . . : 12774 SW 1.38TIA AVE SUBDIVISION. . . . : ROSE MEADOWS ZOhl INC,:R-7 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :003 -------------------------- ----------------- -------- CLASS OF WORK. :NEW ryv,E OF USE. . . : SF OCCUPANCY G��* ;rs4 R3 f.irr'll,ANCY LOAD:E Remarks : PATH I Owners JOY MILLER P 0 BOX 23291 1-113nRD OR 97281 Phone #-. 684-7543 Contractor_ Phone 0: Rep 0. . . '30109 Phis Certificate grants occupancy of the above refPrenc. Pd building or ponfion thereof and confirms that the building has been inspected ror compliance with the State of Oregon Specialty Codes for the group, occaOanry, and use under which the referp"ced permit was iequed. A 136ILDING INSPECTOR BUILDOr-'Ff ILIAL POST IN CONSPICUOUS, PLACE CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT .13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4,.71 PERMIT #. . . . . . . : MST95-A070 DATE ISSUED: 03/06/95 PARCEL: 2'5104BD--R1y100,3 I.TE ADDREGG. 127*74 SW 138T[i AVE JBIJIVISION. . . . ROSE MEADOWS ZONING: R-Y i-OLK. . . . . . . . . . .. LO1 . . . . . . . . . . . . . :00_ BUILDING ':I8SUE.M'3T()4-01c__'7 DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 S f -ASS OF WORK. %NEW SEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :552 S f .e PE OF USE. SF FLUOR PREAS-­----­-­ REOU I RED BACKS------- +PE OF CONST. :5N FIRST. . . . :916 Sf LEF=T. . : 15 ft RIGHT. : 1,3 ft LUPANCY GRP. -.R3 SECOND. . . : 1 19c� S 1` FRONT. : 18 f t REAR. . :2'4 ft URIES. . . . . . . :2 FINBSMENT:O Sf REQU I I GHT. . . . . . . . .L4 ft TOTAL-- ---- - - :2110 S f G 110 1•.r_ D 171 I'E C TC.)R 1. :Y OOR LOAD. . . . :40 psf VALUE. . . . . $ : 145/414 PARKING SPACES— : 1 mar,ks : PATH I PLUMBING NK"i. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKI'LOW PrREvic-iRs. . i iVAIURILb. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . 0 J'B/SHOWERS. . . . :;:' LAUNDRY . :v_1 CATCH 8 A IS 1 0 ;TER CLOSETS. . :3 SEWER LINE (ft ) :0 GREASE TRAPE. . . . . . . :0 51-41-ASHERS). I WATER LINE (ft ) . : 100 OTHER F I X TURES. . 0 1RBAGE DISP. . . I (RAIN DRAIN (ft ) . :0 WH3HING MACH. . . : 1 GF RAIN DRAINS. . I MECHANICAL ---- FEES 1YPL13­--------------- UNIT HTRS. . -0 type amot.int by dAte recpt VEN'rs . . . . . :izi 71F 1550. 00 JF 11a/06/95 MAX INPUT:0 13"FU VLNI FANG. . :4 BPRI I 54b. 00 JF 03/06/9b - I-URN ( 100K . . tO HOODS. . . . . . : 1 BPLU $ 50. 00 JF 01/05/95 95 1--'URN > =100K . . - I WOODSTOVES. :0 B5PC 1. 27. 40 ,J r: 03/06/95 - l­-LOUIR FURN. . . . :0 CLO DRYER F3. : I PARK $ 500. 00 if- 03/1246/95 UOfl_/GMP t 3HP:0 UNITS: I MP R T $ 45. 00 31-- 03/06/915 GAS OUTLETS: 1 MPLC $ 11. 25 JF 03/06/95 utrjrle ': E5 JI 03/06/135 iHY MILLER PPRT 7 .r-'5. 00 JF 03/06/95 P 0 BOX 2L21)1 f-"5 P C 11. L3 ,JF 1213/1116/95 S1WM 180. 00 JF 03/06/95 riuORLN OP 1)741[1 Swlyl fi 100. 00 JF 03/06/ 5 Phone #; 684--7543 LROS J 64. 00 JF 03/06/95 Lontrautov, do. 80 JF 03/06/95 JAY MILLER E RPLI 20. 60 JF 013/06/95 fl LOX 2-Y-045"3 iGARD OR 97281 Phone 684 -7543 30109 S 33155. 75 TO r 0L ;iis permit is issued subject to the regilitions contained in the REQUIRED INISPEC.' FIONS 4garc Municipal Code, State of Ore. Spec.ilty Cones and all other Foat inW Insp r-ll&.tmb fop Olat Applicable ,laws. All work will be dune in ac:vdance with approved Foundation Insp Fr,aminq Insp olans. This permit will expire if mcrk is not started within 180 Post/beam Stv-Llct Vit-pplace Insp days of issuance, or if work is s more than 180 days. Past/Seam Meehan Gas Line Irrp Crawl Drain Ins'Alation Insp I-le-mittee Uiqfiat Insp Gyp buar,d Intap PLM/Under-floor Rain dain Insp lylecliatlical Insp Water Lint? Insp in-Eppct.an 6.39-41 ,' CITY GF TIGARD SEWER CONNECTION COMMUNITY DEVELOPMENT DEPARTMENT PIERMzT 13125 SW Hall Blvd.Tigard,Oregon 97223.61ge (503)636.4171 FERMI"1 #. . . . . . . : SWR95-00 73 39-41 /i DATE ISSUED: 03/06/95 PARCEL: aS104BD—RM003 SITE ADDRESS. . . : 12774 SW 1313TH AVE bUBDIVISION. . . . : ROSE MEADOWS ZONING: R-7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003 TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE. UNITS. . . : CLA13S OF WORT'.. . » :NEW DWLLL i rib UN I T 3. . : 1 I YPf-: OF USE. . . . . :SF NO. OF' BUILDINGS-. 1 INSTALL TYPE. . . . :BUSWR IMIDERV SURFACE. . : Remarks , PATH I Owner. FEES3 .JAY MILLER type amount by date rec:pt F' U b 0 X c.i"_`J1 PRMT i 2200. 00 JF 03/06/95 -- INSO i• 3tj. 1110 1F 03/06/95 — T 16ARD OR 97281 ►-'rhone #: 664-754.3 I..ontractor: CONTRACTOR NOT UN I- ILL ----------------------------------------- P 0 n r., #: $ 2235. 00 TOTAL Hey #. . . -_ --- -- REUUIRED INSPECTIONS This Applicant agrees to compiy with all the rules and regulation: Sewer Inspection of the Unified Sewage Agency. The pe•,•eit expires 160 days from the date issued. The total amcr�nt paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the slae sewer laterals. if the sewer is not located at the measurement given, the installer shall prespect 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 • ency will install a laterai. Pell III itte9 f-' i 11nr,1:I,1 Iss(.Ied Ery : - -- U. Lal 1 for inspection — 639--4175 cc r J r- Lil _.J City of Tigard Residential Building Petmit Application 13125 SW Hall Blvd. l L .q Tigard, OR 972.23 � Z (503) 639-4171 Jobsite Address: / z Subdivision: 1,11 0 C,i C, e7241 t # J Office Use Only Planck/Rec # l �, Valuation: 5 f Permit # 5 f�/ 5 r}[. ";7 ) Corner Lot? � N Flag Lot? y �\} Reissue of_JL5 C( �-o/z Map & TL # A U Ll � Iyl G� Own3r: cv 4 W i CLC Approvzls Required Address: _ 4,j,TI( z - 1 1 J Planning - C Gl kr-x– )lYI �� Z n� — Ennineering � QQ Phone: _ �9 O q - -7 .r--) CTl Other J Contractor: J Ul��� Items Required Address: Subcontractors Truss Details Phone: _ Other Con!ractor's License # (attach copy of current Oregon license) Contact Name & Phone: _eye- Subcontractors: /) /) Architect/Engineer:/� Plumbing: �Z1 ������ . Address:_ 'f r !'l gC j l �l Mechanical: (attach copy of current OR Contractor' License) Phone: JOB DESCRIPTION: —1 Ap licant igriature & Phone Imber Received by: LAI 4, Date Received: NkWORDCOMDMRESAPP Permit# Account Description Amount Atnt. Pd. Bal. Due MV'-7S-00,70 Bldg. Permit (BUILD) 6' = � 5 yJ• ` Plumb. Permit (PLUMB) 22-5. 2 z1, Mech. Permit (MECH) "/, lif,G0 State Tax (TAX) u• �o Bldg: Plumb: Mech: c Plan Check (PLANCK) Bldg: SU. (v Plumb: Mech: Swk' S .007 Sewer Connection (SWUSA) ,2ZGO .ZZo�� Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) SGU SvcJ Residential TIF (TIF-R) Mars Trans;, TIF (TIF-MT) Comme.z:a: i iF (TIF-C) Industria; '.'IF (TIF-1) Institutional TIF (TIF-IS) Officoa TIF (TIF-O) _ Water Quality (WQUAL) Water Quantity (WQUANI n Fire Life Safety (FLS) Erosion Gntrl Permit (Ef IRMT) !i+ -�!J (v4•�4• r Erosion Planck/USA (ERPLAN) -9v f'v �7�•5� Erosion Planck/COT (EROSN) w TOTALS: D.��. . S-05 yam/ 117' �6 7, r l✓ _ 1 ` -. - r =- ell Ilk cz All 0 , FL IfTr SQL '06 �o 30 L ~ D 1. W velJ