12545 SW 133RD AVENUE ADDRESS:
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Department of Land Use &Transportation ELECTRICAL PERMIT '
-� Electrical Inspection Section APPLICATION
155 North First Avenue,#350-12
Hillsboro,Oregon 97124
Information,: (503) 640-3470 Fax: (503) 693-4412
Permit
• • •
Pleasea asections, a e Number -L-C- 5- I.�� Date __]i 1-
1. Location o;1 insttgllation �� �_ 4. Complete Fee Schedule below
Address I Z 1 4„7�. > t n - Number of inspections per permit allowed
Building Service included: Items Cost ea. Sum
City I ,�_ - Suite No. _ Cost(ea.)
Tenant Name A. Residential-per unit
(if commercial) _
1000 s9,i<,or less $110.00
Each additional 500 sq,ft
Map NO. _______--_-_ __ Tax Lot or portion thereof $25.00 -- -
_ t
Thomas Map Book: Page: - Section: Limited Energy $25.00Each Manuf'd Home or Modular
Directions _ _ Dwelling Service or Feeder $68.00 _ 2
B. Services or Feeders
Commercial❑ Residential Installation,alterations or relocation
200 amps or less $60.00 2
2a. Contractor installation on . 201 amps to 400 amps $80.00 2
1n/-- , 401 amps to 600 amps v $120.00 2
Electrical Contractor S�,g �-iL 601 amps tr '000 amps $180.00 2
Addresst�0, � Over 1000 amps ur volts ____ $340.00 � 2
City __ State�ZlP 1!o!C) Reconnect only $50.00 - 2
Date_'j- Job Number (x0082 .
Property Owner VAA.K C' ISAN Qoa- b, qf,Lal�K C. Temporary Services or Feeders
Contractor's License No. nstallation,aneration or relocation
Contractor's Board R-o. No. ic15T 200 amps or less $50.00 __ 2
201 aro is to 400 amps $75.00 2
401 amps to 600 amps $100.00 __ 2
License No.;�L
Signature of Su r. Elec n _.._ _ �, Over 600 amps to 1000 volts see°B"above
Phone No.
D. Branch Circuits
2b. For owner installation : New,alteration or extension per panel
n) The fee for branch circuits Ivith
Print Owner's Name one o. purchase of service or feeder ree.
Each branch circuit $5.00 _ 2
di®ss b1 The fee for branch circuits without
-._
purchase of service or feeder fee.
city ----mate -----_ZfP--, First branch circuit -A _ $,15.00 2
Each add'nl branch circuit $5.00 —_ 2
The installation is being made on property I own E. Mlscellaneous (Service or Feuder not included)
which is not intended for Sale, lease or rent. i ach pump or irrigation circle $40.00
r-ach sign or outline lighting $40.00 2
Owner's, ignahue - --.— Signal circuits)or a limited
energy panel,akeration
3. Plan Review section (if required) or extension $40.00 2
Please check appropriate Item and enter fee in section 5B. F. Each additional Inspection over the allowable '
_4 or more residential units in one structure in any of the abovePer inspection $35.00
F _Service and feeder, d00 amps or more Per hour $55.00 - e
_System over 600 volts nominal In Plant $55.00
Classified area or structure containing special
J occupancy as described in N.E.C. Chapter 5 5. Fees
Submit 2 sets of plans with application where any of the A. Enter total of above fees
above apply. Not required for temporary construction 5''/o Surcharge (.05 X total fees) $
W I services. Subtotal
This permit becomes null and void If the work authorized by the permit is B. Enter 25% of line A for
not commenced within 180 days from dare of Issuance of such permit or Plan Review if required (Section 3) $ - -.
If the work authorized Is suspended or abandoned at any time after work Subtotal $
Is commenced for a period of 180 days. Electriral Permits are non- $ ---- --
refundable and non•transfarable. [J Trust Account
For inspections call Balance Due
681-3699 or 681-3698
24-hour recorder, one working day in advance of need
BL29 • 3195
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CITY ov T I GARD — RECEIPT OF PAYMENT RECE.I w''I", No. 199-268019
f;WF_CK AMOUNT a 36. X15
t�'AME. TUALAT I N ELECTP I f, CASH AMOI INT 0. 00
ADDREG5 c P C) BOX 655 PAYMENT DATE w 07/ 1319"
WII_SONVILL_F, OR SUAI)IVISInN c
9'i L►7Q►_
VA)RPOSE: OF PAYMENT AMOL1141 PAID r,URf''OSE OF PAYMF'NT AMOUNT PAIL)
L.1-C;TRICAL PERMIT 35. 00 ST. BUILD PER 1. 75
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12549 SW 1.:.3:3RD ST
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TOTAL... AMOUNT PAID 36. 7 r
CITYOFTICARD
CRYOf
COMMUNITY DEVELOPMENT DEPARTMENT onew
1317 SW HWI Blvd. P.O.Box 23397,TOW,Oregin 97223(603)830.4176 I-JCCUPANCY
JISI91 --OL69
39- 11. 71
DAI , ISSUED;
SITE ADDRES.:3— .- 12545 SW 133RD AVE PARCEL.: LS104AC-0lHlf,-,,.,
SUBD I V I to I ON. . . . : MORNING tAlt.A.. 8 70NINGi R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . .169
CLASS OF WORK. 2NEW
TYPE OF USE. . . .Sf-'-'
OCCUPANCY GRP. i R3
OCCUPANCY LOAD s220 4
TENA141 NWE.
Remark ark g&
Uwner:
RLR HOME S
RICHAVID I-. ROBBING
14320 GW AINSLEY
TIMID OR 97222-0000
Phone #.- 789-42;v.*
RL.R HOMES)
RICHARD L- PUBBINS
t4320 SW AN-N91-f.ly
TIMIRD CIR 47o--'0'4--00@V)
Phone #s 789-4206
Hop #. . 1 16986
Ut:'L'.�Llpmnry of the atnove reterericed buildintl j.h hereby !A.iven, eirid cortifie%
the compl i ance with the at 9 Of Oregon spac iml t y Cod** for the qv•omp'
Oa:VL113allLY, and u%e under which the reterenvoci per- mit wa- iv,!:kted.
SUILAMIV.; INSI-I-C."fOR
Pistil IN X" CtAKRIS PI-ACE
CITY OF 1 GARD 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. Unaerslab Mech. Rougn-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Bean Mech. 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: c�Time: AM PM
Address:
Builder:+ �! 2—r rr S5 Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: J
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Inspector: c' 7 ci c Date:
AAPPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For R�insp� � ,(�
1I4SDECTION NOTICE
City of TigarO Building Department.
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businean Phone: 639-4771
Inspection:
Fo ting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Nine FINALS
Post/Beam Struct. .San. Sewer Framing -Bldg.
Poat/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lice Gyp. Bd. -Mech.
Date Requested: Time: AM A�,/i PM
Nddrese: / Z- Permit #: 91-0 ZG
Builder:
'ME FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors .
A_ PPROVMD DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Del—tMent
13125 a Fall Blvd.'Tigarl, Oreron 97223
Inspection Lino (Rec-O-Phone): 639--417: Business Phone: 639-4171
Inspections
Footing Plbg. Underslab N,?ch. Rough.-in Apps/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framino -Bldg
Poet/Beam Mech. Rain Drain l:ieulati.on -Plumb.
Plbg. Underfloor Hater Line Gyp. Bd. -Mech.
Date Requeeteds _Time: __AM _
Address;
e�l/S S Permit !:
Builder: —
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors p Date
APPROVED I DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE.
City of Tigard Building Department
13125 SW Hall Blvd—Tigard, Oregon 97223
Inspection Line (Rec:-O--Phone): 639-4175 Business Phone: 639-4171
Inspection:,
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. Sari. Sewer Framing =-Bldg.
POOL/Beam Hoch. Rain Drain Insulation n
Plbg. Underfloor Hater Line Gyp. Bd. / -MechD.
Date Aeueei.ed: ,a Time.-:TPN
/ > v'd,
Permit 2la
Address: �7 e1 l J i: (J _
Builder: �
THE FOLLOWING OORRECTIONS AP AQUIRM
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Inspector:,
-- Dater`
!i'PROVB�i� DISAPPROAIPD APPROVED SUBJECT TO ABOVE
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___Ca)1 For Reinep.
10SPECTION NOTICE
City of Tigard Building Department
13125 SW Ha-1 Blvd. Tigard, Oregon 97223
Inspection Linc (Rec-O-•Phone): 639-4175 Business Phone: 639-4171
Inspection:_ � �
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Poet/neem Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Data Requested: J _Time: AN PM
Address: (L-� "�S _ _ 'yrmit f
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Insprictor: /(-47-0,f9 ?1fVA4,45 _ Dates
/APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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INSPECTION NOTICE
City of Tigard Building Depart i+nt
13125 STI Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4173
Inspection:
Footing Plbg. Underslab Mech. Rough-:n ( Appr/Sdwlk
Found. Plbg. Top Out Gaa Line FINT .s
Post./Ber_n Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Dcein Insulation -Plumb.
Plbg. Underfloor Watbr Lina Gyp. Bd. -Hoch
Date Requestedt (� ( ( _ T3m9f AH PH
Address: 1 / h Permit
Builder: �L7� l,od 1 - 5(oc) ��" -�✓JV
THE FOLLOWING CORRECTIONS ARE REQUIREDI
Ai22i vPn o�j zP- qZ 1g' d-e)4:;)j2Q S10 -1,L,'/ LA. _
tnnFu 1 rr- Date!
AF`PROVF.D �,'
1)T.`:A1'PP0VFD APPROVED SUBJnCP TO ABOVE
CA11 For Reinap.
INSPECTION NOTICE �-
City of Tigard Building Department �1 q
13125 SA Ball Blvd. Tigard, Oregon 97223 G
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab ech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line/ Gyp. Bd. -Nech.
Date Requested: /✓/I f q Z- Times A!1 -&- PH
Address: 2 _5/ 7
c/S 133al Permit c ,7
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Builder: /�. !QG'1/ — a / Z`1G
THE FOLLO/W�ING CORRELMONS ARE REQUIREDs
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Inspectors__ � Dater
APPROVED OP"DISAPPROVHD APPROVED SUBJECT TO ABOVE
01-111,
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departsaent t!
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rouah-in Appr/Sdwlk
Found. Plbg. Top out,/ Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. UnderfloorWater Line Gyp. Bd. -Mech. /
Date Requested:_ `�! Times AM PM
Address:
Permit Permit #s-, !JU �
Builder: _
THF FOLLOWINQ RRBCTIONS ARE REQUIRED:
Inspector:/ �_�_ Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainsp.
INSPECTION NOTICE
City of Tigard Building Deparl-inent
1312.5 SW Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phor.e): 639-4175 Business Phone: 634-4171
Inspection: ----_ - --
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
oat/Beam Struc San. Sewer Framing -Bldg.
Post/Beam Hoch:, Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested:__j� ��L __Time: AM PM
Address:_ y� y� 1,3:�~ �a� Permit 0:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:
APPROVED P"IDISAPPROVED APPROVF,D SURjRrT To AnOVE
l/Call For Reinep.
INSPECTION NOTICE Alf—
City
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City of Tigard Huildi[.g Department
13125 SR Hall Blvd. Tigard, Oregon 97223
tnepection Line (Rec-O-Phone): 639-4175 Bucineee Phone: 639-4171
inepectiont
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. ---�� Plbg. Top Out Gan Line FINAL:
et/Beam Struct� San. Sewer Framing -Bldg.
Poat/Beam Mech. Rain Drain Inaul+:tion -Plumb.
Plbg. Underfloor Hate Line Gyp. Ed. -Mech.
Date Requ ^� L Z► --Time. AM
Addreee: 1` i2 /.� Permit
Builder.:__
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inapect.or: _ —_ Dat": �+
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APPROVED DISAPPP.OVEn APPROVED SURJFCT To Ago"
_—Call For RAinnp.
INSPECTION NOTICE T
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out Gas Line FINAL:
Post/Bear: Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
bq. Dnderfloor Water Line Gyp. Bd. -Mech.
Date Requested:�_ 1_ Time: AM PM
Address: .s ��] '� �G^a_ permit #��-C
Builder:
TNS 1POLLOWING CO CTIONS ARE REQUIRED:
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�APPROVI?D DISAPPROVED APPROVED SUBJECT' TO ABOVF.
call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect.ion:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plk _�o� Out Gas Line FINAL:
i
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain.i.
Insulatici -Plumb.
Plbg. UnderfloorWater Line+'} Gyp. Bd. -Mech.
Date Requested: Z TiAN _. _FM
Addrwse: �J ��--L 3 Permit to
Builder.--- 1/C/—
TMA FOL.LOWIN RRECTIONS ARE REQUIRED:
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Inspectors_
APPROVED DISRPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION_NOTICE
City of Tigard Building D-partment
13125 SSI Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
opting Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out sae Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Hd. n Mech.
Date Requested:_— lam_ Time: AM PM
vd
Address: Z.Z.2- /S � 44� Permit
Puilder: 2 Z -
THE FOLLOWI QDRRECTIONS A" REQUIRED:
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Dater/'7 2
_APPROVED e� DISAIPROVRD APPROVED SUBJECT To ABOVR
IV.tlQ !� —Call For Reinap.
ItISPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: --
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line INAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation �_Pl _
Plbq. Und rfloor 7Water Line Gyp. Bd. -Mach.
Date Requested: I/ L —Time: AM PN
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Address:_ ? �{n n/ Permit 1:
or:
Build -
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:�! -------- ----- --- natal
"PROVED DISAPPROVED APPROVED SUBJECT TO ABOVY
Call For Rainap.
INSPECTION NOTICE
City of Tiqard But1ding Department
13125 SM Ball Alvd. Tfgard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineas Phone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr1Sdwlk
Found. Plbg. Top Out Gas Line C FINALS
Poet/Beam Struct. San. Sewor Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: ` �' �- - 2 Time: AN PN
nTbtx ess: �� : `.>Lj Permit is
DuiIder: 1 \ Q 1 1 IAS -7u1-Ll
THE FOLLOWING CORRECTIONS ARE REQUIRF.Ds
r� ..,�i��' a��-A-. 9�• / � �.�.tI�FTy
C3� �..�� �!_.t�.w•t�' a.c.�..� amu--t/ --
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Innpectar:—��+rf-.j.— - Date:
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APPROVBD DISAPPROVED APPROVED SUBJECT TO ABOVE
y'! Call For Reinsp.
• INSP--j@h.[ON NOTICE
City of Tigard Etailding Department
13125 SW Hall Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Pont/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Mech. Rain Drain IInnsulation -Plumb.
Plbg. Underfloor Mater Line ( Gyp. ad. -Mech.
Date Requested: /C) / � TL:set AM PM
Address:. / f� /,�. Z-3 _� Permit
Bu),.der:
THE TO'_LOWING CORRECTIONS PRE REQUIRED:
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Inspector:�, SL__—_.. .�---
A-01"'APPRO{{ED DISAPPROVED APPROVED SUBJECT TO ABOVE
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• INSPE�'PION NOTICE
City of Tjq" Rxiiiding Department
13125 Sw Hall irvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4111
Inspections 'rt-1
Footing Plbg. Undersi9b Mach. Roug':-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Fr mi -Bldg.
Poet/Beam Mach. Rain Drain / Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: I 1� Z Tinto: AM PN
Address: <7 �I L� Permit #:-T
Builder: /
TMS FFOLLOWING CORRECTIONS ARE REQUIRED:
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inspector: ___ ----- --_.-- Date: /G - L
APPROVED G� DISAPPROVED APPROVED SUBJECT TO ABOVE
Call Por Reinsp.
• INSPFj AION NOTICE
City of 7Qts;hrd Bft!ditsg Departsnent
13125 Sit Ball lrivd. 4igard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Font/Beal Struct.. San. Sewer (" Frem -Bldg.
Post/Bram Mech. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater QLine Gyp. Bd. -Mach.
Data Pequented: l�lO l Times __AM / PH
Address.1 Z 5 `fS /��✓ Permit fs�!�7—
Builders—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Innpertor:_...
APPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE
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`Call For keinep.
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-;47-77 DATE: ISF-JEDt 06/2-0/9P
C'TYOF TI ARD Crry PLUMB!W� PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . .
13125 SW Hell Bkd P.O.Sam 23397.Tigerd,Oregon 97 (SM)6394175
S I rE ADDRESS. . . : 12545 it 133RD AVE PARCEL:
SUBDIVISION. , . , s MORNING HILL 6 ZONTNG: R-015
. . . . . . . . . . LOT. . . . . . . . . . . . . : 169
,LASS OF WORK—NEW GARDAGE DISPOSALS— : 1
TYPO' OF' USE. . . . :SF WASHING MACH. . . . . . . : 1 PACKIFLOW PREVNTPS. . ;0
OCCUPANCY GRP. . sR3 FLOOR DRAINS. . . . . . . ..0 TRAPS. . . . . . . . . . . . . . ..0
`-3TOPIES. . . . . . . . l2 WATER HEATER5. . . . . . : 1 cATc>i BASINS. . . . . . . :0
F*I XTURES------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . tt
5TNKS. . . . . . . . . . .. I PREASE TR.IPS.
I-AVATORIES. . . . . .4 OTHER FIXTURES. . . . . :11.1
HJ13/6HOWERS. . . . . SEWr--R LINE (ft) . . . . :0
WATER CLOSETS. . -. 3 WATER, LINE (ft ) . .. . . cI0O
:)I$HWF)SHCRS. . . . ; I
RAIN DRAIN
jyj
OWNER.
IRLR iqomr-s TI F 1380. 00 P1-!- 06o,30192
i;'ICHARD L. ROBBINS BPRT 418. 00 PILL 06/ 30/92
14320 rjW AINSLEY rAPLC f 7!71. 70 JLH 22118C,
FIGARD OR X024- 00100 B5FIC, :rah. 9 0 PLL 06/30/92 -
Phone #: 789-4226 SSDC .:'60. 00 PLL 06/30/92 -
PARK t 500. 010 PLL. 06/30/92
Plumbing MPRT I 4t.-. 0 1-ZI PLL 06/30/92
MPLC ti 10- 50 PLL 06/30/92
M:jPC 2. 1.0 PLL 06/7,0/92
PPRT 4 147. 50 1*11-1.- 06/30/9F2
i t St t P5PC 4 7. 38 PLL 06/30/132
i P 2 'Ph o n e#I
Peg 0:
REPUIREE) INSPE( TIONS
Th4s permit is issued subject to the reg-
ulations contained in the 'rig- rd PlUnicipa) Foot /found Insp Rain drain Iiisr,
Cod*, State of Ot,e. Specialty Codes and all Post /Seam Struct Watev, Line Insp
Other laws. All work will be clone Post/Beam ftlerhan Appr,/Sdw1k Insp
in. Ac.�,ordance with approved plana. This Plm/undslab Insp Mechanical Final
{permit #,qill expir-e if wov,k is noh star-ted PLM/Undf-t-f I nov- P'llimb Fivial
within 1811 days of issuance, at, j.f work is Mechanical Insp Building Final
SUSP@Tided tor mare thin ISO days. Plumb Top Out 17)%osior) Control
Framing Insp Crawl Drain
Fit,eplAve
Gas Line 1,isp
InSUlAtiOt Jt)§j.)
Gyp Onat,d Insp
, -
A �z�YPlumbing ontravtot, Signet .tie
Call for inspection 639-417!5
Notes
J
CITYOFTIOrARDMASTER
A4610
PERMIT �
PERMIT #. . . . . . . : MST91--0269.
COMMUNITY DEVELOPMENT DEPARTMENTr
131268WHOBWP.O.Bar23W,T1g",0mgan07279(5"43"j7—$ 77 DATE ISSUED: 06/3121,102'
GTTF ADDRESS. .. . . 1 545 SW 1333RD AVE PARCEL : 2S104AC-(,f1-11.69
SUBDIVISION. . . . : MORNING HILL 8 70NING: R-2`5
%ALOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. 169
---------------------------------- BUILDING
r;E I SSUE: DWELLING UNIT',-): 1 BASEMENT. . . . . . . . :0 s t
[A-ASS OF WORK. :NEW 8EDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :440 sf
TYPE OF USE. . . :SF FLOOR REQUIRED SETBACKS--------_---
?-YPE OF CONST. :5N FIRST. . . . :929 sf LEFT. . :7 ft RIGHT. : 18 ft
DCCUFANCY GRP. :R3 SECOND. "Y53 sf FRONT. -20 ft REAR. . :w2=' ft
STORIES. . . . . . . :2 THIRD. . . . -.0 sf
HEIGHT. . . . . . . . :20 ft TOTAL------- : 1882 sf SMOKE DETECTORS. :Y
!-LCJOR LOAD. . . . :40 psf VALUE. . . . . Ii : 94492 PARKING SFIACE:S. . :0
12 e m a k s : IVl
---------------------------------- rILUMBING ------------------------------------
`-lNl'�S. . , . . . . . . . : 1. FLOOR DRAINS. . . . :0 BACKFLnW PRF_VNTRS. . :17+
"AVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
l'UB/SHOWER S. . . . -2 LAUNDRY TRAYS. . . :0 CATCH BASIN".3. . . . . . . .1i9
WATER CLOSETS. . -3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . z1 WATER LINE (ft 2 . : 100 OTHER FI XTURE'S. . . . . °01
HARBAGE D I SF". . . a 1 RAIN DRAIN (ft ) . a 0
WHSHING MACH. . . : 1 SF FRAIN DRAINS. . . 1
MECHANICAL _.___.-.__.____-_ ----------------- FEL.7 ._._-__--___-_
UNIT HTR=a. . :0 t/pe amount by date recpt
/GAS/ / / VENTS . . . . . .0 TIF $ 1.3130. 00 FILL 06/30/92
NAX INPUT:0 CITU VENT FANS. . :5 BFIRT $ 416. 00 FILL 06/30/9c' -
r`UF7N < 100K . . : I HOODS. . . . . . : 1 SPI-C $ 271. 70 JLH 12/26/91 2E 1186
1--URN ) =1001-1N . . :1.A WOODSTOVE S. :0 N F'C $ 20. 90 PLI_ 06/310/92
1-L OUR TURN. . . . :0 CLO DRYERS. : i SEDC $ 280- 00 FILL 06/30/92 -
,CtiL/ClAP ( 3HF':0 OTHER UNITS:0 IDARK $ 500. 00 FILL 06/30/9c'
GAS OUTLETS: 1 MFIRT $ 42. 00 FILL 06/30/92
Owner': WILL $ 1121. 50 FILL 06/30191
i!_R HOMES M5PIC $ 2. 10 FILL_ 06/3n+/9:R -
k I CHARD L. R(jBB I NS PIP-'RT t 147. . 0 FILL 06/30/9L' —
143i-@ 5W AINSLEY P5PC $ 1. 38 VLL 1116/30/92 -
T"IGARD OR 97224-0000
::,hone #,- 789--4226
1 cont rant or•s . .._ __ ..__ .._. __ ..... .
RLR HOMES
'RICHARD L. ROBBINS
143201 SW AYNSLEY
YARD OR 972._'4 00V.0
ILL
1-'hone 111: lfi9-4�:c'6
.L f py 4!. , a 16986 --_----__----.-_-___-__-_._-_____-_-_-.
s $ 3080. 08 'TOT(4
This Qerait is issued subject to the regulations contained in the -- -- --- ftEl,lU 1 RED INSPECTIONS
--- --
�' igard Municipal Code, State of Ore. Specialty Lodes and all other Foot/f'ound Insp Fireplace Insp
-' applicable laws. All work will be done in accordance with approved Most/Beam Stt-,.ict Gas Line Insp
r plans. This pe>-oit will expire if wort/ is not started within IN F='ost/Beam Mechan Tnsl.tlation Insp
days of issuance, or if work is susoenaed for @ore than 180 days. Fllm/".mdslab Insp Gyp Nnard Insp
Nt-M/Under^floor Rain drain Insp
pev-m,ittee Gipnratr.iv,P : MK(-hanir.at frts .) Water- Line Insp
F" amTop Out Appr/Sdwlk Inap
T , +M,a tr,,• • ��� Fralmlinll Insp Mer..hanil:i<al Final
Ltall for inspection 639-41'73
SEWER CONNECTION
CI•WOFTIFARD
W 4PERMI,r #. . . . . . . : SWR92--0045 XW
COMMUNiTY DEVELOPMENT DEPARTMENT
13126 SIN Hell Blvd.P.O.Box 23397.TOW,OrW W= 175
nAIE ISSUED: 06/30/92
SITE ADDRESS. . . : 12545 SW 133RD AVE PARCEL: 2St04AC—MI1169
GLJBD I V I S I ON. . . . : MORNING HILL & ZONING: P-25
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 169
......----
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : F1 XTURE UN ITS. . .
CLASS OF WORK. . . -NEW DWELLINC-3 UNITS. . : 1
IYPIE OF USE. . . . . :SF NO. OF BUILDINGS: l
I NSTALL TYPE. . . . -BUSWR IMPERV SURFACE. . -
Remarks:
Owner: ----------------- FEES
RLR HOMES t YPp amol.int by date recpt
PICHARD L. ROBBINS PRIVIT $ 1900. 00 PLL 06/30/92
14320 SW AINSLEY TNrP s 711F.J. 00 Pl__L 06/3121/13;7.,
1ICARD OR 97224-0000
Phone #-. 789-4-2.::-6
Cuntractnr:
RL.R HOMES
RICHARD L. ROlAF311q`1
14320 SW AYNSLL-.:Y
TIGARD OR 97224-0000 _—__—__-_--__—_.___—__._—__.____--._____..._
P'fione Ot 789-4226 11435. 00 TOTAL
Req #. . c 16986
REQUIRED INSPECTIONS
T:.;: PmpliCapt agrees to comply with all the rules and regulations Sewer Inspection
cl the Unified Sewage Agency. The permit expires 160 days from
t^e date issued, The total amount paid will be forfeited if the
opreit expires. The Agency does not guarantee the accuracy of the
side sewer laterals, if the sewer is not located at the measurement
given, the installer shali 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 Agency will install a lateral.
Plermittee
T,srsLted LAY
Call for inspection 639-4175
1LJ
CITY OF TIGARD — RECEIPT OF r,nYMFNT RECEIPT NO. 92--Pg!9016
CHECK AMOUNT a 4776. 48
NC414E a POSBIN43, RICHARD L. CASH AMOUNT n 0. 00
pi,.R Hnmc-s PAYMENT DATE a 0(1130192
14320 SW OYNSLEY WAY 13UBDIVISION
Tif-'I'ARD, OR 9722,4--
PURP(JSA. OF' PAYMENT AMO(JN T PAIL) PURPOSE OF PAYMENT AMOUNT r-,A 11)
Ek U I F6 FZ—FF—fiW" F—'.':7-7 S F? 427. 00 PLUMBING PERM 147. ; 0
MECHANICAL I
,.1 -.,;9. 00 ST. BUILV PER 30. 68
E I
PLAN CHECK FE 37. 30 SEWER USA 1900. 00
3EWER INSPECT 35. 00 PARKS SDC 500. 00
-I
A
TORM DRAIN SIX7 i2ek. 00 RESIDENTIAL. TRAFFIC FEES 11-180. 00
MA!':lS TRPN91i TIF FFFS 100. 00
1 `612 SW 133RD AVENUE, LOT 802, MORNINO HILL
TWAL AMOUNT PAID 4776. 48
--7177
CII'V CIV T:Ct.,ARD _ ricr_;er: PT OF c-`AYmF *r RECETPT NO. a4)1 ,t='11 7
CHEM( AMOUNT P50. 00
W ME. a Rr)l3HM5, Ell t"f IAExY) I__. CCUM AMOUNT 0. 00
ADDR R5 a 14.2,x 0 S. W. PYNNI—LY WEIY PAYMENT DATE- a 1 8.6/')f
TIOARP, 'OR !UPf)IVI`-.+T(]N a
q'7224—
f,I1F4',,L)SE OF PAYMENT _ AMOUNT PA I V PLJi1F'Cl!J.—.. OF PAYMENT AMOUNT CIA I L)
L ti
LL
Y v
III)INTW3 HILL 48 L.01
J
L
W
�.�� Ailol.Ji"d r c r,1 , , r.1150. 00
, 13115 Sw 11au Btvd. PLNCK/RECTCITYOF TIGARD PO Box 2k397 PERMIT #
COM 1) E..NT DEPARTNIENT Tovard,Orcgon 97a3 —
(501)639-4171 DATE ISSUED
JOB ADDRESS: W 5k., Xyr TAX MAP/LOT
SUB: /Li�.��r n��,.�� 1�e,'f/ LOT: f Z LAND USE:
VALUATION: c�i' o- D
OWNER / SPECIAL NOTES
NAME: %E"l� �> C'�C s, REISSUE OF: _
ADDRESS: / `,rX LAST REISSUE:
f
FLOOD PLAIN/
PHONE: — ��� - -•= SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: /r— /�"� T % _ PLANNING:
ADDRESS: —1 ENGINEERING:
--- -7/ �/1 /> r �f�� �LZ,;7 1 FIRE DEPT: — - ---
PHONE: �'� l' 7-90,-;;-;7= JTHER:
CONTR. BOARD #: /� EXP DATE: 2�y"L
�^ ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: ( - -3 _ LIST/SUBCONTRACTORS:
` MECH: L — BUS TAX:
ARCH/ENGINEER CALCULATIONS: _
NAME: L c �l� c /, TRUSS DET,;ILS: __ _
.C � OTHER:
ADDRESS: _ _—
PHONE: _
PROPOSED BLDG. USE: —
COMMENTS:
APPLICANT SIGNATURE
I
eived By: — Date Received:
_ 7
c!
PERIM11 r ACCT # OESCRIPTION AMOUNT AMOUNT PD. BAL. 'DUE
10-432 00 Building Permit Fees -2 f
c.'
10-431 00 Plumbing Permit Fees _ / / 7`-
10-431 01 Mechanical Permit Fees _ �ov
10430 Ol State Building Tax (5%)
Building ,5-:5-
Plumbing
J
Mechanical
C,cj .
10-433 00 Plans Check Fee
Building 27-7 ,
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection _ S
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 Residential Traffic Fees ILO.0 0 U-
25-448-05 Mass Transit TIF Fees 100 -00 / oU
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Oev Chrg
(SSDC) S U
24-445-01 Water Quality (Fee in lieu of)
,x
24-445-02 Water Quantity (Fee in lieu of)
L TOTAL2,tP
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