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12756 SW 131ST AVENUE o, W rn H 12756 SWI 131st Ave. _ DEPARTMENT OF LAND USF.&TRANSPORTATION LAND DEVELOPMEh7 SERVICES DIVISION WASHINGTON 155 NORTH FIRST,HILLSBORO,OR 97124 COUN'T'Y, INSPECTION REQUESTS: 503/640-3561/693-4415 OREGON XXXXXXXXX--> 64U-34'/U Page 1 of 1 Date 1U/25/94 'Time U8: U2 Permit 'Type : Residential. Electrical Permit Permit # U5U59966 Permit Status APPROVED Applied 10/24/94 Situs Address 12756 SW 13151' AV '1'1 Issued 1U/24/94 Permit 'Title SFR - NEW HOUSE Completed Permit Uescr . '1'o Expire J4/22/95 Project 'Title Sk'R - NEW HOUSE Project # POU44930 Project Uescr. ; EROSION Parcel Number 2S1'."l - Lard Use District valuation U Leqal Uescr. UWner 1NSPEC'1'ION - 'VIUARU Construction O'1'H Applicant Name CHEROKEE ELECI'R1C Classification 9UU Applicant Addr. : P. U, BOX 23U'L3U Occupancy '1'lUARU, UK 9'/281-0230 Validated by PH Applicant Phones 598-7744 Inspector Area : CUN'1'RAC'1'UR : CHEROKEE ELEC'T'RIC Lic . C 3-127C 598-7'744 Fee description Units Fee/Unit Ext fee Data ----------------•------------------------------------------------------------ Square Footage (Enter Sq Ft . ) 1500 135 . 00 Subtotal Electrical Fees : 135 . 00 State Surcharge of 5% 6 . 75 'Total Electrical Fees : 141 . 75 *+r* Fees Required *** *** Fees Collected 6 Credits *** Method Check # Receipt No . Date Payment CK 4511 1U/24/94 141 . 7a Fees : 141 . 7b Act-wstments : . UO 'Total Credits : . 00 'total Fees : 141 . 75 'total Paymentfi : 141 . '/5 Balance Du'a : . UU NOTICE This permit becomes null and void I the work or construction for which It Is Issued Is not commenced within 100 days. Once constructioo has started, the permit becomes null and void If construction Is Interrupted for a period of 1110 days I certify that the Information presented by lhn appi.cant and his agont or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construe ion and use of this building or strucluon will be compiled with whether or not specified on the plans or noted on the pians correction shoats I acknuwledge that the granting of a permit does not grant authority to access private property or to use easements. I further r -.owiedge that the use or occupancy of the structure or bWiding permitted depends upon my calling for Inspections at various times during the press of construction and the building Inspection staff verifying compllox a with the various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department Is solely at th r risk of the applicant and such use or occupancy Is revocable until all inspection requirements are aotisfied and appy oval Is given by the Building f.fficld I further acknowledge that a Ilan may be placed on the title of the property upon which the,jermit is Issued specifying that the use or occupy—y of the building or structure Is provisional and revocable until the satisfaction of all Inspertlon requirements APPLICANT'S SIGNATURE W, �SHINGTON COUNTY ELECTRICAL Dartment of Land Use & Transportation ELECTRICAL PERMIT Ell ctrical Inspection Section 155 North First Avenue, #350-12 APPLICATION Hillsboro, Oregon 97124 Information: (503) 640-3470 Fax: (503) 693-4412 Permit PRINT Number J — '— Date Please complete qII sections, 1 through 5.' 4. Complete Fee Schedule below 1. Location of installation Number of Inspections per permit allowed Address I Service Included: Items Cost(ea.) Sum Building City uite Ifo. A. Residential-per unit ; ( S Tenant Name 1000 sq,ft.or less _L $110.00 //X. - 4 Each adr itional 500 sq.It (if commercial) —_. or pc.tion thereof $25.00 z S Limited Energy $25,00 1 Map No, Tax Lot Each Manuf'd Home or Modular Thomas Map Book: Page: Section: Dwelling Service or Feeder $68.00 2 _ _ Directions" v� i '' ` _ - B. Services or feeders — ---- Installation,alterations or revocation 200 am �s or less $60.00 2 Commercial Residential 201 amps to 400 amps $80,00 2 401 amps to 600 amps $120,00 2 2a. Contractor installation only: 601 amps to 1000 amps $160.00 2 Over 1000 amps or volts $340.00 2 Electrical Contractor , r 1 /_ /r ; Reconnect only $50.00 Address / i' -- 1� City � _ '- . State ZIP C. Temporary Services or Feeders Date Job Number Installation,alteration or relocation Property Owner _,4, /` ;4, :.1Z// --— 200 amps or less $50.00 _ 2 Contractor's License No. I /-, ) r 201 amps to 400 amps $75.00 _ 2 Contractor's Board Reg. No. _ 3 e Y: 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts see W above Signature of Supr. Eleu'n d D. Branch Circuits License No. r/l. .5 Phone No. 5 %t y r/ _ New,altoration or extension per panel a) The fee for branch circuits with 2b. For owner installaL•ons: purchase of service or feeder fee. Each branch circuit $5.00 _ z int Owner's-Name— -- b) The fee for branch circuits without one o. purchase of service or feeder lee. Address First branch circuit $35.00 _ 2 Each add'nl branch circuli $5.00 _ ? N E. Miscellaneous (Service or Feeder not included) Each pump or irrigation circle_— $40.00 The installation is being made on property I own Each sign or outline lighting $40.00 2 which is not intended for sale, lease or rent. Signal circuit(s)or a limited energy panel,alteration Owner's Signature _� 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 Per hour $55.00 _ Please check appropriate kern and entPl fee In section 58. In Plant $55,00 w� 4 or more residential units in one Structure Service and feeder, 800 amps or more 5. l=ees __System over 600 volts nominal A. E=nter total of above fees $ _._Classified area or structure containing special 5% Surcharge (05 X total fees) $ c occupancy as described in N,E.C. Chapter 5 Subtotal $ i'i1, 7.5 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. _; Trust Account $ Balance Due $ For Inspections call this permit becomes null and vold i vii aulhorlred by the permn is nol commenrsd 640-3561 or 693-4415 within 160 deye from del#of lesuant .rch Perm"Of If the work aWhorlted Is N or abandoned al any time :-r work b commenced lot•po lod of160 days. 24-hour recordor, one wurking day in a Nance of need ElselrloalPermnsWenon-rslundableand non-Vansfereb4s. 8194 DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 COUNTY, 15�' NORTH FIRST, HILLSBORO, OR 97124 PHG N E: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 Al, I Api Ph i I,, DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 COUNTY, 155 NORTH FIRST, HILLSBORO, Or. 97124 PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 I Permit # 05059966 Project # P00449.30 Status APPROVED Pag4:� 1 of 2 Applied : 10/24/94 Issued 10/24/94 Expires 04/22/95 12/15/94 05 : 31 �`(b RESELEC S Permit Title FR - NEW HGU.;E (� ��TN Description A4 iV Begun 10/24/ 34 Job Address 12756 SW 131ST AV TI O Owner Name INSPECTION .- T I GARD Applicant Name CHEROKEE ELECTRIC Phone number 598--7744 Valuation Approved Inspector Comments : Rejected_ � IVR-RESULTS REQUEST ERROR Plumbing Mechanical Electrical Structrual General Inspected byAIL _ _ ._._-jute Inspection Requested 7 * Final Electrical 0499 E AP I+N IVR 12/15/94 RI PH 1 DEPARTMENT OF I ik"!D USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSIBORO,OR 97124 COUNTY, INSPECTION REQUESTS: 503/640-35E1/693-4415 OREGON XXXXXXXXX- 640-:J4'/O IF Page 1 of i Date 11/01/94 T'ime 09 : 21 Permit 'Type Residential Electrical Pel.Mit Permit # 05060152 Permit Status APPROVED Applied 10/27/94 5.itus Address : 12'/bb SW 1315'1' AV '1'1 issued 10/27/94 Permit 'Pitle SFR - ALL ENCOMPASING LV Completed Permit Uescr. 'Po Expire 04/25/95 Project 'Title Sk'R - NEW HOUSE Project # P0044930 Project Uescr , * EROSION Parcel Number 261'1'1 - Land Use District Valuation U Legal Uescr, Uwner 1NSPEC'1'10N - '1'1GARU Construction 01'H App.licant Name UARY ' S VACUFLO Classification 900 Applicant. Addr , : 9U1b SE FLAVEL Occupancy POR'1'LANU, OR 9'/2bb Validated by PH Applicant Phone : '/'/5-2041 inspector Area CUN'1'RAC'1'UR : GARY 'S VACUFLU Lic, C 25-728C 775-2042 Fee description Units Fee/Unit Ext fee Data ------------------------------------------------------ --------•------------- Limited Energy/Alter./Extension 1 40 . 00 40 , 00 Subtotal Electrical Fees : 40 , U0 State Surcharge of 5% 2 . 00 'Total Electrical Fees : 42 , 00 *** tees Required *** *** Fees collected & Credits *** -------------------------------------------- - - - Method Check # Receipt No. Date Payment UEP' 10/2'7/94 42 . 00 Fees : 42 . 00 Adjustments : UO 'Total Credits : . UU 1'otal Fees : 42 , UU 'Total Payments : 42 . 00 balance Due : . 00 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 has started, the permit becomes null and void If construction Is Interrupted for a period of 180 days I certify that the information presented by the applicant and his agent or agents In support of this permit Is true and correct to the best of our knowledge I acknowledge that the Building Department's reliance upon false and misleading Information may invalidate this permit All provisions of applicable laws and ordinances governing the construction and use of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction sheets I acknowledge that the granting of a permit does not grant authority to access private property or to use easements. I 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 constructlon and the building inspection staff verifying compliance-11th the various codes. Use of occupancy of the building or structure oermitled prior to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy Is revncable until all inspection requirements are satisfied and approval In given by the Building Official I further acknowledge that a Ilan may be placed on the title of the property upon which the permit Is Issued specifying that the use or occur ancy of the building or stricture Is provisional and revocable until the satisfaction of all Inspection requirements. APPLICANT'S SIGNATURE WASHINGTON COUNTY RESTRICTED of Land Use & Transportation Electrical Irlsp Avenue, Section ELECTRICAL ENERGY '155 North First Avenue, #350-12 Hillsboro, Oregon 97124 APPLICATION Information: (503) 640-3470 Fax: (P03) 693. 412 PLEASE PRINT Pleaseyomple.tesections, • gh 5. Perilllt NO _52�) 1. Location of installation Date , 7 Address /?7SG ,� =3/ — City_ l/ — Zip Code 7��- 4. Type of work: Map No.. — Tax Lot _ RESIDENTIAL Restricted Energy Fee $40.00 Thomas Map Book: Page Section _ _ (for all systems) Directions. Check type of work involved: %�'/� 'Q��_ '— - — aelophone dio and St,,reo Systems* Commercial ❑ Residential L�'� lglar Alarm Tenant Name Systems* (if commercial) — ago Door Opener* This permit becomes null and vold If the work authorized by the eV i Alarm permit is not commenced within 180 days from date of Issuance Dating,Ventilation and Air Conditioning Systems* of such permit or If the work authorized is suspended or abandoned at any time after work is commenced for a period of 180 days. 45iruum Systems- Electrical Permits are non-refundable and non-transferable. the,Gf ���Q fy� 2. Contractor application: --- COMMERCIAL Fee for each system x40.00 --- (see OAR 918-260-260) Check type of work involved: y toiler Controls .-. Clock Systems Phone No. Data Telecommunications Installations Fire Alarm Installation 3. Owner application: HVAC Instrumentation Print Owner's Name — Phone No Intercom and Paging System Landscape Irrigation Control" Address ---— -- --------- -- Med cal N:,rse Cells its'y —" 1State--- i --- — Outdoor Landscape Lighting* This permit is Issued under OAR 919-320-370. Th•appllcnnt agrees Protective Signaling 9 to make only restricted energy installations(100 volt amps or less) Other under this permit and to do the following: ` 1. Only use electrical licensed persons to do Installations where required. (Certain residential and other transactions are exempt Number of Systems from licensing. These have asterisks(•). All others need licens.. —— 2. Call for an Inspection when all the Installations under this permit •No licenses are required Licenses are required for all other installations a sreadyfor Inspection. 3. Purchase separate permits for all Installations that are not ready Jam. Fees for Inspection when the Inspector is out to Inspect under this / permit. Enter fee;. $ 7` 4, Assume responsibility 1,3r assuming that all corrections required by the Inspector are done,and 5. Assume responsibility for calling for j,final Inspection when all of 5% Sure�large (.OS X total above) $ the corrections ars completed. The person signing thle permit must be the applicant or•person Total $ authorized to bind the applicant. Signature _ —� Space beluw reservefor valid n��7"? Authority If other than applicant For inspections call 640-3561 or 693-4415 24-hour recorder, one working day In advance of need 4194 C-1--R-FIFICTE F . CITY OF TIGARD OC ',UPAANCO Y C"MMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MGT94-033-i I SW Hall Blvd.Tlgaed,Oregon 97223*8199 (503)639-4171 DATE ISSUED: 04/12713/95 PARCEU: 2SA04AC--04800 "ITE ADDRESS. . . : 12756 C.W 131ST AVE AJP D 14)1 E31 ON. . . . : MORNING HILL 6 Z Gol I NG:R-05 LOCI . . . . . . . . . . LOT.. . . . . . . . . . . . . . ,,LASS OF' WORK. .NEW � YPF OF USE— -SF 1-CCUPANCY GRP. cR3 . ,U.J'UPANCY LOAD- 1,23 4 1 L-NANT NAME:. . Uwyl e r: - ........... RANDALL FORSYTH P 'Ll PDX �:.3804 11GARD 04 972e3 Phcme #e 590-6301) 1f,'tj PLUMBING 1895 431ml CASCADIA ,(-OHA OR 97007 holle #: P14 94071) '�!CuPal-sry Of the above vpfereT-jc.-prj 61-111cling is hereby given, ;?incl L.,pt,j, jf iie compli,anco with tile �, itLAtp ()I- Firegar) 31-,)FFc: ialtv cc les fol. the 41-0. up ,:.-vupancy, and r..l5e uncipt, 1-glir j., 14L)IL.DING M-iPUTOR DSI 'I f.).1 tt 0' F I POS'r IN CONSPICUOtis CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvu.Tigard,Oregon 07223.8180 (503)839-4171 MASTER PERMIT PERMIT 1#. . . . . . . : MST94-013_34 639--4171 DATE ISSUED: 09/06/94 PARCEL: .'S'104AC-046001 '..�I'TF:. AI)DRF.aS. . . : 1..'756 5W 131t�-_iT AVE• '_'UBDIVISION. . , . : MC?RNING HILL 8 ZONING: R--25 DLOCK. . . . . . . . . . . LOT. . . . . . . . . . . : 192 BUILDING ?EISSUE: DWELLING UNITS: 1 BASEMEfNI.. . . . . . . . :0 sf CLASS OF WORK. :NEW BED RI"IS:3 BATHS-2 GARAGE. . . . . . . . . . :70L: S f TYPE OF' USE. . . :SF FLOOR AREAS---_..___-_..__._ REl:,1UIRED SETBACKS------------- TYPE OF' CONST. :5N F I RST. . . . : 1550 5f LEFT. . .7 ft R 1 aHT. :8 ft OCCUPANCY GRP. :R3 SECOND. . . :0 S f F RONT. :20 ft REAR. . :c 1 ft STORIES. . . . . . . : 1 F'I NPgMENT•:0 S f REQU I RED---- 1-1 E I G HT. . . . . . . . :23 ED---HEIGHT. . . . . . . . :23 ft TOTAL-- -- . : 1550 S SMOKE DETECTOR . :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 111839 PARKING SPACES. . : I Remarks - PATH I PLUMBING SINKS. . . . . . . . . . : 1 FL0C)R DRAINS. , :0 BALRF LOW PREVNTRS. . : 1 LAVATORIES. . . . . :c WATER HEATERS. . . - 1 TRAVIS. . . . . . . . . . . . . . .0 TUB/SHOWERS. . . . :c LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSE:TS. . :2 SEWER I....INE (ft ) . :0 GREASE TRAP'S. . . . . . . :0 DISHWASHERS. . . . : ]. WATER LINE (ft ) . : 100 OTHER F'TXTURES. . . . . ..0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0 WA51--i I NG MACH. . . 5F RAIN DRA I NU: : 1 MECHANICAL .__.._.___....__._.._.__...____._....._ ____._______..____ FEES FUEL TYP`E_S.. . .•_----.._-__.-_ UNIT HTRS. . :4t type am01.1r1t by date r-ecpt /GAS/ / VENTPI . . . . . :0 TIF $ 1550. 00 MO 09/06/94 — MAX INPUT-0 BTU VENT FANS. . :3 BF='R T $ 463. 00 MO 09/06/911, — F'URN ( 117)0K . . : 1 HOODS. . . . . . . :1 BPLC 4 300. 95 JF 00/L'9/94 94-;-'5 119 FURN ) =100K . . :0 WOODSTOVES. :01 B5PC $ 23. 1.; MO 09/06/94 -- FLOOR FURN. . . . :0 CLO DRYEREa. s 1 SSDC $ 1280. 00 MO 09/06/94 BOIL/CMP ( 3HPs0 OTHER UNI US: 1 PARE: $ 500- 00 MO 09/06 '94 GAS OUTLETS: 1 MP'RT $ 40. 50 MO 09/06/94 - Owner: _..._.._____.._....___-._ __.___._._._.____.._._._..____.._.__._MPL_C $ 101. 13 MO 09!06/94 RANDAL.L_ FORSYTH M5PC $ x='. 03 MO 09/06/94 U BOX E31304 2BTH $ 195. 00 MO 09/06/94 — P15PC $ 9. 75 MU 09/06/94 TIGARD OR 97C c2 3 EROS $ 64. 00 MO 09/06/94 Phone #: 590-6309 ERPC $ 20. 80 MO 09/06/54 -_ Cnrltractor: _.._.._..____...._.._._ _. .___.._ ____._....... _. —ERPC 'E .::49. 60 Mu 111'-1/016/'i4 R,gNDALL FORSYTH HOMES I I all.,5 '.;W TUALATI N RD SUITE 94 TUAL.AT 1 N OP 97062 P'hnr)e #: 769- 0818 Reg #. . : 82438 $ :3480. 11 TOTAL This permit is issued subject to the regulations contained in the - --- -— REUU1 RED I NSP'_CT I UNS -- - Tigard Municipal Code, State of Ore, Specialty Codes and all other Foot /foi.lnd Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Po-,t/F11Piim Struct Gas Linry Insp plans. This permit will expire 1f work i m,� sta within 188 Post/Beam Mechan 1.1si.rlation Insp ^ays of issuance, or if work is suspend@ f,, so t Plm/l.1ndslab Insp LSyp Board Insp C PLM/Underfloor 14airn drain Insp 1-et mtttet� ',:>i rral:�lr Iler_'hanir.•al lm p Water Line Insp �— P'1�Imb Top 01.It Appr/Sdwlk Insp Framing Insp Mhchanical E'inai C., Uall for inespection 639-4175 CITY OF TIGARD SEWER CONNECTION COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 13125 SW Hall Blvd.Tigard,Oregon 97223.8119 (503)530-4171 PEF:M I ( #. . . . . . . : SWR94--0302 f;:A; , -4171 PATE ISSUED: 09/06/94 PARCEL: 2S104PC-04800 S IT L NDDRESS. . . : 121756 SW 131 S T AVE SUBDIVISION. . . . : MORNING HILL 8 ZONING: R-25 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. 19�= TENANT NAME. . . . . : USA NO. . . . . . . . . . . FIXTURE UNI'TS. . . : CLASS OF' WORN. . . :NEW DWELL I NG UN I TS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTAL._L TYf='E. . . . :BU5W13 IMPEFZV SURFACE. . : :sf Remi+rks : PATH I Owner,. -_.._______.._____.____.__.___._____.._._..._----.__._.___.___._.._.....__._..______ FEES ____._______. ._ RANDALL FORSYTH type amoi.lnt by date recpt P U BOX 23804 PRMT $ 2200. 00 JG 09/06/94 - INSP $ :35. 00 JG 03/06/94 - TIGPRD OR 0-/ c3 PI-ione #: 590-6309 Contractor: CONTRACTOR NO-r ON r..I LE 1-1,� 1e #. $ `2135. 0171 1'OTAL Rey #. . . ------- I3EUU I RED I NSVIECT I ONS ------This App'icant agrees to comply with all the rales and regulations Sewer Inspection of the lJnified Sewage Agency. :he permit expires 180 days from __�_ _•..�,_. � �._.____ the date issued. The total amount paid will be foJeited if the _ --- permit expires. The Agency does not guarantee the accuracy of the `- side sewer laterals. If the sewer is not licated at the m iresent given, the installer shall prospect 3 feet in all directions from _.__�•-,�.•__.-__.__. ____.__.. ______.. __ the distance given. If not so located, thenstaller. shall purchase a "Tap and Side Sewer" Permit and the A n wil Ins ail.j lateral. f e r m i a e S i. a r e ; I s s i_1 a d B y Call for inspection — 639-4175 Resideri>}ia# Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: ����`J� ��1 1_3' Vl Lot# Office Use Ong Subdivision: (V1bR fJIPUL-• ��u- — �� 1__ Planck/Rec # Vaivation: — — 5�!�,/ Permit # � 7 C),3-3 N' Corner Lot? Y C-N Reissue of Flag _uc? Y l�i Map & TL# Owner: C" APprcvals Required Address Planning Engineering Phone: c�-`1 (�.J(7r� - - Other _ Contractor (�A,A/C�At1 SLi?�f� �'t fir' Items Rq wired Address: Subcontractors Truss Details Phone ------� ' Other - Contractor's L, sense # (attach copy of current Oregon license) Contact Dame & Phone Subcontractors: Architect/Engineer:Plumbing: I' I ,,.tp�/A:(s Address: I`1'�' i S `���r �'/�;, ,. ;rra �1��It_1 %,F•- i fl ar t �C .��a � /L''• C �(j 4'� �rIELt►t' r r�`/ Mechanical: l_� L�,��L! -- - (attach capy of current OR Contractor's License) phone. JOB DES RIPTION: Lam' 4,)icant Signature & Phone number t Received by. Date Received Permit# Account Description Amount Amt. Pd. Bal. Due �yJy� Bldg. Permit (BUILD) ,�w��3 Plumb. Permit (PLUMB) Mech. Permit (MECH) C '� J-�-��- State Tax (TAX) j J 3' s Bldg. 2-i I t; J Plumb: Mech. �'v 3`/ ,an Check (PLANCK) ----=-- Bldg: 5«��•C-, v Plumb: Mech. ��'• 1 � vu �.1u_✓ '_ C-Aqq -0341. Sewer Connection (SWUSA) / Sewer Inspection (SWINSP) Parks Dev Char e (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-M-i) `y Commercial TIF (TIF-C) Industripl TIF (TIF-1) -- Institutional TIF (TIF-IS) - - Office TIF (TIF-0) ---- Water Quality (WQIJAL) Water Quantity (WQUANT) -- Fire District (FIRE) --- , Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) iI Erosion Planck/co-r (EROSN) TOTALS: �� e...• CITY OF TI ARD PLUMBING PERMIT COMMUNITY DEVELOPMENT DEPARTME.':f PERMIT #. . . . . . . . MST94­0��, 13125 SIN Hall Blvd.Tigard,Oregon 97?23.8199 (503)639-1171 DATE ISSUED. 09/06/9/4 PARCEL: G7_'S104AC--1P4800 C.756 SW 131ST AVE 31 'li- ADDRESS— : i :."UBDIVISION. . . . .- MCRNING HILL 8 ZONING: R-25 L'iLOCkl'. . . . . . . . . . . LOT. > . . . . . . . . . . . 19c' ------------- -------- OF WORK. . :NEW GARBr-'GE DISPOSALS. , : 1 YPE OF USE. . . . :SF WASHING MACH. . . . . . . : I BACKFLOW F-,RLVN7*RS. . : 1 JCCUPANCY URP. . . R3 I.-J_(]0 17R DRPINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 '31'OR I ES. . . . . . . . .. 1 WATER H:ATERG. . . . . . : 1 CATCH BASINS. . . . . . . :0 ...I X TURES--------- LAUNDRY TRAY5. . . . . . 0 S1_ RAIN DRAINS. . . . . : 1 iINKS. . . . . . . . . . . J GREASE TRAPS. . . . . . . 0 _AVATURIES. . . . . :2 U1 HER FIXTUREI UB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0 4ATER C1 OSET'S. . -2 WATER L.INI- (ft ) . . . . . 100 DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0 OWNER. ?ANDOLL FOR SYTH TI F $ 15)5 LA. 00 MO 09106194 ' 0 B 0/ :.3804 BPRT $ 463. 00 MO 1219/06/94 BPLC $ 300. 95 Jr 08/29/94 .),1 u i i T'IGARV OR 971R23 B 5 1:-.G $ 2:-. 1 `i NO 09/06/94 - 0: 590-(-.1309 SSDL $ 230. 00 M(.) 09 /116/94 - P A 114 K $ 500. 00 lyll) 09/06/94 - 11 l..tmb ing Contract ar- - M P R T $ 4141. bO 110 0 1) 06/94 MPLC 10. 13 MO 00/06/94 AAMCI rf15PC L. 03 Mu 01) 06 9 111. ALft)b J.- A.0 �4_ 195. 0121 110 IP 9 0 6 94 f1ddr-ess : .:ity " a b t at v $ L). 15 MEJ 09/0b/94 E R Lj b $ E-4. 00 1`1(J 09/06/94 Rey Acid 1 t ional fees not shown here. . . . . . . . RLCJUIRLD INSPECTIONS -------- 1"his permit is is,.iued subjeCt tu 4-he ).eg Alations contained in the Tigard Municipal Fo at /fo ..ind Insp Rairi drain Insp -ode, State nf* Ore. Specialty Ccdes And :�kl L 1-1 os t /1A e a m fat I-1.1c t Water Line Insf-: other Applicable Laws. 111 work will be dune Plost/Beam Mechan Appr/Sdw1k Insp tri with approved plan�;. I h i t, P I m/l..ind s i ab Insp Mechanicai Fin-,;, permit wilL expire if work is not started PLM/Uriderfloor F'IlAmb Final within 1.80 days of issi..tance, or if wall-k is Mechanical Insp Building Final suspenfled for more than 180 days. Plumb Top Out Erosion Control Framing Insp Crawl Drain Fireplace Insp Gas Line Insp Ins uLAtion Insp Gyp Board Insp r"I Z e d lumping Contractor Sign.atu re Call fat, inspection 631) -4175 Uo,,lti-actor Nut e!:*, • CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ( �Y Inspection: Footing Susp. 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 - Idg: Plbg. Underfloor Rain Draw, Framing -Plurnb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. �,/ -Elect. Date Requested:_ �!! 1`I`� Time:X AM PM Address: `�4 /. `��` .r -- ©wilder: k `r C ,' I Permit #: THE FOLLOWING CORRECTIONS ARE RE01_1120---- i - I 1- _ -- v 1 , U191 Inspector: �/" _��- Date: r J� ROVED _DISAPPROVED —APPROVED SUBJECT TO ABOVE mall For Reinsp