6955 SW PINE STREET ADDRESS:
i:\records\microflm\targets\building.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 6:39-4171
Footing Rain Drain Corer/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mach
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect
Post/Beam Strucf. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer �� )] Gass Line A.)pr/Sdwlk Reins.
/
Other: �D w l/0l l',,�eg —
Date: )` eco 96 A.M. nnttry:_
Address: �
Tenant: Ste: MST:`
Con/Own: �v�?U S 7� MEC — -- —
PLM:
ELC: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:k_,:�,f)
Inspector,
4APPROVED _DISAPPROVE DIOALL FOR REINSP. CC CO
CITY OF TIGARD ELECTRICAL. PEPMIT
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 RESTRICTED ElqEkGY
PERMIT #: ELR96-0275
DATE ISSUED: 09/05/96
PARCEL: 1S1.36AD-06900
SITE ADDIRE�3:). . . 06955 SW PINE" 53T
SUBD I V 15 1 ON. Z ON I NG:R--4. '75
LALOC'K. . . . . . . . . . Lol.. . . . . . . . . . . . . Ill 0
Project Description : Installation of bLkt-glat- alarm.
A. RESIDENTIAL- ________ B. C 0 M M E R C 114 L
AUDIO & STEREO. . . : AUDIO & STEREO. . INTERCOM R PAGING. .
BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . : LANDSCAPE/I RRIGAT. .
GARAGE OPENER. . . . . (*11-001. . . . . . . . . . . lyl E D I C,A L. . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . NURSE CALLS. . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . . OUTDOOR LANDSC L111.
OTHER: HVAC. . . . . . . . . . . . PROTECTIVE SIGNAL.
I 1\19 T FRUMENTA T I ON. OTHER. . :
TOTAL # OF SYSTEMS: 0
Owner- . FELS
JUDY PERSONS—EDGERLY type amol-trit by date r-ecpt
EDGEI--tLY, PETER D FIRMT $ 40. 010 D*A 09/05/96 96-2836H%
69b5 SW PINE ST 5PCT $ 2. 00 D*A 09/05/96 96-283616
PUR I-LAND OR 972-:`3
Phone #:
PHTLI..IPS ELL c*rPoi\acs $ 42. 00 *TOTAL
1110 NW FLANDERS
REQUIRED INSPECTIONS
POR'FLAND OR 97209 Wall coyer- Elect' l Final
Phone 503-227-057.1 Elect' I Ser-vire
Req 4. 4;`.3343
This (Prvit is issued subject to the regulations contained in the J)
Tigard Municipal rode, State of Ore. Specialty Codes and aP other let- itde SlgnRture
t 4e
�3
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not --tarted
within 180 days of issuance, or if work is suspended for nore
than 180 days. S5,Ued By
......... INSTALLATION
The installation is being made on property I own which is not intended for-
sale, lea-,e, or r-pnt.
OWNER' S SIGNATURE: DATE:
INSTALLATION
SIGNATURE OF SUVIR. ELECIN: fai-" -- DATC-.1
I ICENSE 1\10:
Call for, inspection 63-9-4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT#
Phone(503)639-4171 DATE ISSUED `5 —
FAX (503)684-7297
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
b1 SS Sw P(ne 5)-.
Address RESIDENTIAL--Restricted Energy Fee. . . . . . . S4Q.l1
w-7 ZZj (FOR ALL SYSTEMS)
City State zip Check Type of Work Involved:
I'ERMITS ARE NONTRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems*
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. 2 Burglar Alarm
❑ Garage Door Opener*
2. CONTRACTOR APFUCATION ❑ Heating,Ventilation and Air Conditioning System*
Contractorr I rDs C te�• Type y S k^^ ❑ Vacuum Systems*
9 7 2` ❑ Other
Address�Nfi.,. !��CrI � 0 _' --------------
Date�?jv I a G _ COMMERCIAL—Fee for each system . . . . . . . . . 140.00
(SEE OAR 918-260-260)
Property C;J%e��y
p y Owner C� Lhpsk Tyne of Work Involved:
Contractor's Board Reg. No. 1133 �/3 _—_ ❑ Audio and Stereo Systems*
❑ Boiler Controls
Ph-)ne# _' 2 7" 7 _ ❑ Clock Systems
/ i►
ScT�—O upo 3 � � 9�/ ❑ Data Telecommunication Installations
3. OWNER APPLICATION
❑ Fire Alarm Installation
_- ❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
Address — ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This lw.rmit Is issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls
restricted energy Installations(100 volt amps o.less)under this imrmit and to do the ❑ Outdoor Landscape Lighting*
following:
1. Only use electrical licensed persons to do Installations where required.(Certain El Proter_tive Signaling
residential and other transactions are exempt from licensing.These have ❑ Other _
asterisksM.All others need licensing).
2. Cali for an Inspection when all of the Installations under this permit are ready
for inspection at 503.639.4175. ❑ Number of Systems
3. Purchase separate permits for all installations that are not ready for Inspection
when the Inspector Is out to inspect under this permit. •No licenses are required. Licenses are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the Inspector
are done,and
5. Assume responsibility for calling for a final inspection when all of the corrections 5. FEES
are completed.
The person signing for this permit must he the applicant or a person a. Enter Fees $ e) UO
authorized to bind the applicant.
/. b. 5% Surcharge (.05 x total above) $ Z•_10 Ilvd-141—
v U
Signature TOTAL $ .vv
Authority if other than applicant
ENERGAP.CHP
Ip%:.
.,) ! 1141
o NW
PCHU'LAND L114 9 IeO")
14:1 I'MF,N I N,I INV,(I.,-N 0 1 1 y Mt..I'l I
1.V.("J R 1('341'. PF Pm 1 1 "4 0,. 1 lit 1)1 P
F-NI-..RUV t-*F--'.RMII -
Hw PINF, ST, F.I)OF-F4Y.,
TOTOL AMOUNT
NSPECTION NOTICE /
City of Tigard Building Departmnt
13125 RN Hall Plvd. Tigard, Ore-rlon 97223
Inspection Line (Rea-O-•Phone)s 639-•4175 Business Phone: 63q-4177
Inspection: __
Footing Plbg. Undaralab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lin* ���' FINAL:
Poet/Ream Struct. San. Sewer 7raming -Bldg.
Post/Brum Mach. Rain Drain I:.sulation -Plumb.
Plbg. Underfloor Water ine�y` f!S Gyp. Bd. -Koch.
Date Requested: U 7,' L`i ` Time. / V 0 AM PM
liy\$ `� Permit I s Cj
Address: . ,
Builder:
ThE FOLLOWING CORRECTIONS ARE REQUIRED:
epe t re, Date. 1 -7
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
�\ Call For Reinsp.
'\
I
INSPECTION NOTICE
City of Tigard Building Departswnnt
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buainess P o: 639--4171 -
Inspection:
Footing Plbg. Underelab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out as Line FINAL:
Post/Beam Strurt. San. Sswer Framing / -Bldg.
Post/Beam Mech. Rain Drain Insulation Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hach.
Date Requested: _—_ Time: —AM PH
i
Addr-ese:10 z �l�n�_ Permit
guilder.:
THE FOLLOWING CORRECTIONS ARP. REQUIRED:
1 ti
�-�1-,-�-.-•-�— o �-� > vim- -
Inspector:__-� ,~`- Oates
_ APPROVED _ DISAPPR VRD __ APPROVED SUBJECT To ABOVE
�� 1 l _Call For Reinsp.
CITY OF TIGARD P'E RM.IT*
COMMUNITY DEVELOPMENT DEPARTMENT PERMI'T #. . . . . . . . MEC L)4-01_ .
13125 SW Hall Blvd,Tigard,Oregon 97223.Sigg (503)639-4171 1.)(A I[---. I'..i i U L 1). 06/ I //'34
PARCEL: l5j36AD-06900
SITE, 06 )L'b ;,W P'INL z.J
SUBDIVISION. . . . : ZONING.- R---4. 5
:'LOCK. . . . . . . . ." LOT. . . . . . . . . . . . .
[-ASS OF WF)RK. . -ADD FLOOR TURN. . .
iYPIE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS— :
'CCUPIANCY GRP,. . -R3 VENTS W/O AF-PL.- YENr SYSTEMS:
STORIES. . . . . . . . : SOILERS/COMP,RESSFJRS HOODS. . . . . . . :
FUEL 0-3 HF). . . . : DOMES. INCIN:
- /GAS/ 3-15 HF'. . . . :
COMML. INCIN:
MAX INPUT: BTU 15--30 HP. . . . : REFI(IIR UNITS:
FIRE DAMPERS?. . : : WOUDSTUYES. . :
GAS PIRFF)51URE__. ul-ti DRYERS. . .
Nn. OF AIR HANDLING UNII '�i UFHL-H UNIIS. :
FURN ( 1001', f3'IU- 111111111.10 ctm : UAS OUILL116. * I
FURN `=1.00K BTU: i 10000 cfm :
NEW GAS LINE TO FIREr'l.-ArE
Owner . FEES
(-'ETE EDGERLY tyre amoLtnt by ;ate t-ecpt
6955 SW PINE ST PRMI $ 25. 00 JG 06/17/94 -
bpc V $ 1. i25 JG 0,6/17/94 -
C)W 1"1 E R
F)hr.lnf? $ 26. 2.3 TO'FOL
Reg
REOUTRED INSPIECT'TONS
11""- perait is issued subJect to the regulations contained in the Gas Line Insp
Iri#,Ard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
aotiroved plans. This permit will expire if we•k is not started
within 180 days of issuance. or if work is suspended for core
., 180 days.
r,-,-m itt,Le Si gnat,t.tv*cl : �.G�� _
ii�_t iA e d B
C A 1 1 for, inspection C-39--4175
.ity of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # _
Tigard, OR 97223
(503) 639-4171
—
Table 3A Mechanical Code QTS PRICE AMT
Job �� �j �� �INSt 1) Permit Fee 0- -0- 10.00
Address Z.P - —
/�H d6 7227--� 2) Supplemental Permit 300
•^^� /�LL Furnace to
L /J 2¢ 1) incl. ducts 8 vents 6.00
• o7 urnace 100,000 BTU +
Owner `
) -� "l7 71`� -2-- 2) incl. ducts &vents 7.50
40 Floor -urnance
3) incl. vent 600
m ^•m"° uspen�ieater, wall heater --
4) or floor rTwunted healer 6.00
Occupant 5) appliance permit 3.00
Repair of he-aI-ing-, r-PfF-ig-
6) cooling, absorption unit 6.00
-- T Boiler or comp, heat pump, air con
7) to 3 HF; absorp unit to 100K BTU F nr1
NTat"^"
Boiler or comp, heat pump, air con .
8) 3-15 HP, absorp unit to 500K BTU 1100
Contractor - -- ----
Boiler or comp, Real pump, air con
9) 15-30 HP, absorp unit 5-1 mil BTU 15.00
Boiler or comp, Real pump, air con
10) 30-50 HP, absorp unit 1-1.75 mil BTU 22.50
ere y ac now a ge 1 at ave rea i is app icahon, t rat t e of er or comp, heat pump, air con
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Aj, handling unrt to --
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 450
Board, that the number given is correct (If exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
Won porta Te-
V 14) evaporate cooler 4 50 _ I
Vent fan conne- -T--
15) to a single duct 3.00
Ventilation system not - -
16) included in appliance permit 4.50
flood serve y -
11) mechanical exhaust 4.50
Describe woiR new a(Tsion a era ion repairCommercial or industrial -�
to be done residential nun--esidential (,� 18) type incinerator 30.00
Existing use of r ter i e, woodstove, water
building or property �L:S/�2 /��/��_- 4 19) heater, solar, clothes dryers, etc. 4.50
Pr000sed ust of 20) Gas )iping one lc four uutlets 2.00
building or property _ -- ----
Type of fuel -oil Q natural gas 0 LPG Q electric O 21) More than 4-per outlet- - -
-- -—--�jOTIKE.—, --- —
Minimum Fee $25,00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION - --
AUTHORIZED IS NOT COMMEN'DED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK 13 SUSPENDED OR --- - --
ABANDONED FOR A PERIOD OI' 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS Cr)MMF-N(..ED. -
TOT)
Speclai Conditions -
----._- ---- --- Date issued _L112— by
1"MECNPMT
w'^d4amd"v
CI TY OF 'I 'I 0A RD RF( I II-'i Cl*- PAYMF"N'l RVC+ lPI NO. s94--r."Sst,1 ei
NAME: a FDOF".PLY 1-*,F-.'rtF. CAHH 1-a 011 IN 1 00
6955 SW PINE t,1 l-'t4YM1**I`-1I PHIF s Ob/ 1 7/94
J WARD, OR A181)I V I �)I I JN
4?2li?,3--
URPOSF, OF Pt4YMV..NT AMDUN I PA:I 1) POR OV P"Yrill. tAl H01,11 IN I PH.11)
C:HHNIGAL PF': MET94-0159 clTi. 00 s"r. BUILD 1+-R I.
'TCTl'Al AMllLJN'T PAID 26.PS
INSPECTION NOTICE
City of Tigard lWilding Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-4171
Inspections.
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwl.k
Found. Plbq. Top Out. Gan Line FINALs1
Poet/Beam Struct. San. Sewer Framing 4;
Poet/Beam Mach. Rain Drai:s Insulation -Plumb.
Plbg. Underfloor water
sn Linn Gyp. Bd. Koch.
Date Requested: / �V- ( � TimesA AN PM
Addrasss 7 Permit #s W5( 12 N-Iq
Builder: C /7) 4 / /-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
��y��.�c,C ��4 si r( �2d/1-► �� �/G�-Cr [/P�f7` —
r
Inspector: Dates
APPROVED DJSAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departm ``
13125 SM Ball Blvd. Tigard, Oregon 7223
Inspection Line (Rec-O-Phone): 639-4175 Buoineso Phone: 639-4171
Inspection:_
Footing Plbg. Underalab Much. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Pont/Beam Struct. San. Sewer ramin -Bldg.
Post/Ream Mech. Rain Drain Inaulatioi --Plumb.
Plbg. terfloor Water eine Gyp. Ed. -Mech.
Date Requester': (� G G //�,� Time: 1111 '\ PH
Address: 0(7�� ,�L✓ ' �)�� Permit f t C - C
Builder: �G37��C1
THE FOLIAMING CORREiTIONS ARE REQUIRED:
Inspectors _ Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Chll For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 ON Ball 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 Outsae Lin FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requeated: Time: PM
Address:_ ' Permit #f! G T
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ti
Inspectors` Date: %f 1 `?
! ! Z
APPROVED j DISAPPROVED APPROVED SUBJECT TO ABOVE
_-Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phons): 639-4175 Business Phone: 639-4173
Inspections
Footing Plbg. Underelab Mech. Rough-in J Appr/Sdwlk
Found. Plbg. Top Out GasLine FINAL:
Post/Beam Struct. San. Sewer / Framing -nldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date RequestedsIZ, 5� L _ Time: _AM PM
Address Permit
Builder: T�
TBE FOLLOWING CORRECTIONS ARE REQUIREDs
Gu
ALI
1
Inspector:__ Dates
�—APPROVEDy'DI-SAPPPROVED APPROVED SUBJECT TO ABOVE
y 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
1 nepect ior.: _ 97L- _--_-- -—
pouting Plbg. Underalab Mech. Hough-in Appr/Sdwlk
Found. \ lbb Top Out , Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor water 1Line Gyp. Bd. -Meeh.
Date Requested:_ Time: AM PM
Address: ze Permit
Builder: 3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inepect/o're ,// —� - -- Date:�� —
n/ APPROVED DISAPPROVED - _ APPROVED SUBJECT TO ABOVE
✓I` call F.)r Reinnp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Ball Blvd. 'Tigard, Oregon 97223
Inspection Line (Rec-O-Pht,,iw)4 639-4175 Business Phone: 639-4171
Inspection:_____
Footing Mg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Mg. Top Out Gas Line FINAL:
Poet/Beam struct. 8ae. 8ewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor -Rater In; ) Gyp. Bd. �j� -Nech.
Date Requeeteds / � TiMM Lltir_ AM _PN
Address: Permit #se Ol U��l
8uildars �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
IO G <
L 5 p
TEST ck/ 5A/,jiria&u Llt,�: PA5sEC)
Inspector- P_rN� T_
APPROVEb DISAPPROVED APPROVED SUR.TECT TO ABOVE
_Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Insrr_ction Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:____._ —
Footing Plbg. Underelab Mech. Rough-in Appr/Sclwlk
Found. Plbg. Top Out Gas Line FINAL:
Pro—t—'/Beam Struot. San. Sewer Framing -Bldg.
foot/Beam Moch.' Rain Drain Insulation -Plumb.
Plbg. Underfloor Water
� L ne Gyp. Bd. --Mech.
�7
Date Requested: V , Times AN --'K—Vx
_ s 4A,,,,/ ,� L'
Addreas: S - i �G�.i ��� Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:
1
_APPROVED �_— DISAPPROVED APPROVED SUBJECT To ABOVE
__Call For Reinsp.
INSPECTION NOTICE ^�
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. Underslab Mech. ?tough-:n Appr/Sdwlk
Found. Plbg. Top Out Gas Line FIN11Lt
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -P]umby
Plbg. underfloor water. ins Gyp. Bd. -Koch.
ate Requested: & Time: AM PM
�Adebb. �t Permit #: Y
Builder:
_.��- _.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inapector.__ Dates
APPROVED DISAPPROVED T APPROVED SUBJECT To ABOVE
Call For Reinnp.
INSPECTION NOTICE
City of. Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Suni.neee Phone: 639-4171
inspections_
or Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Plbg. Top Out Can Line FINAL:
m Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line ' Gyp. Bd. -Mech.
Date Requestedt /`� p ` Time: AM _X_pN
----
Addreee: {� .,C-� Permit It
Builder:
THE FOLL(XIING CORRECTIONS ARE REQUIRED:
Inspectort_ Date:1 c->
y APPROVRD DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinap.
_ C17YOFTIOARD WYOF 0 �-'-ILUMBING PERMIT
COMMUNITY DENFLOPMENT DEPARTMENT 0010" PERMIT 0. . . . . . ,I
HSC7*
13126 SW HWI BW. F.O.BuxIM97,TlgsM,Or"m 97223(600)&W4176
IMM'FF T MMt.jr 1)g 1 V-1 A 1 7
SITE ADDRESS. . . « 6955 60 PINE ST PARCEL: 161.36PD—MPI).'
':")USDIVISION. . . . MLP9,2--0002 ZONINO:
BLOCK. . . . . . . . . . « LOT. . . . . . . . . . . . .
CLASS OF' WORK. . :14EW GARBAGE DI!:iP(JSALS. . ; I
r'!PE OF USE. . . . tSF WASH1140 MACH. . . . . . . : 1 BACKFLOW PRE VNTRS. . :0
OCCUPANCY GRP. . i R13 FLOOR DRAINS. . . . . . . .0 TRAPS. . . . . . . . . . . . . . .07
STORIES. . . . . . . . 22 WATER HEATERS. . . . . . ; I CATCH BASINS. . . . . . . 10
F I LAUNDRY TRAYS. . . . . . 10 SP RAII,4 DRAINS. . . . . 11
SINKS. . . * . . . . . . 11 GREASE TRAPS. . . . . . . a0
LAVATORIES. . . . . is OTHER FIXTURFIS. . . . . :0
'ILIB/SHOWERS. . . . t SEWER LINE (ft) . . . . «0
WATER CLOSETS. . :F' WATER LINE t ) . . 1210
DISHWASHERS. . . . il RAIN DRAIN (ftl . . . . 20
Remarksi PATH I NEED STREET OPENING
UWNFRt ------F-ES--
SCOTTCO BUJLDING & DESIGN INC J*I P 1460. 00 JH 10/01/92
11640 SW 135TH AVE SPRI b 403. 00 JH 10/01/92
BP1.-C x 261. 95 JLH Or)/14/92 x.':,31596
'TIGARD OR 97-523 B9114-1 $ 20. 15 JH 10/01/92
Phone #.- 5P'--6777 5 C.",1)C; $ 280. 00 JH 10/01/92
PnRK $ 5014). 00 JH 10/01/92
Plumbing Cant ract or 4 MPRT 1. 40. 50 JH 10/01/92
MPLC t 10. 13 JH 10/01/92
1\1 a m e it M5PC* $ 2. 03 JH 1.0/01/92
Addre5E .;0— PPR $ 117. 50 JH 10/01/921
Cityl It at. P" P7;Pr $ 5. 88 JH 10/01/92
on*0 ! 7-637.Y Z1.1 ......
Reg #I ..Z
REQUIRED INSI:-,r,"(-'.TIONS
permit iS iSI;Ued to the . pq—
ulations contained in the Tigard Municipal Vont./found Insp Rain drain Insp
Code, GL-ate of Ore. Specialty Codes end all Post/Seam Struct Water Line Insp
other applirAb) e laws. All work will be done Post/Beam MepLian nppr/S3)dwl1; Inst)
.111-#r-.(.zordanr-,e with approved plans. This Plm/undslab tnsp Mechanical Finol
-T�ermit will. expire if work is not started PLM/Underfloor Plumb Final
within 1130 days of: or if work is MerhAnical Insp Building Fin -tl
%uspended for mare than 180 clay#;- `) umb Top Otit Erosion Control
Framing Insp Crawl Drain
Pireplace Insp
Gas Line Insp
InsulAt ion Insp
"yp
t`A Vt 0 V` S i gnat i C-
a r z ed
A u n.
Call for lirspvt�tton 639-4173
Uontra(..-tor N tit P s t
CITYQF TI�ARD
CffYOFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT OREGONIIHSTER PERMIT
13126 SW HiWI 8W. P.O.Box 21397,TOW,Oregm 97223(603)6394176 71 PERMIT #. . . . . . . : MST92-0219
639-4171 DATE ISSUED: 10/01/92
SITE ADDRESS. . . : 6955 SW PINE ST PARCEL: IS136AD-i--tP922
SUBDIVISION. . . . - MLP92-0002 ZONING:
BLOCK. . . . . . . . . . :* LOT. . . . . . . . . . . . . ..
----------------------------------- BUILDING
REISSUE: DWELLING UNITSal BASEMENT. . . . . . . . :0 St.
LLASS OF WORK'. i N(!1W BEDRMSi3 BATHSs2 GARAGE. . . . . . . . . . .420 sf
iYPE OF UbE. . . :SF FLOOR AREAS----------- REQUIRED SETBACKS-----------
TYPE OF CUNST. s5N FIRST. . . . : 1521 sf LEFT. . : 13 ft RIGHT. 313 ft
ULCUPIANCY GRP. :R3 SECOND. . . 1255 sf FRONT. i20 ft REAR. . :32 ft
sTORIES. . . . . . . :2 'THIRD. . . . 90 sf
i-iEIGHT. . . . . . . . 119 ft TOTAL------: 1776 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . * : 89256 PARKING :'PACES- 11
Remarks: PATH I
----------------------------- PLUMBING ---------------------------------------
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. — :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :E WATER HLATERS. . . : 1 TRAPS. . . . . . . . . . . . . . .0
T-UB/GHOWERS. . . . :2 LAUNDRY F'RAYS. . . ,O CATCH BASINS. . . . . . . :0
WATER CLOSE-15. . i2 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . .. . :'?,)
DISHWASHERS. . . . : 1 WATER LINE (ft ) - : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . P1 RAIN DRAIN (ft) . :O
WASHING MACH. . . : 1 SF RAIN DRAINS— il
--------------- MECHANICAL ---------------- FCES
FUEL uNi'r H'TRS. . :lb type amoi-tnt by date reept
/GAS/ VENTS . . . :0 IIF $ 1460. 00 JH 10/01/92
MAX INPUT:@ Brij VENT FANS- - :3 BPRT $ 403. 00 ; -1 10/01/92
FURN ( 100K . . *. I HOODS. . . . . . P1 BPLC f 261. 95 JLH 09/14/92 231596
FURN > =100K . . :0 WOODSTOVES. :O B5PC 11 20. 15 JH 10/01/92 -
FLOOR FURN. . . . 10 CLO DRYERS. : I SSDC $ 280. 00 JH 10/01/92 -
BOIL/G11P ( 3HPsO OTHER UNITS: 1 PARK $ 500. 00 JH 10/01/92 -
GAS OUTLETSsl MPRT $ 40. 50 JH 10/01/92 -
Owner: ------------------------------------- MPLC $ 10. 13 JH 10/01/92 -
bC;U11CO BUILDING 4 DESIGN INC M5PC $ 2. 03 JH 10/01/92 -
1. 1640 SW 135TH AVE PPRT $ 117. 50 JH 10/01/92 -
P5PC $ 5. 88 JH 10/01/92 -
11GARD OR 97223
1--hone #- 524-6777
Lontractor:
SLOTTCO BLDG & ULSIGN
11640 SW 1357H AVE:
TIGARD OR 97223
Phone 646-6771
Rey #. . : 496 iO $ 3101. 14 TOTAL
This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS ------ -
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 appy Post/Beam StrUCt Gas Line Insp
plans. This permit will expire if work is not starfled withip 80 Post/Beam Meclian Insulation Insp
days of issuance, or if work is suspends for 0/ tha I ys. 17,lm/Ltndslab Insp Gyp Board Insp
PLM/Underfloor Rain
in drain Insp
Pprmil. tee "i).irviati-tr Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdw1k Insp
I -,si.ted By :
Fraring Insp Mechanical Final
Call for inspection - 639-4175
SEWER CONNECTION
PERMIT
CITYOFTIFARD MYOFTWARD PERMIT T #. . . . . . . : SWR92-0304
COMMUNITY DEVELOPMENT DEPARTMENT anooN
1 125 SW HWI Blvd. P.O.Bm 23397,Tlpud,Onpon 97&IM3l 6*4i U �—� DATE ISSUED: 10/01/92
SI'T'E ADDRESS. . . : 6955 SIJ FINE ST PARCEL_: 1S136AU--IYIP922
SUBD I V I S I Ohl. . . . : I►ILP92-0002 CIN I Nig:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :
------------------------------------------------------------------------------------
TENANT NAME. . . . . :
USH NO. . . . . . . . . . : F=IXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UN1TS. . : 1
l YPE OF USE,. . . . . :SF NO. OF BUI LD I NGS: 1
INSTALL 'TYPE. . . . :BUSWR IMPERV SURFACE. . : c f
Remarks: PHTH I
Owner: ----------------------------------- ------------------ FEES
SLOTTCO BUILDING & DESIGN INC type amount by date
11640 SW 1351H AVE PR11T $ 2100. 00 JH 10/01/92: —
INSF' $ 33. 00 JH !0/01/92
-
1` 16ARD OR 97223
F-hone #: 524--6777
L.Ontractor: ----------------------._.—___---
CONTRACTOR NOT ON FILE..
Fhone #: $ 2135. 00 TOTAL
key #. . .
-------- RLUU 1 RFI) I NL3PLL: I I LJI\IS
This kppliLant agrees to cneply r;ith all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. the total amount paid will be forfeited if the
permit expires. The fIgencv does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospects feet in all directions fr
the distance given. If not so located, the insta ler shal pu ase _._.....
a "Tap and Side Sewer" Permit and the Agency � 1 inst teral.
r,in t tee fSiyna+1_irey!�
l
(-all for inspection - 639--4175
I
13125 SW Iiall MY& PI_NCK/RECT #
CITY OF TIG.A RD 1*0Box 23397 PERMIT #
COMMUNI.1-Y DEVI�,LOI'N4ENT DE'AR•CMGNT Tipird,Oregon 972n
(503)639-4171 DATE. ISSUED _
J013 ADDRESS: 2��� `� S v.! Pine TAX MAP/LOT
SUB: LOT:-}cLLC LAND USE:
VALUATION: _.5�,• w _
OWNER SPECIAL NOTES
NAME: {�,,�� 1hq �J S Ic? VN TX)C. PFISSUE OF:
ADDRESS: 1�oCIC� ��.I C2[� LAST REISSUE:
FLOOD PLAIN/
PRONE: SENSITIVE LAND:
CONTRACTOP, r APPROVALS REQUIRED
NAME: C �hl�P�1Z_ODU�
"d 'c0 �� Vtl ✓�q _� ��. E%
Slg . ,OL PLANNING:
� �
ADDRESS: ENGINEERING:
_ FIRE DEPT:
'
PRUNE: — - '7 3 OTHER:
CONTR. BOARD #: EXP DATE: 7 lei 7
-_ �' ZII
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: CYI-" P.,Z� LIST/SUBCONTRACTORS:
-
MECH: la S+ SL yy, Di BUS TAX:
ARCH ENGINEER 72-(oz D 2-to ~'l.�55t716 CALCULATIONS:
,S - 3 7 -30 "g 3
NAME: C) TRUSS DETAILS:
ADDRESS: OTHER:
PHONE: -
PROPOSED BLDG. USE: _ S -
0014MENTS: /►I�_ .�° �s _ --- —
"P-11 I CANT S IGNATURE - -- �-
Received By: . i _ ___,-_ Date Received:
PERMIT # ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
ln.�Z-021; 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 Ol State Building Tax (5%) oc
Building LO_ZS
Plumbing X5.5$
Mechanical
10-433 00 Plans Check Fee 0,Y
Building
Plumbing �.
Mechanical
10-230 06 Fire
�L-•0'47 -US,,"I 30-202 00 Sewer Connection ZL)L'
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees —
Y, 25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees ✓ /S 5 U _ 1 -
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) Scw
31-450 00 Storm Drainage Syst Dev Chra
(SSDC) ✓ _ _ �U
2.4-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
nm/3587P.WPF
CITY OF' TICARD RFCEIPT OF PAYMENT RECEIP-f NO. :9c 27 2
C-1-4ECK AMOUNT : 4986. 14
NAME s SCOTTGO CASH AMOUNT 00
A L)D RE-SS e PAYMENT DATE s 10/01/92
S'lJBD T V I S I ON
OUPPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAIL)
1 nuu.om PERM 403. 00 PLUMBING PERM
MECHANICAL PE 40. 150 ST. BUILD PER 28. 06
PI-AN CHECK FE 021. 08 SEWER USA 100. Q10
f-'A'WER INSPECT 35. 00 PPRKS SDC' 500. 00
t-.-romvi DRAIN SDC 00 RESIDENTIAL_ TRAP r:IC r-El'-3 1350. 00
rRANSIT 11F FEES 110. 00
6')53 SW PINE
0MOIJNT P011) 4986. 1.4
1
CITY OF IIGARD - WCFIVIT nr- PAYMENT RECFIPT NO. 02-231!-.16
CHECK AMOUNT 1511b. 01A
WWI s SGOT*l'('.',0 BUILDING & DESIGN CASH AMOUNT s 0. vlo
Am)RESS PAYMENT DATE s 09i 14/'-1`r:'
SUBDIVISION
Pi IRPOSE OF PAYMENT OW)UNT PAID PURPOSC OF PAYMENT AMOUNT PAID
PI-AN (::HECK FE 250. 00
SW PINE, PARCEL I --,' OF LAIT 5
TOTAL AMOLINT P(IID