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InitiallyGood ADDRESS: 1.3630 SW 75 lose P4A, Ca i:\records\rnicroflrn\targets\building.doc V) v 0 z v rn rn rn A O w O Q O Q v w 0 0 0 0 0 0 o > z z z z z z J z Z z z z 7 r C w w cn W w OL In 0 0 Q 0 0 0) o o a a a o m U J O w w 0 w Y W 0 D U 0 Q O m � Q � O o 0 0 0 0 rn O U m +' rn rn 0 a a cv y v 2 U (n LL ? C <`rV p c7 p Q> O o < to m U U U U U d w w w w w w a 0 z ro cp c� cp cp co ;� rn rn obi rn � a O V O O r r 0 O r Z7 U O Q J O J �m U y O > =J rl- N O d o w O "- w a a a � o a a a a a w a m � d �J c a a. a d O m C0 0 N Q Q) tQ�l (9 I O) r rrr N O O N O O O O7 O O r O r `� O1 V Q � N C� N m O C1' fn Y J Cil � U' j > Li! J C P a Q v m LL Q. 4 ) M d ii x LL U N L rn0 M a a a a a a CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 f BUP Il �, l � f Date Requested S AM PM BLD _ Locations C� -�� Suite MEC Contact Person 2 -r Ph .��-'�4� * n PLM Contractor_ �_ Ph U �' SWR _ BUILDING Tenant/Owner ELC y�" iJ / ' Retaining Well ELR Footing Access: 1\_0 Foundation �1 c� Ckx ryz-j FPS _ Ftg Drain SGN Crawl DrainInspection N es: I Slab 'Y` ,� f�cv—_1 !/i'1�{ QLr 4' c�Cf SIT _ Post& Beam C Y, Q (,{ h l S 61� C� LSP� 3 Lk.f LlCy'r.S Ext Sheath/Shear Int Sheath/Shear Framing _ - ---- - Insulation Drywall Nailing --- - - Firewall Fire Sprinkler ---- Fire Alarm Susp'd Ceiling Roof Misc --- - ----- - --- Final - PASS PART FAIL - PLUMBING Post& Beam Under Slab Top(jut Water Service -_- --- Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam - - -- - - Rough In Gas i_ine - -- - _ - - Smoke Dampers PAS - FAIL ELECTRICAL - - -- -- Service ��- ft H N UG!Slab --- - -- -- - - - Low Voltage ~ Fire Alarm PASS)' PART FAIL - cn w -' Backfill!Grading --� -- - --- Sanitary Sewer Storm Drain ( ] Reinspection fee of$, ^required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RIF _ . _ __- _ [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date ' Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. s CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ Date Requested_ I (,-)- r C?% APl PM � _ 13LD Location 350 art(� ,7 P/ _ Suite MEC Contact Person Ph 472 PLM Contractor _ _ Ph ��' '� 7/,� �i � SWR BUILDING Tenant/Owner _ _ ELC 'Z r� 6 C)Q<(1 � Retaining Wall ELR Footing Access: Foundation FPS _ Ftg Drain ._ _ SGN Slab Crawl Drain Inspection Notes: z-( �� L t rC'.C(� `_ SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing -- Firewall Fire Sprinkler _____. Fire Alarm Susp'd Ceiling Roof Misc: -- Final _ PASS PART FAIL - ----- -- --- ----- -- PLUMBING Post& Seam Undei Slab �X/macA., Top Out ../ Water Service Sanitary Sewer Rain Drains �n K Ct1_fth P Final PASS PART FAIL - MECHANICAL Post& Beam -- -_ Rough In Gas line Smoke Dampers Final - ART FAIL CELECTRICAL e J� Rough In N UG/Slab Low Voltage — �- Fire Alarm - � a SS PAPT FAIL SITE J Backfill/Grading ------ -�y'— - - --! Sanitary Sewet Storm Drain i ]Reir i ec,lon fee of$_ _ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin 1-�/Please ca'11 frn reinspection RE [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Other Date Inspectc#r .� � Xt ^final l PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 1 mdliJ)��I i ELECTRICAL. PE:'RMIT__ CITY ®��� TIGA,RD PERMIT#: ELC1999-133591 ` DEVELOPMENT SERVICES DATE ISSUED: 10,'4/99 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 2S101DC-05500 SITE ADDRESS: 13530 SW 73TH PL VN " SUBDIVISION: PACIFIC RIDGE t#- J, n ZONING: R-3.5 BLOCK: b J �,/ JURISDICTION: TIG Proiect Description: Installation of one branch circuit for hot tub. _ RESIDENTIAL UNIT TEMP SRVCIFEEDER_SMISCELLANEOUS 1C00 SF OR LESS- i 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): _ SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS_ 0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ arrrplvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: _ SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: LARRY BRINGHURST OWNER 13530 SW 75TH PLACE TIGARD, OR 97223 Phone: 639-6601 Phone: Reg#: FEES Required Inspections Type By Date Amount Receipt Ele(,:'I Service PRMT DEB 10/4/99 $37.50 99-318818 Elect'I Final 5PCT DEB 10/4/99 $3.00 99-318818 Total $40.50 This Pprmit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,orf work is .� suspended for more than 180 days. ATTENTION Oregon law requires you to follow rulesedopted by the Oregon Utility Notification Center. Those N rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain Apies of these rules ordirect questions to, UNC at(5031 246.1587 i PERMITTEE'S SIGNATURE &,-,, � IS LIED BY: l OWNE STALLATION LY The installation is being made on pro erty I own which is not intend for le, lease, or rent. OWNER'S SIGNATURE: `� - ` DATE: 9/ CONTRACTOR IN TALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ DATE: LICENSE NO: _ Call 639-4175 by 7:00pm for an inspection the next business day 11� e��pl���r�s�raarse�ar�aaro�oaaaaaarrisarra�aaar�aaanaT��iwTttttl��aaataaasnatenaa��al�� CITY OF TIGARD Electrical Ir '',unit Al,-plication PlanCcka-,-- 13125 SW KOLL ecd B BLVD. R /` TIGARD Olt 97223 Date Recdy �--- Date to P.E. Phone(503)3.!9-417'1, x3CA Date to DST Inspection (603)639-4175 Print of Type Permit#.EGC 199?--W_5?1 Fax (503) 598-1960 Incomplete or illegible will not be accepted Caned _ 1. Job Addr'ess: y &-,-, . 4. Complete Fee Schedule Below: Name of Develi�pInent_ F- � Number of Inspections per permit allowed Name(or name of business' _ _ Service included: Items Cost C'um Address L� 3� •I 15 � % 4a. Residential-per unit City/StatelZip /C'/4 , �7�i7i` 1000 sq n.or less _ _ $ 117.75 -�_ 4 ----r --- Each additional 500 sq.ft.or porton thereof $ 26.75 1 Commercial ❑ Residential Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder _ $ 72.75 2 (Prior to permit issuance,applicants must provide contractrr license 4b.Services or Feeders j information for COT data base). Installation,alteration,or relocation Electrical Contractor 200 amps or less $ 64.25 2 Address 201 amps to 400 amps $ 85.50 2 - 401 amps to 600 amps $ 128.50 2 City State---Zip 601 amps to 1000 amps $ 19250 2 Phone No. _ Over 1000 amps or volts _ $ 363.75 2 .lob No _ Reconnect only $ 53.50 _ 2 Elec. Cont. Lice. No. Exp.Date 4c.Temporary Services or Feeders OR State CCB Reg. No._ Exp.Date Installation,alteration,or relocation COT Business Tax or Metro No. Exp.Date 200 amps or less - $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr Elec'n 401 amps to 600 amps $ 107.00 _ Over 600 amps to 1000 volts, see"b"above. License No - Exp.Date Phone No 4d.Branch Circuits ----- - -- - - New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase or service or feeder fee. Print Owner's Name -� 1AJ(�' T Each branch circuit - $ 5.35 Address h)The fee rnr branch circuits without purci:ase of service City CA AP0 State OFE Zip or feeder fee. Phone No. 39-bbs N FJ1" �� First branch circuit $ 37.50 c�7 Each additional branch circuit $ 5.35 The installation is being made on property I own which is not 4e.Miscellaneous - intended for sale, lease or rent. (Service or feeder not included) Q, n Each pump or irrigation circle _ $ 42 75 Owner's Signature 'C. Each sign or outline lighting $ 42.75 Signal clrcult(s)or a limited energy . iif required):* panel,alteration or extension $ s0 00 3Plan Review secon - . � Minor Labels(10) $ .367-(il1' Please check appropriate item and enter fee in section 58. 4f.Each additional Inspection over 4 or more residential units In one structure the allowable In any of the above Service and feeder 225 amps or more Per inspection $ 50.00 Per hour _ $ 50.00 _ System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N E.0 Chapter 5 5. Fees: Sa.Enter total of above fees $ Std ` Submit 2 sets of plans with application where any of the above apply. 90.4%Surcharge(05 X total fees) $ Not required for temporary construction services. Subtotal $ 5b.Enter 25%of line Ba for NOTICE Plan Review if required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCT iON AUTHORIZED Stjbtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ i Flo, iormq�e1ectric dnc ELECTRICAL PERMIT Cl TY C�►F T I`3ARD► RESTRICTIED I':NER(-,'Y COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #* EL-R96-0289 13126 SW Hall Blvd.Tigard,Oregon 97223-8199 (503)839-AI71 DATE ISSUED: 09/-'::'4/1-)C, 1--,ARCEL: 2SI-01DC-05500 .1 TE PDDRESS. . . : 13530 SW 75TH PL UBD I V,I'S I ON. . . . : PACIFIC RIDGE 2 ON I NG: R-3. 5 .-Ocv,. . . . . . . . . . .11 LOT. . . . . . . . . . . . . :007 Description: In5talling baciiflow prevention device (IUD IO & STEREO. . . (IUD I D & STEREO. INTERCOM & PA(-,ING. OURGLAR ALARM. . . . BOILER. . . . . . . . . . LANDSCAPIE/IRPIG(1T. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . r MEEF I CAI... . . . . . . . . . . . .. HVAC. . . . DATA/TELE' COMM. — NURSE CALLS. . . . . . . . ., VACUUM S�S" T* E' I'yl' FIRE ALARM. . . . . . a OUTDOOR 1J.'ANDSC LITE: OTHER:TIMER : X HVAC'. . . . . . . . . . . . ;; PROTECTIVE. SIGNAL. . I1\1STRUMFI 'TATION. OTHER. . - I " TOTAL # OF SYSTEMS: 0 FEES -IRRY BRINGHURST type alflo�.Int by date r-ecpt ;530 SW 75TH PRIMT 1, 40. 00 D, 09/24/96 96-284301 5PCT 1, 2. 00 B 09/24/96 96--264306. GARD OR 972 "-'3 ,.one #.- 968-8718 .)ntr-'Acto1-: ,11,1ER 1 42. 017' TOTPL REQU I RED I NSPECT I ONS Eleat' l S -vice �or1e -vicf- �oyie SILL 0EA)Vf'-: E I vat I I f. -I n a is persit is issued subject to the regulations contained in the :ard Municiral Code, State of Ore. Specialty Codes W all other 4v:' � M\i. t I -licable laws. All wcrk will be done in accordance with % roved plans. This perait will expire if work is not started :iin 180 days of issuance, or if work is susperde6 for sore --n 188 days. 1 5 s ktec LA V —OWNER I TALI-J)TI ON ONLY The installation is made n pt,opr I v 1-1�wri which is riot intended for, E.a 1 e. lease, oi, v,ent. 1 / 0/' I — OS WNER7 9 IGNAIURE C:R )Q), -----COhIT RAC'TOR I ALLATION SIGNATURE Of bUr-'R., ELLCIN: DATE: LICLMSE NLI. ......... .......... Call for inspection 639-4175 ■tl�f�t� Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 PERMIT# Phone(503)639-4171 FAX(503)684-7297 DATE ISSUED_ ' TDD No. (503) 684-2772 CITY OF TIGARD Inspection (503) 639-4175 ISSUED BY I1 PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK 136.30 cy (,J. 7S� ,�la,t-0. Addre RESIDENTIAL—Restricted Energy Fee. . . . . . . . . $40.00 Z Z (FOR ALL SYSTEMS) Cit, State Zip Check Type of Work Involved: PERMITS 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. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* Contractor Type_` _ Vacuum Systems* Other (-A t 4V,41 pQ Vt(t l k 1 t W,V4VQ Address JZ Date COMMERCIAL—Fee for each system . . . . . . . . . 140.00 (SEE OAR 918-260-260) Property Owner _--_ Check Type of Work Involved: Contractor's Board Reg. No. ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# _ _ ❑ Clock Systems ❑ Data Telecommunication Installations 3. OWNER APPA ATION ❑ Fire Alarm Installation ,�O�� � t a ri M. � ��/�� Ll HVAC Print Owner Name ) 4� r Phonc No ❑ Instrumentation �'t' a- ElIntercom and Paging Systems Addwss— C 7 ❑ Landscape Irrigation Control* City State tip ❑ Medical This permit is issued under OAR 918-320.370.This applicant agrees to make only ❑ Nurse Calls restricted energy installations MX)volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting* following: 1. only use electrical licensed persons to do installations where required.(Certain 1771 Protective Signaling a residential and other transactions are exempt from lic(-nsing.These have ❑ Other ►. asterisksM.All others need licensing). H 2. Call for an Inspection when all of the installations under this permit am ready N for inspection at 503-639.4175. Number of Systems 3. Purchase separate permits for all Installations that are not read)for Inspection when the inspector is out to inspect under this permit. •No licenses are required. Licenses are mquirpd for all nther Installations. J 4. Assume responsibility for assuring that all corrections required by the Inspector no are done,and 5. Assume msponsibllity for calling for a final inspection when all of the 5. FEES corrections are completed. The person signing for this permit must be the applicant or a person a. Enter Fees $ I v m ithoripyl to hind the Applicant. b. 5%Surcharge (.(75 x total above) $_Z 00 tg cure TOTAL $ q Z.vC Authority if other than applicant ENERGAP.CHP ELECTRICAL PERMIT �1 CITY CSF TIGARD PERMIT ISSUED: 9 : 7/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)899-4171 PARCEL: 21,3 1 0 1 DC--05 a00 311E r=DDF'ESS. . . . 13530 SW 75TH P! .SUBDIVISION. . . . : PACIFIC RIDGE ZONING: R--3. 5 BLOCK. . . . . . . . . . . LOT. 01217 Project Description : Bringhur^st residence install four branch circuits - -RESIDENTIAL --------------------------- ----------- - UNIT---- -- -TEMP SRVC/FEtiEDERS----.-- ------.MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/TPR1GATION. . . . : 4 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . „ . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. ,...: 0 401 -- 600 amp. . . . . . . : 0 SIGIJAL/PANEL.. . . . . . . .. 1" MANE. HM/ SVC/FDR,. . : 0 C,01+amps--1000 volts. : 0 MINOR LADEL (10) . . . : 0 - -.-- SERVICE/FEEDER .• _ --_..BRANCH CIRCUTTS-. _.__._ . _.....ADD' L INSPECTIONS 0 -- 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 201 _. 400 awp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . 1 14) 401 -- 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 3 IN PLANT. . . . . . . . . . . : 10 601 1000 amp. . . . . : 0 -----------------PLAN REVIEW SECTTON-- --___----_-__-._... 0004 amp/volt. . . . . : 0 >=A RES UNITS. . . . . . . . : > 600 VOLT NOMINAL— : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPE OCC. : Owner: ----------- ------- ------ -------------------------------.___--_..-.-_.._.- _ LARRY BRINGHURST type amount by date recpt 13530 SW 75TH PRMT t 50. 00 J SD 09/27/96 96-284447 5PCT $ 2. 50 JGD 09/27/96 96-2B4407 TIGARD OR 97223 "hone 6 : 58--0718 ..int ract or. _._---- --_.-------_-_-.--_..----------------_----_._-_-------.-.-____--.__...-- � DWHl7r $ 52. 50 TOTAL -----•--- REQUIRED INSPECTIONS - Ceiling Cover Elect' l Final i'-`hone t#: SEE ()LIOVE Wall Cover r-- �� 'his permit is issued subject to the regulat.)ns contained in the Tigard Municipal Code, State of Ore, Specialty Codes .ind all other Pa mittee SiY�t�at.lre applicabie laws. All work will be done in accordance with - approved plans. This permit will expire if work is not started rL et ,githin 180 days of issuance, or if wirk is suspended for, more than 180 days. I s s u d By ` _____._ ..___._...._._ ._.._...__. ._.--------OWNER INSTALLATION ONLY_.-._..-......._.._.___...._ _........._...___._ The installation is being made nn property I own which is not intended fo, ale, lease, or rent. - OWNER' S `;IL-INATURC: DATE=: --------------------- INSTALLATION Ohll._Y_. _.- •-.---____._...._...._ ._...._..__._ . -;T r:-mn"r,URE OF SUPR. ELF C' N: _- _ DATE: .- LLNEE NO: Call for inspection -- 639 -4175 CITY OF TIGARD Electrical Permit Application 13125 SW HALL BLVD. DateRer'd tc'� TIGARD; OR 97223 Prmt or Type Date to P E. Dat(503) 639-4171 Incomplete or illegible applications will not be accepted Permit sr Related SWR 0 Called 1. Job Address: , 4. Complete Fee Schedule Below: Name of De!opment Number of Inspections per permit allowed Address 1= Service ncLded Cost(ee) Sum City/State/Zip 2 2 4a Residential-per unit 1000 sq.R.or less $110.00 4 Name(or nameo( busines t _ Each additional 500 sq ft or portion thereof $25.00 Commercial ❑ Residential Limited Energy $25.00 _ 1 Each Manufd Home or Modular 2a. Contractor Installation only: Dwelling Service or Feeder $6800 �_ 2 (attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor_ Installation,alteration,or ralocation Address 200 amps or less $64300 2 City Sate 207 amps to 400 amps $8000 2 _ ZIPS 401 amps to 600 amps $12000 2 Phone No. 601 am,:s to toxo amps $180.00 --- 2 Job No. Over I ZM amps cr worts $340 00 2 Elec. Cont. Lice. No. _Exp Date Reconnect only 35000 2 OR State CCB Reg No. Exp Date 4c.Temporary Services or Signature of Supr. Eiec'n Feeders Installation.alteration,or relocation 2 License No. Exp Date 200 amps or less $5000 -- Phone No. 201 amps to 400 amps S'5 00 2 COT Business Tax or Metro# 401 amps to 600 amps $10000 — 2 Exp.Date over 600 amps to 1000 vorts see-b-above 2b. For owner installations: 4d.Branch Circuits Print C.vners Name-,/"/ / New,alteration or extension per Address 30 1 *1- IQ- pane a)The fee for branch circuits with $5.00 Phone N S )e ZIP-C Z >— fee.Purchase of service or feeder — p Each branch�ircu l 13500 The installation is being made on property I own-which is not inteno Td b)The fee for branch circuits S500 2_ 7 for sale, lease or rent. without Pur hese of service or feeder lee. Owners - Signature First branch circuitS4000$ Each additional branch circuit S40 00 — 2 3. Plan Review section(if reed): 4e.Miscellaneous W oo !� Plea_>e ch (Service or feeder not slop oo 2eck appropriate item and enter fee in section SB. � eluded) __ 4 or more residential units in one structure Each pump or mg tion circle tlne Service and feeder 225 amps or more Each sign or oulighting System over 500 volts nominal Signal nrcLrt(sI or a isnrted energy 4.3500 Classified area or structure containing special occupancy panel,alteration or extension $5500 as described in N.E.C.Chapter 5 Minor Labels t 10) vs 00 -- --- 4f.Each additional ` Submit 2 sets of plans with application where any of the inspection over the above apply. Not required for temporary construction allowable in sny of thr. S S@fY;CeS. above S — Ow nspeclton -r hour t" NOTIQ In v am S PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5. Fees: - �� CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A Sa.Enter total of above fees S PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED, 5%Surcharge(.05 X total J 0- a S9 fees) S Subtotal 5b.Enter 25%of line A to,- Plan orPlan Review if required (Sec.3) Subtotal ❑ Trust Account 0 _ ___ Balance Due PLUMBING PERMIT I-,E R I'll I T #. . . . . . . : PLIyI9&---0;.:.'76 CITY OF CARD DATE ISSUED: 09/24/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PARCEL: 2S11Z11DC--05300 ITEC ADDRESS. SW 75TH PL ZONING: R-3. 5 JBD I V I S I 01\1. . . . PACIFIC RIDGE I.-OrK. . . . . . . . LO . . . . . . . . . . . . . 1007 L(Z-1GS OF, WORK�. ADD GARB-AGE DISPOSALS. MOBILE HOME SPACES. : 171 YPE OF USE. . . . SF WASHING MACH. . . . . . : 0 BACKFLOW F-IREVNTRS. . : I 1P TRAPS. . . . . . . . . . . . . . : 11) :-,CCUPANCY GRP. R3 FLOOR DRAINS. . . . . . .. STORIES. . . . . . . . . lb WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . . 0 F I --- LAUNDRY TRAYS. . . . . : 0 5F RAIN DRAINS. . . . . : (11 I NK S. . . . . . . . . . Q) URI NAI-S. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . : 0 I-AYPTORIES. . . . . 0 01'HER FIXTURES. . . . : IZI 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. 0 WATER LINE (ft ) . . . : Q1 DISHWASHERS. . . . 0 RAIN DRAIN (f t ) - - - : 0 lni7tallinq backflow pr-evention device ,vinet,.- FEES ____—____.-.____ .ARRY B[2INGHURST type amount by date t-ecplt —1530 SW 75TH r:,RMT' 15. 00 B 09/24/96 96-2164306 0. 7,-'j B 09/24/"i6 96-284—FOG L13AFRO OR 97223 'hone #: 968-8718 ont)-actor,: IWNER 'hone #: $ 13. 75 99999 ------- REQUIRED I 11SPECT I ONS -------- III$ pervit is issued subject to the regulations contained in the RP/Bmlf:low Pi�ev igard Municipal Code, State of Ore. Specialty Codes and PI! other Final Inspection -applicable laws. All work will be done in accordance with ,oproyed clans. This pereit will expire if work is not started .1thin 180 days of issuance, or if work is susoended for sore han 180 days. .......... 'Pr-Mittee s u e d Ery : C.'all for inspection 639-4175 a CITY OF TIGARD Plumbing Application Recd By L wjtul, i,-13125 SWHALL BLVD. Commercial and Reside9tial Date, ac'd i'ICARD, OR 97223 Date to P.E.Dalu to DST 503) 639-4171 Permits F<<'i E " rI-j �! Print or Type Related SWR 0 Incomplete or illegible applications will not be accepted Called Name of Development/Project FIXTURES (Individual) Q'iY PRICE AMT Job Sink J �� Lavatory 9.00 Address Street Address S Me Tub or TublShower Comb 900 Bldg;1 City/State Zip r Shower Only 3.00 (/ &� Z• Water Closet 9.00 Narrke — ---I Dishwater 9.00 Malin Addie Suite Garbage Disposal 9.00 Owner _ 1- �/ Sf - !� Washing Machine g.p0 CitylState Zip Phone Floor Drain 2' 9,00 L'1 C Z 2 //`�`pr 3' 9.00 N e 4- 900 Occupant Mailing Address Suite Water Heater 900 Laundry Room Tray 900 City/State Zip Phone tlnnal 9,00 Other Fixtures(Specify) 9.00 —h Name) 900 Contractor Mailing Address Suile 9.00 —� 9.j0 City/State Zip Phone 1.00 Oregon Const Cont.Board Lie.# Exp.Date 9.u0 Attach Copy of 9.00 Current Plumbing Lic.0 Exp. Date Sewer-1st 100" 30.00 Licenses Sewer-each additional 100' 2500 COT Busmes:T?x r Metro 0 Fxp.Date Water Service- 1 st 100' 30.00 Name Water Service-each additional 200' 2500 Architect Storm 6 Rain Drain-1st 100' 30.00 or Mailing Address Suite Storm&Rain Drain-each additional 100' 2 5.00 Mobile Home Space 25.00 Engineer City/State Zip Phone Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device Desenbe work New Addition O Alteration O Repair O Residential Backflow Prevention Device' 15.00 r) to be done Residential Non-.etsidentlal O Any Trap or Waste Not Connected to a Fixture 900 Ir Additional description of work Catch Basin 9.00 IV)/ c �4�� Ina,: of Existing Plumbing 4000 _ Existing use of Specially Requested Inspections 4000 1— to � perlhr )uilding or property_ —_ Rain Drain.single family dwelling 3000 �- aroposed use of Grease Traps 9.00 building or property_ _ m QUANTITY TOTAL Are you capping moving or replacing any flxtures? Yes❑ NO Isometric or neer diagram is required if nuanty Total is >9 LD I W (If yes ase hack of forth( 'SUBTOTAL �r J I hereby acknowledge that I have read this application,Inat the information given is correct.that I am the owner or authonzed agent of the owner,and 5%SURCHARGE — L/ that plans submitted are in compliance with Ore 1 Slit e Laws. —_ _ 7 Signat of OwnerrAgent Date PLAN REVIEW 25%OF SUBTOTAL C ! ./^. Required onry d fixture qty total is>9 - C. C TOTAL Con a Person Name Phone 'Minimum permit fee is S25+5%surcharge,except Residential Backflow Prevention Device,which is S15+5%surcharge - Odstskplmapp doc 8196 PLEA$- COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or r.placed Qty Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet _ Dishwasher _ Garbage Disposal Washing Machine_ _ Floor Drain 2" 3" - l 4" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) -OMMENTS REGARDING ABOVE: U.: �r INSPECPIM NOTICE city of Tigard Building Department 13125 Sit Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspecti.n: Footing Plbg. Underalab Nech. lough-in AAp^^p--r/Sdwlk Found. Plbg. Top Out Cas Line �ranwr� Poet./Beam Struct. San. Sewer Framing Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. resecry, Date Requested / Time: AM W PM Addreee:1. L" -S � I � Permit s (r �G Builder: 14- �1� - 5_ 16. 3 --- - TIM F')13,OWINO CORRECTIONS ARE RF.QsnIRED: _ CD ti N f1] Ill Inspector: W Dates � T' APPROVED DISAPPROVED APPROVED SURJECT TO ABOVE Call For Relnsp. MASTLR PLRMIT ✓ T #. . . . . . : CITY OF TIGAR© DATEPERMIISSUED: . 02/14/94MST94-904/A COMMUNITY DEVELOPMENT DEPARTMENT 13125 W Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCEL: 2S101DC--F'R00'7 S::;ITE (,ADRESS. . . : 13'530 SW *75TH PL SUBDIVISION. . . . : PACIFIC RIDGE ZONING* R-3. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :007 BUILDING REISSUE: DWELLING UNITS- 1 BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :568 sf TYPE OF USE. . . :5F FLOOR AREAS- REOUIRED SETBACKS-------------- TYPE OF CONST. :5N FIRST. . . . . 1366 sf LEFT. . :8 ft RIGHT. :7 ft OCCUPANCY GRP. : R,3 SECOND. . . : 1023 sf FRONT . :20 ft REAR. . :93 ft STORIES. . . . . . . :2 THIRD. . . . :0 sf REOU I HEIGHT. . . . . . . . :20 ft TOTAL..--- ---- :2389 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :4171 psf VALUE. . . . . $ : 120118 PARKING SPACES. . : 1 Remarl4s. PATH I ---------------------------------------- PLUMBING ------------ - - -------- - G I NVIS. . . . . . . . . .. : 1 FLOOR DRAINS. . . . :0 f-.AACKF'LOW PREVNT­RS. . :0 LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAP'S. . . . . . . . . . . . . . .0 TUD/SHOWFRS. . . . : 4 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAP'S. . . . . . . :0 DISHWASHERS. . . . : 1 WATER L I NE (f t ) . : 100 O'Tj]ER FIXTURES. . . . . ..li) UAHHAGE DISP. . . : 1 RAIN DRAIN (ft ) . :111 WASHING MACH. . . : 1 5F RAIN DRAINS. . : l ---------------- MECHANICAL ---------------------------- FEES FUEL- TYPES--------—-- UNIT HTRS. . :O type amol.tnt by date recpt /GAS/ VENT'S . . . . . :0 T I P $ 1521271. 1110 JH 02/14/94 MAX TNPUT:0 13 TU VENT FANS. . :5 BPRT $ 485. 50 JH 1212:/14/94 FURN ( 100K . , :0 HOODS. . . . . . : 1 BPLC $ 315. 58 JLH 12/:29/93 93-24717139 FUR,N ) =100K . . : I WCODSTOVES. :0 95r-"C $ 24. 28 JH 02/14/94 -- FLUOR FUHN. . . . :0 CLO DRYERS. : I SSDC $ 280. 00 JH 0;2/14/94 — BOIL/CMP ( 3HP:171 01-11ER UNITS: ) PARF' $ 500. 00 JH 02/14/94 — GAS UUT'LLTS: 1 MPRT $ 46. 00 JH 02/14/94 - Owner: $ 12. 00 JH 0c'/14/':)4 ALLAN MILLS M5PC $ 2. 40 JH 02/14/94 2772 SW 84TH PL PPRT $ 162. 50 JH / 14/9 4 P15PC $ 8. 13 JH 02/14/94 PORTLAND OR 97225 Phone #: 2921-5163 Contractor: ________._---_---_--,_—._.—_----_ ALLAN MILLS 2772 SW 841H PL PORTLAND OR 97'c'-'25 LL Phone #: 292--5163 ct $ 3358. 39 TOTAL This permit is issued sub.iect to the regulations contained in the ——————— REDUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Specialty Codes and all other Focit/fol.ind Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Beam Strr.(ct Gas Line Insp plans. This permit will expire if work is not started within 180 Post /Beam Mechan Insi.t1ation Insp days of issuance, or if work is suspended f m }�1an t80 da�s. , Plm/,.lndslab Insp Gyp Board Insp PLM/Underfl oor Rain drain Insp I 'ermitt ee Si y1lat, 1.kre - Mechanical Insp Water Line Insp Pli.imh Top OLtt Appt-/Sdwlk Insp Tist-ted By - Framing Insp Mechanical Pinal Call for n- 639-4175 PERMIT CITY OF TIGARD DATEIISSUED:+ 0+-'/14W9�4-005 ; COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171 PARCEL: cS 101 DC--PR007 SITE �6)DRESS. . . : 1-3530 SW 75TH F'L SUBDIVISION. . . . : PAC!FIC RIDGE ZONING: R-3. 5 DLOCV. . . . . . . . . . . LOT. . . . . . . . . . . . . :Q107 ------------------- TENANT NAME. . . . . : USA NO. . . . . . . . . . . FIXTURE UNI jr, . CLASS OF WORT',. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO, OF PUILDINGS: 1 INSTALL TYPE. . . . :BUSWR I MPERV SURFACE. . : Remarks . PnTH .1 Owner: ----------------------------------------------------------- FEES ALLAN MILLS type amol_rnt by date r^ecpt X772 5W 84TH GL PRMT 2200. 00 JH 02/14/94 — INSP >1 5. 00 JH 02/14/94 — PORTLAND OR 97L25 1-47.one #: 292--5163 Contractor: ---__---__-------------------- (_'ONTRACTOR NOT ON FILE I 'Ion r-. it:: $ 2235. 00 TOTAL ----- REQUIRED INSPECTIONS This Applicant agrees to comply with 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 Agency does not guarantee the accuracy of the side sewer laterals: If the sewer is not located at the measurement _ given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the in taller shall purchase a "Tap and Side Sewer" Permit and the Ager. 1 in 11 a lateral. _ _ or-mi.ttee Si gnat1-ire : ISSIAed By . Ca11 for in=pection — 639-4175 �n f•- J G] c.7 W J Residential Building Permit Application City of Tigard 13125,SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobslte Address: 0 S(0, 75 (cxi►2T _. Oinre use Only Subdivision: iLot# Valuation: Planck/Rec# Irk � _ Permit # Owner: 1 ! i ►�( 1 f �1 Reissue of _ Address: Z— 7� - k "LI Approvals Required Phone: �� / Planning _^��.�. �S� --� Engineering Contractor: f _ Other Address: C Hems Required uired Subcontrac,tors Phone: ,,t - Truss Details Contractor's License # (attach copy of current Oregon license) Other Subcontractors: / Plumbing: ( :CL�� ��- -�"� ",A,bl<� Mechanical: _ (attach chpy of current OR Contra or's License) ArchUnglneer• Z-4 Q )V a N AddIress: I�7 Lri l� <1:;) �-� �k--G ca J / _ Phone: <{1` 51 C) � 7C c� J COMMENTS: Appy t Signature & Phone number Received by: Date Received: FlErmlt # Account Description Amount Amt. Pd. Bal. Due v Bldg. Permit (BUILD) ✓ 'U _ �}� li Plumb. Permit (PLUMB) Zd-z 16 Z, -:)-Z) Mech. Permit (MECH) ✓ i , :,v Y, State Tax (TAX) Bldg: Plumb: /S Mech: r/ Plan Check (PLANCK) Bldg: / S . S b' ✓ Plumb: Mech: u Ab S' -o U S3 Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) SG U S o Storm Drainage Chg (SDSDC) } Z1 C;2 L`y Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) / 0 Commercial TIF (TIF-C) _ Industrial TIF (TIF-1) _ _Y a Institutional TIF (TIF-IS) cn — Office TIF (TIF-0) J m Water Quality (WOUAL) LO Water Quantity (WOUANT) Fire District (FIRE) TOTALS: I CITY OF TIGARD CERT I F1 CATE OF COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY 13125 SW Hall Blvd.Tigard,Orogon 97223*8199 (503)6;0,4171 PERMI'r #. . . . . . . : Mal-94 9044 639--4171 DATE ISSUED: 10/19/9A PARCEL. 2SIOIDC -05500 1ITE ADDRESS. . . : 1.3530 SW 75TH Pt- 3UBDIVISION. . . . : PACIFIC RIDGE ZONINU:R-3. 5 )ALOLK. . . . . . . . . . .. LOT. . . . . . . . . . . . . :007 CLASS OF WORK. :NEW TYPE OF USE. . . cSF OCCUPANCY GRP. :R3 OCCUPANCY LOAD:220 4 TENANT NAME. . . : Remar,ks: PATH I f3wner: ------ ALLAN MILLS :. 772 SW 84TH PL f-"'ORTLAND OR 97225 L'-Ihnne #. 292-5163 ALLAN MILLS SW 84TH PL 1'ORTLAND OR 97225 Phone #t 292--5163 Rug #. . c 1802 Occupancy of the above referenced building is hereby given, arid certifies the c-:umpliaince with the State of Oregon Spec-.ialty Codes for the group, oc"cupancy, and 1ASe Lttldel,' which the referenced perm BLDING i11 L L T 0 R V,OST IN CONSPICUOUS PLACE--