14698 SW 83RD COURT ,y
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14698 5W 83RD Cl .
CITY OF T I GARD ELECTRIC
ELC96 OL"37
COMMUNITY DE�IEL.OPMENT DEPARTMENT DATE ISSUED: 04/16/96
13125 SW Hall Blvd.Tigard.Oregon 07223.8199 (5031 639-4171 PARCEL: cS 1 12BC-12500
SITE. ADDRESS. . . : 1. ii 9H 5W 63RD CT l0
SUBDIVISION. . . . : STARLING CROSSING ZONING: R-12
BLOCK. . . . . . . . . . . L01". . . . . . . . . . . . . :006
Project Description: .Install two br-anch circ-uits.
-- -RESIDENTIAL
UNIT ----- ------TEMP SRVC/SEEDERS-----
1000 SF OR LESS. . . . : 0 0 - 2_00 a'np. . . . . . . : 0 RUMP/IRR..,DATION. . . . 0
EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . _ i 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps--1'1100 vol-c y. : 0 MINOR LABEL ( 10) . . . : 0
---•--SF_RVICE/F=EE:DE:R---.-•- -----BRANCH CIS-'CU1TS- -.--- ---ADD' L INS1=;:_CTIONG--•-_-
0 - 200 amp. . . . . . : 0 W/SERVICE Olt FEEDER: 0 PER INSPECTION. . . . . : 0
201 _ 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L 'aRNCH CIRC: i IN PLANT. . . . . . . . . . . . 0
601 1000 amp. . . : 0 _.-----------------PLAN REVIEW SECTION----______...,___.
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) -_ 225 AMPS. . : CL'aSS AREA/SPEC OCC. :
Owner: ------------------------------------------------------- FEES ___--__-----__-.-
KENNETH LO type amount by date r^ecpt
14698 SW 83RD AVE PRMT f 40. 00 CJS 04/16/96 96-278EbO
5PC1 E 2. 00 CJS 04/16/96 96•-278260
TIGARD CIR 97: 23 i
Rhone #1:
Contractor-: -------------._--._--_.-----__---_._--_-__--_-____.__--_-__------___.______--
O"SNI ELECTRIC CONTRACTORS INC ! 4`. 00 TOTAL
PO BOX 1780
REQU I R�-_D :NSRECT I ONS -- -
LirKE O WEGO OR 97035 Wall Cover Elect' 1 Fir.al
Rhone #il 503-635-4:306 Elect' I Servic.
Reg #h. . : 41789
?'his perait is Issufd subject to the regulations contained in the
Tigard Municipal Cote, State of Ore. Specialty Codes and all other PermitteeSigna-_t .ire
applicable laws. All work will be done in Accordance with
approved plans. This persit will elipire it work is not started
within i88 days of issuance, or .f work is suspended for sore
than 190 days. 1 s s"1c.j By
INSTALLATION O�JLY
The installation is being mad,: on proper-ty I own whicn is not intended for,
.,al.e, lease, or, rent.
OWNS R I S S I GNA`I URE: _ _ DATE
.INSTALI-ATION ONI_i_______._._---..__.______-.---_.___-_-.
I
SIGNATURE OF SUF'R. ELEZI N: _. _Ci1S�LLGl3�[t14_ DATE_:
LICE NSE NO i
Ca 11 for irispr.ction - 639-4175.
FROM U{g14I EI.-E1-TP 1 C PHONE NO. : 503 635 1391 Apr. 16 2036 07:SeRM P1
Community DeveloQmPnt ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223Planck/Rec. # -
Phone (503) 6394171 Date Issued �f ,�96
FAX (503) 684-7297 issued by 1" ur lP✓ s4/2�a,;d/
CITY OR TIGARt7 TDD No (503) 684-2772
Inspection (503) 639-4175
1, Job d��dress: r
_ Joy NO. 17422 4, Completel Fee Schedule Below:
�
Name Of DP.vP,lO�ment lumber of Inrspeelione per parmit allowed
r
Address 1469 Sic' 8 rd C'7 `+s+rv_ ice included: Items Cost(aa) Sum
City!Siat?-;p T i cu.a r d z OR _.___— 4e. Residential per arae $1 1 U uU
"
I atm ea.It nr Mdse
Kenn n e L h Eac%adekinnal 500 al.'+ or
Name (or name of business) LO r . pomirm thereof rV500
E. ---�
I.Aded nerpy I V'`U0
Cnmmrrcial Residential rad+Man dl's Home of kpdular 7
D"Airty gorvrne or f --- truf 00 M
2a, Contractor Installation only, 4b servioes or FelilidNa
Inclallaton,sheraton,or relocation 1
Electrical Con',,actor OMNI ELECTRIC CONTRACTO S QOO;Amps orWait, $(,n on 1
201 amps to 400 amps MQ oo _ 7
Address PO 8o7C 1788
_ 401 amp°to 600 amps $120 OJ d
city,] a}rC_�uwego Stato OR ZIP 97035 _ so amps to IOWAmp __ s1Ao00 2
Phone No. 635-4306 1 omn1000arrusatvolts S.14000 e I
Contractor's License No. 3-O
—1 8 L C Roconncd only $5000
Contractor's Board Reg. No � 7 do Temporary Services or Feeders
Ir�lallatron lharAi�On or rM�ri.iAhon �
Sl9nature of St!pr- Elec'n zoo ampsaf Iris s5o 00 rn
201 empp to 4ee anfr i7S 00 2
License Ni. 23455 Ph ,- 6-7 Oh _ sol emietoroewon �^ sloneo
Ovor 600 amps to IOW�eltr
2b. For owner Installations: °""*V Rbuvo
ad.Branch Circuits
Print Ownor r, Name Nee,alWatwn or°rlemon per panel
Address _ I a)The lea for brarch dreads rrf►h
�—�------ pwahesn of aervirre ew 1140&r fee. 1
City St tit! _ ziPI Eads branch wcurt E'r co
Phone Nn. b)The lee fur branch arwile islrhuen
The Inst,,,illation is being made on property I owls which Ir, pumr.Jae of service or e°adler Iter. j
on
not Intended for sale lease or reEach
branch rarlud
nt. ats
r Each addirno)bench urwit i5 00
cxvnws Signaturo �� _�__ I le. Misnellaneous
(S(+rvice or tender not included) 1
3. Plan Review section (if reQ4'red): Each pump or Irrigation eirde iso no 2
Each eign or ou111ra fighting y inn 00
ltgnal circuit(_)or a lordhed anergy 2
Plwsae check appropriate item and enter fee in sectimd 68. panel,sheratten or ertenalon tic oe
_A or morn rusidentiel units In mrin stnirturp Muer labele(to) $1 no oe __
_ Sedvice and frarrdHr 2211 amps or more
I _ dt. Each additional irup he on over
`�yetum over goo volts nominal the allowable in any of the
Classified area or strumitre containing special occupancy above
CHr uefNr'li,d� Li`•^n
as&arribm!in NE C. Chapter 5 r fir,r
Submil 2 diets rt pram with application share any of the above —"—
apply Not requires for temporary c,nstructi-^ services. 5. Fees:
5a. Enter total of above fees S 40.00
NOTICE 5%Surcharge(01', x total tees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal s 4
5b Enter 25%of line A for
AUTHORIZED 19 NOT COMMENCED WITHIN Igo DAYS,OR IF plan Review if required(Sac 3)
CONSTRUCTION OR WORK IS SUSPENI)ED OR,ABANDONED FOR Subtotal S
A PERIOD OF leo DAYS AT ANY TIME .0rTPR VlK)RK IS
COMMENCED ® Trust Account 0 _
Balance Out $ -0'
PLUMPING PERMIT i
CITY OF T F'ER11 I T #. . . . . . . : MS7 9.3-9 b91
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 12/14/93
12125 SW Hell Blvd,Tigard,Oregon 972,23#9199 (543)639.4171
PARCEL. '?S 1 12BC---1 2500
SITS.. ADDR'Eba ). . . . 14696 SW B RD CT
SUBDIVISION. . . . : STARLING CROSSING ZONING: R-12
BLOCK. . . . . . . . . . . L0T.. . . . . . . . . . . . . :006
CLASSOFWORK. . :NEW GARBAGE DISPOSALS. . : 1
IYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW F,F;EVNTRS. . :O
OCCUPANCY ORP. . :R3 FLOOR DRAINS. . . . . . . :0 'TRAPS. . . . . . . . . . . . . . :QI
STORIES. . . . . . . . .2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES--------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
'SINKS. . . . . . . . . . : 1 GREA3E TRAPS. . . . . . . :0
L:iVATORIES. . . . . :3 OTHER FIXTURES. . . . . :0
I"UB/SHOWERS. . . . : SEWER LiNE (ft ) . . . . -0
WATER CLOGETS. . :3 WATER ._INE (ft ) . . . . : I1710
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remarks : PATH 8
OWNER: ---------------_--_--._.._-----_
D E ANDEHSO�' TI." $ 1520. 00 JF 12/ 14/93
4525 SW 96TH AVE BPRT $ 352. 00 JF 12/14/93 -
BPLC $ .=c'8. 80 JLH 11/30/93 93--246236
BEAVERTON OR 97007 BSPC $ 17. 60 JF 12/14/93 --
Phone #- 627-9999 SSDC $ 280. 00 JF 12/14/93
PARK $ 500. 00 JF 12/14/93 -
Plumbing Contractor:--- _._ ...._....___...._..- MPRT $ 43. `.iO JF 12/14/9.3
l ' l MPLC $ 10. 8B JF 12/14/93
Name : �(.l��J ti � '�'t _ M5F'C ! 2. 18 JF 12/14/93
Address : _ _.-W PPRT $ 132. 50 JF 1.-'i 1,4/93 -
Ui1;V : State : F'SPC $ 6. 63 JF 12/14/93 -
zip: _ Phone#:�
Reg -----------
- REQUIRED INSPECTIONS --------
This permit is ISSIAed subject to the r'eg-
�_llations contained in the Tiyird M1_l,nicipal Foot/found Insp Water Line Insp
Code, State of Ore. Specialty Codes and .zkil Post /Ream Struct FIppr/Sdwlli Insp
other applicable laws. All work will be done Post/Beare Mechan Mechanical F ina.1
in accordance with approved plans. ,his PLM/Underfloor Plumb Final
permit will expire if work is not started Mechanical Insp Building Final
within 180 days of !.5s�_lancP, or if work i PI.-tint) Top Out Erosion Control,
suspended fuv- more than 180 days. Framing Insp Crawl Drain
rireplace Insp
Gas Line Insp
Ir1sulat ion InsF►
i Gyp Hoard Insp
x Rain drain Insp _
Authorized P3� bi Trtractor Signalture
Call for- inspection - 639--4175
Contractor Notes :_._..--_
CI
TY
OF
TIGARD
SEWER CONNECTION
r'ERM1T
COMMUNITY DEVELOPMENT D Ptltl,RXVlF,N7 PEFIM I"f' It. . . . . . . : SWR93-0509
13125 SVV HaN Blvd.-igard,0 sgon Y7223.81k"'(iCi1 30.4171 DATE ISSUED: 12/14/93
3
PARCEL.: 2 S 1 12BC:—12500
SITE ALDRES'."i. . . : 1.46'=1 S
3 W 83RD CT
SUBDIVI 1ON. . . . : STARLING CIRC'SSING ZONING: R--12
BLOCK. . . . . . . . . . . LOT. . . . . . . . ,• . . . . :'din,.,
—•--•----------------------------
FI=NANT NAIIE. . . . . .
U';A NO. . . . . . . . . . . FIXTURE UNi'-9. . . .
CL.AS5 OF WORK. . . :NEW DWELL_I NG LIN I TS. . : 1
TYPE OF USE. . . . . :GF NO. OF BUILDINGS: 1
IIASTALL TYPE:. . . . :BUGWR IMF'ERV SURFACE. . f
Remar^ks: ;'ATH 8
Owner: ----_.____.___.._____.._.____ ._ ..__._.__.__.___._..__. _._._.---_.-------------_. EE
D E :4NDERSON type aano1-Int c)y date r-ecpt
4525 SW 96TH AVE 1='RMT $ 2 .'00. 00 .'F 1"'/14/93 —
INGF' $ 3;5. 017, JF 12/14/93 —
BEAVEFTON OR 97007
F9-lone # � 627-9999
CONTRACTOR NOT ON F-ILE �
Phone #: $ 2235. 00 'i r1TAL
Reg #. . .
-------- R,EQUIREL' I NSPECT I ONS
This Applica,,t agrees to comply with all the rules and regulations Sewer lnspet t ion
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 swer is not located at the measurement
given, the installer shall prospect 3 feet in all drrectinrs from
the distance given. If not so located, the instalier shall purchase
a "Tap aid Side Sewer, Permit and the mycy yIII 'At a lateral. —
Per•mittee S gnatur^e
ISs1.1ed By :
Ca11 for inspection - 639•-4175
1
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMLKIT DEP,�RMNT PERMIT #. . . . . . . : MST93•--9591.
13125 SW Hall Blvd.1,gard,Oregon 97223.810D� 03,4311-4171 DATE ISSUED: J.2/14/93
I�'F-lRrl .l_: ��S 1 1��FiC -•125Q
SITE ADDRESS. . . : ]469th SW 83RD LT
SUBDIVISION. . . . : FTARLING CROSSING ZONING: R-12
BLOCK.. . . . . . . . . . . LOT. . . . . ., . . . . . . . :006,
BUILDING _.._----•_•_-__._____________________.____._.
REISSIJE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 :lf
L:LASS OF WORK. :NF...W FEDRMS: , BATHS:3 GPRAGE. . . . . . . . . . ..446 sf
TYPE OF USE. . . :SF FLOOR AREAS------ REQUIRED SETBACKS-------- -------
TYPE
L=TBACKS•--•--_- __--__-
TYPE OF CONST. :5N F I RS T. . . . .7412,' s f LEFT. . :5 ft R I FHT. : 10 ft
OCCUPANCY GP--l. :R.3 SECOND. . . :660 s f FRONT. :20 f t REAR. . : 15 Ft;
STORIES. . . . . . . : TH I RD. . . . :0 s f REQLI I RED.- ----- - ------__._.__
HE I GHT. . . . . . . . :1=:1 i=4. TOTAL-------- : 1.400 s f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 ps f VALUE. . . s : 724 28 PARKING SPACES. . : 1
Remar-ks : PATH 8
_-.-.-------- PLUMBING
I N iS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLC'.J PREVNITRS. . -.0
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . , . . , . . :0
TUI'+/SHOWERS. . . . :E LAUNDRY TRAYS. . . :0 CATCH BAS I Nei. . . . . . . :0
WATER C:LOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . - . . . . :0
I)ISHWASHLRS. . . . : 1 WATER LINE: (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WAr�H I NG MACH. . . : 1 aF- RA I N DRA I NS, . : 1
MECHANICALFEES --------_.______
FUEL TYPES------------- UN 11' HTRS. . :0 type `-.mor-tnt by date reapt
/UAS/ / / VENTS . . . . . :0 TIF $ 00 ,TF 12/14/93 -
!rIAX INnul :0 BTU VLNI FANS. . :4 BPRT $ 352. 00 JF 12/14/93 -
I URN ( 1001' . . : ] HOODS. . . . . . : .1 BPLC $ 228. 80 JLH 11 /30/93 93-2462311, e
[ URN ) =1001-' . . :11, WOOD STOVE:S. :0 B5PC $ 17. 60 JF 12/14/9-3
I-LOOK FURN. . . . :0 CLO DRYERS. : 1 S5CC $ 280. 00 JF 12/14/93
BOIL/CMS' ( ,HP:O OTHER UNITS: l PARK $ '500. 00 .JF 12/ 14/r)3 -
GAS OUTLETS: 1 MPFT $ 43. 50 JF' 12/14/93 -
Own<r : _.-MPLG $ 10. 88 J1= 1 = 14/9;.:,
D E ANDERSON M5PC $ 2. 18 JF 12/14/93 -
452'-d SW "YL TIA AVL PPRT $ 132. 50 J- 1 -'/14/93
P5PC $ 6. 6,3 JF 12/14/93 -
BE;AVERTON OR r3'7007
'hone #: 627--9999
h ANDERSON, INC
457`.i SW TUCKER AVE
k.AL0Vl._1ZT(jN 01i 97005
11hone #; 62-1-9999
Req #. . : 46344 ----__._____.__ -_-__.________.____--.--•____--
$ 3094. 09 TOTAL.
This per-tit is issued sub]ect to the regulations contained in the ---- REQUIRED INSPECTIDNS - -- --
Tigard Municipal Code, State of Ore. Specialty Codes and all other Font/for_tnd Insp Gas Line Insp
applicable laws. All work will be done in accordance with approveo Pust /Beam Star_tct InsN.ilation Insp
plans. This pertit will expire if work is not started within 100 Post /Beam Mer.han [gyp Board Insp
days of issuance, or if work is suspend-( 181 days PL.M/Underfloor Rain drain Insp
-Mechanical ln5p Water Line f1ns
I'er^mIttee �c;i.gnatr_rre; �>� -�--- 1.r.tmb Top 01-1t Appr./Sdwlk Ins
r _... t.-.-----. Framing Insp Mechanical. Final
Issr-ted By : Fir-eplacP I-isp P I r_tmb Final
(/ Ca11 fur inspection 639-4175
Residential Building Permit Application
Cit} rrf Tigard
13125 SiHall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobslte Address: / �'l`67
c� _
O Offico Use Otter
Subdivision: i!`%Q� •( - _U^ ou t.ot # _
I'IanddRec# /[^ L)
Valuation: -
Permit#
Owner: Reissue of
Address: l ��� 5'o A l ��(� �^ Cc..��' —
/1 Approvals Requlred
1
Planning -
Phone: ♦-- — ---
Engineering r�
Contractor: Other.: !k
Ole PAY 7-rr
Address:
Items He_guired
Subcontractors
Phone:
Truss Details
Crnt�actor's License # `? l-�
(attach copy of current Oregon license) Other
Subcontractors:
Plumbing:
Mechanical: S
Ta--ttabb copy ofcurrent OR Contractor's License)
Archltect/Englneer: — �-
Address. -- -
Plane: -
COMMENTS:
L
Applicant Signature & Phone number
r
Received b : __ Date Received: _-
Permit # Account Description Amount Amt. Pd. B,,I. Due
Bldg. Permit (BUILD) .u U
Plumb. Permit (PLUMB) j ,3 Z y� •� ; ? >L
Mach. Permit (MECH) 7 3 • A �'• Sti
State Tax (TAX) y
Bldg: ?• L v �/
Plumb: ( 6-3 �
Mach:
Plan Cheek (PLANCK)
Bldg:
Plufrlh:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) 7 _
Pt.-rks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC) z
Residential TIF (TIF-R) / I v
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) _
Institutional11F (TIF-IS)
Office TIF (TIF-0) _
Water Quality (WOUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
TOTALS: 1 SGS V e �.
CERTIFICATE OF'
CITY OF TOGAt? OCCUPANCY
T PERMIT +1. . . . . . . a MST93
COMMUNITY DEVELOPMENT DF�PAR DATE ISSUEDs 03/a5/94
13126 SW Hall Blvd.Tigard,Oregon 97223*8196"(603)639-4171
PARCEL '-1S112BC--12500
SlrL: ADDRESS- 1 14( 98 SW 83RD C'T
SUBDIVISION. 6 . . 1 STARLING CROSSINQ ZONING:R-12
BLOCK. . . . . . . . . . I LU'r. . . . . . . . . . . . .
CLASS OF WORK. eNEW
TYPE OF USE. . . :SF
OCCUPANCY GRP. %R3
OCCUPANCY LOAD#221 4
TIUwNT NAME. . . :
Remarks FIRTH 8
Ownprt
D E P414DER50N
45c'-5 SW 96TH AVL
BEAVERTON OR 9711112117
Phone Ot 627--9999
Contrmictore
DAN ANDERSON HOMES
4525 SW 96TH OVE
BEAVERTON OR 97005
Phone #1 627-9999
Reg #. . # 46344
Occupancy of the above referenced building is hereby given, and certifies
the compliance with the State Of Oregon Gpecialty Codes for the group.
occupancy, and use under which the referenced permit was is,;,,ted.
f t- -iNi 4FC-1 iRC
3 00 1 C I OL
POST IN CONSPICUOUS PLACE