The URL can be used to link to this page

14565 SW 91ST AVENUE ADDRESS: 91/ r cc w J isVocordsVnicro(ImMargelsWuiIding.doc; Page No. 1 CASE HISTORI FOR CASE NO.: ELC95-0463 PHOENIX ELECTRIC 14565 SW 91ST AVE 01/09/97 Action Description Req/ Schd! End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- ELCA001 Application received / / / i 10/17/95 RECD BON 12/04/95 TMP ELCA003 Permit created / / / / 10/17/95 RECD BON 12/04/95 TMP ELCA500 W Issue permit / / / / 10/17/95 PASS BON 12/04/95 TMP ELCA700 Ceiling Cover 10/17/95 / / / / 12/04/95 TMP ELCA720 Wall Cover 10/17/95 / / / / 12/04/95 TMP FI.CA730 Elect'( Service 10/17/95 / / / / 12/04/95 T4P ELCA799 Elect'( Final 10/111/95 / / / / 12/04/95 TMP 97 7`75 0 7 R" F- Un ti H� J G7 1� J /0 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 639-4171 Date Requested: q 7 A.M. _ P.M.— MST: �tJ ;vocation: �� (U _ —— -- BUR T rant: /f � l — Suite: Bldg: MEC: Contractor:-� C..CJ / Phone: —(,e- r —-- P (homer: — — )ne: .L' ELR: 3 � r7 SIT. BUILDING LD coni) PLUMBING MECHANICAL LECTRICAL SITE Site s Seam Post/Beam Post/Beam coverrNmIce Sewer/Ston Footing Roof UndFUSlab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In IJG Sprinklcl Foundation Insulation Sewer IIoodOuct Reconnect Vault Bsmt Damp Drywall Stonn Furnace Temp Service MISC. Masonty Ceiling Rain Thain A/C UG Slab Shear/Sheath Pirc lm Crawl/hound Dr I lent Nunp I'm Volt vett Approved Approved proved Approved Appr/Sdwlko ovco Not Approved Not Approved ed Not Approved INA FINAL FINAL. '!-"Fl N AL FINAL 'r- t-- J C� L Il' � 1 M Call fo t'on / 0 Reinspection fee of S__ -__ _ requir d lxfore next inspection Cl I Innhle to inspect Inspector: — Dater Page_—__of 7--3G CITY OF TIGARD BUILT)ING INSPECTION DIVISION / 24-Hou:Inspection bine: 635-1 175 Business Phone: 6394171 Date Requested: C� 97 _ _ A.M. P.M. Location: / S � — BIJP: — Tenant: _ Suite: Bldg: MF.C:_ Contractor: �— Phone: _ _ PLM: Owner:_ Phone: ELC` ELR. / _ _ --�---� si,r: BUILDING BLCG(con's) PLUMBING MECHANICAL ELECTRICA SITE — Site Post/BeamPost/Beam PosUBr,am t over/,ervice Sewer/Stone Footing Roof UndFI/Slab RouFlAn Ceiling Water Line Slab Framing Top Dut Gas bine Rough-In UG Sprinkler Foundation Insulation Sever IIaxmtict Reconnect Vault Bsmt Damp Dn vall Senn Furnace Temp Service MISC. Masonry Ceiling T<ain Drain A/C IJG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I feat Pump Low Volt Approved Approved Approved Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approved wed Not Approved FINAL FINAL FINAL "FINAL FINAL 11 J O Call for reinspection O Reinspection fee of S require., efore next inspection O I Inable to inspect Inspector: � — Date: /�_ r L'-� Pae of CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date RequestLd: 1 Cf- 13 ry A.M. P.M. MST:' I,ocation: L4 tF' s — �,�t,L) -1 I 42f _ _ BLP,':_ - Tenant: _ _ Suite: Bldg: 1E C: Contractor: ,l it ��l_ .�� 11_&2V-'\- _Phone: s1� PLM: Owner: _ Phone: _ ELC:_—__i__ —_ ELR: — _ _ SIT: _ BUILDING BLDG(can't) PLUMBING MECHANICAL ELECTRICAL SITE Sita Post/Bearr Post/Beam Post/Bemn Cover/Service Sewer/Ston Footing Roof IlndFl/Slab Rough-In Ceiling Water bine Slab Framing Top Out Gas Linc Rough-In UG Sprinkler Foundation In^ wm------r -sewer Iiood/Duct Reconnect Vault Bsmt Damp :alllogil14 $Iotm Furnace Temp Service MISC. Masonry ecRtin[r'"- Rain Thain A/C UG Slab Shear/Sheath klr/Alm Crawl/Found lh I leaf Pump Low Veit Apptoved Approved Approved Appreved Approved Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL aA oolk a O."n-c-lad u4,4 Pit -* wl C'10/jr' ANA"-r-, a rL -- ---- H Ln H LD G] W J C7 Call for reinspection O Reinspection fee of S __Q requited before next inspection rl I Inable to inspect Inspe^.or: Date:_ L�'� � — Page of CITY OF TIGA.RD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phonc: 639-4171 Date Requested: "�q - T, P.M. MS'r: Location:� _(r�5 ) L1Q J BUR Tenant: _ /� Suite:: _Bidj: NIEC: Contractor: /� .'(��! `7'tJ _Phone: �7 0�-- , � PLM: (honer: Phone: ELC: 'L( LL G�' 22-C� C➢'l �)u' LC_)�' ELR: — ) SIT: _ BUILDING BLDG(con't) PLUMBINGMEJ CHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam PosdBeam Cover/Service Sewer/Stonn Footing Roof UndFl/Slab Rough-In Ceiling Water Lin,- Slab -Franupf Top Out Lias Line Rough-In UG Sprinkler Foundation nsu a io Sewer Hood/Duct Reconnect Vault Bsmt Datrf N' D ywa Storm Furnace Temp Service MISC. Masonry Ceiling Rain[rain A/C IX;Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Ir Ileat Pump Low Volt _ Approved Approved approved Approval Ap-)roved^ Appr/Sdwlk pproved Not Approved Not Approver. Not Approved Not Approved FINAL FINAL FINAL, FINAL FINAL FEZ d&nxz &Ww I3,�;�- ( , , ''ez SOD 2 i� .�t v0 S z�1 TSI 114 f A-1 "00 r- Ste, C 77 O Call for reinspection C3 ReinVmtion fee of S_ required before next inspection 17 Unable to inspect Inspector: �_ We: 6—/4F2 Page of CITY OF TI GAItD BUILDING INSPECTION DIVISION � 24-dour Inspection Linc: 6394173 Business Phone: 639-4171 ,,�/� Date Requested: IC,' l� �p— A.M. — P.M. MST: / ��1•-c� Location:� � _ .�C,(�} � IUP: Tenant:_—/- — Suite: Bldg: MEC: _ Contractor: C A JLZ �L-( Q��i_.(�0 (7;] Phone: &X L p� r_-� —_- PLM: - Oancc^—_— ` Phone: ELC: _ ELR: l l�E'111 G' BUILDING BLDG(con't) PLUMBING MECHANICAL ECTRI SITE Site Post/Iiram Post/Beam PosU13cum Cover/Service Sewer/Storni Footing UndFl/Slap Rough-In Water Line Slab r Framingg Top Curt Gas Line a h-Ir UG Spril�klcr Pot�ndation Ins�ol, Sewer Hooe/Duct Reconnecr Vault Bsmt Damp Drywall Stonn Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath w Fire SpklriAlm Crawl/Found Dr I feat Pcunp Low Volt Approved Approved Approved _— Approved Appr/Sdwlk ) pproved Not Approved Not Approvedo ppr_ed Not Approved FINAL FIP'AL FINAL FINAL FINAL, F-- tn F- r� w J Call tier rei -Cho, ❑Reingnection Im of$_ _required hm liar nest inslwction fl I Illnh1c to nlspect haspectoc -- -- -- _ Date -- - page -of - To: Jeanne Copies to: George Subject: MST97-0537, ELC97-0537 Date sent: Fri, 15 Aug 1997 19:54:54 Hi. I don't know if the homeowner didn't know to call in their reconnect inspection and just said rough-in or if I assumed the inspection was a rough-in. Tom approved a rough-in, but the permit is for re-connect only. This is the remodel with a roof line change and there is no electrical on the master permit. Wh at do we do now? (14565 SW 91st Ave/Pinebrook/Chris Culbertson 684-2978) 1 made the entry on the electrical permit, it could be corrected at the next inspection if there were a way to flag it. Let me know. Thanks, Jean H. .Jean Heitschmidt -- 1 - Fri, 15 Aug 1997 19:54:54 CITE( OF TIGARD F-1-ECTRICALrPERMIT PERMIT (1: E-L ., C , OrJ'37 DEVEL0PMENT SERVICES nn T F ISSUED: 08/08/97 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PARCEL: 'a 1 1 1 AC--00600 1'I E A 1)D RESS. . , : i/i!-j=,`*: 8W 919 T AVC 3L10r)TVIC;T0N. . . , -PI!'4ERROO11 TI-PRACC 401h1INB:R. 4. 5 BLOCK. .... . „ LQ7' . . . . . . . . . . . . . ..47 JUFI ISD I CT I ON: TIC) pt; _)n : Reconnect only _•REr;I DCiVT I AL UNIT--_.-_ -M T:SCr'LL.ANE0US 14'00 Sr' OR LESS. . . . . 0 0 - 200 amp. . . . . . . : 0 PUM!''/IRRIGATION. . . . : 17ACIA ADD' L 300GF`. . . . 0 C.,01 1:00 amp. . . . . . . . 0 SIGN/O(JT I,_INC I.,-TG. . LIMITED ENERGY. . . . . : 0 40+1 - 600 amp. . . . . . . : 0 SIGNAL./PnNEL. . . . . . . : MANF.. HN/ SVi:/FDR, . . 0 (',ol l etmps---1v'J4�0 Volts. 0 MTNOR I.11111-L ( 10) . . ......_SERV ICE/FECI F- -_..__ -----BRANCH CIRCUITS---•--..__- .._.-_ADD' L INSPECT IONS)- 0 - 200 amp. . . . , ., 0 W/SCRVICE RR rcr-DEP: o PER IN rT:(7TT.C)l,d. . . . . . ; 201 - 4Q10 amp. , . . . . . 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . . 4,01 GOO amps. „ . , . . . 41 En ADO' L BRIT-+! rTfi(7: 0 IN PLANT. . . . . .. . . . GO - 1000 amp., . . . . . 0 --__w__.__....______-----FLAN REVIEW SECTION- _.___.._..____.__.. 10004 amp/volt, . , . . . 0 ) "--4 RES UI-41TS. . . . . . . . . ; 600 VOLT (JfJMTh1A1_, . R(-C. c►nneCt On I y. . . . . . 1 SVC/FDR ) :!z 225 AMPS_ CLASS AREA/SPEC OCC, CHRIS CULBERTS0N type amo+.int by date r••eC,:3t 1 45E5 OW 91ST PRMT $ 50. 00 B 08108/07 9 ::9`711 TIGARD OR 972--'3 5r,CT $ 2. 513 R 0Cl/08/97 97--^^„ l� r me #: G134-;7371.3 Contractor: •----------__._.__.__._._._.._...._......__...__ __�_.......------_._._.__�.__._..__._--_.-----._.......___...._.-----_._...__..._._.. ll,rll`R $ 'S,'. 50 TOTO;- _ ......._....... Rf.OUIRED TNSPECTION�j RUI.tghr--irr Elect' l Final me ##: Elect' 1 Ser vic ra `his pervit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Ccdes and all ct� pplicable laws. Ali work wr:;. be done in accordance with approved plans. This pervit will expire if w;,rk is not started within ay: of issuance, ur if Mork is suspended for, rare than 190 days. ATTENTIONS Oregon law requires you to follow the rules adopted ne Oregon Utility Notification Center. Those rules are set forth in OAR 9512-Ki-w':' I ^'n ^"" '" '"-^l Y:� say obtain F thest rules or direct questions to VIC by calling (503)845-1997, r 14"�(..� '((1Q Lin L J nT T CIN ONLY•--_--- .. .__.._ .___. I�H� :Ir.s{ <�•1. ! �!: i 1j+� c.� Dr1Tc J .. ..._ -rf,� r-7 r.r, 1 ^,,;'-(;I_'.'a 1"(CJP1 (7t'.1.•, Dr4TF: t 4- t i 1 .. r { 1 1 1 4-a,.F..F4.4 4-+4 #4.4.4 ., f 1 1 4 -r { 1 -{ 1 ! 1 i I t i F . ( r .. �'. ,i . , I I .1:;''. i ,ii..,-.,' .f l- 1 (,(14.> 111 ,{( L)•l�� .l alfa C.ti'+ ft; CITY OF TIGARD Electrical Permit Application Plan Check 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd -` - 77-Date to P.E. Phone (5031639-4171, x304 Date to DST Print or Type Inspection (503) 639-4175 Permit#��-�V Fax (503) 684-7297 Incomplete or illegible will not be accepted Called- 1. Job Address: I/ r,,Wye- 4. Complete Fee Schedule Below: Name of Development T I V Y/ \r-'1 ra Number of Inspections per permit allowed Name(or name of business) f:-i4kt:, Service included: Items Cost Sum Address I QS(p5 .S W C\ IST 4a. Residential-per unit Ci /State/Zi % C c C 1000 sq.ft,or less $110.00 _ - 4 City/State/Zip p TX._C3- ,-,a ay Each additional 500 sq.ft.or Commercial ❑ Residential minion thereof $25.00 f Limited Energy $25.00 Each Manuf'd Home or Modular 2a. Contractor installation only: De "Ing Service or Feeder $68.00 (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor Installation,alteration,or relocation - 200 amps or less $60.00 __ _ 2 Address _ _. _T - 201 amps to 400 amps $80.00 _ 2 City_ --State _Zip 401 amps to 600 amps $120.00 2 Phone No. 601 amps to 1000 amps $160.00 2 Job No.� Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. `Exp.Date-- - Reconnect only $50.00 2 OR State CCB Reg. No. _Exp.Date _ 4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation,alteration,or relocation 200 amps or less $50.00 201 s to 75.00 Signature of Supr. Elec'n -.--..- 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts, License No.-_� Exp.Date _ see^b^above. Phone No. - -------- 4d.Branch Circuits New,alteration or extens;on per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name ,,.ii,,13Q TASpvA feeder lee. Address t k4 S(,%S Each branch circuit $5.00 2 city \ �G.cd State Zi ti�a a� b) without tee for branch circuits -�- without purchase o/ Phone No. -sn3 (og%1` 4a-j I _ service or feeder lee. First branch circuit $35.00 The installation is being made on property I own which is not Fach additional branch circuit_ $5.00 _ intended for sale,lease or rent. 4e.Miscellaneous Owner's Signatur - Each(Service or feeder of Included) - Each pump or Irrigation circle $40.00 Each sign or outline fighting $40.00 _ a 3. Plan Reviews ction (if required):* Signal 1,alteration or o limited energy 4 panel,alleratlon or extension $ 0•f]D 2 Minor Labels(10) $100.00 N Please check appropriate item and enter fee in se.:tion 5B. 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.00 -'. _ _ ___Classified area or structure containing special occupancy Per hour $55.00 cc as described In N.E.C.Chapter 5 In Plant $55.00 U) "Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ �-- NOTICE Subtotal $ - 5b.Enter 25%of line 8a for PERMITS BECOME VOID IF WORK OR CON37RUCTION AUTHORIZED IS Plan Review If reaulrad(Sec.3) - NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Sub•otni $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ trust Account a Total balance Due I:\n5TSTI-CPB APP AM W" CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc. 6394175 Business Phone: 6394171 Date Requested: 1C A.M. P.M. MST: / v Location: . 1� BUR Tenant: Suite: Bldg: NEC: Contractor: �- / J —� I'hone: PLM: — Owner: Phonc: _ _ ELC: ELR: _ SIT: __ BUILDING �eammb'. PLUMBING MECHANICAL ELECTRICAL S11 E Site Post/Beam Post/Beam Cover/Service SewL r/Stonnr Footing Roof_ UndFl/Slab Rough-In Ceiling Water Line Slab (rramD&- �it Top Out Gas hrx Rough-In LJG Spruikler Foundation lisilrlticn ✓ Sewer I l(Xxl/I)uct Reconnect Vault Bsmt Damp Drywall 7-Storm Furnace Temp Service MISC. Masonry Cciling Rain I`rain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Ileat Pump Low Volt )roved Approved Approved Approved Approved AppriSdwlk Not Approved Not Approved Not Approved Not Approved Not Approved FINAL. FINAL FINAL FINAL FINAL r r LL1 O Call for re' n CI Reinspection fee of$ requimdberlore t inspection CI Unable to inspect Inspector: _ Date: Page of CITY OF TIGARD ;rPERRMM,� IT ##' r ': llr DEVELOPMENT SERVICES DATE ISSUED: 07/30/97 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 F'ARGEL_: i:'S 1 1 ?AC--00G00 Tr AP.DRESS. . 14CEG SW 71ST AVF_ JDT)IVIrION. . . . :PINET.AROOI: TERRACE ZOrIING: R--4. c I-.OT. . . . . . . . . . . . . : 47 JURISDICTION: TIG Remarks: Change roof line and raise floor ---------------------------_ -------------------------------- BUILDING REISSUE: STORIES.......: 1 POOR AREAS-- - --- BASEMENT.,,: 0 sf REQUIRED SETBACKS---- REQUIRED--------- CLASS OF WORK.:ALT HEIGHT....,...: 12 FIRST,...: 0 sf GARAGE...... 0 sf LEFT..........: 0 SMOKE DETECTRS: TYPE OF USE...:SF FLOOR LOAD..,.. 40 SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: C TYPE OF CONST.:SN DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT..,......: 2 OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL------: 0 sf VALUE..t: 140!0 REAR....,.....: 0 ---------—-------------—----------------------- -------- PLUMBING ------------- ------ SINKS.........: 0 WATER CLOSETS,: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 0 DISHWAMRS...: 0 FL009 DRAINS..: 0 SEWER LINE ft: 0 SF RAIZ; '" INS: 0 CATCH BASINS..: 0 TUB/SHOWERS...: a GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW P, 0 CREASE TRAPS..: 0 OTHER FIXTURES: 0 ----------•--------------------------------•--------------- MECHANICAL FUEL TYPES--- --- FURN i 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0 FURN )=100K .,; 0 UNIT HEATERS..: 2 HOODS....,....: 0 OTHER UNITS...: 0 MAX INP.; 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 SAS CUTLETS.,.: 0 ELECTRICAL ------ ----- ------ ---------- - ---------- —RESIDENTIAL UNIT--UNIT--- ---SERVICE/FEEDER---- --TEMP SRVCr'F'EDERS-- ---BRANCH CIRCUITS--- ----MISCELLPNE0M---- --ADD'L INSPECTIONS-- 1002 SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGA",ION: 2 PER INSPECTION: 0 EA ADD'L 500SF. : 0 201 - 400 amp..; 0 201 - 400 asp..; 0 1st WIO SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR..,...: 0 LIMITED ENERGY.: 0 401 600 amp..: 0 401 - 600 amp.,: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0 IM+ amp/volt.: 0 ---------------------------------- PLAN REVIEW SECTION .__------------_.._..___.._------__. Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=22S A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: --------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL---------------------------- B. COMMERCIAL---- AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: 9URGLAR ALARM..: 0TH: ;; BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER,.: CLOCK..........: MTRUMENTAT104: MEDICAL...,....: OTHR: HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL N SYS'D.''S: t Owner: ------------------------------------Contractor: ------------------------------ Tn'AL FEES.-1 177.66 CHRIS CULBERTCON PROVIDENCE BUILDERS This pereit is subject to the regulations contained in the 1456! GW 91ST GREGORY TODD SAWYER Tigard Municipal Code, State of Ore. Specialty Codes and a1: TIGARD OR 97224 PO COX 83118 other applicable laws. All work will be done in acrorda��: PORTLAND OR J7283 with approved plans. This permit will expire if work i . a Phone A: Phone t: 735-1779 not started within 180 days of issuance, or if the work i, R Rcg C.: 007095 suspended for more than 180 days. ATTENTION: Oregon law N ------------------------------------------------------I---------- requires you to follow rules adopted by the Oregon Utility > Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-0014080. You may obtain copies of these rules m• direct questions to OUNC b,, calling (503)246-1987. J -- REQUIRED INSPECTIONS ------------------------------------------------- :' 'ooting Insp Insulation Insp LL) roundation Insp Gyp Board Insp —.-, lost/Beam Struct Rain drain Insp Crawl Drain Building Final Framing Insp I . ,_ted Py : ✓ Permittee 5ig17at .tre: X11 + 14.-1 .1_.1 1-+1 1-+ - .1 i 1 I a , I ! 1 +-+4-i.1.4..+.4 4 -1.1,1 +-4 4 1-4..1.1-1 4 +.1..1....1 4 ./ 4a �44 t !4' ' Call 635-4175 by C:00 p. m. fcrr torr inspectioli needed the next business day K. r,. OF TIGARD Residential BuildingPermit Application Read By. 191, ' PP y 125 SW HALL BLVD. New Construction Additions or Alterations Date Recd 777= .GARO, OR 97223 Single Family Detached or Attached (Duplex) ca';to P.E. - - �03-639-4171 Date to DST -5 ' 7 -:03-684-7297 Permit a (n1 Taj Print or Type Called Incomplete or illegible applications will not be accepted Name of Protect Name Job N%(:,(, v v �>��Y' 1 L) .4ddres3 Site Address Architect Maning Address -� . -y qty/State Zip , Phone— Name �( `? Name Owner daihng Address Phone En ineer Mailing Address City/State Zip —-- T, C t1� Jti l�• �' � 17 Zt C ty/state Zip Phone Nam6 General Describe worts New Co Addition Q Alteration 0 Repair �ontr'actor Mailing Address to be done: f� A 5(r,�;- Additional Description of Work: Cdy/State Zip Phone Orego Const.Cont. Board Lice Ex- Date tach Copy of Current COT Cusiness T-x or Metro tt Exp. Date PROJECT Licenses — _Name _ VALUATION 1$ 1/a 6o o, r — NEW CONSTRUCTION ONLY: lechanical Sub- Mailing Andress ff . L House: Sq. FL Garage .ontractof Comer Lot YES NO FI29 Lot YES NO c.tyr5cate yip — Phone (check one) (check one) Oregon Const.Cont Board Lic.M Exp.Date Restricted Audio/Stereo Burglar 9.ttach copy of Energy \ System Alarm Current COT Business Tax or Metro 0 =xp Date Instaliahon Garage Door H\f„C -1°"'"' Opener Systems Name (check all that Other. plumbing apply) Sub- Mailing Address Will the electrical subcontractor wire for all YES NO 'ontractor restricted energy installations? city/state Zip Phone Has the Subdivision Plat recorded? I N/A YES NO Cregon Const. Cont Board Lie# I Exp. Date Reissue of MST*: Solar Compliance tach Copy of _ (Galculati)n Athached) Current Plumorng Lie it Exp. Date I hearby acknowledge that I have read this application, that the Licenses — information given is correct, that I am the owner or withorized cor Business Tax or Metro ; Exp. Dace agent of the owner, and that plans submitted are in compliance Name (,� +vith Oregon State laws. �( Si�grS re of Cw Ag t 'Datr'7 lec>tl•i�al , -�1'��1; �r Sub- 'Jailing Address clklntact Person Name Phone ak ,�ntractor % � • �`1 �' ,tyiState ZIP Phone FOR OFFICE USE ONLY: :1 Plat!!: Map/TLft: Cregon Const. Cont. Board Lac;9 Exp. Date h Copy of I Setbacks: I Zune: Solar. :urrent Elec:ncal L,c. 0 I Exp. Date senses ngineenng Approval: Planning -Ipprovai: TIF. COT Business Tax or Metro x Exp. Date `•tOL.DOC (DST) iiW M Permit# Acct. Oescritpion COT WACO Ariount Amt. Pd. Bal. Due ,. MST. Permit (BUILD) (U:3UIL04Ur- , Plumb. Permit (P_UMB) (UPLUMB) Mech. Permit (MECH) (UMECH) ELC/ELR Permit (ELPRMT) (UELPMT) State Tax (TAX) (UTAX) 7__---- SLDG. PLUMB: MECH: ELC/ELR: Plan Check 22 MST: (BUPPLN) (U6UPLN) —3 Plumb: (PLUMB) (UPLUMB) Mech: (MECPLN) (UMEPLN) CDC Review(BUILD) (CDCBLD) (UCnC) CDC Review(PLN) (CDCPLN) N/A Sewer Connon (SWUSAN (USWUSA) Reimbur. District ( ) ( ) Sewer Inspection (SWINSP) (USWINS) Parks Dev Charge (PKSDC) N/A Residential TIF (T,F-R) (UTIF-R) Maas Transit TIF (TIF-MT) (UTIF-M) Water Duality (WQUAL) (UWQUAL) Water Quantity (WQUAN1) (UWQAN'n Erosion Control Prmt (ERPRMT) (UERPMT) Erosion Planck/USA (ERPLN) (UERPLN) Erosion PlanckJCOT (EROSN) (UEROSN) Fire Life Safety (FLS) (UFLS) q TOTALS: — . I� � 0 �• 7 1 I SFREMDLDOC (DST) 6197 Oa tz-a. t*`L. rte. �. w/ ►.] �w 'T"H I S FL �• D N�."Y 1 H F- N OC! CD -_- W 1 LA S lc � 5 w Cl 1 5-r" ^,,4 E . 7,*',,L b r,,. 'y, TE."v-c.UCE CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -P!umb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: l S �i ^Time: AM PM Address:_qSL0,S-I 1 . -Bvikter. I— 3-`/ 79 ,'-tQ_.k'l , Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: v7 'J 1l Inspector: Date:`_ _APPROVED —DISAPPROVEDzNPPROVED SUBJECT TO ABOVE Call For Reinsp. CITY OF TIGARD BUILDING INsr_CTION NOTICE I Inspection Line (Rec-O-Phone): 639-4175 Business Ph,,,e: 639-4171 Inspection: Footing 3usp. Ceiling Sprink. Hough-in Appr/Sdwlk Foundation Plbg. Under lab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drainrnr n -Plumb. Alarm Water Line Insur cion -Mcch. Underilr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: �'�1�� 3 I Time: AM PM Address: I ( S�y S / Builder: � I -2K _Permit #: M S- 02-o4 THE FOLLOWING CORRECTIONS ARE REQUIRED: h .44 v F- c� rl� Inspector: _ Date: _�PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg�Und—er—slab Mech. Rough-in Fireplace Post/Beam Struct. 11 g� Top Out Elec. Rough in FINAL: Post/Beam Mech. San. ewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm ater Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. C^ Date Requested: �� ' Time: AH PM Address: ( 14 5�e j Builder: / Permit q: THE FOLLOWING CORRECTIONS ARE REQUIRED. n_ Li! J Inspector: Date: Z PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE ,Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldo. Plbg. Underflour Rain Drain Framing -Plumb. Alarm Water Line (:2nsu a on a -Meeh. Underflr. Insul. Shear Waall/ Gyp. Bd. -Elect. Date Requested: C� / ��/ ��` r / , � Time: AM PM Address: Builder: Permit #:/ _Y U/ THE FOLLOWING CORRECTIONS ARE REQUIRED: 01,r — 2 F- In — J C-0 J Inspector_ C?ate: � A APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Cell For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE ` Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ilC�j 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 FINAL: Post/Bearn Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall rp' ) -Elect. Date Requested:_ �1 Time: AM PM Address: rzz _` — Builder:_ Permit tt: � 7 6 U THE FOLLOWING CORRECTIONS ARE REQUIRED. ej c� J Inspector - Date:��9,5, APPROVED —DISAPPROVEDAv PPHOVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD FUILDING INSPECTION NOTICE Inspection Line (Rec-O-Pho ie): 639-4175 Business Phone: 639- 7 Inspection: Footing Susp. Coiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Cas Line Plbg. Underfloor Rain Drain Framing um l) Alarm Waiei Line Insulation M1fi. 'nderflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: Ct �. Time: AM PM Address: 2. " Ll Y — 715 Permit #+(�S1�S\ S off. O( THE FOLLOWING CORRECTIONS ARE REQUIRED: Y F- J G-7 �1f J Inspector: Date: ) / JAW06'VED `DISAPPROVED `APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 i Inspection �d_ Footing Susp. Ceiling Sprink. Rough-in AppnSdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Orain Framing -Plumb. Alarm Water Line Insulation -Mach. Underflr. Insul. Shear Wall Gyp. Bd. --ler Dale Requested: / I� � Time: AM PM Address:-- Permit JJ 1Y1 5T 5 6-d 7-0 t� THE FOLt_OWING CORRECTIONS ARE REQUIRED: r r� r-- V) J C7 J Inspector: IF _ Date�� S APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _r'all For Reinsp. FR 5� CITY nF T I CARD •— RECEIPT OF PAYMENT RFCE:I i"'T NO. s 9ro— 651541 CHFCI: AMOUNT a 137. 15 WME" CULBERTSON, CHRIE;TOF,HF;R CASH AMOUNT s 0. 00 AIT?Rl~SS a 14565 SW 91ST PAYMENT DATE a 05/17/95 TIGARD. OR SUEDIVISION t 97224.. o- i,URPCISF OF PAYMENT AMOUNT PAID PURPOSE= OF PAYMFNT AMOUNT PA I D R" v~i iN CHECK ....FF6—E,1 R .....___..137. 1 J ...._.._._....__�........�....._......_..._.._... _...._._.....__.__._�_.. Y J co F.. CD J TOTAL 0MUl1NT PAII? — > 1 a'1. 15 GITY OP TIGARD RECEIPT OF PAYMENT RECEIPT NO. : ,45—P65731 CHECK, AMOUNT s ;47. 7 5) NAME CULBERTSON, CHRIS CASH AMOUNT c 0. 00 Armpp.ss t 14565 SW 91ST PAYMENT DATE 1 05/22/15 TIGARD, OR SUBDIVISION 97 PC-''I— UPPOSF OF PAYMENT AMOUN'r Po I D PURPOSE OF PAYMENT AMOLIKIT PA I D 3/13. 00 PLUMPING PERM _._ 66. 00 1 'CliONICAL PE 25. 00 ST. BUILD PER 21. 70 .1 1 ,AN CHFCK FE 92. 05 TnI'AL AMOUNT PAID 547. 715 �a i C. I I 'Y OF' 1 T UARD Ht.LL 11.11 (if- I'AY'MF N1 RE.L:1- 11,1 NU. a Te-&,:T? CHECK HMUUN(' 101). 7. 01,1414E e CLILHM R rSUN, CHRIS fOPHER J CASH AMOUN r n M.. 00 ►1)DRL96 t 14b6b :,aW 91 bl VAYML--.N'I DA I L a QI/ . 0%r) T I GARD OR ;I.JBD l v t s l ]N r 97P 4— (1 IItPOSE. OF PAYMC-N I AllUUN1 1441:D O1 RVIU'JE (ft-1UN T PAID i►UIL_DINO FIttkMI'T 104. _O IRI DU II C 1-11 k b. ; MST9 r 1�c'3H T(.C(AL AMUUNI PAID - ) 109. 'r;; Permit#: 7-- 0 e. Address: S UJ 9Y H Issued by: Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for resident al building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This stateme.a will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ff1. I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale LLL__�� before or upon completion. ❑ 3A. My general contractor is (Name) Contractor regis. # 1 will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR KQ13 B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is ~ registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above Information is correct and that I have read and do understand the Information Notice to Property Owners about 'onstruction Responsibilities on the reverse side of this form. (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) January 6, 1997 CITY OF TIGARD OREGON RE: L G 9 -' G Our records indicate that either no inspections have been conducted on the project authorized by the above noted permit OR►nspertion(s) have becn conducted but we have no record of any,subsaqucnt or final inspections within the past 15 days. Oregon Administrative Rule(OAR)918-260-270 requires initial inspections be requested within 24 lsours of completion of installation and inspections for corrections to be made within 15 days. Permits and inspections req.ttired by the Tigard Municipal Code are an important part of your project Permits help to ensure that work is done in compliance with nuwmum code requirements. Inspections are intended to protect the occupants of buildings and building owners. As the clectncal contractor,you are responsible for obminit►g the required inspections. The City would like to wade with you to close out this project with steps taken to assure that at least minimum code compliance has been achieved. If you are ready to schedule the next inspection please call our Zi-hour Inspection Recorder at 6394175 within 15 days. Be prepared to provide the following information: Permit number,address of property,your name,your phone number,and the date you aro requesting the inspection(inspection times cannot be guaranteed.but you may request a.m. or p.m.). U you need additional time to complete your project pleaw respond.IN WRITING,within 15 days. You may request an additional 15 days. Please provide the following information: Permit number, address of property,your name,a day time phone number,and an explanation for the request- EF equestff YOU ARE UNSIM ABOUT WHAT PROJECT THIS LETTER IS REGARDING,OR HAVE ANY QUESTIONS. please contact the Building Division at 6394171 ext. 610(voice mail). To better serve volt, please have the following information. Pernut number,address of pmpem,,your name and a day time phone number. Thank you for your cooperation in this matter. Please note that the City may pursue civil enforcement, locally and at the state level, if work has proceeded without inspections or if an unfinished project is outstanding. Your prompt attention will resolve this matter and enable us to provide you %with the required inspections. Jeanne Temple Building Division i'n"Mve'eter_vrp+adnc 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684.2772 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # _ Permit # Phone (503) 639-4171 Date Issued 10_ CITY OF TIGARD FAX (503) 684-7297 Issued by �'j ��t A-g-, - TDD No. (503j 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development 0�y t S L�-A k bC Soti Number of Inspections per permit allowed Address Service included: Items Cost(ea) Sum City/StatefZip 1 n-c 0 r f ZZ-y 4a. Residential-par unit o 4 1000 sq ft or leas $11000 Name (or name of business) it Each additional 500 aq If or 1 portion thereof $2500 Commercial❑ Residentiaf� Limited Energy --- $2500 -� Each Manul d Home or Modular 2 Dwelling Service or Feeder $68 00 2a. Contractor installation only: 4b.Services or Feeders Install lion,alteration,or rolocation 2 Elpctrical Con ractor�/ 09: 1 T t zoo amps or lose $6000 2 Address � 1 201 amlw to 400 amps $8000 2 CI State �r Zi r 401 amps to 600 amps $12000 2 `1 —L.. p 601 amps to 1000 amps $18000 2 Phone (� Over 1000 amps or volts $3 n 00 2 Contractor's License No. Reconnect only $50 00 Contractor's Board Reg. No. 4c. Temporary Services or Feeders Inetsllalion,alteration,or relocation 2 Signature of Supr. Elec'n v- 200 amps or less $6000 2 l_icensa No. G//u S -tPtTone No.__ - �nn 201 amps to 400 amps $7500 _ 2 401 amps to 600 amps $too 00 Over 600 amps to 1000 volts 2b. For owner installations: see'b•abm o 4d. Branch Circuits Print Owner's Name _ Now,alteration or extension per panel Address a)The lea for branch circuits with city State Zip purchase of service or boder Ne. 2 Phone N0. Each branch circuit $500 _ b)The fes for branch circuits without The installation is being made on property I own which is purchase or service or/seder W. 2 not intended for sale, lease or rent First branch circuit $3500 2 Farb adds iorwl branch circuit $500 C?ivner's Signature a 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each primp or irngotion circle $40 on 2 Each sign or oullins lighting $4000 Signal cimud(a)or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel alteration or extension $4000 4 or more residential units in one structure Minor I.abels(10) $10000 Service and feeder 225 amps or more r System over 600 volts nomirel 4f. Each additional inspection over Classified area or slnlctur,.containing allowable in any spacial occupancy Y of tha above > Per inspection $3500 as described in N F- C, Chapter 5 � Per hour 15500 i Submit 2 sols o' plans with application whore any of the above In plant $5500 apply. Not required for temporary construction services. Cz 5. Fees: n O u i NOTICE 5% Enter total of above fees $ 5%Surcharge(05 X total fees) $ J PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMf.4ENCED WITHIN 190 DAYS,OR IF 5b.Enter 25%of line A for CONST RUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 190 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED 0 Trust Account 0 Balance Due $ rite:aaerertiNM.C'p/T 4p I Y kit I I f-ilwo 110 I t 11-11 1,11 J-1 1JIN HIIII-P jI\l I It 1, I'l ip.l.", I lH 111 1' it It I I t-41)11HE SS 1 'I`.;.',, A-4 4.t;;1 A-- -,J.11 tijwl rat 1,.1 141 .) W. 1OW11) Ilk 1)1 V te',11.1N t I It II POSE* UP PAYlvlt-NT AMI.I[INI PA.11) PUNVII1,..1 III P(MvIt-NI f Imk It IN 1 1111.11) HI.CtRAU'VIL. PFRMI I 110. 00 1010 0MULON1 1 1.1:0. 150 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 6:39 4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Pibg. Understab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Linc Insulation -Mech. Underflr. Insul, Shear Wall Gyp. Bd. - lect. Date Requested:_ // �� _Time: AM PM Address:— Permit #1''1 5T 15 U Zo� THE FOLLOWING CORRECTIONS ARE REQUIRED: L r _ Inspector. E' Date;f� JCS.1 APPROVED _DISAPPROVED ____APPROVED SUBJECT TO ABOVE ��TTT —Call For Reinsp. j�� 5� MTER PE CITY CSF TIGARD PERMITAS#. . . . . . .RMIT: m s,r 9 COMMUNITY DEVELOPMENT DEPPRTMENT DATE ISSUED: 03/2Z/95 13126 SW Hill Blvd.Tigard,Oregon 97223e8199 (503)639.4171 PA R C C L 111 AC 0 0 6 0 C r R 4G, 7 w 91ST AV1*_ "D; ,,'T S I ON. PINCEF.DOK TERRACE ZONING: . . . . . . .. . . . . XT . . . . : 47 BUILDING 7'13SUE: DWELL ING UNITS; I snSEMENT. . . . . . . . :0 sr '.-ASS OF WORK. :ADD BEDRMS: 1 BATHS: t GARAGE. . . . . . . . . . .0 Sf r-v*__ ;r c (7 usE. -sr FLOOR AREA5- ------------- REQUIRED 5ETDAC1--"S- "PE OF CONST. 5N rIRST. . . -.0 s LEFT. . :O ft RI GHT. s 0 " T"PNCY R-7 -.d SECOI"ID. . 1030 S i r r rN 0 N T. -.0 f'; 1.1 E A 11 . 0 -ORIES. . . . . . . :2 FINBSMENT:O of REQUIRED __._._._.___._.__._.._._...__.... ;1 IHT. . . . . . . . :,"' 1 f L- TOTAL_.._.._ 1080 5f SMOKE. Dr"TF-71TOR1. :Y LOOR L-OAD. . . . .41b psf VALUE. . . . . $ : 69a33 PARR ING) nPACES. . :0 -mar-1<5; PIDDITION Cr` rCnND r1_00R j0n- 0 '_01 r'T PA T I I T. PLUMBING a. . . . . . . . . . :0 FLOOR Dr,(IING. . 0 PlACKFLOW PRr:_VN1,'RS_ 0 4VATORIES. .. :2 WATER HEATERS. . . .Vl TRnr'S. . . . . . . . r,/5 F4 0 W!17[,1 : 1 LAUNDRY TRAYS. . . .0 CAT,`I! ri-TNG. . . . . . . ;0 TTEP CLOSETS. . - 1 SEWER LINE (ft) . c GREASE TRAPS. . . . . . . .0 I GHERS. . . . .0 WA7rn LINE ( Ft ) , aka OTHr-n rIXTURE�7-j. . . . . ..0 i(:,F--' DISP. . . :0 RAIN DRAIN (ft) . :0 SF RAIN DRA I MS. . . 1 MECHANICAL FLES 17L TYPED... . _. . UNIT' 11TRS). 17, t amo�.Int by dat k3 )'ecr, V F N T S. . . . . . :0 SPRT $ 343. 00 B OSIC2195! - ?.X TNPUT:0 pYrU V(7NIT r_nNs. . I 5P"LC $ r.)n 3ON 1-Z n el 17 T! 102.1K : i 1100DZ:). B75PC 1i 17. I!i S 05/22/9.5 JR'N > I 111x7h. 0 Wrin'5TOVEG. 0 MP RT 00 B 1.10(1 !'URN. . . . :0 CLO DRYER'. 0 mr,11-C $ 6. 25 D 05/22/95 r U�'J I �O —Pc s _15 ,'-1L,/'^!'') ]THCR T'�4 M�J 0 13 GO") OUTLETE3: 1 V7r'rr T 00 B 05/22/ s --PSr-C 1. 3. 30 n 0J!22/975 GARD 00 572L ,3ne #- 7'P.1 6,.:,4 'NER un 00000 '-"l 0 T c,r P i. i pertit is issued subject to t}-.e i-foulations contained it the REQUIRED INSPECTIONS 3rd Muticipal Code, State of Ore. Specialty C2des and all other r-votinq Insp GYP 110ard Insf"k LD licable laws. All work will be done in accordance with arorcvft Post/seam stuct PpAn cjr-airi Insp ,.is. This permit will expire if work is nct started withir. 190 PL.M/Un ci e t,f I o o i Mechanical " ina .ays of isru;"P, tr if w� i- !.-,pled f-, acro than IFO lays, Mechanical lnnp r'l a'imb Final Pljlmb T,,,p Oi,.tt Pl.;ilrjinq E.) -.I!; i u, Gas Line Insp 639 . 4 Residential Building Permit A-ppiicatior, City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 .iobsite Address: I S 1.0 r i Offlcs Use Cnly Subdlvision:l'ine�r Lot# _ Valuation: C:y�"�.� (D �1 a Planck/Rec 1 � -w Corner Lot? Y N Permit# M 5 6 '2 U y Flag Lot? Y N Reissue of -' Map & TL 1 1 Owner: ��rl C C) Apor ovals Required • r Address: I L, 5 �� w �� Planning c7�_Z` ) Engineering Phone: 50 3 (t �C-��-.)-,CA _I Lj Other Contractor: _ v ct+e��C 'Y" Items Required ,address: Subcontractors_ —�`-�/ Truss Details Phone: S I Other Contractor's License # �L�l S( (attach copy of current Oregon license) t", ( t, Contact Name & Phone: a Subcontractors- Architect/Engineer: M�,Jcl N Plumbing: Address: Mechanical: _—�.2 `P ?+ 'A ., (attach copy of current OR Contractor's License) m Phone: (_0L1 ` r Uj tD JOB DESCRIPTION: �- 1. �� r�V ZU 4ZA,vhC S3S 1 Ot-z Z10 c,-� Z C,c� Applicant Signature &IIPhone` number J Received by: ` u� "`-"Qy Date Received: ) ' / Permit# Account Description Amount Amt. Pd. Bal. Due.- 177 ue - E77Sti�-d' oBldg. Permit (BUILD) Plumb. Permit (PLUMB) _ . Mach. Permit (MECN) �) �v State Tax (TAX) 20o Bldg: 5714" . v Plumb: 130 Mach: Z Plan Check (PLANCK) Bldg: . 9 Plumb: Mech: % S �' Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) _ Water Quantity ('JVQUANT) !� Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) _ E-osion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: 1 - v' Permit#: Address: z Issued by �'� Date: 67-Z 2 —0"— Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following.statement before a building permit can be issued. This statement is requirea f)r residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be fled with the permit. Fill i the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. F13A. My general contractor is — (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be regiF tered with the ConstrULtion Contraztors Board. OR A6 3B. I will be my own geiieral contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is reg;stered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. ,`! I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. (Sign ore of permit applicant) (bate) (White copy to issuing agency pe••mit file., pink copy to applicant) ! �., 40 Y'P_G J� �,► � �Q c2 � ) ,�7 � 4�a ��s/�r 4�� - - 2rj�j Gj� C I?-)12-000 5� x 13%2 ��1 L S = I��, � I ✓) o K it I 1 1 �I = 4-0 -r 1 s s 5 I'�2 )7- l = I!vt (2 x I o ArT L F-A-Vr Fee M 40 I ! h lit, .lames G. Pierson, 1111. L- -f%tJ Consulting Structural Fnginccrs �U- 320SAX'.Suck,Soiic 535 Punhinl,0rc9l)"9711-1 — •I'cl•(5(1�)??h•l2AG F;4r:(5113)?26•. 131) '!�• � •Imc�ni, Jo� f-r\l �aFoVi�N r� Lcr� �A MI�IL7 CDN71� , r 1�; 'I-)tq WA L,(- I I -I 7p0 � , -- � M 700 --�'- Z(oca,,O T I ., 4xlz G-r. v*d fli I I iw Rpw Afl.lN�M I I I ° 1 I j I 1 1 I 1 I I i ° 1 1 I I o c L---_—__________----------___-------- ! I 2 r,4(-1 FLAO �0;-7ror-T For W-11 le;lO -712 2 X -Vf L'-1 PE.( Xl PX-57 CII i 40T '50VIVPr LOAD Tr`r gfr';.Q.r—1 Q21 TI-fiZ-r ID }=t-v0 U 10 'pr- .... DF.I'u qel 1 ,1 acnes G. Pierson, Inc. _�,v��F I'T 17 IIIIc Consulting Structural Engineers Iln,lul ill -1 1(-7A r-1-) ��- 1211 ti%V.m;0,.tiui1c 5,35 Ihlrll,uul,Urc},Inl� 2tli Tcl (50.3)226.1286 Fax-(503)226.31.3017axD L) I I hcm J N r �Iurl nll Z — o I-} I "2,1,112 COrl- F I�t5 A'�5 V M i✓ A-U.-O tV , Gj0 I L. = I Gj Gtr ��p 128►�/I�o� < •�i�- �/1 I rr I rr i1 i �jZ o0 I �✓oo �j, Cj >�J f ; cc LO i c I r � I GUS �IzTS .Dili. es G. Pierson, I11c. 0tq� �- 7• Consulting Structural Fnginccrs p{-� J q 320 SAV Slmi -Shite iii Pulthiuf,Orcgo',9720-1 Ti �� F`Y I _ 3 Tel:(503 1226-12,46 Nx:(503)226.3130 ► J �H- � PA-�o U I�� N 3 Solar Balance Worksheet Address Box A calculations : North-South dimension for the lot . Box A: This dimension is determined by finding the midpoint of the North lot line and drawing an intersecting line perpendicular to that point . Measure the distance from the midpoint_ of the North lot line to the South lot line along the described line . ft Box B calculations : Shade point height from your structure . Box B : 1 . Determine whether measurements will be based on the peak or eave of your structure . The orientation of the ridge is also important . Which la : If the roof line runs North-South, measurements will be describes based on the peak of the roof . your lot? 1b: If the roof line runs East-West and the roof pitch is less (Circle one) than 5/12 , measurements will be based on the eave . 1c : If the roof line runs East-gest and the roof pitch is 5/12 la lb lc or steeper, measurements will be based on the peak. 2 . Measure change ic, elevation from front property line to finished floor elevation. ft 3 . Measure distance from finished floor elevation to the affected peak/eave . + ft •1 . If the roof line runs Nort ', South, deduct three feet . If the roof line runs East-, !st, deduct nothing. _ ft 5 . Subtract one foot for each foot of difference in elevation from the front property line to the rear property line, if the lot slopes up from the front to the rear. If the lot has no slope or slopes up from the rear to the front, — ft deduct nothing. :==mamas 6 . Total figure for box B : � t7 ft Box C. Distance to the shade reduction line . Box C: a 1 . Measure the distance from the North property line to the C I _ 'n foundation. ft J 2 . Measure the distance from the foundation to the affected + ft Q, peak or cave . LD J' 3 . Total figure for box C: --------V- ft • O r r n \ VL r I PROPERTY LMS --�— l oo.o -j r