11289 SW 95TH AVENUE ADDRESS:
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yJ CITY 0�itC-AH UILDING INSPECTION NOTICE
Inspecti�,n Line: 639-4 siness Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing - ec d
Plbg.Und/Flr/Slab Plbg.Top Out Insulation
Post/Beam Struct. Mer.i. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: 4 ---
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Date: z P A.M. P.M. Entry:
Address:
Tenant: _ —_ Ste: p MST: ®_
Con/Own:
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THE FOLLOW;NG CORRECTIONS ARE REQUIRED: ELR:
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Inspe r: _ _ Date:
PROVED —DISAPPROVED/CALL FOR RE!NSP, CF co
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer
�� Gas LineAppr/Sdwlk Reins.
Other: —CZ 4--eJ
Date: :Z 9A A.M. P.M. Entry:
Address: J/ CF-.7 4,—)
TenanC^_,_Q.______. Ste:_ MST:
Con/Own:
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i HE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: — Date 77.,.1D_._
`_APPROVED ,DISAPPROVED/CALL FOR REINSP. CF CO
Page No. 1 LOC NOTES FOR CASE NO. : MEC93-0103
MIKE MCCORD
11289 SW 95TH AVE
06/28/96
By Date Text of log note
--- -------- -----------------------------------------------------------------
ATF 06/28/96 MIKE MCCORD RESPONDED TO INACTIVITY LETTER. HE IS NOT CURRENT
OWNER, BUT' OUT PARCEL BASE SHOWS HE IS. HE WAS FORWARDED THE
LETTER SO HE RESPONDED. HE WILL CONTACT CURRENT OWNERS AND
INFORM THEM OF SITUATION AND ASK THEM TO RESPOND TO THE 24 HR
RECORDER. NEW OWNERS NAME IS MORADO.
F-
CITY' OF TIGARD Lr .
,COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 07223.81110 (503)830-4171
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CITY OF TIGARD RECEIPT OF PAYMENT Nn. :93-240646
CHECK AMOIJN*r a J�6. a"35
NAME FOUR SEASONS CA91-4 AMOUNT 0. 00
ADI)PF'ss a PAYMENT DATE
SUBDIVISION
PURPOSE OF PAYMFWT MOUNT PAID PURPOSE OF PAYMENT AMOUN"r PH i D
N IhECNfahITCill__ NE 25. 00 ST. SUIL.D PER
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TM AL AMOUNT PAID 26. 25
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DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON 15O HENT SERVICES
ORIVISIONN
5 NORTH F
GOUNlY, INSPECT. ON REQUESTS: 503/640-3561/693-4415
PHONE: 503/648-6761
OREGON Page 1 of 1
Date 06/11/93
Time 13 : 03
Permit Type Residential Electrical Permit P-rrmit # 05041301
Permit Status APPROVED Applied 06/10/93
Situs Address 11289 SW 95'1H AV TI Issued 06/10/93
Permit Title SFR - ELEC/ONE CIRCUIT Completed
Permit Descr. To Expire 12/07/93
Project Title SNR - ELEC/ONE CIRCUIT Project # P0031899
Project Descr, * EROSION
Parcel Number ZS1'Ti - Land Use District
Valuation 0
Lecral Descr .
c;wner INSPECTION - TIGARD Construction OTH
Applicant Name ROSE CITY ELECTRIC Classification 900
Applicant Addr. : 4012 NE CULLY BLVD Occupancy R3
PORTLAND, OR 9"7213 Validated by KF
Applicant Phone : 287-6164 Inspector Area
CONTRACTOR : ROSE CI]'Y ELECT. Lic. C 26-113C 287-6164
Fee description Units Fee/Unit Ext fee Data
-------------------------------------------------------------------------------
1st Branch W/out Feeder [Enter #1 1 35 . 00 35 , 00
Subtotal Electrical Fees : 0 35 . 00
State Surcharge of 5% 0 1 , 75
"Total Electrical Fees : 0 36 . 75
*** Fees Required 1r** *** Fees Collected & Credits ***
Receipt No, Date Payment
06/10/93 36 , 75
Fees . 36 . 75
Adjustments : . 00 Total Credits : . 00
Total Fees : 36 . 75 Total payments : 36 , 75
Palance Due : . 00
NOTICE This permit becomes null and vold It the work or construction for which It Is Issued Is not commenced within 180 days. Once construction has siarlea,
the permit becomes null and vold It construction Is interrupted for a period of 180 days. I certify that the Information presented by the applicant and
his agent or agents In supporl of this permit Is tris and cnnrect to the best of our knowledge. 1 acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this peril. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be compiled with whether or riot specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. 1 further acknowledge that the use or occup,incy of
the structure or building permitted depends,pon my calling for Inspections of various times during the process of construction and the building
Irrnpectlon staff verifying compliance will the various codes Use or occupancy of the building or alructure permitted prior 13 approval by fire
Building Department Is solely at the risk of;no applicant and such use or occupancy to.revocable until all Inspection requirements are satisfied and
approval Is given by the Building Official. f, rrther acknowledge that a Nen may be placed on the title of the prosariy upon which fire permit Is Issued
specifying that the use or occupancy of the I uliding or structure Is provisional end revocable until the satisfaction of all Inspection requirements.
APPLICANT'S SIGNATURE
A.ft.WASHINGTON COUNTY ELECTRICAL PERMIT
z", _ Department of Lard Use & Tr Asportation
Electrical Inspection Section APPLICATION
155 North First Avenue, #350-12
Hillsboro, Oregon 97124
Information: 503 840-3470 Fax: 503 693-4412 Project/Permit
( I l I _
PLEASE . .
Number ��_�� �-� �� Date
Please complete all sections, 1 through 5. 4. Complete Fee Schedule below
Number of Inspections per permit allowed 4
1. Location of installation Service included; Items Cost(ea.) Sum
Address �� -� `'J I- �, A. Residential-per unit
Building
City ` Suite No. 1000 sq.ft.or less $85.00 4
Tenant Na Each additional 500 sq.ft
or portion thereof __ $15.00
(It commercial) _ Limited Energy __ $20.00 1
Each Manuf'd Home or Modular
Directions Dwelling Service or Feeder $40.00 2
B. Services or Feeders
Installation,alterations or relocation
-�—' 200 amps or less —: $50.00
201 amps to 400 amps �_ $60.00 2
Commercial Ej Residential
401 amps to 600 amps $100.00 2
601 amps to 1000 amps -- $130.00 2
2a. Contractor i stalla "o onl Over 1000 amps or volts $300.00 _— _ 2
Y• Reconnect only $40.00 2
Electrical Contractor "/.0" A,
Address 'v0i,) l l i C. Temporary Services or Feeders
Date !I _ Job Number /)/)-'`� Installation,alteration or relocation
����/� !X' 200 amps or less $40.00 - __. 2
Pontracroper�j caner ase r 201 amps to 400 amps $55.00 __� 2
Contractor's License No. i�- /y, 401 amps to 600 amps _ $80.00 2
Contractor's Board Reg. No. /;; �. Over 600 amps to 1000 volts see'D'above
Signature of Supr. Elec_n ( D. Branch Circuits
License No.`)�-� Phone NO. -� New,alteration or extension per panel
�_— ,� a) The fee for branch circuits with
purchase of service or feeder tee.
2b. For owner installations: Each branch circuit $2.00 — 2
b) The fee for branch circuits without
_ ___ _ __ _ purchase of service or feeder tee. K /
Print Owner's ams _ Phone No u First branch circuit en $35.00 ' `�"— 2
�. ._. — �� __-__- Each add'nl branch circuit $2.00 _ _ 2
Address E. Miscellaneous (Service or Feeder not included
- - — -- — --- Each pump or irrigation circle f._� $40.00 2
city Mete Zip
Each sign or outline lighting -__ $40.00 — 2
made onproperty / own Signal circuit(s)o'a limited
The installation is being energy pmol,alteration
;ich is not intended for sale, lease or rent. or extension $40.00 _---- 2
F. Each additional inspection over the allowable
r 0wnera signature in any o1 the above, per inspection
F 3. Flan Review section (if required) $3500
5. Fees
A. Enter total of above fees $ �•Y�
5% Surcharge (.05 X total fees) $
Subtotal $
_ B. Enter 25% of line A for
For Inspections call Plan Review if required (Section 3) $
640-3561 or 693-4415 Subtotal $
Less Bulk Label Fee $
24-hour recorder, �--
one working day in advance of need Balance Due $
This permit becomes null and void If the work authorized by the permit Is not commenced wf!hln 180 days from date of Issuance
of such permit or if the work authorized Is suspended or abandoned at any time attar work Is commenced for a peilod of 1B0 days.
Electrlcal Permits are non-refundable and nontransferable. 10/91