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14090 SW 97TH AVENUE 4 I ___ 14090 SW 97th Ave CITY CSF TIGARD DEVELOPMENT SERVICES AUZIEM 13125 SW Hall Blvd.,Tigard,OR 97223(503)639-4171 CERTIFICATE OF OCCUPANCY PE RN I . . . . . . . . MST91 -0086 DOTE ISSUEDo 0.3/88/99 PARCEL% 2SIIIBA-00105 TTE ADDRU35. . . ; 1409- 1h SW 97TH AVE '1rJtjf3f3jV1S1L0N. . . . : 1117API1VIL.1-F HElGHTE' ZON I NG i R-4, 5 03LOCK. . . . . . . . . I_01.. . . . . . 00,,s JUP,T oox c,r I ON 111 G CLASS OF WORK. :NEW I YPE OF' LIGE. . . :53P )-YPF- 01" CONSTRs-5N OCCUPANCY GRP. .4R3 OU',UPANCY LOAD v2 P e ma r k i c New GFR 14140 SW 97TH AVE 1' 1 Gt A R D Cif? 9 7 sz-i2l 4 Phone, #: 60?4-79'5�p ('4"0 yj t C,�t 0 r": --.--..-I--- .-...W. --.------1. -.- . RONALD LAUTT 141,W SW 97TH AVE 'fl(JAP0 OR 9-72�.4 i.lhonv 0- 624-7955 Reg 000679 Ill1 m C 4?r t i f i A #.A u 1-a I I-t a 0 c,c: a n c V of i,h abe r e f P v 4.n C.,p d b k k i I d I n g n1"- par v chereof and c:nn f-1 v mim iliAt the but Idi nr �j has heen inspected fov- complianco wig' he rl:atv of Oreg(JI-1 C' )p_ Alty Codes, for thr- ip'vup, oc."cupt-nouy, and up;0 unde, p a r e n t;o Jt, WAS ISSLIOn. I NGr —cI r:;U6 1' II0 pcm r I N c CITY OF TIGARD BUILDING INSPECTION DIVISION MST - '.14-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP Date Requested AM PM BLD Location Suite _ MEC Contact Persor - Ph PLM Contractor _ Ph SWR ELC BUILDING Tenant/Owner _ Retaining Wall _ ELR Footing FPS Foundation NOT REQUESTED SGN Cr Drain FOUND DURING RESEARCH Crawl Drain SIT Slab NO INSPECTION(S) IN FILE Post& Beam Ext Sheath/Sheer Int Sheath/Shear Framinp — Insul;,tion D!ywall Nailing —� Firewall — Fire Sprinkler Fire Alarm _ Susp'd Ceiling Roof Misc: Ir in:2a .�� PASS I YART FAIL — PLUMBING Post&Beam ' Under SlabT Ny - Top Out Water Service Sanitary Sewer - f� Rain Drains Final C PASi`s PART FAIL MECHANICAL Post&Bear, Rough;n _ Gas Line Smoke Dampers Final PASS PART FAIL _ ELECTRICAL Service �! Rough In UG/Slab Low Voltage Fire Alarm — --- _e Final PASS PART FAIL SITE — Backfill/Grading Sanitary Sewer Storm Drain I I Reinspection fee of$ required before next inspection Pay at City Hall, 131.25 SW Hall Blvd Catch Basin I j Please call for reinspects n RE: _ J J Unable to Inspect-no access Fire Supply Line ^.5A Approach/SidewalkExt Other Date •� Inspector. ia Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD � PLUMBING i=Ef2MIT DEVELOPMENT SERVICES 5PX PERMIT#: PLM2000-00080 13125 SW Ha!1 Blvd., Tigard, OR 97223 (503) 639-4171, DATE ISSUED: 3/14/00 ��j SITE ADDRESS: 1400 SW i#ITH AVE PARCEL: 2S111BA-00114 SUBDIVISION: ZONING: R-4.5 BLOCK: LOT: IC JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOn1E SPACLS: TYPE OF USE:: SF WASHING MACF.• BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS. URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES. TUBISHOWERS: SEWER LINE: ft WATER CLOSETS. WATER LINE. 100 ft DISHWASHERS RAIN DRAIN: ft Remarks: Installation of less than 100'of water service for placement of water meter at back of property. Owner: FEES _ Type By Date Amount Recelnt MYERS, REED D + DEBRA R — 14L 90 SW 97Tri AVE PRMT DEB 3/14/00 $50.00 00006 1 TIGARD, OR 97224 5PCT DEB 3/14/00 $4.00 0000641 Total $54.00 Phone 1: Contractor: CROWN PLUMBING 23'172 SW STAFFORD RD TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone 1: 771-9449 Water Service Insp Reg#: LIC 000042 Final Inspection PLM 34-70pb This permit 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, or if work is suspended for more Than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of toese rules or direct questions to OUNC by calling (503) 216-1987. Issued�y: � � Permittee Signature: .� .� Call (503) 639-4175 by 7:00 P.M.for an Inspection needed the next business day CIT OF TIGARD Plumbing Permit Application 13125 SW HALL BLVD. Commercial and Residential PlanCheck TIGARD, OR 97223 Recd By �� (503) 639-4171 Date Recd 4LLL- Date to P.E. Print or Type Date to DPT Incomplete or illegible applications will not be accepted Permit#-rtt�l; rf'-f Related SWR# Colla Name of DevelopmenUProject FIXTURES (Individual) _ UTY PRICE AMT JOb Sink 11.50 Address u�etAddress �t-• Suite Lavatory - — — s, Tub or Tub/Shower Comb 11.50 B dg# Cityl tato Zip Shower Only 11.50 N e Water Closet 11.50 fQ Urinal Owner �.� ailing Address Suite 11.50 Dishwasher 11.50 y/Slate 'n Ph ne Garbage Disposal 11.50 vP C /� Laundry Tray Name U Washing Machine/Laundry 1150 Tray 11.50 �f Floor Drain/Floor Sink 2. Occupantailin^^ 9 Eddres; Suite 11.50 -moi 3" 11.50 City/State Zip Phone 4" 11.50 Water Heater O conversion O like kind 11.50 Name Gas piping requires a s, arate mechanical ermit. MFG Horne New Water:ervice 31200 Contractor Ma ing Ad rr Suite MFG Home New San/Storm Sewer 32.00 )u Hose Slbs Prior to permit ily/SI a Zi Phone 11 50 Issuance,a copy ;t �,.y 4 - , ,t Roof Drains 11.50 of all licenses are Ore on Const.Cunt. oard Lic.# - p.Data Drinking Fountain 11.50 required if 7C 7 Pr K. Other Fixtures(Speclfy) expired itsCOT Plumbing Lic.# Exp.Date 1500 database p Name Architect Sewer-1st 100' _ 38.00 or Mailing Address Suite _ Sewer-each additional loo' 32.00 Engineer City/state ZIP Phone -- Water Service-1st 100' 3800 _ Water Service-each ai itional 200' 32.00 Describe work to be dons: Storm&Rain Drain-1st 100' -- New O Repair O Replace with like kind: Yea O No O _ _ 3800 Residential O Commercial O Storm&Rain Drain-each additional 1oo' 32.00 Additional description of work! Commercial Back Flow Prevention Device 32.00 Residential Backflow Prevention Device' 1900 Are you capping, me Ing or replacing any flxtures? -- Catch Basin vin11 50 Yes O No O Insp of Existing Plumbing or Specially Requested 50,00 If yes,see back of form to Indicate work performed b Ins actions er/hr Y Relit Dreln,single family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE WORK COULD RESULT IN INCREASED SEWER FEES. Grease Traps 11 5o I hereby acknowledge that I have read chis applicaliunI that the Information QUANTITY TOTAL given Is correcl,!1,-.It I am the owner or authorized agent of the owner,and Isometric or riser dl ram is required n Quantity Tdtal is >9 that lans submitted are In:om llance with Oregon State Laws 'SUBTOTAL S azure of /A It �� 8%SURCHARGE o act erso ams Phone j, —**PLAN REVIEW 25%OF 8U8TOTAL 11 ElATH HOUSE 5778.00 ��-- Rsquired only H fixture qty total Is>9 2 OATH HousE$250.0o TOTAL a BATH Htal1SE$285.00 (This foe Includes all Plumbing fixtures In the dwelling and the first 100 foot of sanitary t<ewer riterrn eewor and water service% 'Minimum permit fee is s5o+8%surcharge,except Residential Backflow Prevention Device.which is$25+8%surcharge "All New Commercial Buildings require plans with Isometric or neer diagram and plan review 11dxls\lormekPlumepp doc 11/ta/90 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Lino: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plurr: 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 G.ts Line Appr/Sdwlk Reins. Other: Date:7=-&-- .��► A.M. _—P.M.—_ Entry: Address: � 6'L) Tenant: A-g-oftl'�'—= Ste:— _ MST: — Con/Own: BLIP: MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _- - Inspector Uate APPROVED __,DISAPPROVED/CALL FOR REINSP. CO PLEASE COMPLETE: Fixture Type _ Quantity by Work Performer! New Moved Replacer! Removed/Capped Sink ..-- Lavatory - Tub or Tub/Shower Cornbination -- Shower Only _ - --- Water Closet Urinal -- Dishwasher__ Garbaae Disposal _ _ — Laundr_y R_uom_ Tray ---- Washing Machine _ _ -- Flour Drain/Floor Sink 2" Water Heater — Other Fixtures (Specify)_---- COMMENTS Specify) —COMMENTS REGARDING ABOVE: CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 B-isiness Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Bearn Mach. Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: ----- Date: _ A.M. P.M. Entry: Address: Tenant:_ � _s-- Ste: .___ MST: BLIP: — Con/Own: _ MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: __— e_-) f�v ellv 1,9_ n Inspector,- ___ b( Date.. APPROVED _ DISAPPROVED/CALL FOR REINSP. / ter ) CO rITY OF TIGARD � CITYOF IIC,gRD COMMUNITY DEVELOPMENT DEPARTMENT \ osreoou MASTER PERMIT 11125 SW Hall Blvd. P.O.Box MOT Tigard,Oregon 97223 (503)M-4175 PERMIT #. hIST91-00F39 DATE ISSUED: 1L/04/92' i v'S SITE ADDRESS. . . : 1�.La+�!►'SW 97TH AVE PARCEL: c'S1 l INra-� _ SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . --------------- BUILDING REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . ..637 sf TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS--_------__ TYPE OF CONST. :5N FIRST. . . . : 113 7 sf LEFT. . :9 ft R I GHT. :9 ft OCCUPANCY GRp. :R3 SECOND. . : 1149 sf FRONT. :O ft REAR. . :30 ft STORIES. . . . . . . :2 THIRD. . . . :0 sf HEIGHT. . . . . . . . ..25 ft TOTAL------:2295 sf SMOKE. DE:TECTORS. :Y FLOUR LOAD. . . . :40 psf VALUE. . . . . $: 116576 PARKING SPACES. . :0 Remarks: NO C OF 0 SHALL BE ISSUED UNTIL: 1 ) DRIVEWAY IS PAVED TO CITY SPECT --------------------------------------- PLUMBING SINKS. . . . . . . . . . .. 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0 LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 'TRAPS. . . . . . . . . . . . . . .*0 TUB/SHOWERS. . . . :3 LAU14DRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 WATEr; CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : I WATER LI14E (ft ) . : 100 01-HER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN ( ft ) . :0 WASHING MACH. . . : i SF RAIN DRAINS. . : 1 MECHANICAL - _._______._.._.._._ __._..._..__.._.._.__.__.__-•--- FEES ---_.._.__...._._-_..__._._-_. FUEL TYPES------------ UNIT HTRS. . :0 type amc.unt by date recpt /GAS/ / / VENTS . . . . . :0 L;F'R I- $ 475. 50 JH 11/04/92' - M,wX INPUT:O BTU VENT FANS. . :4 BI SLE $ 309. 09 JLH 05/13/91 0 FURN ( 100K . . 10 HOODS. . . . . . : 1 BSP(' $ 23. 78 JH 11/04/92 -- FURN ) =100K . . : 1 WOODSTOVES. :O PARK $ 500. 00 JH 11/04/92 _ FLOOR FURN. . . . :LA CLO DRYERS. : 1 0IPR1 $ 45. 00 J11 L1/04/9,2 - BUIL/CMP ( 3HPiO OTHER UNITS: 1 MPLL $ 11. 25 JH 11/04/92 - GAS OUI LET 5: .1 MSPC $ E. 25 JH 11/04/92 - Owner: ---- ___..._._...._._.__..._..._.__.._._. .__________..._.__ PP RI $ 162. 50 JH 11/04/92 - RONALD R LOU] T' P rPC $ 8. 13 JH 1 1/04/92 - 14140 SW 97TH AVE MISC: $ 0. 00 JLH 05/29/91 NOTE T IF $ 1380. 00 JH 1 .1/04/92 - T I GARD OR 97224 SSILL $ 280. 00 JH 11/04/9a - Phone #s 624-7955 Contractors (DONALD Lw f T 14140 SW 97TH AVE T I CARD OR 972x:4 Phone #: 6,T'4----7955 keg #. . . 67 9 65 $ '319 - 49 'TOTAL This permit is issued subject to the rtgulat4.ons contained ii the ---- REQUIRED INSPECTIONS ------ - Tigard Municipal Codi; State of Dre. Specialty Codes and all other Foc!t/found Insp Fireplace Insp applicable laws. All work will be done in accordance r ith approved post/Beam Struct Gas Line Insp plans. This permit will expire if work is not started within 180 Post/Beam Meehan InsUlatiOn Insp days of issuance, or if work is susperod for more thaq tee pays. Plm/undsslab Insp Gyp Board Insp PLM/Underfloor Rami chain Insp Permittee Signatsrr•e :�'�� Mechanical Insp Waiter Line Insp Plumb Top Out Appr/Sdwlk Insp 1 a®,-reci By :, Framing Ingo Mechanical Final Call for inspectiun - 639-4175 __. ----- ----- -- _ _ ® SEWER CONNECTION OF TIOARD Ct,YOF,I6�IRD PERMIT T. �'� FFRI II COMMUNITY DEVELOPMENT DEPARTMENT °SOON F'F RI+IIT #. . . . . . . SWR9I 0095 131255W FWI Blvd. p.0.Box 23397,To7vd,Oregon 97223 (603)SWA175 - 639-4171 DATE ISSUED: 11/11714/92 / PARCEL: SITE ADDRESS. . . : 14 SW 97TH AVE. ZONING: SUBDIVISION. . . . : L O T. . . . . . . . BLOCK. . . . . . . . . . : . • . . . -------- TENANT --__..__._.____... TENANT NAME.. . . . . : F'I XTURE UN I TS. . . : USA NO. . . . . . . . . . . DWELLING UNIT5. . : 1 CLASS OF' WORK. . . :NEW NO. OF RU I LU i DIGS: 1 TYPE OF USE. . . . . :SF IMPERV SURFACE. . : : Sf INSTALL TYPE. . . . :BUSWR Remarks : FEES UK-tier: - -- — --__— ---- type oma ..lnt by date recpt RONALD R L.AUTT 14140 SW 97TH AVE PRI41 $ 2100. 00 JH 11/04/92 I NSP $ 35. 00 J11 11/04/92 TIGnRD OR 97224 Phone #: 64--7955 rCont rata or: ' CONTRACTOR NOT OIV FILE 135. Qr0 TOTAL Phalle #; Rey '4. - = ------- RE_W.UIRED INSPECTIONS s to comply with all the rules and regulations c,ewer 1.T) pest i on This Applicant agree 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 th, accuracy of the ___ _.�.__—•-- `-- ��_m side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the drstarce given. if not so located, the installershall purchase a "Tap and Side Sewer" permit and the Agency ency will install a lateral. fJ e r in i#;tee S i y r1 a t ur,e : I s S r-r e d By (.'.aII for inspection - 639-4175 PLNCK/REC7 # 13125 SW Hall Blvd. ' OFTIGARDTprd,pp Box23397 PERMIT # %CI�DEVELOPMENTDEPARTMENT Orc9-4171gon 23 (.OMMUN (503)639.4171 DATE ISSUED � � �� U � TAX MAP/L07 >• Vit/ JOB ADDRESS: LAND USE: L SUB: OT: VALUATION: SPECIAL NOTES OWNER REISSUE OF:r� — : � � � C� LA LAST REISSUE: ADDRESS FLOOD PLAIN/ SENSITIVE LAND: PHONE: APPROVALS RE UIRUD CONT_ RAC TORPLANNING: -- rf NAME: K ENGINEERING: ADDRESS: , FIRE DEPT: OTHER: 7i�'- ✓? PHONE: EXP DATE: CONTR. BOARD #: IT MS RE UIRED LIST/SUBCONTRACTORS: SUBCONT CTORS: PLUMB: _c r` ' � gUS TAX: CALCULATIONS: — gC&ENGTNEER TRUSS DETAILS: _ NAME: OTHER: ---- ADDRESS: PHONE' _ PROPOSED B!-DG. USE: �� T �irv�. f;;• f ,s r , _ COMMENTS: a APPLICANT SIGNATURE Date Received: — Received By: PERMIT # ACCT # l7ESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-43'l_ 00 Building Permit Fees 10-431 00 Plumbing Permit. Fees 10-431 01 Mechanical Permit Fees �G 10.230 O1 St-, .e Building Tax (5%) B1•' ding Plumbing Mechanical 10-433 00 Plans Check Fee -3210 3 Buildingu • v . / Plumbing Mechanical 10-230 06 Fire ? ;wi 'rJ-c►g530-202 00 Sewer Connection -3 30-444 PO Sewer Inspection 25-448-02 Commercial TIF Fees - - 2E-448-04 Industrial TIF Fees — 25-448-06 InstitutionAl TIF Fees ---- - 25-448--03 Office TIF Fees -'�- 1 25-448-01 Residential Traffic Fees _-. (try 25-448-05 M;.�s Transit TIF Fees -- - Sum 52-449 00 Parks System Dev Charge (PDC) -- 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 24-445-01 Water Quality (Feo in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL r: S ?31 °i� nm/3587P A PF DEPARTMENT OF LAND USE &TRANSPORTATION \� LAND DEVELOPMENT SERVICES DIVISION #350-12 W,%SHINGTON 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY. PHONE: 5031640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/681-3699 or 681-3697 lermit # 05051647 ProJect #: POO-393'30 Status APPROVED Page 1 of 2 applied 04/01/94 Issued 04/01/94 Expires : 08/21/95 06/104/96 06: 21 0TH 'crmit Title SFR - NEW HOUSE: Begun-. 04/01/94 �escrriPtiDr: .lob Address 14090 SW 97TH AV TI Region D 3:.►ner Name INSPECTION - TIGARD Applicant Name L..AUT'(, RONALD R Rhone number 624-7955 Valuation: d Approved_ 8,3?--- F&3/c�1 1/ Approval#: APPR Rejected Inspector Comments: / IVR--RESULTS ~ REOuI:ST ERROR 1 Plumbing Mechanical . EIecisrica3 : Structrual : - ----- ` General - Tnspectcd by _�..•�i. — Ds Insvertion Requested : r Final Eler+-ricil 0449 E AF DN IVR 06/04,'96 RT so T0'd 266E T89 £95 T UG16%lf i1'd0'A1N0'HSUM FF:89 966T-170-NFit DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSSORO,OR 97124 COUNTY, INSPECTION REQUESTS: 503/k140.3581/593.4415 OREGON XXXXXXXXX--> 640-3% Page 1 of 1 Date 04/13/9W. 'i.'ime t 11 : 10 el mit 'a'ype : Residential Electrical Permit Permit tt : 0!)ubh378 -Amit Status Ai'l..'RUVED Applied 04/13/91,1 .:-it:us Address 14U9U :;W 97TH AV '1'1 IsSued 04/13/95 t'#4rmit 'Vitle brit - ALL LU VOLT Completed I_,e rmit, Ues'cr . '1'ra Expire ;'coject Title : 6FE -- NEW HIJU::E Project lr k'CIU i9:i fU c'ru jCt uescr .. # 1rkt01UN ti cel Number 261'1'1 Laud Use District : c;luation U Uescr . e_wrteY IN-,Pk:CTIUN TIGARL, 4:onstLuctian UTH Al.,pi e~ant Name : LAU'iT, AuNALL) It Classification : 900 ��t_,l,ilr,dtttw Ac.ic.ix . . 14U90 :�-W 9 /'1'H AV Q cupancy E3 T16ARL) UR 97224 Validated by : mJh „!_,Fei� cctrlt Pirc,tie : 6Z4--'/9bb Inspector Area f"e e jesc.L ipt.ion Unit ; k"eye/6itlit Ext fee L)ata Limited Eti,c-.:'gy/Altei,.. '/Lxtorio i,c)ri 1 40 . UU 40 . 00 subtotal Elect-tical 40 . 00 :it.ait.e Surctiarge of b% 1 . OU ot.211 Electrical Fees : 42 . 00 k A Fees Required A # ,t A ik Fees Collected & Credits ts kis A Met hod Che:rcx tt Receipt No , Dat e 11armer:t CK 11 !1 ()4/1 .;/95 41 . UU 1'01'AL '1"H1.5 VA°l L k w A A ** k 4 U 0 k'ees : 42 . 00 ik. i just_mentu UU 4'(dt i l:Y r'✓dits : U 'i'otai k'e-s : 411 . UU {'r,:etAJ. P avnimnts • 4z . 00 i3alanc.e Due's . UU NOTY•E: Thin permit becomes null and vold If the work or construction for which it U Issued Is not commenced within 180 days. Once construction has started, the permit becomes null and vold If construction Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and his agent or agents In support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building bepartment's reliance upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use of this building or structure will be complied with whether or not specified on the plane 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 occupancy of the structure or building permitted depends upon my calling for Inspection*at various times during the process of construction and the building 1 Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy is revocable until all Inspection requirements are*aUefled and approval Is given by the Building Official. 1 further acknowledge that a lien may be placed on the title of the property upon which the permit Is Issued speclfying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inspection requirements. ' d "AlIMUCANT'll; 10 ATUR WASHINGTON COUNTY Depart RESTRICTED Department of Land Use & Transportation Electrical Inspection Section ELECTRICAL ENERGY 155 North First Avenue, #350-12 Hillsboro, Oregon 97124 APPLICATION Information: (503)640-3470 Fax: (503)693412 PRINTPLEASE Please • • sections, • . Permit No. 1. Location of installation Date Address ` _ ` L ` /� G' City-!nZip Code_ 4. Type of work: Map No.e Tax Lot RESIDENTIAL Restricted Energy Fee $40.00 Thomas Map Book: Page Section (for an systems) Check type of work involved: Directions Audio and Stento Systems Commercial ❑ Residential 2 Burglar Alarm Telephone Systems' Tenant Name Garage Door Opener* (if commercial) _ _ Fire Alarm Heating,Ventilation and Air Conditioning Systems* 2. Contractor application: Vacuum Systems* Other L-lectrlcal Contractor Address COMMERCIAL Fee for each system $40.00 City _ State _ Zil, (see OAR 91e-2M2e0) Date Job Number Check type of work involved: Property Owner Contractor's License No. __ Contractor's Board Reg. No Boiler Controls Phone No. Clock Systems "� —- -- – Data Telecommunications Installations .rr3� Owner application: / HIVACIarm Installation /1 1,NQ 'J A L C L/. ', )/(f r� -2// r% `j Instrumentation Pri t wne's a Phone No. Intercom and Paging System M 7 �Lr lr Landscape Irrigation Control* A rens Medical 27 ___ Nurse Calls Ity State Lip Outdoor Landscape Lighting* This permit is issued under OAR 9111-320-370. The applirant agrees Protective Signaling to make only restricted energy installations(100 volt amps or less) Other under this permit and to do fire following: -- 1. Only use electrical licensed persons to do installations where required. (Certain residential and other transactions are exempt Number Of Systems from licensing These have asterisks(•). All others need licens- ing.) 2. Call for an Inspection when all the installations under this permit "No licenses are required Lcen.s'.s are required for all other rnstaiiat ,rs are ready for inspection. 3. Purchase separate permits for all installations that are not ready S. Fees for Inspection when the inspector is out to inspect under this permit. Enter fees $ 4. Assume responsibility for assuming that all corrections required by the inspector are done,and 5. Assume responsibility rot calling for a final inspection when all of 5% Surrharge (.05 X total above) $ the corrections are completed. The person signing this permit must be the applicant or a person Trust Account $ authorized to hind the applicant Signatures /�!_ _L.__ ---- Total $ Authority it other than npplicnnt This permit becomes null and void 11 the work authorized by the permit Is not commenced within ISO days from date of issuance For inspections call of such permit or If the work authorized Is suspended or abandoned 640-3561 Or E 13-4415 at any time after work 1s commenced for a period of t Bo days. l%0 Electriral Permits are mm-refundable and non-transferable. 24-hour recorder, one working day in advonce of need BL24-114 DEPARTMENT OF LAND USE dr TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 971211 T/' INSPECTION REQUESTS: 503/640-3561/5Q3-4415 COI 1 A 1 U N i PHONE: 503/648-8761 OREGON Page 1 of 1 Date 04/01/94 7"ime 16 : 25 Permit Type Residential Electrical Permit Permit # 05051647 Permit Status : APPROVED Applied 04/01/94 Situs Address 14090 SW 97TH AV Ti Issued 04/01/94 Permit Title :SFR - NEW HOUSE: Completed Permit Descr. To Expire 09/28/94 Project Title SER - NJ-.;W H(.)1J!3E Project # PU039330 Project Descr. * EROSION k Parcel Number 2SITI. - Land Use District Valuation 0 Legal Descr. Owner INSPECTION - TIGARD Construction OTH Applicant Name : LAUTT, RONALD R Classification : 900 Applicant Addr . : 14090 SW 97TH AV Occupancy t R3 TI.GARD OR 97224 Validated by JF Applicant Rhone: 664-79b5 Inspector Area : Fee description Units Fee/Unit Ext fee Data Square Footage-_`_N - [ Enter Sq Ft . ] 2900 210 , : 0 Subtotal Electrical Fees : 210 . 00 State Surcharge of b% 10 . 5U 'Total Electrical Fees : 2210 . 50 *** Fees Required Fees Collected & credits ---------------------- Method Check --_-_-__- _--MethodCheck #- Receipt. No, Date Payment CK 1051 04/01/94 220 , 50 TU`1'AL THIS DA'Z'E ********* 220 , 50 Fees : 220 , 50 Adiustmente:s : . 00 Total Credits . UO Total Fees : ?.20 . 50 Total. Payments t 220 . '10 Balance Due : • 00 NOTICE: This permit becomes null and void If the work or construcilor.for which It Is Issued Is not commenced within 180 days. Once construction has started, the permit becomes null and void if construction Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and his agent or agents In support of this permit Is true and correct to the best of our knowledge. I sckn-wledge that the Building Department'&reliance upon false and misleading Information may Invalidate this permit. All provlslons of applicable laws and ordinances governing the construction and use of this building or structure will be complied with whether or not specified on the plan-or noted on the plans correction sheets. I acknowledge that the granting of a permit does not gra M authority to access private property at to um semenle. 1 further acknowledge that the use or occupancy of the structure or building permitted de pends upon my calling tot Inspections sl vat, :times during the process of construction and the building Inspection staff verifying compliance with the various codes. use or occo,pency of the building or structure permit ad prior to approval by the Building Department Is solely at the risk of the applicant and such use a occupancy Is revocable until all Inspeclioi M:,ulrements are satisfied and approval is given by the Building Official. I further acknowledge that a Ilan may be placed on the title of the prnperty upon which the permit Is Issued specifying that the use or occupancy of the building or structure Is provisional and revocable until the aatisfartlon of all Inspection requirements UCANT'S SIONA UI1E WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use & Transportation e Electrical Inspection Section 155 North First Avenue, tt350-12 Hillsboro, Oregon 97124 Information: (503) 640.3470 rax: (503) 693-4412 Project/Pennit / Number Date PLEASE PRINT Please e : 4. Complete Fee Schedule below Number of inspections per permit allowed 1. Loca,tion_o installatipn Service included: Items Cost(ea.) Sum Address _ Building A. Residential - per unit City �/�/?� 1 Suite o. 1000 sq ft or loss -1- 10.00 Tenant Name l ./ Each additional eof sq ft 1 !-. h f l�� .�� /! or portion thereof ' � $25,00 — (if commercial) n U $25.00 Lirnitod Energy Sf= Map No. r�.�------ Each Manut'd Home or Modular 2 Tax LOtrJ. / �/ !3Dwelling Service or Feeder $68.00 Thomas Map Book: Page; Section: _ B. Services or Feeders Dircctions Installation,alloraiions or relocation 200 amps or lass $60.00 201 amps -- [� to 400 amps $80.00 Residential - -- 2 Commercial 1 401 amps to 600 amps 2 $120.00 ------ - $180.00 2 601 amps to 1 oo0 amps --- 2a. Contractor installation only: R er1oconnec mpsorvolts $340nly — .000 - Electrical Contractor - Address - - C. Temporary Services or Feeders Date .lob Number ---- — Installation,alteration or relocation Property Owner _ 200 amps or less $5000 --- j Contractor's License No. __ - 201 amps to 400 amps $75.00 _ Contractor's Board R401 amps to 600 amps $100.00Reg. No. ___ -- Over 600 amps to 1000 volts see'B'above Signature of Supr. Elec'n License No. Phone No. 0. Branch Circuits New,alteration or extension per panel a) The fee for braatch circuits with 2bet For w�ner installations' N �� purchase or service or feeder fee. $500 Each branch circuit e o e o. b) The fee for branch circuits without . b Gj 7 it purchase of service or feeder fee.First branch circuit __ $35 00 1l��3 1 `�y "`- Each add'nl branch circuit $5.00 Into p E. Miscellaneous (Service or Feeder not inclua1d) The installation is being made on property I OWn Each a sign oump r irrigatilf n circting e._.._. $40.00 - which is not intended for sale pleas Or rent. EachSignal circult(s)or a limited energy panel,alteration ner's Signature - $40.00 __ 2 ow or extension r. Each edditional inspection over the allowable in any of the above 3. Plan Review section (if required) Perins Per inspection $35.00 houe - $5500 ---_-- Please check appropriate item and enter fee In section 5B. In Plnnt $5500 — 4 or more residential units in one structure 5, Fees _Service over 800 amps; feeder 800 amps or mora _-_ System over 600 volts nominal A. Enter total of above fees $ — _ Classified area or structure containing special 5% Surcharge (.05 X total fees) $� =- ----------- occupancy as described in N.E.C. Chapter 5 Subtotal B. Enter l of line A for Submit 2 sets of plans with appiicailon where any of the Plan Review if required (Section 3) $ above apoly. Not required for temporary construction Subtotal $ services. Less Bulk Label Fee Balance Due $ For inspections call This permn becomes null and void H the wo•M sulhotIW by the permn is not commenced 640-3561 or 693-4415 suswithin Ise dere bom dale of any time ee of wrh k Is c m M the worts euthorltef 4 suspended or eWnAened at any time eller warts b eommeor-ed for•period d IN dere. 24-hour recorder, one working day in advance of need Else tlest permits ore non refundable and non'Irensfereblw I M4 DEPARTMENT OF LAND USE & TRANSPORTATION WASHING'T'ON LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 5031640-3470 OREGON INSPECTION REQUESTS (24 hours): 50311640-3561 or 693-4415 r.iI I 1 it�ri a 04/0t!94 I u ..i G 04/01/94 I_ ,x� : ,.vi! . Pe r rn•i t 'I i t: 1a ! I„�H - N l W !i I I J 9 r ](J-, (1ridri s-- j.4U90 SW `_-I'11i OU r 1. U w n e r H s i Tri N— L.AU'1" 2 ...7��,r: Uci� ��a1: 7r. 71 t'hone n in'tber I� 00JA19- 0 dj • �G�� y l l� vs Rely 4- 5 vx/vet�'��w s J� ,