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O'J m '1c a, o cn cn U) O z � r d 07 O O N N H r m Q U m a lG P .jJ N •> 19 u a d 0 .r rte] c� AJ c z W D 1O m m + + LL n (n L o K m N a c-) r- LO V o �? o Uj o o < y co QI a a z J a d 0 z o m � a b v o0 `L p, 2 'O Qt o � S � J N d cr a n_ O o a M 00 C o n o , N o i-- v Q)o 0 V) W a" �C m O o N Q V p Q O ) ) c 0 `d a N a r h- cn r� N It U'j o a 3 V) CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection line (Rec-O-Phone): 639-4175 Businoos, 'hone: 639-4171 Inspection: Footing Susp. Coiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-inFireplace Post/Boam Siruct. Plba. Top Out Elec. Rough-in FINAL: Post/Bearn Mech. San. Sewer Gas Line Plbg. Underfloor Rain Drain framing Plumb. Alarm Water Line Insulation -Mech. UnderfIr. Insul. Shear Wall Gyp. Bd. _eco. Date Requested: I c Tir a: AM _PM Address:_ Builder: Permit #: C �j5� O 5 05 THE FOLLOWING CORRECTIONS ARE REQUIRED: &PIS 7_ N H r-y cc r. 0 L0 J Inspector: &oeDate: PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE _Gall For Reinsp. j, /r ITT 5 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # L �-G 615- OSD6 Phone (503) 639-4171 Date Issued CITY OF TI3ARD FAX (503) 684-7297 Issued by TDD No. (503) 684-2772 Inspection (503) 639-4175 _ 1. Job Address: 4. Complete Fez Schec ule Below: Name of Development Number of Inspections per permit allowed Address /c, r'�S".) -S' S ly kt A-re Service included: Items Cost(ea) Sum City/State/Zip_ '/ ( G-L4 dlt-) I!) r 1-7'1 'L_? 4s. Residential-psi unit 4 1000 aq it or Iese $11000 Name or name of business LJr,r Each on!h rsofnal >4 a or ! ( ) �� portion lhereol $25 DO Commercial Residential 13 EEa hsd Energy __ t2i 00 ach Manul'd Home or Modular 2 Dwelling Service or Feeder $66 On 2a. Contractor Installation only: 4b.Services or Feeders Inst illation,alteration,or relocation ` Electrical Contractor 210 amps or less $6000 2 Address 2;1 amps to 400 amps _� $Flo 00 2 401 amps to 600 Amps $12000 2 City State Zip— 601 amps to 1000 amps $18000 — 2 Phone No. _ Over 1000 amps or volts $34000 2 Contractor's License No. Reconnect only $5000 , Contractor's Board Reg. N0 4c.Temporary Services or Feeders Installation,alteration,or relocation 2 Signature of Supr. Elec'n 200 amps or lees —_ i50 00 Y ' 201 amps to 400 amps $7500 2 License No. Phone No. 401 amps to 600 arnpa $10000 Over 600 amps to 1000 volls 2b. For owner installations: sea'b"aba a �� < `1 3 _ 4d. Branch Circuits Print Owner's Name New,elterelinn or extension per panel Address Lc S --- / a)The lee for branch circuits with CIry i 1 State Cr l p - ZI r purcMss o/ssrvks a Waller Ms. 2 ,7 — Each branch circuit _+ $500 Phone L•� '1 -7 7 C t b)The tea for branch circuits wifhoul T he installation is being made on property I own which is purchsss of servics or Mader Ms. riot intended i•.)r sale, lease or rent. FAcAdditional branch nal branch _� $$5 00 FACh Additional branch l�rCllll $5110 Owner s Signature4e. Miscellaneous (-ervice or feeder not included) 2 3. Plan Review section (if required): , Each primp or irrigation circle $40 OJ 2 Each sign or outline I ghlmg $4000 Signal cimnh(s)or a limited energy 2 Please check appropriate item and enter fee in section 5B. penal,alteration or extension __ $40 00 _ _4 or more residential units in one structure Minor Labels(10) $10000 _ Service and howler 225 amps or more Systam aver 600 volt,nominal If. Each additional inspection over _ Classified area or structure containing special occupancy the allowable i�any of Iha above as described In N E C Chapter 5 Par R1 11On -� $�5 0c -- _ Oe,houtirr __ $,;"00 i In Plant $!i5 no _ T Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: So. Enter total of above fees $ ;i? •f-� NOTICE 5%Surcharge(05 X total fees) $ I PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sh. Ente, 25%of line A for Pino CONSTRUCTION OR WORK IS SUSPENDED OR AB4NDONED FOR I SubSubtotal $ Review if required(Sec 3) $ _ A PERiar OF 1,80 DAYS AT ANY TIME AFTER WORK IS COMMENCED d Trust Account 0 $ Balance Due rea7bertiYNraMc PT RO MASTER CITY OF TIGARD PERMIT I . . . .PERMIT. . : MST95-0381 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/31/95 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 SITE ADDRESS. . . . 10805 SW i06TH AVE 14ploz, PARCE-L: IS134AD-09000 SUBDIVISION. . . . : WINDSOR PLACE ZONING: R-7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :27 -------------- ------------------ BUILDING ------------- ----------------------- RETS3UE: D14ELI-ING UNITS: 1 BASEMFNT. . . . . . . . :0 s CLASS OF WORK. :ADD BEDRMS:O BATHS:O GARAGE. . . . . . . . . . :0 sf TYPE OF USE. . . :SF FLOOR AREAS-._.._ __..-.---.-_ REQUIRED SETBACKS--------.___.__ - TYPE ETBACKS--------- - TYPE OF CONST. :5N FIRST. . . . : 104 s LEFT. . :@ ft RIGHT. :0 ft OCCUPANCY GRP. :R3 SECOND. . . :0 S FRONT. :O ft REAR, . : 15 ft STORIES. . . . . . . : .1 FINBSMENT:O s REQUIRED-------------------- HEIGHT. . . . . . . . : 8 ht TO'(AL---- - ---: 1.04 S f SMOKi"::. DETECTORS. : FLOOR LOAD. . . . :40 psf VALUE. . . — 0 11500 PARKING SPACEF. . :0 Remarks : adding a sunroom no heat --------------------------------- PLUMBING S I NIAS. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 BACKFLOW PRFVNTRS. . :0 LAVATORIES. . . . . :0 WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . . ;0 TUB/SHOWERS. . . . :0 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . —0 WATER CLOSETS. . :O SEWER LINE (ft ) . :0 GREASE TRAPS. . . . , . . :0 DIGHWOSHERS. . . . :O WATER LINE (ft ) . :O OTHER FIXTURES. — :0 GARBAGE DISP. . . :O RAIN DRAIN (ft ) . :O WASHING MACH. . . :O SF RAIN DRAING. . :O --------------- MECHANICAL -------------------------------- FEES --------------- FUFL TYPES----------- UNIT HTRS. - :O type amount by date reept VENTS . . . . . :0 BPRT $ 92. 50 B 10/31/95 95-272E9E MAX INPU T:Q; BTU VENT FANS. . :O BPLC $ 60. 13 JD 10/09/95 95-271900 FURN ( 1001-1, :0 HOOD'--'). . . . . . :0 B5PC $ 4. 63 B 10/31/95 95-272292 FURN ) =100K . . :0 WOODSTOVES. iO FLOOR FURN. . . . & CLO DRYERS. : 0 BOIL/CMP ( 31-1P:0 OTHER UNITSK) GAS OUTLETS:O Owner : ----------------------------------- RON SEYROLD 10805 SW 106TH AVE TIGARD OR 97224 Phone 0 903-735-8652 Contractor: ----------------------------- NORTHWEST FINISH 6527 HYW 99 rA: VANCOUVER WA 98665 Phone 206-699-0562 RF)q Rol&9 --------------------------------------- $ 1.97. 26 TOTAL CIO This pereit is issued subject to the -quiations contained in the -------- REQUIRED INSPECTIONS L Tigard Municipal Code, State of Ore, Spec.alts Codes and all other Footing Insp LLI applicable laws. All worK will be dtivie in accordance with apliroved FOUndatiOn Irl-,p plans, This pervit will expire if work is not started within 180 POSt/BePM StrLlCt days of issuance, or if ward is susrfnded for kvp than 18 days. Framing Insp Rain drain Insp 1-:,erm it tee nat Ltre Bi.iildinq Final Erosion Contrul I s s u e d B y Call for inspect ion 639-4175 Residential Building Permit Application of Tigard MA -125 W Hall Blvd. ,i3 IF igard, OR 97223 1s (503) 639-4171 Jobsite Addres. : Office Use Only Subdivision: ��\�iU``a17Y Q�-�- _ Lot# Z-�_ Valuation: l�F �© — Contact Date I / Initials Result New Construction Only: (Square Footage) Planck/Rac # ! U i I Permit # ffl1 �S G House: 4 Garage: Reissue of_ DU Corner Lot? Y ) Flag Lot? Y Map & TL # �'- l� A� ) Zone - 1 Owner: let!,/f, Plat # la H� Address: /B"P 0 f f4 ` (mf �� Approvals Required K� r( G o�W AL4 Planning Setbacks Solar _ Engineering Other Phone Contractor: O/-/ ��+i�ht Items Required I'I✓)1`�Vl Subcontractors Address: J-,z /<<✓ Y � 1 Truss Details U� d�'/ C✓ �_ �,`��1� Other — -- - Phone: if P/- C Notes Contractor's License # jP 0 t" (attach copy of current Oregg n license) Contact Name: 442e 'L�/ F Str(Trc 8 4 °Jac r Contact Phone: Subcontractors: Architect/Engineer: Plumbing: •— A-dress Mechanical: (attach copy of current OR Contractor's License) T Phone: JOB DE GRIP o : S��,tE,�mcp�7 oO�l��.,.� �`��i <,q%.g� y> A licant Signature 4pplicant Phone number Received by: -� Date Received H\W4MW tVNUC Permit# Account Description Amount Amt Pcl. Baal. D '4 Bldg. Permit (BUILD) �`---- Plumb. Permit (PLU14B) Mech. Permit (MECH) State Tax (TAX) 1z 'J 4�i Bldg: 1 Plumb: Mech: Plan Check (PLANCK) Bldg: 6el, i 3 Plumb: Mech: 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-0) Water Qualih, (WQUAL) _ Water "luantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROS N) TOTALS: '�1 AVE , hlN C%�?�' Wit N 1 � ; �✓ I ,! u1 pl 0 ' r v► j ` ►� - I UI til I u i Z }1I . a E WGW lb y� ►L I � �' � r 1 -i � � V) � Wal 1 N I 1f� LL f S (l L1-it 11 t1l . �►1f UO0 - yo REG16TL-IN� I F PROFESSIONAL vitud the herein T 1 c�ki ti c y tl►at 1 Lave inspect +,,,,_.►.-- - r— d_b,:i iL•_ci real p►opearty and that I :nd the OHLGON itnfjrcvu-jw,Its situated thereor to be on the JULY 15 1W CIO prel'lj-�va as herein descritt d, livid they do r,-,, JOHN A. CARLSON ovvc1op or en-roach on the NrtpertY lYiny 20,44 a4f.1LL„t tllereto. 12034 PLAT OF INS ECiTION OF" w� .�crr�:t. ►t LOT�27, "WINDSCM PLACEot NEA/ 4SEC. 34 ; T.1S., R. W., 1N . In -car WASHINGTON COUNTY , OREGON IIb,►. . t.lft. % �_„_4.►_Iw_.�__- IDI I rl.0rrl wa«.•w.rw,; ,w,w UP IIC1�YW 11•Ir •�� MyM M�r .l 111'HL tl ,ta r III m PRINTCQ.