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10998 SW 109TH AVENUE I i ADDRESS: loggg .�v LIP) o_ Lo J i:lrecordslrnicrotlm\iargels\buiidirig.doc CITY CERTIF-ICATE OF' OFJIGARD OCCUPANCY ,- COMMUNITY DEVELOPMENT'DEPAR 13125 4W Hall Blvd,TlgvV,Oregon $7111111*81114 '(03 PERMIT # MST)3-0061 DATE ISSUED: 07/09/` 3 PARCEL: 1S134AC--HL0a`7 - 3111 i1DURES)S. o i ,;-ja sw iociTH AVL SUBDIVISION. — - HART' S LANDING ZONING: BLOCK. . . . . . . . . . A LOT. . . . . . . . . . . . . a 027 CLASS OF WORK. :NEW TYPE OF USE. , . :SF ')CCUPANCY Q P. :R3 11CCUPAN17". LOAD:227 4 TENAT NAME. . . : Romer-l's .- PATH I Owner--a _._.___.__._...._...______ ________.___,_.___._...__.___ pl"r4f 11 -11 .-SANCE DEVELOPMENT Phone #., Contractor-: RENATS33ANCE DEVELOPMENT )t,72 1,W WILLAMETTE F,-ALLS OR WLQ,T I-INN OR 17068 Pho,-,e #y 557--8000 Reg #. . -. 49955 UCCUpancy of the above r,eFet-encpd bUildini is hereby given, and cet-tifies the compliance with the State Of' Oi-egon Sptcialty Codes fur the rp,oup, ,Wflllpancy, and usp Loider-, which the t,efev,encod permit was iSfiued. FIRE DEPARTMENT t DIN NSPEC - 1 L J -F.0 L POST IN CONSPICUOUS PLACE tr rc h. un CITY FTIFARD 07YOFTWIRD PUJIVIE-11lib ..'F-RIIIT ORIGKM COMMUNITY DEVELOPMENT DEPARTMENT 4 MER11111T #. . . . . . . . 1vKYT':t-�3 -0061 13125 6W Hall Blvd P.O.Box 23397,Tigmid,Oregon 97223 (603)639-4176 C-7 SITE PL)DRESS. . . . M)' 8 SW IID91+4 f-iVE SLjE`lDjV1b1'DI,4. . . . c HART iJiNDING BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . CLASS Or" WORK. INEW DARBAGE DISPMAI.S. I TYPE OF USF. . . :SF WASHING IVIOCH. . . . . . . cl BACKI' LOW OCCUPANCY GRP,, 9 R3 FLOOR Dr:All\ls. . . . . . . .0 THAPS. . . . . . . . . . . 0 L�TORIES. WATER 1­111f!'1471?�L : .I C.-'f)jLf'I I BASINS- .. . , -.-0 LAUNDRY TRA c')*. . . . . . .0 Ri-AIN URA INa. . . I S I WKS. . . . . CiRF ASE vi LfIVATORIES. . . . . 4 OTHER FIXTURFS. . :0 I'LUD/SHOWERS,- . SEWER 1_119U. (fL ) . . . . 10 WAIER CLOSE IS 13 WArER LINE ( ft) . - 11;V Lp I QMWAPHERS, IRATH. L)Rnllq (f L ) . Remarks PATH LIWt4ERt ij L_...S PENAV'30NCE DEVELOPMENT $ 1 46Y4. 0111 JH 02i I BPRT $ 67 9. 00 ill 0 1 BPI..0 $ 46. 35 JLH A 1/28/93 E%5PU 1. 1S. '4 71 J14 1712/ 17/9-3 7-�739 Sbl)("' * li8171. 00 .111 Ilse 11 7/93 PARV $ 500. 00 J 1-4 Oi--"*/17/93 P r'l 1-k m b i n y Coiil. i -acAor ., 4 PPPT $ 1 '1 Ql- 00 111 L42/ 17/93 Name * P 151[-"C. ,:11-1 00 02/17/93 MP R1 43.. 50 JH 0 2/t'7/93 Ad ci MIDI 10. 88 .314 021/j T 19 3 cit S PI olleo I REUMPED .1146PECIIIJIAS lhi -, Permit is iSskled subject to the iep ­ UlAtICMS LOntained in the Tillard Muni.cipa.l Foot/found Tni,p Rain drain Ins,p (3,o(Je, f_ntatp of Ore. 113perimllty Codes and all (=lost/tleam 5truct Water L-tile Ill other~ applic-mble JAWS. All work will he dom- Pu ett Lie a in, Ifle.:1 taii In In aqcordaoi/_p with approved plans. Thi , I-,I m/ T)(I,, I A h 'i n s­p"' kuivr;'�t 1,0111 exolre if iotlrk is not I-'I H.'(11-10F.'rfloor PI k I Al 1, I i n within 180 dayi' o P I ssitAnce, ni� if wm k ti IvIertimmir-Al Insp Bill Illilly F N -f suspended or- more than 1R@ clays. 1-'Bunk rol, Out Lv o F t-on 11, v q lnr,P Uraill rep) Arp Triwl.r 7 04,; Line I1190 InFulation Intl- cm Gyp Board Tivelp AlAth0l t AWL-4 I,Lj L'i.tractor Signmtt.irp Call for inspection 639-4175 (.vi-itractov I\IvLvv, 3 CI. YOFTIFARD CnYOFTM COMMUNITY DEVELOPMENT DEPARTMENT 00MN MASTER PERMIT 13126 SW Haii 91vd. P.O.Box 23397,TlgaM,Oregon 97223 (6W)6304176 77 0111PERMIT #. . . . . . . .. MST 93-0061 639-4171 DATE ISSUED: 02/1r7/93 SITE A)DRESS. . . : 10996 SW 109TH AVE PARCEL. IS134AC-HL02-1 SUBDIVISION. . . . : HART LANDING Z ON I NG a BLOCK.. . . . . . . . . . . Lol-. . . . . . . . . . . . . :27 ';UILDING REISSUE: DWELLING UNITStl BASEMENT. . . . . . . . 90 st CLASS OF WORK. :NEW BEDRMS:3 BATHS:.3 GARAGE. . . . . . . . . . :567 s T',PE OF USE. . . :SF FLOOR AREAS-____--_-- REUUIRED SETBACKS------- --- TYPE ETBACKS----------- TYPE OF' CUNST. P51\1 FIRST. . . . :835 sf LEFT. . :20 ft RIGHT. :29 ft OCCUPANCY GRP. :R3 SECOND. . . :720 sf FRONT. :20 ft REAR. . :20 ft STORIES. . . . . . . ..2 THIRD. . . . :0 sf HEIG14T. . . . . . . . z27 ft TOTAL------: 1555 sf SMOKE DETECTORS. :Y !-*LOOR LO(AD. . . . :40 psf VALUE. . . . . $ 81736 PARKING c;PACES. . ; I Remarks: P 41 I ------------------------------------ PLUMBING ----------------------------------- SINKS. . . . . . . . . . : 1 FLUOR DRAINS. . . . 90 BACKFLOW PREVNTRS, . :V- LAVkTORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 7US/SHOWERS. . . . :2 LAUNVRY IRAYS. . . tO CATCH BASINS. . . . . . . 90 WATER CLOSETS. . :3 SEWER LINL (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : I WATER LI14E (ft) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft . :0 WASHING MACH. . . : 1 SF RAIN DRAINS. . .- 1 --------------- MECHANICAL ---------------------------------- FEES -______-.__-__ FUEL TYPES-------------- UNIT H'TRS. . 20 trope IM0IAnt by date reept /GAS/ VENTS . . . . . a J IF $ 1460. 00 JH 02/17/9,3 — 14AX INPUT:0 BTU VENT FANS. . 44 BPR 1 $ 379. 00 JH 02/17/93 — FURN ( 100K . . .- I HOODS. . . . . . e BPLG $ 246. 35 JLH 01/26/93 93-236093 TURN ) =1001.1, . . :0 WOODSTOVES. 10 B5p(,-, 4, 18. 95 JH 02/i "'/93 -- FLOUP FURN. . . . :0 —LU DRYERS. t I SSDU $ 280. 00 JH 02/17/93 — BOIL/CMG ( 3HP:0 UiHER UNITStJ. PARK * 500. 00 JH 02/17/ ,,'3 — GAS OUTLETSel PPRT * 140. 00 JH 02/17/93 — Ownert $ 7. 00 JH 02/17/93 — RENAISSANCE DEUriLOPMENT MPRI $ 43. 50 JH 02/17/93 HPLC $ 10. 88 JH IZ1211 7/93 M5PC $ 2. 1S JH 02/17/93 Phone Contractor: RENA I SSONL 'F DEVELOPMENT 1672 SW WILLAMETTE FALLS DR WEST LINN OF? 97068 Phone 0: 5E7-8000 Reg #. . : 49.'55 ------------------------------ 3087. 86 TOTAL C-0 This persit is issued subject to the regulations cont 311m," in the ------- REQUIRED 114SPECTICINS Tigard Municipal redo, State of Ore. Specialty C d all other Foot/fOUnd Insp Fireplace Insp applicable law,,. Al!, work will be done in a e w' edPost/Beam Struct bas Line Insp plans. This perviL gill expire if work acted mithin 18@ Post/beam Mechan Insu., ation Insp days of issuance, or it wirk it sus ed days, PIM/Lindslab Insp GY13 Board Insp PLM/Underfloor Rain drain Insp F)ermittee natur Sir4Mechanical Insp Water Line Insp Plumb lop Out Appv,/Sdwlk Insp Issued BYE Framing Insp Mechanical Final ----------- F C17YOF7' GrARD CrFYOFIMRD SEWER CONNECTION COMKi9N,rrY DEVELOPMENT DEPARTMENT PE RIVI I T' 13125 SW HWI filvd. P.O Box 23397,Tigad,Orepn 97223(603)6394175 M I'F #. . . . . . . : SWR 93-0056 '139-41 1 Drfl-E ISSUED. 02/ 17/93 ,31 TE ADDRESS. .10996 SW 1091 H AVE PARCEL: IS134AC--HLOL/ SUBD I V I S I 01\1. . . . : HART L1:)I\IDII\1('.j Z ON I vqG: BLOCK. . . . . . . . . .. : LOT'. . . . . . . . . . . . . :27 'T'ENANT NAME.. . . . . : USP 140. . . . . . . . . . .. F I XI'UH'E UNITS. . . : CLASS OF WORK. . . -NEW DWELL I 1\16 UN ITS. . : I TYV-)E OF USE. . . . . .SF NO. OF BU1L1)1N(3S: 1 INS'TP)LL TYPE. . . . :BUSWR 11,IFIERV SURF'ACE. . f Remar-ks: r-,A,rH 1 Owner: --------- FEES RENAISSANCE DEVELOPMEN'T' type amount by date i-,ecpt; V:IRIYI-f $ 2,iOO. 00 JH 02/17/9.5 — I NSF-1 35. 00 JI-i 02/17/9,3 — lw-lhone 0: Conti-ar_toir-c CONTRACTOR NOF 01\1 FILE Phone it: $ 2135. 00 TOTAL Hey 41. REOUIRED I NSPECT IONS This Applicant agrees to comply with all the rules and regulations Sewer- Inspection of the Unified Sewage Agency. The permit expires IN days from the date issued. The total amount paid will Lbe forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not locatedat treasurement 0� give,,, the installer shill prospect 3 feet in a, ti ons from the distance given. If not so located, the r hall purchase -i "Tap and Side Sewer" Permit and the A ateral. T-Iler,niittc-e Issued By : n: Call for inspection 639-4175 INSr.11CTION NOTICE City odw Yigarr, Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec--C:-Phone): 639-4175 Business Phone: 639-4171 - Y Inspections _ _v Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas LineIP NAL: Post/Beam Struct. San. Sewer Framing Pont/Beam Mech. Rain Drain Insulation -Plumb. e Plbq. underfloor 4aa/ter Line Gyp. Rd. -Mech. (/ Date ;requested:_ ` Address: ., 1 Permit 1 Builders 47 ;Eq ZAZC•- -, THE FOLLOWING coRRECTIONS ARE REQUIRED: efo Inspector: APPROVED DISAPPROVED APPROVED BUR"CT TO ABOVE Call For Reinep. INSPECTION NOTICE City or Tigard Building Department 13125 8W Hall Blvd. Tigard, Oregon 97223 Inspection 'Ane (Rea-O-Phonn)t 639--41.75 Businesu Phonet 639-4171 Inspection:_—.-- Foot!ng Plbg. Underslab Mach. Rough-in kAppr/Sdwlk Found. Plbg. Top Out Gas Lkne FINALt Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulat,on -Plumb. Plbg. Underfloor Water Line cyp. Bd. Hech. Date Requested: .� (O �� --Tiafe�% f _ 1►M/--PM Address t ! �1( �C� �t- Permit t `I ^V,y W Bull der t,,%= /JZL ����(�C!1[ •_ _-- THE FOLLOWING CORRECTIONS ARE REQUIRRUt rS Inspector:- 1 Wit.$ / Jh ----- Datet_yZLfLz= -� APPYANO DLBAPPROVRD Al-IROVRD SUBJRCT Tb ABOVR Call For Peinsp. INSPECTION NOTICE City of. Tigard Building Department 13125 SII Ba_1 Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phonel: 639-4175 Buainese Phone: 539-4171 Inspection-_ Footing Plbg. Underslab Meeh. Rough-in Appr/Sdwlk Found. Plbg. Top Out GAB Line FIN)%L: Post/Ream Struct. San. Sewer Framing -Bldg. Poet/Boam Mech. Rain Drain Insulatior -Plumb. Plbg. Underfloor Water L eBd. -Meeh. Date Roquenteds LS C 'Times ___AM --PH Addreae:A/ 2 r4Permit 1:_�'�i�GU� L Builder.:__ THE FOLLOWING CORRECTIJNS ARE REQUIRED: C]: V) - -- —--- - - - Y m W J Ing APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinap. GTION NOTICE. City of Tigard :■uilding Deparkadnt 13125 OW Ball Blvd. Tignrd, Oregon 9722! Inspection Lin* (Rec-O-r'hone)t 639-4175 Business Phone463 -42:1/1 Inr,lectiont Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Lina rINALt Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoc`:. Rain Drain Insullattion -Plumb. Plbg. Underfloor Water Lin* Qyp. Bd. -Mech. Date RequestedtLf �- /,� Time: AMAX)/ PM Address t L� Z g "—� Permit 1 t Builder: THE FOLLOWING CORRECTIONS ARE REQ"IREDt Inspector! APPAObED DISAPP!`OVED APPROVED SUB,tBCr TO ABOVE Call For Reinsp. INSPECTION NOTICk G L✓ City of Tigard Huilding Depa=tise t 131:5 911 Rwll Blvd. Tigard, Oregon 97223 Inspection Line RSC--O--Phone))j 639-4175 Business Phones 639-4171 Inspection: Footing Flbg. OnderslabO "Mach. Rough-in Appr/Bdwlk Found. 1 op out Cas Lina Irlm"s Poat/Beam Struct. San. Sewer J Framing -bldg. Post/Seam Hoch. Rain Drain Insulation -Pluds. Plbg. Uri,_rfloor water Line Gyp. Rd. -Moph. t Data Reques//t\\edd%_ I -/ 3 —TJAe 9 7—Am (PH Address: I V -/ 4�1 !�� 7-' A /TU -- Penni #s / ✓ v�F'' Builders THE FC.r-:AWING CORRECTIONS ARR RRQUIREos rnspectors �- Dates &4--APPROVXD DTSAPPROVlD APPROVRD SUB.7ECT To ABDVR Call For Reinsp. INSPECTION NOTICE i J' City of Tigard Building Depart—t 13125 Bw Hall Blvd. Tigavl, Oregon 97223 Inspection Line (Rec-O-Phone)t 639-4175 Buoinoss Phones 639-4171 Inspections Footing Plbg. Underslab (-1G h_.ltough-in Appr/Sdwlk round. Plbg. Top Out Oa��iO IINALs Post/Bo-:.T Struct. San. Sewer -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Pltq. Underfloor Nater Line Gyp. Bd. -Hoch. z�G? Oat* Aequastedt G//-�../ 3 / J Timet AN rn Address: 1 C.' / n�f� J P O /ermit �f Builders �d� �__ - 732 THE IOLL40WING CORRECTI HS ARE REQUIRM InspectoctJ lI --.---- Date APt'ROVED DISAPPROVED APPROVED SUBJRCT TD ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Iaspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171 lnepecti.on:__ - - Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. 'Top Out Gan Line FINAL- Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. RAin Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requeate)ds (�,L� Times AM / PH Adorers: �Ll/ /(���-- Permit guilder: THE FOLLOWING CORRECTIONS ARM PEQt1IRED: M - ------- - - ----— - 1-- tn y .— r J M -- r4 L7 w J — Inspectors-,�!! � Date: � - �( APPROVED - DISAPPROVED APPROVED SUBJF.CT TO ABOVE Cal: For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SM Hall Blvd. Tigard, Oregon 97223 Inspecti m Line (Rec-O-Phone): 639-4175 Business Phone: 639-•4171 Inspection-- rootingPlbg. Underalab Hoch. Rosgh-in Appr/Sdwlk Pound. Plbg. Top Out r;ns Line FINAL: et/Beam 8truct San. Sewer Framing -Bldg. oa eam Mechl Rain Drain Insulation -plumb. Plbg. Underfloor Water/Line/ Gyp. Bd. -Hoch. Date Requested: L/ ( .Times AM _PH Address: — Permit s Builder.: IGT2.Qe_,.�THE FOLLOWING coRRECTIONS ARE REQUIRED: L � .fit-...- F-- l/'1 H C.7 W _ _ J Dates � �__L"!sZ_ AI 'dOVlO DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard 9uilding Department 1.3125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ — -- Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poo�ett//Beam Hoch. Rain drain Insulation -Plumb. Flbg. Underfloor Water Line Gyp. Bd. •-Meeh. Date Requested: —S Time. AM PM Address: � � Permit 1 Builder:_ __-- - - — THE FOLLOWING CORRECTIONS ARE REQUIRED: Inepect'oyr: Date: -~ — APPROVED DISAPI`ROVED —_ APPROVED SUBJECT TO ABOVE 1�"� Call For Reinap. INSPECTION NOTICE City of Tigard Building Departttsent 13125 Sit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4.175 Business Phone: 639-4171 Inspections Footing Plbg. Underslab Nech. Rough-in Anpr/Sdwlk ---.=-1 Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Nech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. h � Date Requested: � [9 _ � // 3 nTimes 27AN FM Addreae: Lo /// - Permit it Builder-- Y�— THE FOLLOWING CORRECTIONS ARE REQUIREDs R ------------ — t/'1 I— J CLI w Inspector: / _ ��-- nate: y APPROVED DISAPPRG•BD APPROVED SUBJF-T TO ABOVE Call For Reinsp. • ci *rY rit IWAPD REULIPI Of. 1*4iYMK-Mf PLUE I PT NO. CHC -1', AMOUNT 49 NAME ¢ RlZNPTG.13PNCr DEM LOPMENT iA. i1 PMOUN F PAYMFNT DATE GUTT I v I s I ON tMPOSE OF PflYMF.Nl AMUUNT PAID PIJRPIJ. -P..' Ul" PAYMLN I' AMOUNT POU.) 0.111, DING PERM 379. 00 f-A.-UhISINO PF.".PM 14-0. 00 -IFC,W-INTUAL. Pl- 50 ;jT. BUILD PL.R 28. 13 s4l CHECK I 1-- 7. ;--�3 SF-t4l,R 01A 21 01A. IAO J 14VR INSPF 1 35. 00 PARKS SM. 500. 00 ca :JORM DRAIN qDt,' 00 RESIDEWTHL TPPFFlC F'CUS 1350. OIA W ['.[7r ; I-ijT 2-7 14ORTI -7) I.AKMING 1099n SW 1 09T TOM- AM,-)UN7 PA(l) 497,2. S6 13125 SW ilau nwa. PLNCK/RECT # CITY OF TIGARD PERMIT # COMMUNITY DEVELOPMENT DEPARTMENT Tiprdrlrcgon97M (503)639-4171 DATE ISSUED JOB ADDRESS: /�.SG f �O� TAX MAP/LOT 1.513 Mc-lq SUB: �/c�r� —�c��T LOT: 7 LAND USE: _ VALUATION: V 7.3( - OWNER SPECIAL NOTES NAME:'�Or7Ct �5�4�U �o�cC�/.,,,�,. REISSUE OF: ADDRESS: !Z LAST REISSUE: — ��y I ,C,.,e\ �� . FLOOD PLAIN/ PHONE: SS 1-- -rte SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: ez ,�/c G/ __ PLANNING: _ ADDRESS: ENGINEERING: _ FIRE DEPT: PHONE: _ _ OTHER: CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: LIST/.)'UBCONTRACTORS: MECH: Z��v� /�K�`' BUS TA _ ARCH ENGINt�-R CALCULATIONS: _�^ — NAME: TRUSS DETAILS: _ ADDRESS: _ OTHER: un POONE: PROPOSED BLDG. USE: _ - -- ,� COMMENTS: — J APPLICANT SIGNATURE Received By: — __, _ Date Received: PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE M5 -0o0 10-432 00 Building Permit Fees S' _ i 10-431 00 Plumbing Permit Fees D -� / v.b• 10-431 01 Mechanical Permit Fees _ V3w 10-230 01 State Building Tax (5%) Building /P Plumbing Mechanical -2-41-1 aS7 73 ?, z3 10-433 00 Plans Check Fee + ` Building ,f 4, Plumbing Mechanical 649 10-230 06 Fire Su fSIL 0.5 4 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 25-448-02 C mmercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees / j _ 73sv 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) S 31-450 00 Storm Drainage Syst Dev Chrg (SS('C) j-d b-►� 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of)LLI TOTAL `�L 62z2 i�G -71, Y nm,/3587P.WPF DEPARTMENT OF LAND USE a TRANSPORTATION WASHINGTON 155 NORTH FIIRST,HILLSBORO,OR 97 AND DEVELOPMENT SERVICES 24 CCOUNTY, INSPECTQUESTS: 503/640-3561/693-4415 503/648-8761OREGON Page 1 of 1 Date 03/17/93 'rime 15 : 08 Permit 'Type Residential Electrical Permit Permit # 05038526 Permit Status APPROVED Applied 03/17/93 situs Address 10998 SW 109TH AV Ti .issued 03/17/93 Permit Title SFR - ELEC/NEW HOUSE Completed Permit Descr . To Expire 09/13/93 Project Title SFR - ELEC/NEW H(-)[-ISL Project # P0029785 Project Descr . * EROSION Parcel Number 2S1TI - Land Use District Valuation 0 Leqal Descr . Owner INSPECTION - TIGAI-{D Construction OTH Applicant Name GAGE ENTERPRISES Classification 900 Applicant Addr. : PO BOX 1429 Occupancy R3 CLACKAMAS , OR 9'/015 Validated by I<F Applicant Phone : 65'7-0142 Inspector Area CONTRACTOR : GAGE; ENTERPRISES Lic . C 3-128C 657-0142 Fee description Units Fee/Unit Ext fee Da ,-a --------------------------------------------------------------------------------------- Square Footage [ Enter Sq. Ft . ] 2500 130 . 00 Subtotal Electrical Fees : 0 130 . 00 State Surcharge of 5% U 6 . 50 Total Electrical. Fees : U 136 . 50 *** Fees Required *** *** Fees Collected & Credits *** Receipt No. Date Payment 03/1'7/93 136 . 50 TOTAL 'PHIS DATE ******** t 136 . 50 Fees : 136 . 50 Adjustment,3 : . 00 Total Credits : . 00 Total 'Tees : 136 . 50 'Total Payments : 136 . 50 Balance Due : . 00 n. I-- v', J Gj LD 140TICE: This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 100 days. Once construction has minded, Li the permit becomes null aid void If construction Is interrupted form period of 100 days. 1 certify That the Inlormallon presented by the applicant and his agent or agents In support of this permit Is true and correct to the best of our knowledge 1 acknowledge that the Bulldirg Department's reliance upon false and misleading 1-formaflon may Invalidate this permit. All provisions of applicable laws and ordinances goveming the constructlo of this building or structure will r.-compiled with Whether or not specified on the plans or noted on the plans correction sheets. I acknn the granting of a permit does not grant■.::hnrrry:u access private property or to use easements. I further acknowledge that the use r the structure or building permitted depends upon my calling for Inspections at,,arlous Mmes during the procres of construction Inspection Pfaff verifying compliance with the various codes Use or occupancy of the building or structure permitted prio-' Building Department Is solely.t the risk of the applicant and such use or occupancy Is revocable until all Inspection rer approval la given by the Bulldinfl Official. I further acknowledge that a Ilan may be placed on the title of the property specifying that the use or occurancy of the building or stniclure Is provisional and revocable until the smtlsfmctlo� WASHINGTON COUNTY ELECTRICAL PERMIT . Department of Land Use R-. Transportation . Electrical Inspection Section APPLICATION 155 North First Avenue, #350-12 Hillsboro, Oregon 97124 _ Inlformatlon: (503)640-3470 Fax. (503) 693-4412 Project/Permit�,_�Q, PRINT Number _[�_- �`" Date PLEASE Please . • • all sections, e 4. Complete Fee Schedule below 1, Location of Installation Number of Inspections per p.rmi1' allowed 40 Address 169 cj R w !0 9*1' Service included: Items Oost(ea.) Sum Building A. Residential-per unit City 7� I Suite No. Tenant Namb' loon aq,ft.or lege �_ $a5.00 S..S ° a (if commercial) Each additional 500 sq.n L +y o F 5 a., M ,y v \,4 l� y or portion thereof _ $15.00 �/S"• o O Limited Energy $20.00 _ 1 Tax Lot Map No. Each Manufd Home or Modular Dwelling Service or Feeder —.— $40.00 2 Thomas Map Book: Page: 6_45-!S' Section: �- Directions___ __ B. Services or Feeders S Lu .. Installation,alterations or relourtiun - S v 6 2W amps or lose --_ $5U.r10 —. _ 2 Commercial Residential 201 amps to 400 amps _._ $80.0(: _ 2 401 amps to 600 amps —_ $106.00 _ 2 601 amp-to 1000 amps -- $130.00 2 2a. Contractor Installation only: Over 1000 amps or volts $300.00 Reconnect only -- $40.00 2 Electrical Contractor c _,�,_JE _Th Address �('Z� (C,&,k C>V r `1'Z a I< C. Temporary Services or Feeders Date 3 I S. -3 Job Number -C— Installation,alteration or relocation Property Owner 12 Property s :a a_t— 0--y 2W emps or lose _ _ $40.00 2 201 amps to 400 amps $5500 2 Contractor's License No. " 3 _ I ��-. r 401 amps to 600 amps $80.00 __ 2 Contractor's Board Reg. No. -� c-14 Over 600 amps to 1r'oo volts tee•B•above Signature of Supr. Elec'n .�. ,� / D. Branch Circuits License Na G 5 — r� /�� New,alteration or extension per panel C �� S.- Phone No. a) The fee for branch circuits with purchase or service or feeder fee. 2b. For owner installations: Erich branch circuit $2.00 _ _ 2 b) The fee for branch circuits wlthoo r _ purchase of service or few :,r fee. Prin— tTwner'sT�ame T� r1e — First branch circuit _ — $35.00 _ 2 _ Each add ril branch cin.uit $2.00 — 2 Address E. Miscellaneous (Service or Feeder not inclurfed) City State Zip — Each pump or irrigation circle $40.0 — 2 Each signor outline lighting $40.00 _ 2 Signal circuit(s)or a limited The installLtion is being made on property I own energy panel,alteration which is not intended for sale, lease or rent. or extension -- $40.00 _ 2 rz F. Each additional inspection over the allowable Owner's Signature ►- —"�- -- in any of the above, per Inspection .7. Plan Review section (if required) $35.00 5. Fees A. Enter total of above fees $ 13 0 d 5% Surcharge (.05 X total fees) $ GLLi , S Subtotal $ — _ B. Enter 25% of line A for For inspections call Plan Review if required (Se(;tion 3) $ 640-3561 Or 693-4415 Subtotal $ 24-hour recorder, Less Bulk Label dee one working day in advance of need Balance Due $ C:, This permit becomes null and void f the work authorized by the permit Is not commenced within 180 days from data of Issuance of such permit or If the work euth ,rued Is suspended or abandoned at any time after work Is commenced for a period of 180 days. Electrical Permits are non-refund.ble and non-transferable. 11/92 DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 0^0—mt�' — / COUNTY, �� 155 NORTH FIRST, HILLSBORO, OR 97124 PHONE: 503/640-3470 t OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 Permit # : 05038526 Pr•,.,ject ## : P0029785 Statur-. APPROVED Fag, e 1 of 1 Applied : 03/17/93 I,sut-a 03/17/93 Expires 09/13/93 04/23/93 05 : 15 RESELEC Permit Title SFR -• ELEC/NF.IJ HOUSE OTH Description Job Address 10998 SW 109TH AV TI Owner Name a IN:3PECTION - TYGARD Region L Applicant Name uA(3E ENTFRPRISES Phone nixmbpr 657-0142 Valuation 0 Approved._ ... faspe,tor Commente. Re,jected_.__...____. 1/ Inspectod by '� Date Inspect.ivn '.aver & 6erv1 4- 04/23/93 RI JC." DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 503/640-3470 OREGON INSPECTION .-.EOUESTS (24 hours): 503/640-3561 or 693-4415 Permit. # . 05038526 Project # : POO 78F Status APPROVED Parc: 1 of 2 Applied 03/.17/9 15;sued 03/17 .93 Expires 10/20/93 0'1/15/93 05 : 17 RESELEC Permit T.i t i f- SFR _. ELF(!/NEW HOUSE OTH Descript.irn Job Address 10998 SW 109TH AV TI Owr••-r Name INSPECTION - T I GARD Region D Appl ' <ant. Name- �2AGE ENTERPRISES Phonal .umber A57- 0142 Valuation 0 Apprc)ved___- Iy�� r nt._. ieected_ Atl& a Ov 1 J nspert--- Tjst.e �3 I nsper-t_ -. c.n RPquPri +--e:'. Q * Final Electrical 07/ 15/'� a k1 Leh DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON f 5 NORTH DEVELOPMENT LSRVICE DIVISION R 97124 COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415 PHONE: 503/648-8781 OREGON Page i of 1 Date 08/05/93 Time 14 : 39 Permit 'Type Residential Electrical Permit Permit # 05043301 Permit Status APPROVED Applied 08/05/93 Situs Address 10998 SW 109TH AV TI Issued 08/05/93 Permit Title SFR - ELE:C/ONE CIRCUIT Completed : Permit Descr. 'T'G: 655-D2 '1'o Expire 02/01/94 Project Title SFR - ELF':,';NE;W MOUSE Project # P0029765 Project Descr . * EROSION Parcel Number 2S1'T'? - Land Use District : Valuation 0 Legate Descr. Owner INSPECTION - TIGARD Construction : OTH Applicant Name REDS ELECTRIC Classification : 900 Applicant Addr. : 2UU2 SE: CLINTON Occupancy : R3 PORTLAND, OR 97202 Validated by : KF Applicant Phone: 233-6467 Inspector Area : CONTRAC'T'OR : RED' S ELECT. CO, Lic . C 26-152C 233-6467 Fee description Units Pee/Unit Ext fee Data ---------------------------------------------------------------------------- 1st branch W/out Feeder [tinter #] 1 35 , OU 35 . 00 Subtotal Electrical Fees : 0 35 . 00 State Surcharge of 5% 0 1 . 75 Total Electrical Fees : U 36. 75 *** Fees Required *** *** Fees Collected & Credits *** Receipt No , Date Payment 08/05/93 36. 75 TOTAL THIS DATE. ********* 36 . 75 Fees : 36 . 7;, Adjustments : . 00 Total Credits : . 00 Total Hees : 36 , 75 Total Payments : 36. 75 balance Due: . 00 F-- In I— G7 C7 :Ls NOTICE: Thlc permit becomes null and void It the work or constrt ction for which It Is Issued Is not commenced within 180 days. Once construction hes started, --J the peia.it becomss null and void If construction Is Inlerrupted for a period of 160 days. 1 certify that the Informallon presenled by the applicant and his agent or agents In support of this permit Is true And correct to the beat of our knowledge. I acknowledge that the Building Department's reliance upon Islas and misleading Information may Invalidate(his permit. All provisions of applicable laws and ordinances governing the construction and usp of this building or structure will he compiled with wr,elher or not specified on the plans or noted on the plans correction sheets. I acknowledge that the granting of a permit does not grant authority In access private property of to ue.aaaemeola. I further acknowledge that the use or Occupancy of the structure or building permitted derw. is unnn my calling for Inspections at varlou•IImeA during the process of construction and the building Inspection staff verifying compliance wnh the varlo.us rodos Use or occ.tpancy 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 occupsncy Is revocable until all Inspection requirements are satisfied and Approval Is given by the Building Official. I further acknowledge that a lien may he placed On the title of the propeuty upon which the permit Is Issued Apeclfying that the use or occupancy of the building or structure is provisional and revocable until the satisfaction of all Inspection requirements. APPL.ICANT'S SIGNATURE ar�aaa i WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use & Transportation -. Electrical Inspection Section 155 North First Avenue,11350-12 APPLICATION Hillsboro, Oregon 97124 Information: 503 sS40�470 Fax: 503 693-4412 Project/Permit, ., NumberDate _ _*___ Date • • sections, e • 1. Lociat f Insc�taIla tion / �7 [4. Complete Fee Schedule below Address �- LfNumber of Inspections per permit allowed i Bui ding ervice included: Items Cost(ea.) Sum City� rSuite No.Tenant N mt! a . Residential-per unit (if commercial) — 1000 sq.h,or less $110.00 4 Each additional 500 sq.ft Tax Lot_ Map No. or portion thereof $25,00 _— Limited Energy — — $25.00 —-- 1 Thomas Map Book: Page:� Section:, ,)— Eacn Manurd Home or Modular Dwelling Service or Feeder _— $68.00 2 B. Services or Feeders Commercial ❑ Residential Installation,alterations or relocation 200 amps or less $60.00 2 201 amps to 400 amps $80.00 _— 2 2a. Contractor I st llatlo nly• 1 2 401 amps to 600 amps -- $120.00 2 Electrical Contractor rf t 601 amps to 1000 amps --- $180.00 2 Addre _� S C_!c� 6l Over 1000 amps or volts -- $340.00 2 Date ; �U`'- ob N, fiber Reconnect only $50.00 2 Y Property owner Al S.@N_C -- C. Temporary Services or Feeders Contractor's License No -asa, C Installation,alteration or relocation Contractor's Board Reg. No. — 200 amps or less $50.00 _ 2 201 amps to 400 amps $75.00 2 Signature of Supr. Elec' 401 amps to 600 amps _ $1O(`00 _- 2 License No. OS -.S 7tone o — ,� Over 600 amps to 1000 volts see'8'above 2b. For owner Installations: D. Branch Circuits New, ,gyration or extension par panel PrintOwner's Name Phone No. — a) The'oe for branch circi.t3 with purchase of servf�o or feeder lee. Each branch circuit _-- $5.00 — 2 b) The fee for branch circuits without iy Slat© purchase of service of feeder fee. First branch circuit �— $35.00 J 2 The installation is being made on property 1 own Each add'rl branch circuit $5.00 2 which is not intended for sale, lease or rent. E. Miscellaneous (Service or Feeder not included) Each pump or irrigation circle—_ $40.00 _ 2 ()vner's Signature Each sign or outline lighting $40.00 2 Signal circuit(s)or a limited 3. Plan Review section (if required) energy panel,alteration Please check appropriate Item and enter fee In section 58. or extension $40.00 2 1 & 2 family dwellings over 320 amps s/c meter F. Each additional kispection over the allowable -- In any of the above 4 or more residential units in one structure Per inspection $35(n Service over 225 amps; feeder 400 amps or more Per hour _— $5,00 — System over 600 volts nominal In Plant —__ $55.00 _ Building over 3 stories in height Building over 10,000 sq. ft. 5. Fees — Occupant load over 99 persons A. Enter total of above fees $ S _ —_ Manufactured Structures Park or Recreational 5% Surcharge (05 X total fees) $ -� Vehicle Park; new, addition or alteration Subtotal - Classified area or structure containing special B. Enter 25% of line A for occupancy as described in N.E.C. Chapter 5 Plan Review if required (Section 3) $ Subtotal $ Submit 2 sets of plans with application where any of the Less Blilk Label Fee $ above apply. Not required for temporary construction Balance Due $ services. For Inspeellons call Thin permit becomes null and void H the work udhortred by the permit Is not commenced 610-3561 or 693-4415 whhin 1.0 toy.Irom of Issue".*of ouch permit or If the work authwired Is suspended or standuned at any lime after work Is comsrancsd for a period of 160 days, 24-hour recorder,one workF rp day In advance of need Electrical psrmhe are non-refundable and non-transferable. 5193