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10898 SW 111TH AVENUE ADDRESS: T� �$ swA / V r n' F-- cn F- a� c� LL1 i:lrecoMslmlero(ImN argelsVmIlding.doc I CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639417 Business Phone: 6394171 Date Requested:: �j - A.M. P.M. MST: Location: lo r�Q-L i _ IUP: --- Tenant: Suite: Bldg: MEC: Contractor: Phone:t% da- PLM: . 2 Owner: Phone: `— ELC: ✓5.Z ELR:-- -- _ _ SIT: _ BUILDING BLDG(con't) PLUMBING MECHANICAL` LECT'tI ACAC LL SITE Site Post/Beam Post/Beam Post/Beatn CoveilSt!rvtt'� Sewer/Storm Footing Roof tJndFUSlab Rough-In Ceiling Water Line Slab Framing 'fop Out Gas Line Rough-In IJtr Spr.nkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain train A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I lent Nunp Low Volt Approved Approved Approved roved Approved Appr/Sdwlk Not Approved Not Approved Not Approved ved Not Approved FINAL FINAL FINAL FINAL FINAL (7 Call f ins tion 0 Reinspection fee of S :e7l before xt inspection C1 Unable to inspect Inspector.— _ _ Date: F� Page of- CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 i Date Requested: / _ A.M. Y.M. _ MST: Location: f Ham,. Tenant:_ _ -- _ Suite:_ Bldg: MEC:!LL _ Contractor:--� f�� — Phrnrc: PLM: Owner: I� ,1 _Phone: — — -- — LC: SIT: _ BUILDING BLDG(con't) PLUMBING MECHANIC ELECTRICAL. SITE Site Post/Hearn Posb'Bearn Pos cam Cover/Service Sewer/Storm Footing Roof UndFl/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Ifood/Duct Reconnect Vault Hsmt Damp I-hyv✓all Storni ce Temp Service MISC. Masonry Ceiling Rain Frain A/ UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Fouv.d Fr Low Volt Approved ApprovedA proved Approved Approved -- Appr/Sdwlk Not Approved Not Approved _ oved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL Un1 1-. C7 LLJ J ❑Cell for r " c rl Reinspec:tion Ice of S_ _ re uired before next inspection Cl Unable to inspect Inspector: ---�— __ �' a of CITY OF TIGARD ELECTRICAL_ PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0357 Lk MAIRM 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE T SSIJE D: 06111197 PARCEL: 1 S 134AC-0717'00 SITE ADDRESS. . . : 1O898 SW 111TH AVE SUBD I V IS I ON. . . . :,JEFFREY ESTATES ZONING: R--4. 5 PD BLOCK. . . . . . . . .. . . LOT. . . . . . . . . . . . . .V105 JURISDICTION: TIG Pr^o J ect De ser^i pt i on: instl 1 branch circuit // job N ? ---RESIDENTIAL.- UNIT------ ------TEMF' SRVC/FFEDFRS---- -----MISCELLANEOUS-•----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUly1P/IRRIGATION. . . . : 0 EACH ADD' L 5O05F. . . : 0 201 - 400 amp. . . . . . . : 0 STGN/OUT L-TNE LTG. . : 0 I- IMITED ENERGY. . . . . : 0 401. -- 600 amp. . . . . . . : 0 SIGNAL./PANE L. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL_ ( 10) . . . : 0 ------SERVICE/FEEDER------ ----BRANCH CIRCUITS----- ----.ADD' I.- INSPECTIONS-_.- 0 - "200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 FIER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . • 0 401 - 600 amp. . . . . . : 0 EA ADD' L_ BRNCH CIRC: 0 IN PL.ANT. . . . . . . . . . . : 0 601. - i0OO amp. . . . . : 0 - --- - - - .__.___..---PL_AIV REVIEW SECT IOIV __..___-_-__-------_- 1000+ amp/volt:. . . . . : 0 )=4 RES UNITS. . . . . . . . : > E,OO VOLT NOMINAL. . Reconnect only. . . . . : 0 SVC/FDR ) - 225 AMPS. . : CI_..ASS AREA/SPEC OCC. Owner-: -______.______.__________.____..______•___________________- FEES -__.____-----•---•-_---__-.. I_.YI_E REESE type amol.cnt by date recpt 10898 SW 111TH PRMT $ 35. 00 TAT 06/11/97 97--295797 T I GARD OR 971-23 SPCT $ 1. '75 TAT 06/11/97 97--29c797 Phone #: 639-4953 Contractor- : GRF ELECTRIC $ 36. 75 TOTAL. 15460 SE PARADISE LN REQL.I I RED I NSPECT I ONS -- MUL.INO OR 97O42 Ceiling Cover Undergr^or.ind Cove Phone #: 503-809--4114 Wal 1. Cover Elect' 1 Service Reg #. . : 001.O15, This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 wit• :n t80 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notif' ation Center. Th se rules are set forth in OAR 952-001-0010 through OAR 952-0101-1987. You may obtain a copy of these rules or diriectuestions to �ry calling (503)246-1987. Iss�..iPd By : V ff / Z ^_ Permit.+ee Ci.gnat1.rre :� i J ------------------------------OWNER T NSTALL AT I ON ONLY ------------ ------ -- ----The installation is being made on propprty I own which is not intended for s.=rte, lease, or rent. OWNER' S S T GNATHRE: DATE: ---------------------------CON-TRACTOR INSTAI__LATION ONLY-------------------------------- SIGNATURE OF SUPR. ELEC' N: Olt 6_ � DATE e t_.T CENSE NO: ** Call 6379--4175 by 6:00 p. m. for an inspection needed the next br_Isiness day** 06/10/1997 09:1.4 5038295747 GRF ELECTRIC PAGE 01 CITY OF TIGARD Electrical Permit Application Plan Cho*e 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd Date to P,E,�_ Phone (503)838 4171, x304 Print or Type Date to DST Inspection (503)639-4175 Incomplete or Illegible will not be accepted Permit• C-L � Fax(503)664-7297 wiled 1. ,lob Address: 4. Complete Fee Schedule Below; Name oiZWoabpr:wt` L U P,e—p Sc Number of Insp xtone par pertnh allowed Name(or name of business) _ Service Included: Items Coat sum Address 101,19 Ora. Realdendal-per unit Ci /Stat9/�1 �;' -1 l(%1 l i 1000 W,R.or leu $110.00 b P —� Each additional 500 sq.n.or Commercial Residential portion thereof $25.00 r 1 UmNed Energy $25.0(1 Each 1101"'d Horne or Modular 2a. Contractor installation only: Dwelling Service or Feeler (Attach copy of all cur7ant licensee) 4b.Sovices or FaWen Electrical Contractor Instalatfon,alteration,or relocatlon Address -4 200 amps or Ices SM-00 201 amps 10 40D amp. 980.002 City per-_State P 401 amps to 600 ampa $120.00 �- 2 2 Phone No. 601 ampa:0 1000 amps Job No. Over 1000 ampa or volt 1140.00 _ 2 E:loc.Cont. Uce.No, a c_ u _6 ,Exp.Date_ Reconnect only 36,00 _ 2 OR State CCB Reg. No. 10(!ZJ;3 _Ex -Dale rc,Tempo�sry 9aMaee ar Feeders COT Business Tax or Metro No. xp.Date Installation,alteration,or relocation 200 amps or less 450,00 2 Signature of Supr. Elec'n 201 amps to 400 amps $73.00 _ 2 411 amps to 000 amps $100.00 2 Over Doo amps to ICW volts, LJcrinse No. 6V 3 Exp.Date w"b"above. — Phone No._ llY - 4d.Stanch Circuits New,allocation or•menslon per panel 2b. For owner Installations; si The tee for brand elreufts wRrt purchase of aervlce car Print Owners Name_ f odatha. Address_ Each branch circuit $5.00 2 b)The tee for branch circuits 'hone No. - State Z1p aatnour pun.heas of _ aervlce or heav he. 3 Firel branch cimult / MOD2 The installation is being made on property I own which Is not Each additional branch circuit $5.00 2 Intended for sale,lease or rent. 4e.Mlwilaneous Owner's Slgnatire. ` _ (Servim or feeder rxs Included) Each pump or krvatlon circle f{40.00 _ 2 rt Each sign or outline fighting '- 3. Plan Review section (If required) Signal drwh(s)«a limned enerpy—' panel,sherellon or extension $40.00 _ 2 Please check appropriateItem and enter Ase In section 88. t;Alnot Labels(10) $100.00 -"- 4 or more rwsldrx,<!al unite In one stnrcturs 41`.Each additional Inspection over Service and feeder 215 ampa or more the allowable In any of the @bows System over 800 volts norninal Per Ins Ciwrvlfird atria rx etructtlrs oorltalnln occ psalm $36.00 g a flel upomy Per how $85.00 as amerfbed M N E.C.Chapter s M Plant $55.00 Subrnit 2 sets of plans with appllcnlon where any of the above appy. 5. Fees, 3 . Net required for temporary construction aetnAcea. fie.Enter total of above tees = NOTICE auDtoesra�(05 r"lirfets1 $b.Fntw 25%of Ara+Be for PEPMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Rev4ew9 rggLAr (tier"3) NOT COMMENCED WITHIN 100 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED MAI A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 18 00WItNGEM L.J Trust n000wn+► �— T , Total befence Due G t �� PI t a w h-4- rill..--- r � 19)3 CITY OF TIGARD Electrical Permit Application Plan Check# _ 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 Date Rec'd _ Date to P.E. Phone (503) 639-4171, x304 Date to DST Inspection (503) 639-4175 Print or Type Permit#L- Fax (503)684-7297 Incomplete or illegible will not be accepted called 1. Job Address: r 4. Complete Fee Schedule Below. Name of-DevaWpPwt--�_.'-j - (� e SL Number of Inspections per permit allowed Name(or name of business) Service included: Items Cost Sum Address b -19 �)L4a. Residential-per unit 1000 sq.ft.or less $1 1 )00 4 City/State/Zip / I G Ci Each additional 500 sq.it.or Commercial ❑ Residential B, pinion thereof $25.00 1 Limited Energy $25.00 . Each Manuf'd Home or Modular ' Dwelling > 2a. Contractor installation only: welling Service or Feeder $68 (Attach copy of all current licenses) I 4b.Services or Feeders Electrical Contractor ('1 r- L-7 e t n C, Installation,alteration,or relocation 200 amps or less �1,n.00 2 Address S 201 amps to 400 amps $00.00 _ _ 2 City /V State U 7_Ip G'7 G'`( - _ 401 amps to 600 amps $120.00 2 Phone N0._ X->- 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 _ 2 Elec.Cont. Lice. No. ( _ Exp.Dat��- Reconnect only $50.00 G•kms OR State CCB Reg. No. Exp.Date � 4c.Temporary Services or Feeders GOT Business Tax or Metro No.WK�xp.Date�j��1 Installation,alteration,or relocation /f /f 200 amps or leer $50.00 2 Signature of Supr. Elec'n A,G 1/ 201 amps to 400 atrips _ $75.00 _ z -7 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts, License No. 3 Exp.Date (✓} see"b"above. Phone No. 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The lee for branch circuits with purchase of service or Print Owner's feeder fee. Address _ Each branch circuit $5.00 r CI State Zi b)The fee for branch circuits city-. P -�- without purchase of Phone No. __ service or feeder tee. j First branch circuit / 435.00 The installation is being made on property I own which is not Each additional branch circuit i $5.00 2 intended for sale,lease or rent. ae.Miscellaneous (Service or feeder not Included) Owner's Signature Each pump or Irrigation circle $40.00 Each sign or outline lighting _ $40.00 _ 3. Plan Review section (if required):' Signal clrcult(s)or a limited energy panel,alteration or extension $40.00 _ N Minor Labels(10) i It 100.00 Please check appropriate item and enter fee In section 56 �- 4 or more residential units in one structure 4f.Each additional Inspection over ~ Service and feeder 225 amps or more the alloweblR 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 as described In N.E.C.Chapter 5 In Plant $55.00 w "Submit 2 sets of plans with application where.any of the above apply 5. Fees: S Not required for temporary construction services. 5e.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of line 6e for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reaulred(Sec.3) $ NOT COMMENCED WITHIN 160 DAYS,OR IF r,ONSTRUCTION OR WORK su otsl $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY lErT TIME AFTER WORK IS COMMENCED. Trust Account N _ Total balance Due $ Pi e a st 7 1-MSMELC96 Apr nev 91" CITY OF TIG „ R D MECHANICAL DEVELOPMENT SERVICES PERMIT PERMIT ##. . . . . . . : MEC97-0183 AUMM& 13725 SW Hai.Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 06/09/97 PF-iRCEL: IS134AC-07200 SITE ADDRESS. . . . 10898 SW 111TH AVE SUBDIVISION. . . . : JEFFREY ESTATES ZONING: R-4. 5 FID BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :005 JURISDICTION: TIG ------------------------------------------------------------------------------------------ CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . : R3 VE14TS W/O APPL- 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL 0-3 HP. . . . : 1 DOMES, INCIN: 0 :GAS 3-1 S HP. . . . . 0 COMML. INCTP; ; 0 MAX INPUT,, 0 BTU 15-30 HP. . . . . 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 12VI-50 HP. . . . : 0 WOODSTOVES. . : IL GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. 5F UNITS---------- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K BTU: o 10000 cfm: ID GAS OUTLETS. - 0 FURN ) =100K BTU: 0 > 10000 cfm : 0 Remarks : Installing exterior air conditioner. Must not be placed in 5 ft. side or rear yard setbacks. Owner,: FEES --------------- ' LYI..-E REESE type amoi.tnt by date r,ecpt 10898 SW 111TH AVE PRMT $ 25. 00 B 06/09/97 97-295674 TIGARD OR 97223 71CT 3 1. 25 B 06/09/97 97-295674 Phone #: Contractor,: -------------------------------- MILW')UKIE HEATING & COOLING 9961A HWY 212 CLACKAMAS OR 97015 Phone It: 557-5562 $ 26. 25 TOTAL Reg #. . : 104102 ----- -- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Cooling Unt Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection 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 sore than 180 days. Li D,-A.t l.we :0 Permittee Si Issued By : k3A41tLhzAc:vL-- Call for- inspection 639-4175 L— Plan Cnec _ CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd i _ TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST_ Print or Type Permit NMI`_' Incomplete or illegible applications wife not be accepted Called Name hvebpme Pro a Description (- Table to Mechanical Code QTY PRICE AMT _ Job Street Address Sudea A) Permit Fee -0- -0- 10.00 Address W, Bidga .d;state Zip 1.) Furnace to 100,000 BTU 6.00 7,�x,y Oxu�aj including duds&vents Name(or name of busne 2.) Furnace 100,000 BTU+ 7.50 OwnC• ! including duds&vents Mai g Addross 3.) Floor Furnace 6,00 1 qS,� U' including vent Cnyis ate Zlphone 4.) Suspended heater,wall heater 6.00 &9J - ys or floor mounted heater N (or name of business) 5.) Vent not included in appliance permit 3.00 Occupant Mailing Address 6.) Boiler or comp,heat pump,air Gond. 6.00 to 3 HP;absorb unit to 100K_BUT- Coy/State Zip Phone 7.) Boiler or tomo,heat pump,air Gond. 11.00 1 3.15 HP;absorb unit to 500K BTU" Contractor Na'ne 8.) Boiler or comp,hent pump,air cond. 15.00 (Prior to ,,Wc A ; .6- K 15-30 HP;absorb uni+..5-1 mil BTU" issuance ailing Address 9.) Boilrer or comp,heat pump,air Gond. 22.50 applicant 30-50 HP absorb unit 1-1.75md BTU" must provide all Crryrstate Zip Phone 10.) Boiler or comp,heat pump, air Gond. 37 50 contractor A/4 ) 4 = ;'Sl-5Sh >50 HP:absorb unit 1.75 mil l3TU" _ license Oregon Const.Cont.Board Lic r Exp.Data 11.) Air handling unit to 10,000 CFM 4.50 information (/6� 7 / C L _ for COT COT Business lax or Metro a Exp Data 12.) Air handling unit 10,000 CFM 7.50 database). Architect Name 13.) Non-portable evaporate cooler 450 or Mating Address 14.) Vent fan connected to a single dud 1- 300 Eirginerer CityrStata zip Pnonr 15) Ventilation system not included in 4.50 _ appliance permit Describe work New O AdditioAlteration O Repair n 16.) Hood served by mechanical exhaust 4.50 to be done ResidenUaP Non-residential O Additional Description of work 17) Domestic incinerators 7.50 ?? 18.) Commeraal or industnal type 3090 Incinerator xisttng use of _T 19.) Repair units 4.50 building or propertyn di1 f- � 20.) Wood stove 4.50 Proposed use of 21 ) Clothes dryer,etc. 450 building or property 22.) Other units 4.50 h- U Type of fuel-oil O natural gas LPG O electric O 23) Gas piping one to four outlets 2.00 i-- I hereby acknowledge that I have read this application,that the 2n) More than 4-per outlets(each) .50 information given is correct,that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon State QTY.SUBTOTAL LL; laws A __- -.� Signature of Owner/Agent Date 'SUBTOTAL CD 5%SURCHARGE Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL TOTAL Z� 1:ldst4nechpmt doc (rev 9 'Minimum permit fee is i25+5%surcharge "Residential AIC requires site plan showing placement of unit. CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT 13125 SW Hail Blvd.Tigard,Oregon 97223.819 0 _( 3)483Q4 71 PERMIT #. . . . . . . MST9 4-2045 F3)4 DATE DATE ISSUED: 02/1 :1/94 PARCEL: IS134AC-JE003 SITL. ADDRESS. . . : 10898 SW 111TH AVE SUBDIVISION. . . . : JEFFREY ESTATES ZONING: R-4. 5 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003 ---- BUILDING REISSUE: DWELLING UNITS: 1 BASEMENT.. . . . . . . . :0 Sf CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . .484 sf TYPE OF USE. . . :SF FLOOR AREAE•---••_--_-___- REQUIRED SETBACKS---------_TYPE OF CONST. :5N FIRST. . . . : 1060 sf LEFT. . :5 ft RIGHT. :5 ft OCCUPANCY GRP. :R3 SECOND. . . :87 S f FRONT. :20 ft REAR. ., : 15 ft S TORIES. . . . . . . :2 THIRD. . . . :I0 s f RED.UT HEIGHT. . . . . . . . ..28 ft TOTAL-------: 1935 S SMOKE DETECTORS. :Y FLOUR LOAD. . . . .40 ps f VALUE. . . . . $ : 977 _2'' PARKING SPACES. . : 1 Remarks : PATH 1 PLUMPING SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW 1:)REVNTRS. . :O LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :O TUB/SHOWERS. . . . ::3 LAUNDRY TRAYS. . .. : 1 CATCH BASINS. . . . . . . :0 WA TL-R CLOSETS. . :.3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0 WASHING MACH. : 1 SF RAIN DRAINS. . : 1 MECHANICAL _______.___.___.__.__....__.._._--_---__-....___...__ FEES FUEL TYPES-__...._____...._.._ UNIT HTRS. . :0 type amor_int by date recpt /VAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 JF 02/11/94 MAX INPUT:0 BTU VENT FANS. . :4 BPRT $ 42 7. 00 JF" 02/11./94 - PORN ( 100K . . : I HOODS. . . . . . : 1 EtPLC $ 277. 55 JLH 01 /04/94 94 FURN ) =100K . . :0 WUODSTOVES. :0 BSPC $ �_1. 35 JF' 0_'/11 /94 - FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JF 02/11 /94 - BOIL./CMP ( .3HP:0 OTHER LIMITS: 1 PARK $ 500. 00 JF 02/11/94 _ GAS OUTLETS: 1 MPRT $ 43. 50 JF 02/11/94 - Owner: -__.___________._.______.______._______.._MF'LC $ 1O. 88 JF 02/11/94 - JESS ALWA'Y MSPC $ 2. 16 JF 02/11/94 - 24300 SW STAFFORD 13D PF'RT $ 155. 00 JF 02/11/94 PSPC $ 7. 75 JF 02/11 /94 - TUALATIN OR Phone #: 638-0718 Cont Tact or-: ------_-_-_-._------------------ JESS ALWAY INC 24:300 SW STAFFORD RD TUALATIN OR 97062 Ph on n 0: 503-638--0718 J Reg #. . 3902 7 $ 3245. 21 TOTAL This permit is issued subject to the reg atrons c6 ain in the -------- REQUIRE[) INSPECTIONS --------- Tigard Municipal Code, State of Ore. Spe ialty Codes an al other Foot/fol_tnd Insp Fireplace Insp applicable laws. All Mark will be done i car N ap roved Post/Beam Struct Gas Line Insp plans. This permit will expire if work not rt d hin 1 Post/beam Mechan Insr_Ilation Insp days of issuance, or if work is susp d o a ti ys. F'lm/undslab Insp Gyp Board Insp FILM/Underfloor, Rain drain Insp Permittee Signa tur,e�: Mechanical Insp Water Line Insp 7 Pl �Imb Top Out Appr/Sdwlk Insp ISSI-led By : ._. ____ �_ _ Framing Insp Mechanical. Final CITY OFTIGARD COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF 13125 SW Hall Blvd.Tlgard,Ortgon 97223*B199 (503)639-4171 OCCUPANCY ,c ,c;(A PERMIT #. . . . . . . . MST94- -00 639-4171 DATE ISSUED: 11/23/94 PARCEL: IS134AC-07200 SITE: ADDRESS. . . : 101398 SW 111TH AVE SUBDIVISION. . . . : JEFFREY ESTATES ZONING:R--4. 5 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :005 ........------ CLASS OF WORK. :NEW TYF:.*,Fi OF USE. . . :SF" OCCUPANCY GRP. .- R3 OCCUPANCY LOAD 228 4 TENANT NAME. . . Remarks : PATH I Owner,: JESS ALWAY 24300 SW STAFFORD RD TUAI-ATIN OR Phoiie #: 638--0718 Contractor : JOSS Al WAY INC 24300 SW STAFFORD RD TUALOTJN OR 97062 PhOTIP #: 51213-638-0718 Reg #. . s 59027 Occl,pancy of the above referenced bUilding is hereby given, and certifi, the compliance with the State Of Oregon Specialty Codes for the gro,-1p, occl.tpancyl and LiBe underwhich the referenced permit War, JSSLled. ✓ VA BUILDING INSPECTOR ............ BUILDING OFFICIAL PW'T IN CONSPICUOUS PLACE LO INSPECTION NOTICE City of Tigard Building Department 131.25 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-4-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ __ -- ---- - Footing plbg. Underslab Mech tough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line PINAI.{ Post/Neem Struct. San. Sewer Framing Poet/Beam Mech. Rain Drain Insulation -Plumb.. i Plbg. Underfloor Water Li a Gyp. Bd. Date Requested: ( ` Time= AM PM C� 1 Address:I O.Q / �� y�� ' y� Permit #: / G Builders THE FOL NO CORRECTIONS ARE REQUIRM � 123 C, \AA� V) LLj 2 /'�. _�,_ Dat.e 3 9 q - Inspector!, / RPPFA)VMD DISAPPROVED APPROVED SUBJECT TO ADM �, Call Por McLamp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 fir' Inspection Line (Rec-O-Phone): 639-4175 B,ninesa Phone: 639-4171 Inspection.-__ Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation Tug)- � Plbg. Underfloor Water Linee / Gyp. Bd. -Hoch. Date Requested: / I /'� - )/ I!zG^{.� _,_Times AH PH Address: :] / !1 _Ll/ Permit is 7e/-00q2 nulider:_ 63 4�— 7/4? � C] �— Y THE POLLO64N CORRECTIONS ARE REQUIRED: Inspector//:'-'' Date: tov jam— 1►PPROVED DISAPPROVED APPROVED SUBJR TO ABOVE --Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone: 639•-4175 Business Phone: 639-4171 Inspection-._--_`-_-____-�- -- Footing Plby. Underelab Mach. Rough-in Appr/Sdwlk Found. P1bg. Top Out Gas Line !! NAAL Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation Plbr. Underfloor Water Line Gyp. Bd. -Mech.' / Date Requested: �_ PM f/►� ///y �-- - Addre es s ► • / 'Permitt #2 OD�� Builder: l THE RO ING OORRECTIONB ARE QUIRED: __L/Ili TT��(L,• vv P �/� �! - 1 ��✓" tet" 2U 3� l kL f1: LD J LD a �` J Inepectori Dates _C/ APPROVED __,,f-VrsAPPROVRb APPROVED SUBJECT TO ABOVN - " Call For Reinsp. INSPECTION NOTICE City of Tigard Building Departzhont :3125 SU Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Businese Phone: 639-4171 Inspection: Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Lino FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Ineulatio-. -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested: Time: _/_A/M�/� S PM Address:_ Permit Builder:__ TIIE FOLLOWING CORRECTIONS ARE REQUIRED: Ov 14 A. LL) 4r �,-c Z.o tQ "_` inspectors_ __APPROVED _ Lee-6I SAAPPPROVED —_ APPROVED SUBJECT To ABOVnS Call For Reinsp. INSPECTION N( -ICE / City of Tigard Building Department V .3125 SN Bell Blvd. Tigard, Oregon 97223 inspo,,tion Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. TOP Oct Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested: Times /� AM PM Addrenss Permit is G A—V d 4 Builder: THE 11OLLOWING CORRECTIONS ARE REQUIRED: - Jr� Inspector: Detet 4—_ APPROVED , &,--DISAPPROVED APPROVED SUBJECT To ABOVE �'� -call For Reinsp. -------------- INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 539-4171 Inspection: _ __ Footing Plbg. Underslab Mech. Rough-in Appr/ Awlk Found. Plbg. Top Out Gas Line PINAL. � Post/Beam Struct. Sen. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation (-limb. Plbg. Underfloor water Line Gyp. Bd. -Mech. Date Requested: 1 \' \ _ __Times AM FGM Address: ri( SlJ\� 1 1 Permit t:C `J U THE FOLLOWING CORRECTIONS ARF REQUIRED: i r� M N H 07 r. LSI J I do Inspector '/ -- Dnte:-�_-1�� i APPROVED ___ n1sAPPROVED APPROVED SU&?ECT TO ABOVE /_ call For Reinap. INSPECTION NOTICE City of Tigard Building Department. 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections — - Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Forsnd. Plbg. Top Out Cas Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Meeh. Date Requested: �- e7 LL( Time: AN _PM Addresa:_JOS d _CPdrmi �: --�-C� Builder: E�S r tl-��t� �c3O C --- THE FOLLOWING CORRECTIONS ARE REQUUII�R��ED. A4a I/- - t bates 0 ----APPROVED - DIS�APPPPROVED APPROVED SUBJECT .:, ABOVE Call For Reinsp. IyNSPECTION NOTICE City of Tigard Building Department 13125 SN Hall B1v11_ 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. Post/Beam Hech. Rain Drain Insulation -Plumb. Gyp. Bd Plbg. Underfloor hater Line .\) -Hach. Date Requested: � � � I _TimNew.( AM ._-_PH Addrens: L.� ( _ Permit)/: (- Builderx �,2 l « THE FO ING CORRECTIONS ARE REQUIRED: F-- N 1— J D] C0 L0 L-� Inspector: _ Dates,/ ��_ "PROVED DISAPPROVED APPROVED 87BJECT To ABOVE Call For Reinep. INSPEC"1ION NOTICE City of Tigard Building Department 13125 SH Ball Blvd- Tigard, Oregon 97223 Inapection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ Footing Plbg. Underalab Hoch. Rough-i❑ APpr/Sdwlk Pounr. Plbg. To,,) Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. P,)st/Beam Mech. Rain Drain Insulation -Plumb. Plhq. Underfloor Water Line Gyp. Bd. -Mech. Date Requeateds 7 - �� C/y Time: T -AM PH Addrens: O d t� Permit51: TIM FMJ G CORRECTIONS ARE REQUIRED: rV - C;cvrNo i�,1��a D 11211X ,v0,176�2 AUT /Vorfi4 S/OK 01= -- ,� Inaptactort/ t� (.i �7----- ---- _— Datfal-4 - — APPROVlD —_- DISAPPROVED APPROVED SUBJECT' TO 1t1�V8 __Call For Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 Sw Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639•4175 Business Phone: 639-41711 Inspection: Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line G�,/Gyp. Bd. -Hoch. Date Requested: 7- / 7 Timer AM PH 11_5 Address s �I -7 d//yy �s1 PPermit �t s nuilder: �ss C�L�� 1 (�V O y t l i� d THE FOLLOWING CORRECTIONS ARE REQUIRED: it Inspector: - - _-_---__ _ Date: / Q� - APPROVED DISAPPROVED APPROVED SUBJECT TO ADM —call For Reinep. INSPECPIOM NOTICE City of Tigard BL11 ling Departisent 13125 OW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)t 639-4175 Business Phone:J6399-,4417711 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Round. Plbg. Top Out Cas Line FINAL- Post/Beam Struct. San. Sewer =rr—in ) -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water LLine, Gyp. Rd. -Mach. Date Requestedt 7 d y Ti m et AM PM Er Address: `�J f�A) �l e �} �� ~ Pet�mit71? �7�� - � / Bt 11dar: S S C G�J�C/ �p � 0 /� 1 Oj TM FOLLOWING CORRECTIONS ARE REQUIRED: Y F.. F� G] �1 J Inspector: Date //} -- ----_.._---- -- Date: Y APPROVED _i DISAPPROVED ^^ APPROVED SUBJECT TO ABOVE. Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 aA Ball Bled. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639--4175 Business Phone: 639-4171 Inspection:— Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINAL: Post/Beam struck. San. Framing -Bldg. lie Post/Beam Mech. Rein Drain i" Insulation -Plumb. Plbg. Underfloor or Line Gyp. Bd. -Mech. Date Requested: y-' I F / Time: �-�71M ` PM AddressAING Permit #:._g - Bull r: _ �b THE FOLRECTIONS ARE REQUIRED: i Inspector• _ _____. Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. INSPECTION NOTICE City of Tigard Bui.lding Department 13125 SIM Ball Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections_ Footing Plbg. Underelab \tech. Rough-i._ A Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- Poet/Beam Struct. San. Sewer {reminq� -Bldg. Post/R, m Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. nate Requested: G _� T �C�"f ,Times AM ___PM Address: O C7 O _ Petmit Builders V Q S � ", cam' 4 ( �— 1 THE POLLONINO oDRRECTIONB ARE REQUIRED: 1 L- '7r-•r'-fes._ � o_.r- eel 4A11- r t"^ k1-1 _ AeA LOT U } C S .� sr, s -07 JAZj jjs s4?Ck V\/\ (2 G �— 12, , G t Inspector• ,_d " / "� �-- Dates APPROVED ISAPPROM "PROVED 800JECT TO AWVt --lee'all Par Rninop. INSPECTION NOTICE V City of Tigard Building Departmen': 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plhg. Underfloor Water Line Gyp. Bd. -Mech. 1/ -- 1 C, Ci Date Requested: Time: q AM PM Address: "� 4 ` Permit Is I Do ei'!� Builder: A 'e S THE FOLLOWING CORRECTIONS ARE REQUIRED: co Inspector: � Dates A APPROV$D "r) ;APPRnVRD APPROVED SUB.lECT TO ABOVL —.—Call For Reinsp. INSPECTION NOTICE V City of Tigard Building Department / 13125 SW Ball Blvd. Tigard, Oregon 97223 InspectJon Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough �in/ Appr/Sdwlk Found. Plbg. Top Out Cae Lin \ FINAL: poet/Beam Struct. San. Sewer Framing -Bldg. Aust/Beam Mech. Rain Drain Insulation -Plumb. rlhy. Underfloor Water Line Gyp. Bd. -Mach. DAte Requested: 1� Time: _AH _PM e Address• ' (, ( Permit 1: Builder: Z THE FOLLOWING CORRECTIONS ARE REQUIRED: Inapertors _"PMMD DISAPPROVED -_. APPROVED SUR.TrrT TO ABOVE Call For Reinnp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing P1bg. Underslab Mech. Rough-in Appr/Sdwlk Found. ,�Plbg. Top Out Can Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Past/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line�j Gyp. Bd. -/Mech. Date Requested: -4 K _~ 1 ` __Time: 11- AM n_ PM Address:�1 � ` 1 1 Permit 1:� 4� C)al Cl Builder:��> ��W r_" THE FOLLOWING CORRECTIONS ARE REQUIRED: �. , _z - Inspector ------ _—_ -- --- -y bats: APPROVED DIS VED APPROVED SUBJECT TO ABOVE Call For Reinap. INSgEECTION NOTICE � G City of Tigard Building Departatnnt .13125 Sri Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-1Phone): 6'.3,9�-44175 Business Phone: 639-4171 Inspection:, t Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldy. Poet/Beam Nosh. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater/ (LineGyp. Bd. -Hoch. Pate Requesstedst ll L(- 1 - C� I -_,_ -Ti.u:e: AM (/ PX Address: I C) l U I I I0- I Permit f:VkS`�Lf--4 /qy Builder: 55 THE FOLLOWING CORRErTION3 ARE REQUIRED: InspectorsA Date: APPROVED DISAPPROVED "PROVED SUB.JE. r To ABOVE �/, Call For Reinap. _INSPECTION N0TI_CF City of Tigard Building Department 13125 SW Ball Blvd- Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 9-4171 inspections__.__ T 1 V\ 7 Footing Plbg. Underslab Meeh. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINAL- Poet/Beam Strutt. . San. Sewer Framing -Bldg. Post/Beam Math. Pain Drain Insulation -Plumb. Plbq. Underfloor water Line Gyp. Be. -.Meth. Requestede J� I I __Time: AAM _ PM q8: A A1111 tJ�`�`6 I l o v Permit i, (/��T (1/L_mqL} TIM FOLLOWING CORRECTIONS ARE REQUIRED: ZvInspector: _ Dats� / PROVED _- DISAPPROVRD __ APPROVED SUBJECT TO ABOVE —Call For Reinsp. _ , Oregon 9 Inspection I,Lne (Ree-0-Ph 39-4175 !Bu iness Phone: 639d4 Lnupection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line PINALs Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Flog. Underfloor Water Line Gyp. Bd. -Mech. Mite Recpiested:_[ 7 t' _Timet ` � ` AM PM n� d'"89t 1 V rJ LIJ I ( Permit 1I ,` QQ1 Rbillder: D - Sr7 �S3P �b7 THE FOLLOWING CORRECTIONS ARE REQUIRED: rr r J CD LL) J Ins�r_tor pate:- ��'T-_ f .�., ------------------.. /A_ APPROVED � DISAPPROVED APPROVED SUBJECT TO ABOVE __Call For Reinsp. INSPECTION NOTICE Citq of Tigard Building Department 1112 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspoction:—_ Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: .lost/Beag_,St��.)I',,+San. Sewer Framing -Bldg. _— (ost/Beam Hoch. ' f Rain Drain Insulation -Plumb. Elbg. Underfloor Water Line / Gyp. Bd. -Mach. Date Requested: G I(I Time! AMPM Addrene: �f) I ( Perm/i-t #e M (��Tq Builder: c_k TNM FOLLOWING CORRECTIONS ARE REQUIRED: Lu t)--x-lc t VT- . 11 � cL YVNr-., 1L — — r Un XAc es J _ r, Inspectors __ ___ __ Dates_` M �� APPROVED I/DISAPPROVED APPROVED SUBJECT TO ABOVE r ) e--Call For Reinep. � c-L INSPECTION NOTICE \�u City of Tigard Building Department -- 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roe-0-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing_ Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found / Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Mech. inate Requested: Time: sI AM PM Address: I C`(,`1� I I+Y �\ Permit DVf itc� //� 1pt-M((9 1 Builder: I(`l'J \�� 1 SJR: - I / '1 r<)�z7 THE FOLLOWING CORRECTIONS ARE REQUIRED: �, // a �-e-r V (tee p L-,� a- -_---- 0 --,— LLJ � t Inspector: Date: Z I �1 "PROM DISAPPROVED APPROVRD SUBJECT TO ABOVE �� Call For Reinsp. INSPECTION NOTICE Cit? of Tigard Building Department 13125 Be Ball Blvd. Tigard, Oregon 97223 Inopection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Inspection% Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Line Q Gyp. Bd. -Hach. Data Requesteddt( ` 1 �-r1 1 Times AM PM Address s 'U pei�it f s- oQ� Ruilder: THE FOLLOWING CORRECTIONS ARE REQUIRED%4-1,. V) 1 L `_; �•- desl, Inrprotors VE / _ Dates_? - I APPROVED DISAPPROVED V APPROVED SUBJECT TO ABOVR Call For Reinap. INSPECTION NOTICE City of Tigard Building Departaiont 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 IespsetLont — -- hoot Plbg. Underalab Nech. Rough-in Appr/Sdwlk Plbg. Top Out Gas Line FINAL- Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Hoch. Date Requested: 1 �_�� Ti:eet �a Yk d int PM Address: v ✓L. I t� PecaLt rt Builder: �I:ll/�1 ) /lA.u1l1/�Y / U l i/d� THE FOLLOWING CORRECTIONS ARE REQUIRED: ax J Inspector: - _ Date: - �C, APPROVED DISAPPROVED 'v,APPROVED 8UWzCT TO ABOVI /� - 2 Call For Reinap. CITY OF TIGARD SEWER CONNECTION COMMUNITY DEVELOPMENT DEPARTMENT F'ERM I T 13125 SW Hill Blvd.Tigsrd,Oregon 97223.8199 (503)839-4171 PERMIT #. . . . . . . : SWR94-0058 639-4171 DATE' ISSUED: 0Ci11/94 PARCEL: IS134AC—JE003 SITE ADDRESS. . . : 108913 SW 111TH AVE SUED!V I S I ON. . . . : JEFFREY ESTATES ZONING: R-4. 5 PI) BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003 ---------------------------------- TENANT NAME. . . . . : USA NO. . . . . . . . . . . FIXTURE UNITS. . . . CLASS OF W013K. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :SUSWH I MF'ERV SURFACE. . : : s f Remarks : PATH I Owner-: —_._._._-----__.___________.________----------.---.__-- --- - -- FEES ------•------ JESS ALWAY type amol.tnt by date r-ecpt C.4300 SW STAFFORD RD PRMT $ 2200. 00 JF 02/11/94 — INSP $ 35. 00 JF 02/11/94 — TUALATIN OR PF1one #: 638-0718 Corltr^actor-: -------------------------------- CON-rRACTOR NOT ON FILE Phone #: $ 2235. 00 00 TOTAL Reg #. . . --- ---_ REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Inspection 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 the .uracy of the ^ side sewer laterals. If the sewer i of ated t he measurement given, the installer shall prospe t 3 eet i ons from the distance given. If not so toated, he a 1 r al rchase a "Tap and Side Sewer" Permit ant n the il. al. ^_ Permittee Siynat .�rr Ln Call 11spe tion - 639-4175 J G] U' LC Ll L;JlY U` TWART) --- PHIAPT OF PAYMENT RFCE*IPT No, s94-24882*7 CHECA AMOUNT a 5P03. Pi 4 0 m I--' a JESS ALWY INI' U)SH AMUONT a 2'7. ON RE btS a PFIYMI--.NT DATE a VIPI 11/94 SURD I V 1.9.1 ON -,I iw ,f)H ' OF PAY*-'.NT AMMAN U F11411) PURPOS)EF 01— I:.IAYPIF.N r, f.IM(JlANF PAW kim-L)ING PERM W-3144-0044) 1210 VILIAMIAINO eo- t t 4AN I I.'AL P11- 4 3. 50 (70 . BUILD V+-M -1 1114 CHUX Ftt--' ..v4. 43 !-+.WF.H LJHs4 ski. WU 3,,. %AO PORKS SIA; .MmM DRAIN 911.; Iwo, 1HANS'11 t1f FFES j 10. 0%4 gjS914 SW tltll-1 AVE:, 0.-.FFREY I-ATAll".13, t..or 3 AM(IIINT PAID P BVI. It!i City of Tigard Residential Building Permit Application � 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 J,-0�� Jobsite Address: /0l�/ Subdivision: IR f f-� �5l1 XGc Lot* J Office Use Only Valuation PlancClRac # Permit#X5 �" C> _� Owner: _ Reimeof Address: Apnrovais Aequlred Phone: Planning tv' Engineering Contractor: E'SS W C� _ Other _ Address: _ 2,430o �S� u.�i �C- r� v ( mi `� U� Item. Required Subcontractors _ Phone: 1r Truss Details Contractor's License # Q o2 (attach copy of current Oregon license) Other Subcontractors: Plumbing: lv)e,l— Mechanical: A (attach copy of current OR Con actor's License) Lal' 3 0C -� Architect/Engineer: Address: LD Phone: COMMENTS: Applicant Signa r Received by: , Date Received: Permit # Account Descriptlon Amount Amt. Pd. Bal. Due jy(st�t/-o o q Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) �3•�Z 3 State Tax (TAX) -3/ Z 31, Z b Bldg: o7r 33' Plumb: 7 �� Mech: 4 � Plan Check (PLANCK) Bldg: S ' Plumb. Mech: 'r q o1) 5�� Sewer Connection (SWUSA) 2 2 vU j cn Sewer Inspection (SWINSP) _ Parks Dev Charge (PKSDC) QD & Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) J Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) ►— Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire District (FIRE) _ TOTAL';: 'GIT ' OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST94--004 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)039-4171 DATE ISSUED: 02/11/94 PARCEL: •1S134AC-JE003 SITE ADDRESS. . . : 10898 SW 111"111 AVE_ JUBDIV151ON. . . . : JEFFREY ESTATES ZONING: R-4. 5 PD S:�L..00K. . . . . . . . . . . LO'T. . . . . . . . . . . . . :003 CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1 TYPE OF __,c. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :0 OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . . WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 FIXTURES---_.__..___._._.._.__..____. LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0 WATER CLOSETS. . ::3 WATER LINE ( ft ) . . . . : 100 DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0 Remarks : PATH 1 OWNER: --- __..___________________._.___-- ---___--------_--- ..)LSS ALWAY TIF $ 1520. 00 JF 02/11/94 - +,300 SW STAFFORD RD BPRT $ 427. 00 JF 02/11/94 - BPLC $ 277. 55 JLH 01/04/94 94 1 1JALAT IN UR B5PC $ 21. :35 JF02/11/94 -- Phone #: 638-0718 SSDC $ 280. 00 JF 02/11/94 - PARI', $ 500. 00 JF 0211 1/94 - 1 MPRT $ 43. 50 JF 02/11/94 - /Jsru(,1 1 HPLC $ 10. 88 JF 02/11/94 - Name : l'L� MSF'C $ 2. 18 JF 02/11/94 - Addres s : �,$ t:_ PPRT $ 155. 00 JF 02/11/94 - Cit Llld�I' State : _ �7/ _ F'SF'C $ 7. 75 JF 02/11/94 Zips� y 7/_42-_ � Phone#: 603- bZs- R e g #: ------- REQUIRED INSPECTIONS ------- li i.s permit is issued subject to the reg - olations contained in the Tigard Municipal Foot /found Insp Rain drain Insp l;ode, State of Ore. Specialty Codes and all Post/Beam Struct Water, Line Insp other applicable laws. All work will be done Post/Beam Mechan Appr•/Sdwll< Insp in accordance with approved plans. This F'lm/undslab lnsp Mechanical Final permit will expire if work is not started PLM/Underfloor Plumb Final within 180 days of issuance, or if work is Mechanical Insp Building Final suspended for more than 180 days. Plumb Top Out Erosion Control Framing Insp Crawl Drain Fireplace Insp Gas Line Insp _, Insulation Insp G Y p Board Insp Authorised Mumbing Contractor Signature Call for inspection •- 639-4175 Contractor Notes : DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 COUNTY, ` 155 NORTH FIRST, HILLSBORO, OR 97124 �! PHONE: 503/640-3470 OREGON „ ^ INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 Permit # : 05051623 Project #: P0039314 Status APPROVED Page 1 of 2 Applied : 04,101/94 Issued 04/01/94 Expires 10/09/94 06/29/94 05 : 53 RESELEC Permit Title SFR -- ELEC/NEW HOUSE OTH Description Begun : 04/01/94 Job Address 10898 SW 111TH PL TI Owner Name INSFECTION - TIGARD Re,�iau Applicant !)fame NORTH VALLEY ELECTRIC Phone number 982•-5916 Valuation: CApproved Inspector Conon ts : Rejected IVR-RHES/ULT. v REQUEST ERROR! J r. J i Inspected b Inspection Requested * Final Electrical 06/29/94 RI PH DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 f� COUNTY, INSPECTION REOUESTS: 503/640-3561/693-4415 PHONE: 503/848-8781 OREGON Page : 1 of. 1 Date 04/11/94 Time 15 : 17 Permit Type Residential Electrical Permit Permit # 05051861 Permit Status APPROVED Applied 04/07/94 Situs Address 10898 SW 111TH PL TI Issued 04/11/94 Permit Title SFR - ELEC/ALL ENCOMPASING LV Completed Permit Descr. To Expire 10/08/94 Project Title SFR - ELEC/NEW HOUSE Project # P0039314 Project Descr. EROSION Parcel Number : 281TI - Land Use District Valuation 0 Legal Descr . Owner INSPECTION - TIGARD Construction OTH Applicant Name GARY ' S VACUFLO Classification : 900 Applicant Addr. : 9015 SE FLAVEL Occupancy Eta PORTLAND, OR 97266 Validated by KF Applicant Phone: 775-2042 Inspector Area CONTRACTOR : GARY 'S VACUFLO Lic . C 26-7280 775-2042 Fee description Units Fee/Unit Ext fee Data -------------------------------------------------------------------------- -- Limited Enteg%r/Alter./Extension 1 40 . 00 40 . 00 Subtotal Electrical Fees : 40, 00 State Surcharge of 5% 2 . 00 Total Electrical Fees: 42 , 00 *** Fees Required *** *** Fees Collected & Credits A ,A .k Method Check # Receipt No. Date Payment CK 9601 04/11/94 42 . 00 'T'OT'AL THIS DATE ********* 42 . 00 Fees : 42 . 00 Adjustments : . 00 Total Credits: . 00 Total Fees : 42 . 00 Total Payments : 42 , 00 Balance Due: . 00 NOTICE: This permit vo:,ymN null and void If:'.,?w»k or construction for which It Is Issued Is not commenced within 100 days. Once construction has started, the permit becomes null and void If cjns+r,c,tlon Is Interrupted for a period of 100 days. 1 certify that the Information presented by the applicant and his agent or agents In support of this pe RVI Is true and correct to the best of our knowledge. I acknowledge that the Building Department'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 compiled with whether or not specified on the plans or noted on the plans correctl,�n sheets. 1 acknowledge that the granting of a permit does not grant authority to access privets property or to use easements. 1 further acknowtedge that the use or occupancy of the structure or building permitted depends upon my calling for Inspectlons at various times during the process of construction and the building 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 satisfied and approval Is given by the Bu'dl,,g Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit Is issued specifying that the use or wuupsncy of the building or structure Is provisional and revocable until the sallslactlon of all Inspection requirements. APPLICANT'S SIGNATURE WASHINGTON COUNTY RESTRICTED Electrical rtment of Land Use & ansportation cal Inpectin Section 155 North First Avenue, #350-12 ELECTRICAL ENERGY Hillsboro, Oregon 97124 APPLICATION Inlormafion: (503)640.3470 Fax- (503)693-4412 PLEASE PRINT Please complete all sections, • • 5. Project Na. Permit NO�� 1. Location of Installation Label No._ Date �( Address Issued By / Office _ City 4d 4-1-4111 — zip Code 4. Type of work: 'Tax Map Map No. RESIDENTIAL Restricted Energy Fee $40.00 Thomas Map Book: Page Section (for all systems) Directions Check type of work involved: c Audio and Stereo Systems" Commercial El Residential ��-`"�� HO"rglar Alarm Tenant Name T6fephone systems" (if commercial) stage Wer Opener* This permit becomes null and void if the work authorized by the , e A permit Is not commenced within 160 days from date of Issuance Hra Alalarm ventilation and Air Conditioning Systems* of such permit or if the work authorized Is suspended or abandoned at any time after work Is commenced for a period of 180 days. -Vebuum Systems*. Electrical Permits are non-refundable and non-transferable. -Other 2. Contractor application: Electrical Contractor COMMERCIAL Foe for each system $40.00 Address �' (sea OAR 916-260-260) Date Job Num4pr. Check type of work involved: Property Owner'— ' -) Contractor's License. o. -_ �� BcilerControls Contractor's Board Reg. No. . /,I Pt-'_/ Clock Systems Phone No. `��J�� Data Telecommunications Installations Fire Alarm Installation 3. Owner application: HVAC Instrumentation Print Owner's Name Phone No. Intercom and Paging System Landscape Irrigation Co.atrol• Address _-" Medical Nurse Calls it aip Outdoor Landscape Lighting" This permit Is Issued under OAR 910,320-370. Tho oppi cant agrees Protective Signaling to maks only restricted energy Installotions(100 volt amps or Nes) Other under this permit and to do the following: 1. Only use electrical Ocensad persoas to do Installations when required. (Certain residential and other transactions ore exempt Number of Systems from licensing. These have asterisks 10). All others need Ikens- In 2 Call for on Inspection when ail the Installations under this permit *No licenses are required Licenses are required for all other installations ars ready for Inspection. Purchase*operate permlfs for all Installations that are not ready 5. Fees _ for inspection when the Inspector is out to inspect Linder this permit. Enter fees $ a Assume,nsponsibllNy for assuming that oil corrections requirod by the Inspector are done,and 5% Surchar a .05 X total above $ 5 Assume responsibility for calling for a final Inspochon when ail of g ( ) the corrections ars completed. The person sign) g mit must be the applicant or a person Total $ / � authorized I nt. Signature Space below reserved for validation. Authority if other than applicant For Inspections call 640-3561 or 693-4415 24-hour recorder,one working day In advwice of need 1 V92