14465 SW 114TH AVENUE ADDRESS:
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1:\reoordslmlcrollm\targels\building.doc
,.,IIY OF TIGARD
0 COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Orogun 9722398199 (603)639-4171 PLUMBING PEPMIT
PE.RM I T #. . . . . . . : rlt-Mc)C
79---417 DPTC ISSUEP. 00/15/95
SS. -'1.46'-- SW 1/01-1 PVE
;74 0 D -
r(L-
'20 T V IS I ON. . . . `XVLES ACRE-S ZONING% P-2
LOT. . . .. . . .. . . . . . . I t
I-ACME
YPE OF USE. . . . r SF t4PSHING Mnr"Fl. . . . . . . SACKr,-LOW PREVNTRS.
7 -.1ANCY Orr. . : ^ C7,11LOOR DRAINS. . . . I R A P . . . . . . . . . . . . .
"
. . . . . . . . WATER HU)TERS). . . . . . . Ui7CH DASINO. .
IXTU""7- LA,.LJNL1RY TRAY�33. . . . . . I Or` 1'r)INI DRAT�1,17;. . . . .
- 1x'- 1.-- -----' .-- - " .. I,
"NKS. . . . . . . . . . URTNALIPI- GREPSE TRAPS. . . . . . . .
)VATORICS , . . o'r, ,^i� r i X T UIR E.^% . ., . . ,.
M/8Irlowr7rili. . . . SEWER 1_INC (ft ) . . . . :
WPTUA-Z, ;-Mr-.' (rt-' . , . . , ;.
QATN DMIN (ft )
P I "'i a t e 1 71 e f c m r.)07 t v)- t C)
EES
I-L InINIPTON t y p f, k M 0'-.r! Fj y d--..A t e r,ecpf,
t465 SW I 14'"1-1 P'l PPMT x 20. 00 JSD 121-9/1-1195 913-8707:-,
0 P("T f-
TOM"D
it . 7-0 TOTAL,
REDUIRED TNSPECTIONS
A It fiiue4 .Aiijkc-t to Vt replations contained in the Weitei 1-iriP Trisp
;V1 Code, State cf D'-, Spl,,i4ty Codes arc; alt cihei- F rii.-0 T! o
'i�;pect i. y-i
:11-abls !,' s. 911 warp o+i'l be dare in accordance with
-'.raved pla -,. This pirvit will expire if oork is not started
Hr M dayt of im-tante, or if wo-k is suspended for ire
Lon
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CITY OF TIGARD BUILDING INSPECTION NOTiCE
Inspection Line (Rec-O-Phone): 639-A'75 Businoss Phone 639-4171
inspection: _&-YL-O,
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech, Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Posl/Beam Mech. San, Sewer Gas Line -Bldg.
Pibg. Underfloor Rain Drain Framing urn
Alarm Water Line Insulation Mech.
Undertlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �/ l�j `Time: AM PM
Address: I `/4' 1Z�Z 1?4A ---
Builder. 7 'f _�_u_�.l_-Permit #:d�?
THE FOL�-OWING CORRECTIONS A E R OUIRED:
--
In-4
ns ctor''---� ^Y^ fate:
PPROVED DISAPPROVED APPROVED SL BJECT TO ABOVE
Call For Reinsp.
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # 1='t rN 5
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
_N,'' New Single Family Residences Only
`u1°. 0 1 BATH HOUSE$140.00 C12 BATH HOUSE$195.00
Job
1) ,' 0t•1Sf✓ut ),- v C Cl3BATH HOUSE 5Z25.00
Address ur a.. no Fee includes all plumbing fixtures in the dwelling and the first 100 feet
of water service, _anitary sewer and storm sewer. See fees bniow.
wm•i« •m.o�so..... FIXTURES QTY PRICE AMT
/ Sink
9.00
""°"d°"' `""" Lavatory 9.00
Owner f r /(;- �� Tub or Tub/Shower Comb. 9.00
cowma" Z'0 Shower Only 9.00
1-4o rri - u L Watr,r C'„,aet 9.00
Z '"""'bulb") Dishwasher 9.00
r'1 �, �Crl Garbage Disposal 9.00
Occupant Mr AAW." ana. Washing Machine 9.00
�I j 1 �/� C Floor Drain 9.00
Water Heater 9.00
n,(
Laundry Room Tray 9.00
NOWAV ( Urinal 9.00
gyp' Other Fixtures (Specify) 9.00
Contractor Mod"Ad&M ahem 9.00
Jc
s.N., � -
9.00
_ 9.00
Sewer 1st 100' 30.00
4'bon coy an T""' Sewer ea. Addit. 100' 25.00
70 b Water Service 1st 100' 30.00
I hereby :.cknowledge that I have. recd this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30Ou
I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please _
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
Device or Anti-Pollution Device 900
`""'"'•'°""«""0'"" / Any Trap or Waste Not
he" �q CC- yvu�er l i n C �Yoi+7 Mme/ i /I J�'SA ��'� ) Connrcted to a Fixture 9.00
Describe work new Q addition Q alteration O repair Catch Basin 9.00
to be done residential V non-residential Q Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40 00/hr
Existing use of p I
budR
ding or property C'S 1 d Cn C le Rain Drain, single family dwelling 3000
Residential backflow prevention
devices 15.00
Proposed use of "-" - -
building or property S A M v,
- -�- '(Except residential backflow
prevention devices)
NOTICE *Minimum Fee $25.00 SUSTOTAL ✓`r
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 18C DAYS, OR IF 5% SURCHAF'GE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED ---- I ••- -
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25% OF S1.I3TOTAL
TOTAL JI
Special Conditions
Date issued ,v
jffSPEC7ION NOTICE
City of Tigard Building Departwient
13125 SW Hall Blvd. Tigard, Orogon 97223
Innpection Line (Rec-O-Phone)s 639-4175 Susineae Phone: 639-4171
Inspection: ___„_ -- -- ---- ---
Footing Plbg. Underslab eoh,>ough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line F':NAL:
Post/Beam Struct. San. Sewnr Framing -Bldg.
Pont/Ream Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line1 Gyp. Bd. -Mech.
Date Requested/: �� / T Time: AM PH
Address: C r�V's l 1�r� l Permitt)k(/. 5 y-0 J 2-
Builder: L ��3 L�-f
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:.{1
APPROVED DISAPPROVED APPR:NED SUBJECT TO ABOVE
For Reinsp.
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES ION
155 VORTH FIRST,HILLSBORO,OR 950
124
COUNTY,
INSP iCTION REOUESTS: 503/640-3561/693-4415
VIV i PH06!E: 503/N876761.0 --) 64U-3,170
OREGON Page 1 of 1
Ifs Date 08/04/94
Time 16 : 36
Permit Type Residential Electrical Permit Permit # 05056720
Permit Status APPROVED Applied 08/04/94
Situs Address 14465 SW 114TH AV TI Issued 08/04/94
Permit Title SE'R - ELEC/ONE CIRCUIT Ccmpleted
Permit Descr. To Expire 01/31/95
Project Title SFR - ELEC/ONES CIRCUIT Project # PU042771
Project Descr. * EROSION
Parcel Number 251TI - Land Use District
Valuation 0
Legal Descr.
Owner INSPECTION - TIGARD Construction OT11
Applicant Name WES'C SIDE ELECTRIC Classification : 900
Applicant Addr. : 7518 SW MACADAM AV Occupancy : R3
PUR'PLAND, OR 9'7219 Validated by KF
Applicant Phone: 245-3385 Inspector Area
CON'TRAC'TOR : WES1'SIDE ELECT. Lic . C 26-135C 245-33e5
Fee description Units Fee/Unit Ext fee )ata
------------------------------------------------------------------------- --------
1st branch W/out Feeder LEnter #] 1 5 . 00 35 . 00
Subtotal Electrical Fees : 35 . 00
State Surcharge of 51 1 . 75
'fetal Electrical Fees : 36 . 75
*** Fees Required *** *** Fees Collected & Credits ***
------------------------------ ------------------------------------------ ------
Method Check it Receipt
t No. Date Payment
'DEP ' 08/04/94 36 .75
TOTAL THIS DA'T'E ********* 36 , 75
Fees : 36 .75
Adjustments : . 00 Total Credits: , UU
Total Fees ., 36 . 75 Total Payments : 36 . 75
Balance Due: . 00
NOTICE: This permit becomes null and.gold If the work or construction I,)r which 11;s h,suod h not commenced within 180 days. Once construction has started,
the permit becomas null and vo:d If constructlon In Interrupted for a period r 1 180 d^iys. t certify that the Information presented by the applicant and
his agent or agents In support of this permit Is trwt and correct to the best r f our knowledge 1 acknowledge that the Building Department's reliance
upon fable and m!sleading In!ormatlon may Invallc rf r'his permit. All provisions of applicable laws and ordinances governin•-the construction and use
of this building or structure will be compiled with ehether or not specified on the plans of noted on the pians corrw;llon sheets. I acknowledge that
the granting of n permit does not grant authority to accens private property or to use easements. I htrthet acknowl,adge that the use or occupancy of
the structure or Itullding permitted depends upon m calling for Inspections at various IImes during the process o'construction and the bulid Ing
Inspection staff!wifying compliance with the vadot r codne Use or occupancy of the building or structure permitted prior to approval by the
Building Departr ient Is solely at the risk of the aplili:ent slid such use or occupancy Is revocable until all Inspection requi-ements are satisfied and
approval Is given by the Building Officlel. I fu Ther acknowledge that a Yen may be placed on the title of that property upon rhlch the permit IS Issued
specifying that the use or occupancy of the building or structure Is pmvlslonat and revor:able until the sah:,tacuon of all Ins�wflon requirements,
APPLWANT'3 Slr.:IATURE
v a-"W
WASHINGTON COUNTY ELECTPICAL PERMIT
' Department of Land Use & Transportation
Electrical Ins,)ection Section
155 NortFirstHillsbo oh OregonVe97124 350-12 AP P LI CAr al0 N
Information: (503) 640-3170 Fax: (503) 693-4412 �62
Permit
PLEASE PRINT -- III I Number _ Date
e 4. Complete Fee Schedule below
1. Location of installation Number of Inspections per permit allowed
Address-Z_111'ez6E_ Slv� �K Service included: Items Cost(ea.) Suln
Building A. Residential- per unit
City_ZZ Suite No.
1000 sq.ft.or loss _ $110.00 — 4
Tenant Name Each additiona 500 sq.ft
lif commercial) _. — or portion tholoof $25.00 —
Limited Energy $25,00 — 1
Map No._— —Tax Lot — Each Manuf'd Home or Mod alar
Dwelling Service or Feeder _— $68.00 _ 2
Thoma, Map book: Page: Section:__
Directions__--- _ -__ B. Services or Feeders
-- -- — Installation,alterations or relocation
21110 amps or lass _ $60.00 __ __— 2
Commercial ❑ Residential C 201 amp-,to 400 gimps $80.00 _ 2
401 amps to 600 amps $120.00 _ 2
2a. Contractor i s all tier, Q 1 601 amps to 1000 amps -- 1180.00 — 2
J• Over 1000 amps or volts _ $340.00 2
Electrica' Contractor Reconnect only $50.00 _ _ 2
Add ess 7 a C
Date b umber11eL&L 7.21� C. Temporary Services or Feeders
Property Owner /1� — Installation,alteration or relocation
Contractor's License No. Z6 -/ 200 amps or less $50.00 2
Contractor's Board Reg. No. _ 201 amps to 400 amps $75.00 _ 2
401 amps to 600 amps $100.00 _ 2
Signature of �;u r. lec'n z
Over 600 amps to 1000 volts see'e•above
License No. Z o. 2 ZS - 32 D. Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or feeder tee,
rf'int Owner-- s�Jsme Phone No. Each branch circuit _— $5.00 2
b) The fee for branch circuits without
Address -- — —-- "— purchase of service or feeder fee.
First branch circuit $35 00 _ . ._ 2
City — Slate Zip Each add'nl branch circuit_— $5.00
E. Miscellaneous (Service or Feeder not included)
The installation is being made on property I own Each pump or irrigation circle—__ $40.00 —__ 2
which is not intended for sale, lease or rent. Each sign or outline lighting $40.00
Signal circuit(s)or a limited
Owner's Signature — __ _ _ --__-- energy panel,alteration
or extension _ $40.00 —__ 2
F. Each additional inspection over the allowable
in any of the above
y 3. Plan Review section (if required) Per inspection _ $35.00
Please check appropriate Item and enter fee In section 5B. Per hour $5500
In Plant $55.00 _
4 or more residential units in one structure
Service and feeder, 800 amps or more .5. Fees
LL System over 600 volts nominal A. Enter total of above fees $ _-
_Classified area or structure containing special 5% Surcharge (.05 X total fees) $ _—�-�-
ocrupancy as described in N.E.C. Chapter 5 Subtotal $
Submit p sets of plans with applicationB. Enter 25% of line A for
where any of the --
above apply. Not required foror temporary
Plan Review if required (Section 3) $
services. ry conatructlon $Ubrorcll $ _
Less Bulk Label Fee $
Balance Due $ �---
For inspections call This permit becomes null and void It 14s work authorized by the permit Is not commenced
540-3561 or 693-4415 within 1!0 drys from date of Issuance of such permit or it the work Whorl"Is
wsponded or abandoned at any time after work Is commenced for a period of 100 days.
24-hour recorder, one working day in advance of need ElectrlealpnmHsor*non refundable and non transferable
4/94
A�
MECHANICAL
"r
-07Y OF TIGARD PERM I T
PERMI #. . . . . . . : MEC94-02c'-*:-7
COMMUNITY DEVELOPMENT D4_PAF1TNNT DATE ISSUED. 08/11/94
,3125 SW Hall Blvd.Tigard,Oragon 9722398199 (503)639-411711
PARCEL: 2(3110AB--02500
SITL ADDRE'E' . . . : 1446"J SW 114TH AVE
SUBDIVISION— . : COl.ES ACRES ZONING: R-2
BLOCK. . . . . . . . . . . LOT'. . . . . . . . . . . . . : 11
CLASS OF WORT-,,. . :114EW FLOOR FURN. . . . EVAP COOLERS:
TYPE* OF USE. . . . :5F UN IT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :R� VENTS W/O ADPL: IJENT SYSTFMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS f 1OODS. . . . . . . :
FUEL TYPES--.-------_–_....._ 0-3 HP. DOMES. INCIN:
/GAS/ 3-15 HP.
COMML. INCIN:
MAX INPUT: BTU 15-30 Hf-1. . . . : REPAIR 11NITS-
,r- IRE DAMPERS?. 30-50 HP. . . . WOODSTOVES. . :
GAS PREIS)SURE. . . 50+ HP. . . . CLO DRYERS. . :
140. OF UNITS------- AIF. HANDLING UNI'15 OTHER UNITS. :
!=URN ( IVJ16K BTU: 1 (:= 10000 CfM : J. GAS OUTLETS. : 1
TURN ) =100K BTU: > 10000 cfm :
Reipat-ks : INSTALLING FURN AND AIR
Owner: -------------------------------------------------- FEES
HAMPTON type amount by date v-e(-.,pt
14465 SW 114TH PL PRMT $ 25. 00 BLF 0B/11/94
5PCT $ 1. 25 BLT 08/11/54
TIGARD OR 97w24
GIhclne #:
Cunt r,Pjctor`: _._.____._ _---__----..-.____-----.--
CLIMATE
------------Cl-imwrc CONTROL HTC & A-C
3315 NW 26TH AVE
PORTL-AND OR 97210
Phone #: 223-4,393 $ 26. 25 TOTAL
Req #. . .- 62196
--- REWIRED INSPECTIONS
This permit is issued subject to the regulations contained in the F=inal Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicible laws. pill 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 1810 days.
Call for- insper-tion 639-4175
City of Tigard M EC -IAN ICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit # Al - 0.?
PO Box 23397 " Si
Tigard, OR 97223
(503) 639-4171
N_W Dww.fm. escription
7ablo 3A Mocnanical Cork+ I CITY PRICE AMT
.M 1
Job i- L-1 l 1) Permit Fee -0- -0- 10.00
Address ^�
2) Supplemental Parrnit 3.00
Furnace to 100,000 66--
1) incl. ducts&vents 1 6.00 1C�,
...o ,.. urnaco b79
Owner 2) incl ducts& vents 7.50
... Floor Furnance
3) incl. vent 6.00
.... uspende e:.tor,wall eater
4) or floor mounted healer 6.00
'LaJ.q � �� � , Vent not incl. in
Occupant C-r. 5) appliance permit 3.00
,�.,. LIPepair of eating,re ng.
6) cooling,absorption unit 6.00
or or or ccmp, heal pump,air con
7) to 3 HP absorp unit to 100K BTU 6 00
..., —" W» or or or comp, oat pump,air cont)-
6) 3-15 HP absorp unit to 500K BTU 11.00
Contractor ■„ n a Boiler or comp, Meat pump,air cond.
9) 15 30 HP absorp unit.5-1 mil BTU 1500 ^-
,.,. ...�. [or er or romp, heat pump,air con .
�%�r l ~r•• 10) 3050 lip absorp unit 1.1.75 mil BTU 22 50
There y'Tac uT—m edge that I have road ttus application,that the Boiler or comp,hoat pump,all con
information given is correct,that I am the owner or authorized agent 11) > 50 HP absorp unit 1.75 mil BTU 31.50
of!ire owner,that plan: submitted are in compliance with State Air handling unit to �
laws,that I am registered with die Construction Contractor's Board, 12) 10,000 CFM _ 4.50
chat Ihs number given is correct. (If exempt from State registration, it han3nq unit
ploace give reason below.) 13) 10,000 CTM 7.50
Non portable
1.1) ovaporato cool(,r 4,50
-- Vent an connects
15) to a single duct _ 3.00
entdeuon system not
u L _ 16) included in appliance permit 4.50
•,T a " -ff6od served by
17) mechanical exhaust 450
oscn wor new Oaddition U al
tarahon 0 repair Commara:il or rndust•ra
to be done residential Q non rasidential Q 18) type incinerator 3000
_xrsQng use o ther i o,woo stovo,water
building or property 19) heater, solar, clothes dryers,etc _ 450
r
Proposed use of 20) Gas piping one to four outlets 200
building or proporty _
21) More than 4 per outlet .50
Type of fuel oil Q natural gas O LPG 0 electric Q
an _t
cD O _`F CIG
LL) �1�luhimum L
Fee$2500 'UBTOTA � lr
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DA f S.OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED
TOTAL
Special Conditions —
Date issued by
1.IAr{1/PMT
n