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14921 SW 116TH PLACE SSW j&oN J i:W-cr Js\mlcrollm\tatgelsVwi(ditig.doc J CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: p q - 9 - (/ 7 A.M. P.M. MST: Location: �� / S L LSC j�L �J�_ ---- ` --- BUP: -- Tenant: Suite: Bldg: NEC: Contractor. � �ti'1,�„ - �� Phone: 1 - ,,3y)-0 PLM: (. G 7 L L w Nione: - — F-32-5 ELC: / 7`Ca-Zc?^ f ELR: ��.�,-s'—,' SU — BUIL DING BLDG(coni) PLUMBING MECITANICt.L - C ELEC'T'RICAL ; SITE Site Post/13 Postfl3eam Post/13eatn Com v�r7Servtc'c Sewer/Storm Footing Roof lJndl'VSiab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line RougTi-Tn ' UG Sprinkler Foundation Insulation Sewer Hood/Duct - ccolmect Vault Bsmt Damp Drywall Storrs Furnace Temp Service MIST, Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I feat Pump Low Volt _ Approved Approved Appioved proved t Approved Appr/Sdwlk Not Approved Not Approved Not Approved Not ro ev d Not Approved FINAL F;NA1, FINAL IN FINAL J / w J O Call for reinspection G Reinspection'Pe off _required before next inspection C7 Unable to inspect �� - — Inspector: y, Date: —`� Page` _of _ rA CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0572 13125 SW Hall Slvd.,Tigard,OR 97223 1503)539.4171 DATE ISSUED: 08/22/-,, PARCEL: 2 S110BD—Q12G00 SITE ADDRESS. . . : 14921 SW 112TH PL SUBDIVISION. . . . :HEI-M HEIGHTS ZONING:R-4. 5 BLOCM. . . . . . . . . . . LOT. . . . . . . . . . . . . :3 JURISDICTION: TIG Pro_j ect Descry.pt i on: Add first branch circuit to existing single family dwelling. --RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS------- 1000 SF OR LESS. . . . : 0 0 — 220 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH RDD' L 5OOSF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 4) 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVICE/FEEDER---- -----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS--- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 +01 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1O00 amp. . . . . : 0 - --_-_---____.______PL_AN REVIEW 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) GOO VOLT NOMINAL— : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AQEA/SF'E:C OCC. : Owner: ---------------------------------------- ---- ------- ----- FEES SHERRI HOASE type amoLint by date recpt 14921 SW 116TH PLACE PRMT $ 35. 00 GEO O8/L2/97 97-298562 TIGARD OR 97224 SPC.T $ 1 . 75 GEO 08/22/97 97-L-9856CE Phone #: Contractor: --------------------------------------------------- JPC ELECTRICAL SERVICES INC 0 36. 75 TOTAL 41.20 SE INTERNATIONAL WY STE A-107 ---- --- REQUIRED INSPECTIONS --- - MI1_WAUMTE OR 97222 RoUgh•-in Elect' 1 Service '•'hone #: 654-3325 Underground Cove E' ect' 1 Fina' Reg #. . : 093774 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all otner I applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 188 days. ATT(:7NTION: Oregon law requires you to follow the rules adopted by the Oregon Iltility Notification Center. Those rules are set forth in CZAR 992-881-0919 through OAR 952-001-1997. You may obtain a. cony of these rules or direct questions to CIUK by calling (503)246-1987. Permittee Siynatl.ore : Isst..ied By: _ c ------------------------------OWNER INSTALLATION ONLY----_--_---_---__----_—_—_._—_—_. >_ The installation is being lade on property I own which is not intended for Isale, lease, or rent. OWNER' S S'I GNATURE: DATE: w -----------------------CONTRACTOR INSTALLATION ONLY-----_-------_---_—_----_... J SIGNATURE OF SUPR. ELEC' N: 6 �v' G} ^ DATE: r s L I CENSE NO: ++++++++++++++++++++++++++++++i•+++++++++++++++++++++++++++++++++++•1++.+++++++++ Call 639-4175 by 6:00 p. m. for an inspection needed the next bl_isi.ness day CiTr4F TIGARD Electrical Permit Applicati,,,n Plan Check#_ +13125 SW HALL BLVD. Rec'd By- TIUARD Oq 97223 Date Rec'd Phone (50 ii 639-4171, x304 Date to P.E.Date to DST Inspection (503) 639-4175 Print Or Type Permit rr G4f d Sad Fax (503)684-7297 Incomplete or illegible will not by accepted Called 1. Job Address: 4. Complete Fee Schedule Below. Name of Development ! A/v , if � Number of Inspections per permit allowed Name(or name of business) / r✓` Service included: Items Cost Sum Address_y�Liq �•I � w � �� 4a. Residential-per unit City/State/21p� Q R 9 �-.� 1000 sq•ft.or less $110.00 4 Each additional 500 sq.ft.or Commercial❑ Residential portion thereof 1 $25.00 1 Limited Energy Each Manuf'd Home or Modular 2 Dwelling Service or Feeder $68.00 2a. Contractor installation c.nly: - - (Attach copy of all current licenes) 4b.Services or Feeders Electricalontractnr ��t-1CAC < Installation,alteration,or relocation �_L(, I Address CKOU 1A O" 200 amps or less $60.00 2 cit"'A / 201 amps to 400 amps _ $t30.00 _Stated Zip el 401 amps to 600 amps $120.00 2 Phone No. �3 a�, 601 amps to 1000 amps i $180.00 2 ,lob No. '?1,a S 1 Over 1000 amps or volts _ $340.00 2 r $50.00 Elec.Cont. Lice. No. ~� Reconnect only 2 -Exp.Date___� 9�_ OR State CCB Reg. No.U '7N Exp.Datq_ r1 r iQ 7 _ 4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation,alteration,or relocelion _ 200 amps or less $50.00 2 Signature of Supr. Elec'n_ 201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. Exp.Date seP"b"above. Ad.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Namefeeder tee. Address �y Each branch circuit _ $5.00 - -- h)The fee for branch circuits Citv State Zip_- without purchasR of Phone No. _ service or feeder fee. First branch circuit _ $35,r,) 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature Each pump or Irrigation circle $40.t70 2 Each sign or outline lighting $40.00 2 3. Flan Review section (if required):" Signal circuit(s)or a limited energy~ CL panel,alteration or extension $40.00 2 Please check appropriate item and enter fee in s?ctlon 5B. Minor Labels(10) $100.00-`-" vn 4 or more residential units in one structure 4f.Each a0dltlonal inspection over >_ Service and feeder 225 amps of more the allowable in any of the above iystem over 800 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: f � -r Not required for temporary construction services. 5a.Enter total of above lees $ -5 jo C7 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of line Ss for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Re11ew if reouire (Sec.3) $ NOT COMMENCED WiTHIN 180 DAYS,OR IF CONSTRUCTION OR WORK St"Wotal $ - 1S SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust!-ccount#� Total balance flue t IF I S T vlTt rSlq A rl' n-'j,"t �� CCRT I F I CA I'L (JF F CI1Y OF TIGARD COMMUNITY DEVELOPMENT DEPARTL.&NT PIERMI T it. . . . . . . : M-) 13125 SW Hall Blvd.Tigard,Or*gon 97223*8199 (503)839-4171 DATE ISSUE[); 04/J4/93 -14 11 UTI I I-A.- PAC',ICATL: SIAID111191(ft . . . HE Z ON I NCY: .. . . . . . . . . . . 4'�. OF, WCNHV. :NEW tk"A."'. . . c 91" Gfit,". I, P3 OC(J.IV.ANC'V LOAD: I '.. I Nt44T N011r. . k'pmarkS7 Own e V.,I T MOUNTA I("I C.'01.4'.0 PlY.:I I ON 16�26)-) LM MA-L RD Phone 41t 6' POPIROT'l H(:,Pkjocll) U I 1 97 1 phono 6 2 5-.6 ipancy of thu above refe-rew:(d Likii ld.tv-'14 is hereby wiv*ol, v-1 I I d et 't t f I bhp c1:1mp1i8tnf..,4 with the {' gate Of- 0i orjcm ";perialty Cades fat, the Y. qmri i,,—, lrtdvtM 4.4hich the r),?rwit tq'p,4-' Iv. r.ioed. Al bi,E*'� I i:'A WASHINGTON OF LAND USE&TRANSPORTATION YYASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 � UNTI( INSPECTION REQUESTS: 503/640-3561/693-4415 1 1 PHONE: 503/648-8761 dREGON Page 1 of 1 Date U2/09/93 Time 13 : 39 Permit ' yp, Residential Electrical Permit Permit # : 05037411 Permit StaLus APPROVED /S/%Z/ Applied 02,'09/93 Situs Address . ° L.•s4161iAk SIN 11bTH PL Ti issued 02/09/93 Permit Title SFR - ELEC/ALL ENCOMPASiNG LV Completed Permit Descr . To Expire 08/08/93 Project Title SFR - ELEC/NEW HUUSE Project. # P0028424 Project Descr. * EROSION Parcel N1.tmber 2SITI - Land Use District Valuation U Legal Descr . Owner INSPEC.'TION -- 'TIGARD Construction OTH Applicant Name GARY 'S VACUFLO Classification : 9U0 Applirant Addr. : !'O BOX 3b83 OCCUpancy Eta PURTLANU, OR 9'7208 Validated by KF Applicant Phone: 775-2042 Inspector Area CONTRACTOR : NRG, INC:. Lic . C 26-738C 695- 3ht. 3 I-'ee description Units Fee/Unit Ext fee Limited Enei:gy/Alter . ,'Extension 1 40 . 00 40 . 00 Subtotal Electrical Fees : 0 40 . 00 State Surcharge of 5A U 2 . 00 Total Electrical Fees : U 42 . 00 ** Fees Required *** *** tees Collected & Credits r< � * Receipt No . late Payment 02/09/9'1 42 . 00 TOTAL THIS DATE 4'2 . 00 Fees : 4Z . 00 Adjustments : . UO Total Credits : 0 Total Feer : 42 . UU 'total Payments : 42 . UU Balance Due: UU d V) I— JNOTICE: This p—rnll becomes null and cold II the work or constructir.•t for which Ir Is Issued Is not commenced within 180 days. Once conelruclion hes started, the permit becomes null and void If construction Is Interrupts i for a period of 1116 days. I certify that the Information presented by the applicant and lite agent or agentn In support of this permit Is true and correct'o the hest of our knowledge. I acknowledge that the Building Deportment's reliance C9 upon false and misleading Information may Invalidate this perm". 411 provisions of applicable taws and ordinances governing the construction and use of this building or structure will be compiled with whether or not spec"ed or,the plans or noted on the plans correctlon sheets I acknowledge that the granting of a permit does not grant authority to access private property or to use easements I further acknowledge that the use or occupancy of the rtructure or building permitted depends upon my calling for Inspections at various times during the process of construction and the building Inspection staff verifying compliance with the various cudes. Lee 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 oc^upancy Is revocable until all Inspection requ;tomenls are satisfied and approval Is given by the Building Official I further acknowledge that a lien may be placed on the title or the propuriy upon which the permit is issued specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all inspection requirements APPLICANT'S SIGNATURE WASHINGTON COUNTY RESTRICTED Department of Land Use & Transportation Electrical Inspection Section ELECTRICAL ENERGY 155 North First Avenue, #350-12 Hillsboro, 3470 -4 Oregon 97124 APPLICATION Information: (503)640.3470 Fax: (503) 693112 PLEASE PRINT Please ' ' -te' alLsections, 1 throughProject No._ Permit No. 1, Location of installation LabelNo,------- Date Issued By Office _ Address /•_5 CQ7� �-c.� _i%G, Vis' /""l2 �y e- C.;y ,i c,.+= T Zip Code 4. Type of work: Thomas Map Book: Page , Section _(� S—_ RESIDENTIAL Restricted Energy Fee $40.00 (for all systems) Directions Check type of work involved: Cornmerrial ` Residential Audio and Stereo Systems* Tenant Name Burglar Alarm (if commercial) Telephone Systems* This permit becomes null and void If the work authorized by the Garage Door Opener* permit Is not commenced within 180 days from date of lasuonce Fire Alarm of such permit or if the work authorized Is ruspended or abandoned Heating,Ventilation and Air Conditioning Systems* at any time after work Is commenced for a per lod of 180 days. / Vacuum Systems* Electrical Permits are non-refundable and non-transferable. ther 2. Contractor application: , z` COMMERCIAL Fee for each system $40.00 Electrical CoMractor ��r'� J (see OAR 918-260-2601 Address Date s Job Nug*er Check type of work involved: Prope y dwner , 1Zd,_- /Zzi�iT_ Contractor's License No. _J/, � C4.1Boiler controls Contractor's Board Reg. No. cE 90 2 Clod Systems Phone No, 2 D��7_ Data Telecommunications InstallaCons Fire Alarm Installation 3. Owner application: HVAC Instrumentation Print Owner's Name _ Phone No. -- Intercom and Paqing System Landscape Irrigation Control' Address Medical Nurse Calls Outdoor Landscape Lighting* This r r is Issued under OAR 918-J20-370. Thr.applicant agrees Prolective Signaling to rn., restricted energy instfi9ations(100 volt amps or less) Other unu uarmit and to do Me following: 1. Only use electrical iicensed persons to do installations where required. (Certain residential and other transactions ere exempt Number of Systems from ilcensing. These have asterisks('). All others need llcens- a 2. C�l for an Inspection when all the lnstallallons under thle permit No licenses are required. Licenses are required ler altother installations. ct s,&ready for inspection. F-- 3. f.urchsse smarts permits for all installations that are not ready 5. Fees for Inspection when the Inspector Is out to Inspect under this r > permit. Enter fees $ �- 4. Avsume responsibility for assuming that all correcrfons required r �, by the Inspector*,*dons,and 05 X total above a . -' S. Assume responsibility for calling for a final inspection when ail of 5% Surchar g ( ) $ -- — the corrections are completed. U-` The person slgnin this permit must be the applicant or a person Total $ _/1;1 outho Slanat tred�V V t ppNcent Signat ure Space t•elow reserved for validation. Authority If other than applicant nor Inspections call 640-J561 or 693-4415 24-hour recorder, one working day In advsnce M need DEPARTMENT OF LAND USE & TRA14SPORTATION t WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 COUNT-Y, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 Permit # : 05036697 Project # : P0028424 Status PPPROVED Page 1 of i Applied . 01/13/93 issued 01/13/93 Expires : 0 !08/93 02/11/93 05 . 1. 1 RESELEC Permit Title SFR - :LEC/NEW HOUSE OTH Description Job Address 1 b 0 2 1 SW 116TH F'I, TI Owner Name INSPECTION -- TIGARD Region D Applicant Name NORMANDIN ELECTRIC Phone number 357-5380 Valuation : 0 Approved_ Inspe_-tor Comments : Rejected .-._ a Inspected by - _ Dat.e� I/r ...�.._ Inspection Requested : LU J * Cov«-r & Service 02/11/93 RI C3 02/09/93 RI DA (12/09/93 AP RN COVER OK - SERVICE REJECTED 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 REQUESTS (24 hours): 503/640-3561 or 693-4415 Permit #; : 05036697 Project # : P0028424 Status APPROVED Page 1 of 1 Applied : 01/13/93 Issued 01/13/93 Expires 07/12/93 02/09/93 07 : 0^ AESELEC Permit Title SFR - ELEC/NEW HOUSE OTH Description Job Address 15021 SW 116TH PL• TI Owner Name INSPECTION - TIGARD Region D Applicant Name NORMANDIN ELECTRIC Phone number 357-5380 Valuation : 0 Approved Inspector Comments : Rejected I4'7 Inspected by Inspection Request * Cover & Service 02/09/93 RI DA DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 503/640-3470 OREGON ASPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 Permit # : 05036697 Project # P00284'e./ Applied 01/13/93 Assue8 01/13/93 Expires • 08/10/ 04/12/93 07 33 RESELr C, Permit Title ;:,FR - F.LEC/NEW HOUSE OTH Description Job Address 1502; SW 116TH TIL TI Owner Name INSPECTION -- TIGA,RD Regicln D Applicant Name NORMANDIN ELECITRIC Rhone number 357-5380 Va1ua,tion 0 App.rc:)veJ --X--.- Inspector Comments . Rejecte3 Inspect .tl 1 Y "_.. Joe, :)atPIw,pe i.ion Re:gilEFt r _ * Final Electrical 04/12/93 RI KF' LXBX 'PMC ' OR ' TMC . s DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NOR.'H FIRST, HILLSBORO,OR 97124 CO lJ N1 Y INSPECTION REQUESTS: 503/640-3561/693-4415 PHONE: 503/648-8761 OREGON haye 1 o1 1 Uat.e 01/13/9.3 T3.me 13 : bb Permit '1'ypI _ieslcleritial El(eCtriCal Permit Permit # UbO':6b9'/ Petmit'. btat;u�j AhPktUVEIJ/i°i ?9l./ Applied 01/13/93 situs AddressT bW 116TH PL Ti Issued 01/13/93 Permit. Title: tirR - ELEc-'/NEW HUUL�E Completed Permit Descr. '1'o Expire U7/12/9:3 Pro lec;t l'itle br'kl - E1,LJ:/NLW HUUbE Pro'lect # P0028424 Prosect Descr , * EROSiUN Parcel NW111JE-1 2�1'1'J. - Land Llse District Valuation U UWner INbPi ,*C"l'lON - '1'.LVARD Construction U'1'H Applicant Name : NUHMANDIN C:lassif icatiUn 900 Appl1cant Addr . : 'i1U86 NW C:LAPBHAW H111L 141.) Occupancy k3 I-UhLb'1' C.;1. OVE, Ulf 97116 Validated by KN' Applicant Phone; 3`_t'/-`,1380 Inspector Area C:UN'1'1tAl.T(-4l : NUKNiAND1N ELEC;'.cRIC Lir_. , C; 34-2bbC 4ib'/-6380 t'ee de::c:riptiorr Units h'ee/Unit Ext tee Data -------------------------------------------------------------------------------------- bquar'e E,00tacte L Enter tick . I•'t . I 3U00 14b . 00 bubtotal Electrical Nees : 0 14'x . UO 6tate Surcharge (.)i b% 0 '/ , lb Total. Electrical Nees : U 162 , 16 *k* Nees I1'eyuired k*k *** k'ees Collected ly Credits **A 11ecoipt. Na, Date Payment. 01/13/9:3 1`.�2 , 21.) '1.'0'1'AL '1'HJl, DA'Z'E L . 1b Ad jus t.ments : ucl 'Total Credits , . 0() 'Total k''ees : 162 , 17 1'otaI Payments : lbL . Lb balance Due: . 00 a cc r F- J NOTICE This permit becomes null and void If the work• construction for which It Is Issued Is not commenced within 160 days. Once construction has started, the permit becomes null and void If construct' I Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and his agent or agents In supporr if this W. "Is ve and correct to the beet of our knowledge- I acknowledge trial the Building Department's reliance c 7 upon false and misleadirg:.formatlon may 11.,e.'4ele this permit. All provisions of applicable laws and ordinances governing the construction and use . l of this building or strt- ..e will be compiled will wl,alher or not specified on the plans or noted on the plane correction sheets, I arkr.iwiedge that the granting of .mit does not grant authority to access private property or to use easements. I furlher a-1 wt J 1"P:;:the use or occupancy of the structure or building permitted depends upon my calling for Inspections at various times during the process of cunsiruction and the building Inapaclion staff farifyIng compliance with the verlous codes. Use or occupancy of the big"al ,ar a;rueture permitted prior to approval by the Built-ng Department Is solely at the risk of the applicant and such use or occupancy Is revocahle until all Inspection requirements are uailsfied and approval Is given by the Pullding Official. I further acknowlad,le that a Ilan may be placed on the title of Ione property upon which the permit Is Issued specifying that the use or occupancy of rhe building or structure Is provisional and revocable until the satisfaction of all Inspecilon requirements, APPLICANT'S SIGNATURE -r(4--Y-r l?-4" P1 n 1 - �-c n-S+ WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use & Transportation Electrical Inspection Section APPLICATION 155 North First Avenue, #350-12 !Isboro, Oregon 97124 informatioa: (503) � �640.3470 Fax: 503 6934412 Project/Permit � Number —_ -� ��j � r DatePLEASE PRINT- . . sectionsall eug 4. Complete Fee Schedule below Please cohiplNumber of Inspections per permit allowed 4 1. Location of installation � � , �� Service included: Items Cost(ea.) Sum Address- /L 0 2— v��._L L1__L1I�S �- q Residential-per unit Ci I I 0.�'�� Suite No. 1000 sq.n or less $e5.00 a ry Building Each additional 500 sq.ft Tenant Nam or portion thereof --` $15.00 (if commercial) Limited Energy $2000 1 Each Manuf d Home or Modular Directions - ,-- Dwelling Service or Feeder $40.00 2 B. Services or Feeders histallatlon,alterations or relocation 200 amps or less --- $50.00 - 2 Commercial �� Residential 201 amps to 400 amps -__ $60.00 2 401 amps to 600 amps $100.00 - 2 601 amps to 1000 amps $130.00 2 2a. Contractor i stallation onl Over ec $4 amps or volts $ 0.00 2 Reconnect only $40.00 - 2 Electrical Contracfor C,�L1L II Address EDL2� �I L , U CLP' 4-4—d C. Temporary Services or Feeders Date I - 10 .5 Job Number . - 6 & LX Installation,alteration or rolcxation Property Owner - 200 amps or less -� $40.00 �- 2 201 amps to 400 amps $55.00 _ 2 Contractor's License No. ., 401 amps to 600 amps $80.00 2 Contractor's Board Reg. No. 140-15 � o ' Over 600 amps to 1000 volts see•a•above Signature of Supr. Elec'n A- d• Branch Circuits No.�, L::1 '.`a One NO. New,alteration or extension per panel License - �� a) The fee for branch circuits with purchase of service or heder fee. 2b. For owner installations: Each branch circuit _-__ $2.00 2 b) The fee for branch circuits without _--15-hone purchase of service or feeder lee. �'rin'-t5wner's Name hon-� e 11o. First branch circuit $35.00 _ -�_. 2 Each add'nl branch circuit $2.00 2 gess E. Miscellaneous (Service or Feeder not incluned) City -- --State ---- Zip - Each pump or Irrigation circle $40.00 _ �- 2 Each sign or outline lighting _-_ $40.00 2 Signal circuitls)or a limited The installatioti is being made on property t own energy panel,alteration which is not intended for sale, lease or rent. or extension $40 00 2 Owner's Signature _ F. Each additional inspection over the allowable CL in any of the above, per inspection 3. Plan RP14,ow section (if required) --- $35 no r 5. Fees J/ A. Enter total of above fees $ ( 5% Surcharge (.05 X total fees) $ Subtotal $ B. Enter 25% of line A for For inspections call Plan Review if required (Section 3) $ 640-3561 Or 693-4415 subtotal $ Bulk Label Fee $ Less _ 24-hour recorder, ��---)- one working day in advance of need Balance Due $ This permit becomes null and void If the work authorized",y;he permh Is riot commenced within 180 days from date of Issuance of such permit or If the work authorized Is a opendod or abandoned at any time after work Is commenced for a perlod of 180 days. Electrical Permits are non-refundable and non-trsnafa!sblj. 10/91 i INSPECTION NOTICE City of Tigard Building Departaa=rt 13125 IM Hall Blvd. Tigard, Oregon 972 Inspection Line (Re<.-o-Phone): 639-4175 Business P 639-4171 inspect Plbg. ---- Underalab Mech. Rough-in Appr/Sdwlk Footing g Plbg. Top Out Found. Gas Line \FIN Framing -- B d:- poet/Beam Struct. San. Sewer Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hach. PM Time: AM Date Requested: Permit f e Wc.= Address. --- Builder:_j THE FOLLOWING, CORRECTIONS ARE REQUIRED: d (n w — — ` Date:'-�C - T In+pectoc: _-- --- APPROVISb SUBJECT TO ABOVE APPROVRD DISAPPROVED 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: 639-4171 Inspection: Footing Pl.bg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plby. Top Out Gas Line FIN Post/Bean: Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Pl Plbg. Underfloor Wates Lin Gyp. Bd. -Mech. Date Requested:__ l Times AH r_PM Address: �, Perm/it s 7C (DC= � Builder: THE FOLLOWING MP.RECTIONS ARE REQUIRED: /110 ye. F— J C.7 LLl J Inspect r: nate: ' APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tf.gard Building 3epartoent .125 SM Ball Blvd. Tigard, Oregon 91223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Ingpection� Fcotfng Plbg. U,:derslab Mech, Rough-in Appr/Sdwlk Fouid. Plbg. Top Out Gas Line FINAL: Poor/Beam Strucl.. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation --Plumb. Plbg. Underfloor / Water Line Gyp. Bd. -Mech. Date Requested- J r� Times _AM PM Address: f C.�� N /�K./ Permtt Builder:� _7f/LL 71M FOLLOWING CORRECTIONS ARE REQUIRED- d .r Y L f� W Inspector: Date: PROVED UTSAPPROVEn APPROIF.D SURJEc."r' TU ABOVE Call For Reinen. INSPECTION NOTICE City of Tigard Building Department 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Hoc-O-Phone): 639-4175(1 Business Phone: 63 -4171 Inspections Footing Plb4l. Underslab Mech. Rough-in Appr/Sd Found. Plug. Tco Out Gas Line FINAL- Post/Seam Strutt. San. Sewe.- Framing -Bldg. Post, :W.I. Ruin Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd, -Mech. Date Requested I_ Z.Z Time: a AM PM Addceee: ��LIE� - - Pern it 41:F 7 l6CTTTT Z�� Builder-Qa,1) _&.tt —62 2_'S - `�' 1 `�'.3- -�— THE TOLLOWTNG CORRECTIONS ARE REQUIRED- F-- t/7 -.I L rr� W J Inspector APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE —Call For Reinap. INSPECTION NOTILcE City of Tigard Building Department 13125 Sit U411 Blvd. Tigard, Oregon 97223 &L Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639-4171 Inspection:__ -� Footing Plbq. Underslrb Mech. Rough-in Appr/Sdwlk Found. P'bg, Top Out Gas Line`- FINAL: -� Rost/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Ins-elation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. �(� 1 /rJ Date Requesteed`s�/ Timet-` AM PM le Address: / L ' �� CP i Permit Builder:`_� �ZC� tr , THE FOLLOWING CORRECTIONS ARE REQUIRED: CL w N � N J �r c.A -- C9 w J Inspvrtor: Dater APPROVED DI7APPROVED _ APPROVED StRiNCT TO A" —,Call For Reinsp. INSPECTION NOTICE City of Tigard Building Departaen 13125 SW Ball Blvd. Tigard, Oregon 9727, i Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ Footing Plbg. Underslab Mech. Roua4-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Boam SG.act. San. Sewer Framing -Bldg. r Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: Times `AM PM Address: /rte I �� " �✓�- Permit Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: hzge/6. A10 0- - .0 C7 w J i Inspectors Dates 11 APPIIOVtD DISAPPROVED hPPROVP,D SUBJRr-T TO ABOVE Call !or Reivep. IaSPEC``TION N_OTTCE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-0--Phone): 639-4175 Business Phone: 639-4171 Inspect Lon: Footing Pl.bg. Underelab Mech. Rough--i.: Appr/Sdwlk Found. ��"/lbg. Top-Out Gas Line FINAL: Post/Beam S`-ruct. San. Sewer Y T'raming -Bldg. Post/Beam !loch. Rain Drain Tnsulation -Plumb. ?1bg. Underfloor Nater Line Gyp. Bd. -Mech. 1 Vl� Date Requested: ___ _Times ^7t1t�-) PM Addr9se:_ C' / Permit Builder: THII FOLLOWING CORRECTIONS ARE REQUIRED- 7 ct a -- — ---- --- ._ F- V1 F- J C — —- ...4 cD W J i Inspectors,-- //A—"PROVED 019krPROVED APPROVED SUBJECT TO ABOV$ r_all For Reinsp. INSPECTION NOTICE City of Tigard Building Depart-nent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:, Footing Plbg. Underalab OCech. Rosgh-in Appr/Sdwlk Found. Plbg. Top Ont Gas Line FINAL: Pont/Beam Struct. San. Sewer *raming -Bldg. Pont/Beam Mech. Rain Drain Insulation -Plumb. P1bq. Underfloor Water Line /� Gyp. Bd. -Nech. Dnf-e Requested:__ 1(J '! —Time: AM __PM Address: /V_ "' Permit 1: Ru i 1der: THF FOLLOWING CORRECTIONS ARE REQUIRED: VOL J2 w Inapector:z _ — ^ Date: APPRM ED DISAPPROVED APPROVED SUBJECT TO ABOVF. _Call For Reinsp. INSPECTION NOTI4.3 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 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 Plbq. Underfloor Water Line Gyp. Bd. -Mech. Date Requested:, �� Time: 7 Addredsr_,Z✓�) /� J�-� Permit 94V Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: L Inspect:o'T -- Da`-e:/2`77�' APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 131.25 SK Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171 < � D Inspection: _ � � �4.�L�-1/l'` + �ll. VL11?Ib�C Footing Plbg. Underslab Mech. Rough-in JAppppr/Sdw�lk Found. Plbg. Tog Out Gan Lire L+INALs Pant/Beall 8tr1]ctJ. San. Sewer Framing -Bldg. Post/Seam Mech J Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line 7 Gyp. Bd. -Koch. Date Requested:, z z �� Timet AM PM Address: r' L�/ � �� 4 6-C . Permit 1 s (� `e) w� Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: ��,(e- W. "00 el J010yeT J — l/'f Inepector:� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE "Call For Reinep. 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: —----- Footinq Plbg. Underslab Mech. Rough-in Appr/Sdwlk bund. Plbg. Top Out Cas Line FINALS Pon, foam Struct. San. Sewer Framing -Bldg. Poet/Heam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Oyp. Bd. Aech. Date Requesteda_ _lL' r Tit -AM .1J� M Addrep�9• Permit Builder:- THE FOLLOWING CORRECTIONS ARE REQUIRED: APPP,�VFD DISAPPROVED APPROVEn enp.JFrT To ABOVE Call For Reinep. INSPECTION NOTICE city of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97 Inspectton Line (Rec-O-Phone): 639-4175 Business P ne: 639-4171 Inspect ions Footim;_�) Plbg. Underslab Mech. Rough-in Appr/Sdwl.k Found. P1'ig. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post./Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: I� Z Timet I—aL—AM -PH LL. dress: Permit�j#s Builder tCJN O WkMA-VJ �c 1 I TBE FOLLOWING CORRECTIONS ARE REQUIRED: u U �Z'� Z)`/- V Inspector: Datet �-:fz APPROVED DISAPPROVED "PROM SUBJECT TO AuOVB _Call For Reinsp. 7 CITYOFTIFARD 01YOFTWARD MASTER PERMIT 17 COMMUNITY DEVELOPMENT DEPARTMENT V,ERMIJ #. . . . . . . : 13126 SW Hq11 Blvd. P.O.Box 23397,TOW,Oregon 97 (603)8344176 DATE ISSUED. It 7192 SITE ADDRESS. . . : .450al SW 116TH PI.- PARCEL: In'511OBD-02600 SUBDIVISION. . . . : HELM HEIGHTS ZONING: BL JCK. . . . . . . . . . .. LO T. . . . . . . . . . . . . :3 BUILDING REISSUE: DWELLING UNITS-. 1 BASEMENT. . . . . . . . :;300 5f 3:3 -52a f CLASS OF WORK. :NEW BEDRMS BA'THS:3 GARAGE. . . . . . . . . . IYPE OF USE. . . :SF FLOOR AREAS-------------- REOUI RED TYPE OF CONST. :5N FIRST. . . . :2198 sf LEFT. . :20 ft R I GH T. :25 ft OCCUPANCY GRP. :R_3 SECOND. . . :0 S f FRONT. :20 ft REAR. . :62 ft STORIES. . . . . . . : 1 THIRD. . . . :0 S f REQU I HEIGHT. . . . . . . . :LR3 ft TOTAL--------2198 S f SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 115352 PARKING SPACES. . : I Remarks : PATH I PLUMBING SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS— :0 LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . ::, . AUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . -.3 SEWER LINE (ft ) . :0 GREASE TRAVIS. . . . . . . ..0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 111)0 OTHER FIXTURES. :0 GARBAGE DISP. - . : I RAIN DRAIN (ft ) - :0 WASHING NACH. . . .- 1 SF RAIN DRAINS. . : I ---------------- MECHANICAL ------------------------------------ FEES FUEL TYPES----------- - UNIT HTRS. . :0 type amoi.tnt by date recpt /GAS/ VENTS . . . . . :0 TIF $ 1460. 00 JH 11/17/92 — 11AX INPUT:0 b 1 U VENT FANS. . .4 BPRT $ 473. 00 JH 11/17/92 — FURN ( 100K . . -.0 HOODS. . . . . . : 1 BFILL $ 307. 45 JLH 10/19/92 232816 1 URN )=I IZIIZIK . . - I WOODSTOVES. -0 L15PC $ 23. 65 JH 11/17/92 — FLOOR FURN. . . . :0 CLO DRYERS. : I SSDC $ 280. 00 JI-4 11/17/92 — BOIL/CMP ( 3HP:0 OTHER UNITS-. 1 PARK 1, 500. 00 JH 11/17/92 — GAS OUTLETS: I MPRT $ 45. 00 JH 11/17/92 — Owner: Owner: $ 11. 25 JH 11/17/92 PARROTT MOUNTAIN CONSTRUCTION 115PL $ 2. 25 JH 11/17/92 16260 SW BELL RD PPRT $ 155. 01171 JH 11/17/92 P5PC $ 7. 75 JH 11/17/92 SHERWOOD OR 97140 Phone #: 625-6963 Contractor: ----------------------------- PARROTT MOUNTAIN CONSTRUCTION 16200 SW BELL RD SHERWOOD OR 97140 Phone #: 625-6963 Reg #. . : 22378 $ 3265. 35 TOTAL This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found ITisp Fireplace Insp -C applicable laws. All work will be done in accordance with approved POSt/Bearli StI-UVt Gas Line Insp I (D plans. This permit will expire if work is not started within 180 Post/Beam Mechan Insulation Insp LLJ days of issuance, or if workis sus or acre Plm/I..indslab Insp Gyp Board Insp PLM/Underfloor I gor Rain drain Insp Permittee Signati.1 r t Mechanical Insp Watet Line Insp D Plumb TOP Out Appr/Sdwlk Insp Issued Bye Framing Insp Mechanical Final Call for inspection -- 639-4175 CITYOFTIOARD SEWER CONNEET ] ON CITYOF flWARD PE R M IT COMMUNITY EDEVELOPMENT DEPARTMENT 0104" PERMIT' #. . . . . . . . SWR92--•0 47 13125 SW FWI BW- P.O.Bar 23397,Tlpnd,Oregon 97223(sm)& AI76 u� b 39--47-7 1— SUED: 1 ]./17/9::: SITE ADDRESS. . . : .,L ski SW 116TH GL PARCEL: 2S 1 10J3D--0; 600 SUBDIVISION. . . . : HFLIll HEIGHTS ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..� TENANT NAME. . . . . USA NO. . . . . . . . . . : FIXTURE UNITS. . . : CLASS OF" WORN.. . . :NEW DWELL_I NG UNI TS. . : 1 TYI='E OF USE. . . . . :SF IVO. OF NU I LD I NGS. 1 INSTALL_ TYPE. . . . :HUSWR IMPERV SURFACE. , : : s Remar-ks : PA'TFl I Owner: -._____________.__..___.. _______.__.___.__.____ ____.-----__..____. FEES PARROTT MOUNTAIN CONSTRUCTION type an+ol.lnt by date recpt 16260 SW BELL RD PRMT $ 2100. 00 JM 11/17/92 — INSP $ 3S. 00 JH 11/17/92 — SHERWOOD JR 97140 Phone #L 625-696:3 Cont)-ac_t:o1:.; CONTRACTOR NOT ON FILE Phone #: $ 21a5. 00�TOTAL Reg #. . : REQUIREL) 1NSPECTIONS ihie Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 188 days from the date issuP.d. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer 0all prospect 3 feet in all directions from _ the distance given. If not so located, the installer shall purchase a "lap and Side Sewer" Per.it and t(lp_ligene{i will installlateral. F'a r-m i i; L-e e 15 S l.r e d By : S._....___.__---- Q Ca.11 for, inspection — 639-4175 r_c � MEN ti n s ..._. CITY CIF TICARD FtPcFlrrr OF PAYMENT RECEIPT NO. :92—F.'33791 CHECK AMOUNT x 5150. 35 Nf)MV',- t PARROTT MOUNTAIN CONIST CASH AMOUNT c 0. 00 ADVRFGS PAYMENT DATE e 11/17/92 SUBDI V 181 ON PURPOSE OF PAYMENT AmnlJNT PAID PURPOSE OF PAYMENT AMOUNT PAID —U I LD 1 NO PECiM 4 78. 00 PLUMPING PERM MECHANICAL PF 45. 00 97. PUILD PER 33. 65 PLAN CHECK FE 68. 70 SEWER USA ploo. mo SEWER I N Gs PV C T 35. 00 PARKS SDC 500. 00 STORM DRAIN SIX'- 00 RESIDENTIAL TRAFFIC FEES 1350. 00 MASS TRANSIT TIF FFFS 110. 00 LOT 3 HELM HF10HTS t 5021 SW I 16 TH Pl- TUTOL AMOUNT PAID 51:0. 35 i: ITY OF TIGARD RECEIPT Or PAYMENT RECFTPT NO. 192-232616 CHECK AMOUNT 250.00 NAME ¢ PARROT1 MOUNTAIN CASH AMOUNT i 0.00 ADDRESS ¢ CONS r,'�W T ION POYMENT DATE ¢ 1.0/19/92 16,60 :.;W BE-L ROAD SSPD IVISICIN SHUPWOCID, OR 97140- PURPOSE OF: PWIVIT AMOUNT PAID PURPOSE OF PAYMUNT AMOUNT PAID 00 HFI-M HE16HTS, 101 I 167H PL.ACF ,-Ol,pt "AID 250.ft CITY OF rn��1,� TT 13(zsswl{aunwa. PLNCK/REIT #1 !ARL PO Box 23397 COMMUNITY DEVELOPMENT DEPARTMENT 71prd.Oregon 9-t2n PERMIT # (501)639-4171 DPTE ISSUED 7 JOB ADDRESS: r n_ _ AO /�_ TAX MAP/LOT ' 1 rJ Eb C'e'lt+ SUB: (��= _rti 1 �E a-►r LOT: .� 'AND USE: VALUATION: 115 OWNER SPECIAL NOTES NAME: F4Y —c_cr REISSUE OF: ADDRESS: Ir�-�� -r..- LLAST REISSUE: A yU FLOOD PLAIN/ PHONE: 0- SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED Sv+ 5 E?9-0 f NAME: PLANNING: DIC ADDRESS: r-,r:j ►__e-V_ ENGINEERING: FIRE DEPT: PHONE: ? OTHER: T+ r CONTR. BOARD #: 2z 3"1 f� EXP DATE: `I i ITEMS REQUIRED SUBCONTRACTORS: PLUMP: VV--4 �uv,f' � LIST/SUBCONTRACTORS: J_ ME1,11: G2e�.c�. BUS TAX: _ ARCH ENGINEER CALCULATIONS: NAME: !]i ,1c�s t 'L.'>�.,c� , 1,� TRUSS DETAILS: ADDRESS: + r"� N�,• °�'�"' ] .�,�c= r OTHER: ^ _ RFrFlVUD PHONE: 1992 ' CUMrnunIl► UkVELUPMENT PROPOSEG BLDG. USE: NL��c- =-��ry� �� -� J COMMENTS: W J APPLICANT SIGNATURE Received By: � �� Date Received: _ C� PERMIT # ACCT N DESCRiPTION AMOUNT fIMOUNT PD. GAL. DUE �r;a�4 .GAG c 10-432 00 Building Permit Fees �7J•�� /f I0-43I 00 Plumbing Permit Fees /��•��' /� /,>; 10-431 01 Mechanical Permit Fees S. f/ q 10-230 01 State Building Tax (5%) 33,�� Building -23.05 _ Plumbing Mechanical a•Z S 10-433 00 Plans Check Fee ,�1 ' �� C�D Building �'o 5 Plumbing Mechanical Vr l -2 S f 10-230 06 Fire �:.9 1- 3y i 30-2.02 00 Seder Connection ;2/00 � vu 30-444 00 Sewer Inspection _s,` _ 3 ^f 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF fees 25-448-06 Institutional !IF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees ijqv-OD 135u 25 .448-05 Mass Transit TIF Fees //0 60 //o — 52.-449 00 Parks System Dev Charge (POC) Svc J'o� 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) � D •-- 24-445-u1 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL J`�i'tl,—3) �'S-� _ 5/50 ; nm/3587P.WPF PLUMBING PERMIT PERMIT #. . . . . . . : MST92-0260 DATE ISSUED: 11/17/92 SITE ADDRESS. . . : 715021 SW 116TH PL PARCEL: 2S110BD-02600 SUBDIVISION. . . . : HELM HEIGHTS ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :3 CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . :1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . :1 BACKFLOW PREVNTRS.. :O OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . :1 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 CI.OSETS. . :3 WATER LINE (ft). . . .:100 DISHWASHERS. . . . :1 RAIN DRAIN (ft) . . . . :0 Remarks: PATH I OWNER: ----------------------------- -----------------FEES--------------- PARROTT MOUNTAIN CONSTRUCTION TIF $ 1460.00 JH 11/17/92 - 16260 SW BELL RD BPRT $ 473.00 JH 11/17/92 - BPLC $ 307.45 JLH 10/19/92 232816 SHERWOOD OR 97140 B5PC $ 23.65 JH 11/17/92 - Phone M: 625-6963 SSDC $ 280.00 JII 11/17/92 - PARK $ 500.00 JH 11/17/92 - Plumbing Contractor:--------------- MPRT $ 45.00 JH 11/17,'92 - / ,�� MPLC $ 11.25 JH 11/17/92 - Name: l.(.. /�X m,(- `VL- MSPC $ 2.25 JH 11/17/92 - Address: (,7 PPRT $ 155.00 JH 11/17/92 - City: i4i i1rbctic, State: G R P5PC $ 7.75 JH 11/17,/92 - ZiP: Phonr=#: 5D'9-(,Q�-�4t! Reg #: IL'Z ------- REQUIRED INSPECTIONS ------- This permit is issued subject to the reg- ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp Code, State of Ore. Specialty Codes and all Poet/Beam Struct Water Line Inep other applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Inep in accordance with approved plans. This Plm/undslab Inep Mechanical Final n permit will expire if work is not started PLM/Underfloor Plumb Final Ce within 180 days of issuance, or if work is Mechanical Inep Building Final suspended for more than 180 days. Plumb Top Out Erosion Control >- Framing Inap Crawl Drain ~ - / J � Fireplace Inep _ Gas Line Inep Insulation Inep Gyp Board Inep J Auth razed P umbing C ntractor Signature Call for inspection - 639-4175 Contractor Notes: