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SUBDIVISION— . : ARLINGTON RIDGE "ZONING: R•-3. 5 BI_0LI%. . . . . . . . .. . . LOT. , . . . . :030 P'ro.ject Description: Install one branch cricr.lit. -_RESIDENTIAL UNIT----- ---TEMP SRVC/FEEDERS---- ------MISCELLANEOUS--.--_ - 1000 SF OR LESS. . . . : 0 PUMP/IRRIGATION. . . .RR I( AT I ON. . . . : 0 EACH ADD' L 5005F. . . : 0 E:01 - 400 amp. . . . . . . : 0 `iIGN/OU_r LINE LTG. . : 0 l._IMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/P'ANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . 0 601+amps -1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 _—-SERVICE/FEEDER _._. __.__ ._-.-__BRANCI-{ CIRCUI-1-5------- --._.-ADD' L INSPECTIONS—- 0 200 amp. . . . . . : 0 W/SF_.RVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 X01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER ItOUTR. . . . . . . . . . . 0 y01 - b00 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 1000 amp. . . . . : 0 -.---.__.__._.__._..______._PLAN REVIEW SECTION-- ---____._._.____.._ 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMT='S. . : (.;LASS AREA/S!'EC OCC. Owner: ______..__._____.__._..._.._____._.__._____.____-__.__.__.._.__.___._..__ .___.___._. _- F=EES -- KAY LJTTLF_" type amol_rnt by date r-ecpt 14146 SW 121ST AVE: PRMT $ 35. 00 CJS 04/15/96 9E--78167 5F'L 1 $ 1. 75 CJS 04/1'15/96 96-278167 I IGARD OTR I)7.-'.E'3 Ohone #: KEDS ELECTRIC-CO^INC t 36. 75 TOTAL :00 SSE CLINTON CST -- - REQUIRED INSPECTIONS l-,ORTLAND OR 97202 Wall Cover Elect' 1 Final Phone #: 503-233-6467 Elect' c 7 Service F2eg it. . . 04.443 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee S ' at�rre applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started �/ 1 within 180 days of Issuance, or if work is suspended for more G..lL�r2l�L... sr_/ +��L than 186 days. I ssl.red By INSTALLATION ['he installation is being made on propl.r tV I own which is not intended for sale, lease, or• trent. OWNc.R' S SIGNATURE_: IGNATRE_: DATE: v. ------- -------------------CONTRACTOR IN.STALLAT ION SIGNATURE OF' SUPR. ELEC' N>S DATE: LICENSE : _.— �_ _____.__.___._____.._._..___.____ __ _ _..__.._—_-----____.__ W_ ___._----._�___..-•--.._..__.._.____ Call for inspection - 639-417 ; i Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Nall Blvd. Tigard, OR 97223 Planck/Rec. # _9Lr �� l 61 Permit # FZCg6 D a5 TIk Phone (503) 639-4171 Date Issued y-15 Vit CITY OF TIGARD FAX (503) 684 -297 Issued by iP� s. �r y,, ✓� TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Addressr�7� �- Service included: Items Cost(aa) Sum City/State/Zip / /�j r r' %/r�-7 4a. Residential-per unit 4 1000 art It or lase $110 OC Name (or name of business) J/A, L%J7/�' Each additional there)f aq n or --'�r portion thereof — _ $2500 Commercial El Reside ntiatle�- Limited Energy $2500 vvv Eat i Manutd Home or Modular Cwelhng Service or Feeder $66 00 — 2a. Contractor installation only: 41,.Services or Feeders r �� Installation,alteration,or relocation Electrical Contractor s 10 Ls,� 200 amps or leas $6000 Address i - 77 73 �.— 201 amps to•'00 amps $800o 2 401 amps to 600 amps $12000 City r State__ Zip O1- 601 amps to 1000 amps $16000 Phone No. G w J Over 1000 amps or volls $34000 Contractor's License No. Fleconne.l only $5000 Contractor's Board Reg. No. -f-13 4c.Temporary Services or Feeders IInstallation,alteration or relocation ' Signature of Supr. Elec'n_ry - - . 1L _ 200 amps or lass $5000 License No._ j "i Phone o. _ 201 am, 401)amps xr500 _ 2 401 amps Io 600 amps $1 no 0o over 600 amps to 1,100 Vons 2b. For owner installations: see•b•above 4d. Branch Circuits Print Owner's Name —_ Nww alterolion or extension per panel Address a)The fee for branch circ its wt'tN Cit :hate Zip,_ purahs"or tw rico or Nader be. Y --... Each branch circuit $500 _ Phone No. b)The fee for branch crauris without The installation is being made on property I own which is Firspurche"or circuit or Ned r be. i �✓ not intended for sale, lease or rent. Each branch al ht $35 on Each addn�or�,nl hranch circuit $5 On Qwnar's Signature_ _ 4e. Miscellaneous (Service or feeder not included) 3. Plan Review secticin (if required): Fath pump or irngati-n curls $4000 ( I I=ach sign or outline lighting $40 00 — Signal cecuit(s)or a limited energy 2 Please check appropriate item and enter fee in section 5B. t Dost alleration or extension $4000 ——4 or more residential units in one structure I Minor Lnbala(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal I 4t. Each additional inspection over CL -- the allowable in an of the above ;lassifiarl area or structure containing special occupancy y ter 5 Par inspection $3,100 as d»scribed in N E C Cha F.._ P per hour E55 on -_ ✓t In Plant $55 on Submit 2 'lets of plans with application where any of the above �- apply. Not required for temporary construction services. 5. Fees: o� NOTICE 5a. Enter total of above lass $ 5%Surch-irge(05 X total fees) $ r 3 LO PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ _ J AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR PI n Review if required(Sec 3) $ _ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. Trust Account 0 $ Balance Due s �� -2 .-r—do 64K Pei am CITY OF TIGARU BUILDING INSPECTION NOTICE 1 Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. PosUBeam Mech, Shear/Sheath Framing Plbg.Und/Flr/Slab Plbg.Top Out Insulation Elect. Post/Seam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: — Date: -c�-' �— A.M. P.M. Entry: - Address: _ ! 1 (46-> [ 2 &_ _ Tenant: Ste: MST: HUP: Con/Own: MEC: PLM: ELC: 94t THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: G 4 N F- J .r Lo w w I,nspee r:'--��! -- Date:' _�"APPROVED -DISAPPROVED/CALL FOR REINSP. CF CO r��r �-lrinl�ci11. PERMIT / . CITY OF T 1 CARD PERMIT SSUED: 05/14/96 ME6-1210f1E COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PARCEL: 251 1 OBB-05300 SITE ADDRESS. . . . 14146 SW 12151 AVL_ SUBDIVISION. . . . : ARLINGTON RIDGE ZONING: R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :030 --------------------------------------------------------------- -------------------- CLASS OF WORK. . :ADD FLOOR FURN. . . . : 0 EVAN COOLERS: 0 TYPE OF' USE. . . . :SF UNIT HEATERS. . : 0 VENT FF,JS. . . : 0 OCCUPANCY GRP,. . :A1 VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . , : O BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL 'TYPES----_-_-_..._.-.-._ 0-3 HP. . . . : 0 DOMES. I NC I N: 0 .3-15 HP. _ :: 0 COMML. INC'IN: 0 MAX INPUT: 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0 F IRE DAMPERS?. . : 3121-50 HP. .. . . : 0 WOODSTOVEG. . : 0 GAS PRESSURE. . . : 50+ H1='. . . . : 0 CLO DRYERS. . : 0 NO. OF' UNITS-------•---- AIR HANDLING UNITS OTHER UN T TS. : 0 FURN ( 100K BTU: 0 10000 cf m : 1 GAS OUTLETS. : 0 FURN ) =100K BTU: 0 > 100011 cfm : 121 Remat-ks : install one air hanclIin -in it to 10, 000 (..,1-N. Owner-: _____._.---____.--•-•--____._._________ ________..._____.____--- FEES KAY LITTLE type nmol-int ht date r-ecpt 14146 SW 121ST AVE PRMT $ : 5. 00 JMH 05/ 14/96 96-27940:, `iF 11GARD OR 97223 'C1 1. 213 JIgH 05/ 14/96 96-279403 Phone #: Contractor: CLIMATE CONTROL INE 1 3315 NW 261H PORTLAND OR Phone #: t 26. 25 TOTAL Reg #. . 06 '196 •------ REQUIRED INSPECTfr ; - Thi, permit is issued subje t to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspec_tion applicable laws. All work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. 0 1>e t-m i t t e e S i t1 n a t,-i r-e : C ~' 1 ssiied By Ln J ~ 17 Cali inspection - 639-4175 J L W J City of_Tigard MECHANICAL PERMIT P(anckiRec. # _li,; nd f 13125 SW W ;i Blvd ` APPLICATION Permit # rn )FC(1G 0C)h'� Tigard, OR 97223 (503) 639-4171 • Description Table 2'A Mechanical Code QTY PRICE AMT N r Job , 7 1) Permit Fee 0 -0- 10.170 Address ••/ f. r1 f 2) Supplemental Permit 3.00 • • "^ •° Furnace to 100,000 BTU 1) incl. ducts &vents 6.00 a •'• °^• Furnace 100,000 BTLI + Owner 2) incl. ducts &vents 7.50 •• Floor Furnance 3) incl. vent 6.00 uspen eater, wa eater 4) or Floor mounted heater 6.00 • "••• ---V nt not Inc. i"-T n Occupant 5) appliance permit 300 •• epair of heating, re ng. 6) co(ling, absorption unit 600 or comp, heat pump, air cond. 7) to 3 HP', absorp unit to 100K BTU 6.00 o �1 rY,I Boiler or comp, eat pump, air can . Contractor C 8) 3-15 t IP; absorp unit to 500K BTU 11.00 i \ Boiler or camp, heat pump, air con . 9) 15-30 HP, absorp unit 5-1 mil BTU 15.00 " 'P'y• —�� Boiler or comp, heat pump, air con . 10) 30-50 HP; absorp uni' 1-1.75 mil BTU 22.50 hereby ac now a(ige that I have read this app(cation, that the Boiler or comp, eat pump, air con information given is correct. that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50 agent of the owner, that plans submitted are in compliance with Air handling unit to I State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM Board, that the number given is correct. (If exempt (ruin State Air handling unit registration, please give reason below.) 13) 10,0(10 ''TM + 7.50 Non portable 14) evaporate cooler 4 5, i Vent an connected -- - 15) to a single duct 3.00 Ventilation system not 16) included in appliance permit 4.50 "�""�•' — Hood serve. by 17) mechanical exhaust 4.50 escria work new L addition witeration L repair Commercial or industrial to be done residential non-residential Q 18) type Incinerator 3000 Existing use o er 7, woodstove, water building or property 19) heater, solar, clothes dryers, etc. 450 Proposed use of 20) Gas piping one to four outlets 200 building or property 21) More than 4-per outlet (each) 2.00 ;- Type of fuel -oil Q natural gas, LPG Q electric QNOTICE — r�. Minimum Fee 525 00 SUBTOTAL )�~ - PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5 SURCHARGE I Z C i� IF CONSTRUCTION OR WORK IS SUSPENDED OR -� ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25016 OF SUBTOTAL AFTER WORK IS COMMENCED -- TOTAL (' 2- Special Conditions r Date issued _ ���il_ by �Y�'I ' NLLOOIMOSTSIMlCMPMT Home Layout 0 ............................................................................. ... ............. .............. ...................... ............... ..................... 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C. a O 1 Windows Windows Doors Walls i "ITY e* �F TIGARD RESTRICTED E=NERGY COMMUNITY DEVELOPMENT DEPARTMENT P'E'=RMIT #: EL..R96--0192 13125 SW Hall Blvd.Tigard,Oregon 07223.8109 (503)830-3171 DATE ISSUED: PARCEL: 2S 1 10BB-•-053a0 SITE ADDRESS. . . : 14146 SW 121ST AVE SUBDIVISION. . . . : ARLINGTON RIDGE -030�JIIJ Z GN I t\IG: R- 3. 5 L�LOCI... . . . . . . . . . . LOT. . . . . . . . . . . . . �L� Pr-oject Description : A. RESIE NTIAL----..------ B. AUDIO P STEREO. . . : AUDIO & STEREG. . : INTERCOM & PAGING. . : BURGLAP ALARM. . . . : v BOILER. . . . . . . . . . : LANDSCAPE=/ I RRIGAT. . : GARAGE= OPENE=R. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . . . . DATA/TELECOMM. - : NURSE CALLS. . . . . . . . : VnC:UUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC: LITE: OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE= SIGNAL.. . - INSTRUMENTATION, : OTHER. . : • - 1.OTA1_ # 0' (:,,(STEMS: 0 FEES DAVID LITTLE type amount by date r^ecpt 14146 SW 121ST AVE P'RMT $ 40. 00 CJ;-:) 06/ 11/96 96-280454 5PC:T $ x. 00 CJS 06/11 /96 96--260454 1-IGARD OR 97223 Phone #: 503--624-6463 DRINKS HUME: SECURITY $ 42:1. 00 TO'-AL f30.;9 SW CIRRUS DR REOU I RE:I) INSPECTIONS -----`- - BEAVE=RTON OR 97008 Wall Cover, Elect' 1 Final Phone #: 503-641 -0574 Elect' 1 Service Req #. . : 44421 This permit is issued sc'bject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other E'er-,mites S �at _ire applicable laws. All work will be done in accordance with approved plans. This permit will erpire if work is not started L r within IPA days rf issuance, or if work is suspended for more 1 I ss�ue than 180 days. s sed By -OWNE-R 1 NSTALI.-AT I ON ONLY _.__ The i-.1stallation is being made on property 1 own which is not intended for paler lease, or rent. UWNF R' S SIGNATURE:: DATE __-CON RECTOR INSTALLATION ONE.Y------__--- ------___-----.__.._ cr_ F— Ln 1[:TNATURE OF SUPP. LLEC' N: OJ1 Ls.cCc_1�112-LL___ _ ----- DATE: r 1-.. I(TENSE NO: Call for- inspection - 639--4175 W J I Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 1.3125 SW Hall Blvd. Tigard, OR 97223 PERMIT # E71/� -Q I4 Phone(503)639-4171 FAX(503)684-7297 DATE ISSUED TDD No. (503) 684-2772 CITY OF TIGARD Inspection (503) 639-4175 ISSUEDBY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK Y CS A(( RESIDENTIAL—Restricted Energy Fee. . . . . . . . . W. 2- (FOR ALI.SYSTEMS) City State zip Check Tyne of Work Involved: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE;F WORK Audio and Stereo Systems IS NOT STARTEn WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR y 180 DAYS. ❑ Burglar Alarm 2. CON RACTOR APPLICATI N ❑ Garage Door Opener* ^ N- ❑ Heating,Ventilation and Air Conditioning System* type _ lJ�^�-���y�_ -_ ❑ Vacuumsystr_ms* q CC"__.. 11 ❑ Address Other 8�5QW. �ry'�V�.�-b �� -.---__—_— COMMERCIAL-•Fee for each system . . . . . . . (SFE OAR 918-260-260) Property Own / �,ot �- - - '--- ick Type of Work Involved: Contractor's Board Reg. No. Av ❑ Audioand Stereo Systems �n ❑ Boiler Controls Phone# (�/ ❑ Clock Systems 1. OWNER .APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Pho,,c Nu ❑ Insirumcnlation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City State Zip ❑ Medical This permit is issued under OAR 918.320.370.This applicant agrees to m4e only ❑ Nurse Calls restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting* following 1. Only use electrical licensed persons to do Installations where required.(Certain El Protective Signaling residential and other transactions are exempt from licensing.These have ❑ Other astedsks(*)•All others neer)licensing). �- a 2. Call for an inspection when all of the installations under this permit are ready for Inspection it 503-639.4175. ❑ Number of Systems 1. Purchase separate permits for all installations that are not ready for inspection when the inspector is out to Inspect under this permit. •No licpn". are required. Licenses are required for all other installations. 4 Assume responsibility for assuring that all corrections required by the inspector — ►+ are done,and J 5. Assume responsibility for calling for a final inspection when all of the 5. FEES corrections are completedUj . co The person signing for this permit must be the applicant ora person a. Enter Fees $ �— authorized to hind the applicant. b. 5% Surcharge(.05 x total above) $ Signature TOTAL $—�Z---� Authority if other than pli(ant ENFRGAP.CHP WIN CITY CSF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 MASTER PERMIT PERMIT #. . . . . . . . MF3T94--0371 639-4171 DATE ISSUED: 10/19/94 PARCEL: ESIIOLAB-AR030 �31TE ADDRESS— : 1i+ 1.4.6 SW 1 :,-'1ST (AVE V I---- le)(PIP 3UBDIVISION. . . . : ARLINGTON RIDGE ZONING: R-3. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :ill�i 0 BUILDING 13EISSUE: DWELLING UNITS 1. BASEMENT. . . . . . . . :0 s CLASS OF WORK. :NEW BE FIRMS 4 BAT(­1S.-3 GARAGE. . . . . . . . . . :534 S f ;_YPE OF USE. . . :SF FLOOR REUUI RED SETBACKS-­­­­­ I*YPE OF CONST. :5N FIRST. . . . : 1698 sf LEFT. . : 12 ft RIGHT. : 11 ft ;7CCUPANCY CRP. :R,3 SECOND. . . : 1.3,1)2 G f FRONT. :32 ft REAR. . -35 ft .31 t- 31 OR I ES. . . . . . . :2 FINDSMENT:O S f REUU I RED-------- HEIGH!.. . . . . . . . :C26 ft 1-0 TAL -- - - - -:3090 s SMOKE DETECTORS. -Y FLOOR LOAD. . . . :40 psf VALUE. . . . . 208487 PARKING SPACES- 1 Rerrav,ks : PATH I PLUMBING �3 I NKS. . . . . . . . . . . I Fl..00R DRAINS. . . . -.0 BACKFLOW PREVNTRS. . : I .-AVATORIES. . . . . ..5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERG. . . . .3 LAUNDRY TRf1YS. . . : 1 cwrCH BPbINS. . . . . . . .0 MATER CLOSETS. . :3 SEWLR LINE (ft ) . :O GREASE TRAPS. . . . . . . :0 ,)I SHWA'311E RS. . . . - 1 WATER LINE ( ft ) . : I V10 OTHER FIXTURES. . . . . :16 11.71ARBAGE DISP. . . : 1 RAIN DRAIN (ft :, . :0 OASHING MACH. . . : 1 SP RAIN DRAINS. . - 1. ME"CHANLCAL FEES 1- UEL 'TYPES-------------- UNI 1' fATRS. . :0 type am(11-tilt by data r,ecpt , GAS/ VENTS.. . . . . . :0 TIF $ 1550. 00 JF 10/19/94 - !IPX INPUT.-O DTU VENT FONG. . :4 8' (1 $ 70'--J. 50 JF 10/19/94 - --URN ( 1001( Q) HOODS. . . . . . : 1 BF-JLC $ 458. 5D JF 09/22/94 94--257101 URN > -100K . . : I WOOD STOVLS. :0 B5PC $ 35. 28 JF 1171/19/94 -- F-LOOR FURN. . . . :0 CLO DRYERS, - I SSDC $ 280. 00 JF" 11211/19/94 - .0 -5: 1 -1 JF 10/ 19/94 - 0OlL/CM1- ( 3HP-0 OTHER UNII P(IRR $ 51110. 01L GAS OUTLETS- 1 MP RT $ 45. 1110 JF'' 10/19/94 - Owner,: $ 11. ,2b JF 10/ 19/94 - _HOR"f ER HOMES M5PC $ 2'. 25 JF 10/19/94 - ' i�1'?1T5 ' 1'1­?lA!5 SW 153,HD FIL 3BTH $ 225. 00 JF* 1.0/19/94 P5PC $ 11. 25 JF 10/19/94 0Li-1.'r.._RTC1N OR 97007 L R03 $ 68. 1,')0 JF 1.111/ 19/94 -hone #: 579-0216 E R PL $ 26. 60 JF 10/19/94 � - ant t-actclv­ $ 28. 60 JF I HAR(ER HOMES � 0705 SW 153RD PL 3LPOERTON OF? 97007 'hone #: 5-79-0216 e y 6,4938 $ 3969. 31 TOTAL This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS Tiga�­d Municipal Code, State of Qt,e, Specialty Codes and all other Foot/fol_itld 111sp Fireplace Insp UJ _J app:icable laws. All work will be done in accordance with approved Post/Beam Stt-�.tct bas Line Insp plans. This permit will expire if work is not started within 180 Plast/Bet-i%in Mechan Tnsl.tlation Insp �ays a° issuance, or if work is suspended Tf r NMI t an a days kIlm/l.incislab Insp Gyp Board Insp PLM/Under-f I o(it- Rain drain Insp -mittee Siqnatl_tt-e . Mechanical Insp Watf_-v� Line Insp Pll.tmb Top Out P)ppv-/Sdwlk Insp sr'.(Prj Nye Fi-amj.ng Insp Mechanical F incl. a or Inspect. ion b,59-41 �n CITY OF TIGARD Sl:.-..WER CONN(:'*CT 10 1\1 COMMUNITY DEVELOPMENT DEPARTMENT PIE R I'll.T 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PERMIT #. . . . . . . : SWR94-0333 f, 9..-.4171 DATE 113SUED: 10/19/94 PARCEL- 2S110E1I3---AR0130 '11TE ADDRESS. . . : 14146 SW 121ST AVE �.�UBD I V I S I ON. . . . : ARLINGTON RIDGE ZONING: R--3. 5 , I -OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :030 ------------- T1._.NANT NAME. . . . . USA NO. . . . . . . . . . . FIXTURE UNITS. . . : ca_nss OF WORK. . . -.,NEW DWELLING UNITS. . : 1. YPE OF USE. . . . . :SF NO. OF' BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. : Sf -2eiyi&xr,ks : PATH 1' Uwner,-. FEES ...... �,HARTER HOMES type amol-int by date r-eept 1.0705 SW 153RD PL PRMT $ 2200. 00 JF 10/19/94 J.N S P, $ 35. 00.1 JF 10/P3/9/+ 13LAVERTON OR 97007 #: 579 0216 �.,Ontr,actov,: "111\1TRACTOR NO'T 01\1 FILE Phone $ 2235. 00 TOTAL Reg ---- REQUIRED INSPECTIONS This Applicant agrees to comply with ali the rules and regulations Sewer, Inspection of the Unified Sewage Agency. The permit expires 160 days from the date issued. The total amount pain will be forfeited if the :iervit expires. The Agency does not g1jarantpe the accuracy of the ,.ide sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from .he distance given. If not so located, the installer shall purch se a "Tap and Side Sewer" Permit and the Agpn(r. will Inst I a klatral. T d Ry : Call for inspection 639-4175 (D r Residential Building Permit Application pn City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: f 4 I y 12 1, < R Office Use Oniv Subdivision: � Lot# _� �,_•, � � bg cam._ Planck/Rec # / ti Valuation: Permit Corner Lot? Y O Flag Lot? Y LN Reissue of Map & TL;u .�S� IU fja-J� 12o30 Owner: O.h �(\ 41)12 P � Approvals Re ufred Address: A�>� � • �`� :5 Planning Ct U Q [ �^r1 `' ( ' Engineering — Phone: 97007 Other Contractor: — 1 ' I Q C- � -' 1Jl �J/ /,, L _ Items Required Address: /-�) 9 .-�).zk)• l Subcontractors I )QCT U C V- 1 0►1� �Y. 970o-7 Truss Details _ Phone: _!a 1 9 Other `1 /o Contractor's License # & .3 (attach/copy of current Oregon license) � / Contact Name & Phone: LL 71-tea /h Subcontractors: ArchitecUEngineer: r�% a✓ z Plumbing: P_ U i l� Address: _)/ y q /1l L � god LL: v' , (Mechanical: S ,L �ea4_o` �A Q �►l �I. DY Q 7a/,- �- t (attach copy of current OR Co ctor's Licenso)� p i� Phone: J JOB DESCRIPTION: V-0v Applicant Signature & Phone number Received by: _ Date Received: N VW0R0\C0MOEVP,. APF Permit# Account Description Amount Amt. Pd. Bal. Due h'c lcc J-�71 Bldg. Permit (BUILD) U 0 S S v Plumb. Permit (PLUMB) Mech. Permit (MEGH) State Tax (TAX) �' 7 Bldg: S 2 Plumb: L Mech: Plan Check (PLANCK) L3Idg: Plumb: Mech: Z Sw f S J-U,? 21 Sewer Connection (SWUSA) Sewer Inspection (SWINSP) 3 Parks Dev Charge (PKSDC) -s u Su u Storm Drainage Chg (SDSDC) - a" aeJ Residential TIF (TIF-R) /y J U Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) _ Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WCIUAL) r Water Quantity (WQUANT) -� Fire District (FIRE) Erosion Cntrl Permit (ERPRMT) r J Erosion Planck/USA (ERPLAN) �"� n .l V 60 Erosion Planck/COT (EROSN) v o r TOTALS: GZ 04 i � J ID : OCT 19 '94 8 :06 No .005 P .01 ' CHICAGO TITLE INSURANCE COMPANY OF OREI ON 9900 S.W. GREENRURO ROAD. PORTLAND, OREGON 97223 (503)694.8954 Date: October 12, 1994 To: City of Tigard A n ; From: Linda Vant)yke- Chlcago Title lnaurancc company Ref: Arlington Ridge Subdivision -Tigard, Oregon Coot contribution for extension of SW Gaarde Lot Number: Lot 30, ARLINGTON RIDGE This is to verify that for the above referenced lot, Bull Mountain Lend and Development Company has paid the required $1,424.26 coat contribution for the extenalon of S.W. Gasrde. At the time our office closed the above referenced lot sale, $1,424,25 was withheld from the sole procasds and is being held in escrow. The escrow account is being maintained by First American Title Insurance, Tanasboume ofAce, 2515 N.W, Town Centre Drive, Beaverton,Oregon 97006. For further Information, please contact Jody Johnson at 646-0320. nda an Dyke Lscrow Officer Chicago Title Insurance Company 9900 S.W Greenbury Road Portland, Oregon 97223 L. L.0 J C Q0 W .1 TOTAL_ P.02 ..r PLOT PLAN LOT 30', "ARLINGTON RIDGE" IN THE NW 1/4 OF SECTION 10, T,2Sv R.I.W. W,K CITY OF TIGARD, WASHINGTON COUNTY, OREGON S. W. 121ST AVENUE N 00'01'06" E 92.01' c vv 1 o � 0) Lit r, L `A q'� LOT V `ti r 4' F' r LO 31 L.0 T 2, .p T �10.00' PRIVATE STORM DRAINAGE EASEMENT -' ''�J��1Q`S�t�VI'rYtR'f-9EW 1`�`f�--�ArS61dF•GLT�� 3s`I N 00'076" E ti b _J C7 U ' W SCALE 1 20' 09 ,BADE AT THE REQUEST OF, AND FOR THE J 09/1 2/94 EXCLUSIVE USE OF CRAIMR, HOMES OB N0. 418866