14503 SW 130TH AVENUE .n
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14503 Sw. 130th Ave. —
aTYOFT167ARD PLUMBING PFRMIT
COYOFTKAND PE RIVI I Y tf
COMMUNITY DEVELOPMENT DEPARTMENT 02100N
13125 SW 1141 BW. P.O.Box 23397.Tigiud,O"Pgon 97223(603)6304176
14+bU3 SW HVL
SURD I V I S I ON. WU00FURI) (FIC-3,Tfi ES D I J 114-., R-7
BLOCK. . . . . . . . . . LOT.. . . . . . . . . .
Ct c)SS OF WORK. . :NEW GARBAGE DISPOSALS. . c I
TYP17 OF :SSC~:. . . .BF W14331113 NADI,, , * * , * , 1, Sn0KFL11W I-"F+VN1 R5
OCCUPANCY ORP. , ;R3 FLOOR VRAINS. . . . . . . cO TRAPS. to . . . . . . . . . . . to
STnRIES. . . . . . . . W A T E P ►JL:qr'rr-Rs. . . . . . it CATCH 0AF;IND. .. . . . . . :0
LAUNDRY TOPYS. . . . . . . I SF RAIN DRA1149. . . . . .. I
51141"6. . . . . . . . . . a 1 c-,firAsw 'm-)PS. . . . . . . :0
LAVATORIES. . :4 OTHER FIXTURE".1. . . . . .0
TUB/si-j(Jw Rs. - 5EWER LINE � Ut ) . . . . c0
WATER CLOSETS. . . WATER LINE (f=t ) . : 100
D I SHWASHERS. HA I N DRf-)1.NJ ( Ft ) 0
Remav,kst PATH T
QWNERi -------
R & W PARTNERS T1F` $ 1460. 00 JH 11!1/021/ )2 –
12300 SW 69TH AVE FAPRT t 475. 50 JH I O/Oi?/qj- –
BPLc $ 309. 06 'LH 0`1/22/92 r; 31896
TIGARL) OR 9i'223 s5ric $ 23. 78 J+-1
Phone #c 639-.-e639 SSDC $ C.180. 00 'jH 10/0`"' 1)
PARK $ 500. 00 JH 10/02/%P. ---
P,i ki m b i n c
.1 Con h,artori MPHT $ 45. 00 11-1 10102192
11 - P5 -114 10/01?/9
Name a 7– Nk ec m!5pc i-?. 2!t .11°i to/fit,-''/9k
PPRI, 1� 155. 0 0 j 14 1 lb/0 9
Y I S t a 7b JH 11e.110k'19i:
zip: rl
Reg 7 ..ila71T
RE(OUIRED INSPULIJOHI,�',
' fhts pet-mit j. .mi isvted subject to this t-,c.
lolations contained in the 7iijard 1111-inirij.iel Foot /f ound lnsr-� r4pir, dr-Ain Tr.�j
(-:Ode, 9tate Of ()V'O. '-ij3ec.'j,*1tY Cade4; and A. 1 .1 Post/Bram litvut-t Waiter" Line Tjjsr:
other applicable laws. sAll work will be dune past/bpam Mer.4tam Appt r scit-1.1 k 11inp
in accm-danc.,e with approved plans. Thj !! MmiundslAb fnisp ftlechm-mi(,j]
,per-m it wj I I exg).' r-cs i r wvv^k I s not t,%t-t ed VIL1,4/Under fl Plumb 1- ina ,
within 100 dayn of iqsuanc.-*, r if w I-.-.I I., I Ilechall1ral Insp Building r- illmkj
— t ,.,-rjendx-d for, mc)--e than t8@ clat/s. Plumb Top OUt Er'Llsior, Cuntro)
Framing Tnsp ct-awt Drain
Fir-eplAce. Inc4p
Naas Line Insp
Insulation ln�,p
....... Gyp Board Insp
f4f nt-ized PlciokljnontrmcSlq
tmv, nAtut-o
v �j CC&! l for inspou,:tion 639-4L7''.i
G'ontt-actcr,
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 3W Hall Blvd.Tigard,Oregon 07223.8100 (503)839.4171
14L.14
12'3-00 r (,141+4 OVE
11(14441) OR
I'='hloria
W 1 014TNU fO'
fit,Iia• tir fi31 - 2,E,.1,9 .
Ictal.{ . c liO'i 0
0 '.c;;1 pulicy or the r1b!. w i +. ( �'t'��IIY+.'t'tl I,i' j I lr ill;l 7• +d I11'i f Il t + �i„ t'1;.�
k hm r"6y 11 P I ,l 0"c a W t h t h— K a l o O I ')i ego" ';1p e c qi '1
,)i.;Y_^1.1474aw 't axed U*iii' urlov; ii"! i h the ref li'venj. mci Iin .ui,i 4'I , , f. l
r I IA Cil r'rrP rrs1r-1'I � � It11 , �" r1,41
1'-lltl I' IP'II + II I .t lilt
.�
C17YOFTIGARD
rc�
COMMUNrTY DEVELOPMENT DEPARTMENT aeooN MASTER PERMIT
13r25SWFWIBhrd. P.O.Box 23397,Tigard,Oregon 97923(603)639.3175 PERMIT #. . . . . . . a 01!3T92-0218
6:39-4171 DATE ISSUED: 10/0r/92
SITE ADDRESS. . . a 14503 SW 130TH AVE PARCEL: 2S'.09AD--W0F28
SUBDIVISION. . . . a WOODFuRD ESTATES ZONING: R-7
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..28
---------------------------------- BUILDING
REISSUEa DWELLIIVC UNITS: i 'AASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:4 BA'THS:3 LIRAGE. . . . . . . . . . :848 sf
TYPE OF USE. . . aSF FLOOR AREAS----------- RE,`UIRED SETBACKS----------
TYPE OF CONST. s 5N FIRST. . . . : 1180 sf LEF . :6 ft RIGHT. -8 ft
OCCUPANCY GRP. a R3 SECOND. . . : 1025 sf FRONT-20 f t REAR. . :50 ft
STORIES. . . . . . . :2 THIRD. . . . :0 sf
F1EIGHT. . . . . . . . :29 ft TOTAL------:2.205 sf SMOKE DETECTORS. sY
1=LOOR LOAD. . . . :40 psf VALUE. . . . . f : 116694 PARKING SPACES. . : 1
Remarksa PATH I
-------------------------------------- PLUMBING -----_----_--_________.______-_-_.-._.-.._
_.NKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . s4 WATER HEATERS. . . at TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :; LAUNDRY TRI"IYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . s3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . at RAIN DRAIN (ft ) . a0
WASHING MACH. . . a1 5F RATA DRAIN- . : !
MECHANICAL _____.__ -__ ------------------ FEES --------------
FUEL TYPES----------- UNIT HTRS. . . - type amount by date recpt
/GAS/ i / VENTS . . . . . :1v TIF $ 1460. 00 JH 10/02/92 -
MAX INPUT:O BTU VENT FANS. . a4 BPR1 $ 475. 50 JH 10/02/92 -
FURN ( 100K . . a0 HOODS. . . . . . : t BPL'-' $ 309. 08 JLH 09/22/92 231896
FURN ) =100K . . : 1 WOODSTOVE . :0 B5PC $ L-,3. 78 JH 10/02/92 --
FLOOR FURN. . . . :0 CI-C) DRYERS. s 1 SSDC $ 280. 00 JH 10/02/92 -
BOIL/CMP ? 3HF,:O OTHER UNITSa 1 PARK $ 500. 00 JH 10/02/92 -
GAS OUTLFTSal MPRT $ 45. 00 JH 10/02/92 -
Owner,c -_.._______._______._.______.___...____.___ MPLC f 11. 25 JH 10/02/9 : -
R & W PARTNERS M5PC $ 2. 25 JH 10/02/92
12300 SW 09TH AVE PPRT $ 155. 00 JH 10/02/9P -
P5F-'C $ 7. 75 JI1 -
T I GARD OR 97223
Phone #: 639-2639
Contractors
R&W PARTNERS
12300 SW 69TH AVE
1'IGARD OR 97223
t41one #a 639--2639
Reg #. . a 80970 -----------------------------------------
$ 32:69. 61 TOTAL
This permit is issued subject to the regulal.ions contained in the -------- REQUIRED INSPECTIONS -------
Tigard Municipal Coo, State of Ore. Specialty Codes and all other Fact/found Insp Fireplace Insp
applicable lams. All work will be clone in accordance with approved Post/Beam 5truct Cas Line Insp
plans. This permit will expire if work is n t std!'.ad within 180 OePost/Beam Nechan Insulation Insp
days of issuance, or if work is suspended more the a s. Plm/undslab Insp Gyp Eomrd Insp
PLM/Underfloor Rain drain Insp
1'erinittee Signatures Mechanical Insp Water- Line Insp
Plumb Top Out (appr/Sdwll( Insp
Issued By : Praming Insp Mechanical Final
Call for- inspection - 639--4175
CITYOFTIGARD rcn
,C,EWE-.R IONNECTIOluCOMMUNITY DEVELOPMENT DtPARTMENT emoF'ERh1I T
13126 SW FW I Blvd. P.O.Boot 23397,Tit-ud,Onpon 97223(6W)M4175 —77, F'L R 11.1 T #. . . . .. . . : SWR 9 4 —0,3 fir.:;
6:;7-4171 ur1TE ISSUETI; ikr/02/92
SITE ADDRESS. . . : 14503 SW i 3o m AVE F='ARCEL: :_S 109AD-WDF26
SUBDIVISIOIU. . . . : WOODFORD ESTATES ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :28
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNl15. . . :
CLASS OF WORK. —NEW DWELLING UNI 1 `a. . : 1
-F YF'E OF USF. . . . . :SF IVO, OF EAU I LD I NGS: i
INSTALL. '1"YF'E. . . . cNUbWR IMP,ERV SURFACE. . : : S
Remarks : PATH I
Owner: ________________.___.._.___.______.._._-.___ _. __ ____.____._._.____._._ FEES
R & W PARTNERS type amoI_1nt by date recpt
12300 SW 69TH AVE: PRINT t jA 00. 00 JH 10/OL/92 -
INSF' '6 -15. 00 ,JH 10/0=/92 -
TIGARD OR 57223
Phone #: 639-2:639
Contractor-
CONTRACTOR NOT ON FILE
1=1h ren e tt: 111 2135. 00 TO m-
Rey #. .
REDUIRED INSPECTIONS
This Applicant agrees to compiv with all the rules and regulations Sewer, Inspection
of the Unified Sewage Agency. The permit expires IN days from
the date issued. The total amount paid will 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 shall prospect 3 feet in all directions from
the distanc'r given. If not so located, the r staller sh ale
a "lap and `1d2 Sewer" Permit and the Agen will to a teral.
11
Permittee ;:signature:
i s s r_r ed By:
Call for inspection 639-4.175
131 S25 W Hall Blvd. PLNCK/RECT #CI TY OF TI GARD I'O Box 23397 PERM I T # �)- ��l�
COMMUNITY DE-VELOPMENT I DEPARTMNT Tigard,Oregon 97223 — ---
(so3)639-4171 DATE ISSUED
JOB ADDRESS: �� � J`'A� ( '3y — TAX MAP/LOT ;Z.SI0 4
SUB: /�� j}f LOT: _ 2F LAND USE: --._
VALUATION:
OWNER SPECIAL NOTES
NAME: -SAUtp- /45 Cera(ICWaC7�Y4 REISSUE OF:
ADDRESS: LAST REISS'F:
FLOOD PLAIN/
PHONE: _ SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: le st -� PLANNING:
ADDRESS: I23®C` G9 ENGINEERING:
FIRE DEPT:
PHONE: �3�,Zla _.. OTHER: Y/,--XG" ----_
CONTR. BOARD #: �Q 7�_ EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: .r i — _ LIST/SUBCONTRACTORS:
MECH: r` 4,1��7�, �� �. -- -- BUS TAX: .
ARCH ENGINEER CALCULATIONS:
t�
NAME: f'� ol�jfC TRUSS DETAILS:
—�'` G� d'R ---
ADDRESS: OTHER: _ a
PHONE: _
PROPOSED BLDG. USE: _ - -
COMMENTS:
APPLICANT SIGNATURE
Date Received:
Received By: --- _ -
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
rn>t z.-o:)1 10-432 00 Building Permit Fees _ ���Sv fl 7;, )Z
10-431 00 Plumbing Permit Fees
10-431 31 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building
Plumbing _ T7 5�
Mechanical 1
10-433 00 Plans Check Fee .33 / �'SL� 7&, 3 j
Building
Plumbing
Mechanical
10-230 Oo Fire
30-20' 00 Sewer Connection
30-444 00 Sewer Inspection
25-44802 Commercial TIF Fees _
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees _/3 5 U —
25-448-05 Mass Transit TIF Fees ,/0 DO //U
52.-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSOC)
24-445--01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL Yo
nm/3581P.W11I'
Ii
CITY OF TICARD HEC ETFIT OF PnYMENT RECEIPT NO.
C,HF'--'CK AoinUNT X154. 61
NOMC. s J. T. Puri-i CAGI-4 AMOUNT 0. 00
E1U1�F2E iii PPYMCNT DATE 10/0! /98,
9081)1 V I G I Oil
PURPOSE OF PAYMEN] AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PPID
i31J l-1-D Ii46-'Fi-FiW 155. 00
MCHONIM. PE 45. 00 ST. BUILD PER 33. 78
PLAN CHECK FF. 7 0. x,3 SEWER Uf3A aloo. 00
SEWER INSPECT 35. 00 PARKq SDC' 00
s,rORM DRAIN SDC X280. 00 RESIDENTIAL TRAFFIC FEEG 1350. 00
MASS 'rR(4NV;pl ,r -riv- F,EFs 110. 00
WOODFORD ESTATES 00'8
14503 SM 130TH
TOTAL AMOUNT PAID - `.51 S 4. (-,. 1
.CITY of TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13120 SW Hall Blvd.Tigard,Oregon 87223.8188 (003)038-4171
'� �:y rl.,P....fY.� � � Li'�'"•:�y .�.'.A f.��J 1...1./a lyf�$R.�,f'�y .1..::
a' FSE"w3ffw 1. 1dirZ'd;; .:i4a
uEk1){{ V1E�1l"N. . . . 9 wG:!(:I1)FL,R.D(yyCW ,1 '"tiiw: zUiU t?".)t* ;+..,.
(.�lw r"k. . . M' t. r, • a u Y a t.«L.!'.l . • w in u , . i � w .li=.r�:.'
fir;, a i h
WORK. U ADD GV11114LIN t1.4 GJ L,i,i:,i..
vPE OF 06 . » . ac i. WW5H.rNG MWi:;:;, . . . . . . . l ,i:l...E:rw PREVNf"R6t
.t.,+.,�1'P. ,•i.;'w' 4r1��. . . � �"�i_.�.)�l,'d �: l`�a r�.t4i�.:,� ., „ , . . . .�.i�,f-ii (_:
1,+ "V i:Ji,,.... L 0 UN D14Y" i !'"Ci' d.
�NP,;r . , . . .. . . a UPINAL.5 . . „ . . . . . , . . . L"k1:,A$E'...
GLWER r•.I„ »
,A,TER GL US(-A S. . . rMif+ L 6; 1.,1,fqf!'� f I. . .
kPi 1 til DRO 1 two a t
i. list PAF'RI W�Rq t et "A Ill c y.xn t. L't V r:1 at t;^
Ic-'300 SW 69TH AVE 6 tit#a.irri(.,
rPL,.i F".y ..i 4'`i kZ'4 0'1 ,
l i 1..at 114 0 U IR '.r��r' g;
..« e , �'4 I^"1' f,rC��;�".;�f. P�`�.11.. ("�,t.�➢�I �:�'�n.`r
:io o s iMAt)Thi A
U ' i a2
). .. t L y
'e u lf( . g S1700
' ih&5 PeCt 1t,1 'issod tubjftt f,0 Of t'##W46Mi 1.01td4:tie{ it a.N C4P of
`i4aed pu'nzck;W'i rodffr Star" of &t. Spic1kRtY I;,ottl Anes X11 sthsr1r��-A1 1"1Sjra+r<` Grl;arr � �.. ....... ..... .. ... ..
opphcabls laws. All wprit will1 brr dope to a :t,rd+s4t hi4 . _ ,.... _..._,....._... w.. ,..._.M.,.,
approvod purrs. this peoit will Lisp r°e if wo-#; is slat itsrto _ ,�... ., ... .w ., .. .. ..,... ...._.
within 160 dAys v( jv�ua ce, u, If woO ib iuiy ev,de: fe, &oi,v
thito 163 days. �__. �. ._. _ .�,..., _.� __,..._... . ,.. ... ....._,
�*r°irr t#�t ,, r)r r t'a L'>a r, r ./ �".'.••
Cal k f'0r- to%pec ton ., b 8,1.._.41 'r".j
DEPARTMENT OF LAND USE 6 THAN: iPORTATInN
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO, OR 97124
COUNTY, INSPECTION REQUESTS: 503;640-3561/693-4415
OREGON PHONE: 503/648-8761
Page : 1 of 1
Date 11/02/92
'Time 14 : 11
Permit 'Type Residential Electrical Per-.,it- hermit # obo3b132
Permit Status APPROVED Applied 11/U2/92
Situs Address 14503 SW 130'1'H AV '1'1 issued 11/0'2/92
Permit 'Title Sk'R - ELEC/NEW HOUSE & L. V. Completed :
Permit Descr .. 1'0 Expire Ub/Il1/93
Project 'Title St'R - ELEC/NEW HOUSE & L.V . Project # YU027264
Project Uescr. * EROSION
Parcel Number 251'1']. - Land Use District :
Valuation U
Legal Uescr .
Uwner : 1NSPEC'1'IUN - TIGARD Construction O'1'H
Applicant Name s URl'LLLY ELEC'1'R1C Classification : 90U
.Applicant Addr. : 4104 SE 1641PH AV Occupancy ; R3
VANCOUVER, WA Validated by : KV
Applicant Phone: 896-61bb Inspector Area :
CUN'1'RAC'1'UR : URIZZLY ELEC'I'R1C Lic , C JY-4460: 206-896-615b
N'ee description Units !'ee/Unit Ext fee Data
-------------------------------------------- ----- ---------------------------
Square rootage (Enter Sq. Et , ) 2bUU 130 . 00
Limited Energy 1 2U , 0U 2U , U
Subtotal Electrical Nees : U ibU , UU
State Surcharge of b% U '/, bo
'Total biectrical Nees : 0 t b'/ . bU
*** Nees Required *** *** Nees Collected & Credits ** *
Receipt No , Uate Payment.
11/02/92 1b'/ , bo
1'U1'AL 'THIS UA'1'E
Nees : 1b'/ , b0
.1ustments : UU 'Total Credits : UU
'Total tees : 1b'/ , bU 'Total Payments : 1b'/ , bU
balance Due: , UU
NO f ICE This permll becomes null Mild void If the work or construction for whlrh It is Issued Is not commencer:within 150 days Once construction has slartpd,
the permit becomes null and void If construction Is Interrupted lot a period of 180 days. t cattily that the information presented by the applicant and
his agent or agents In support of this permit Is true Ind correct to the beat 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 construcllon and use
of this building or structure will be complied with whether or not specified on the plans of noted on the plans correction sheets 1 acknowledge that
the granting of a pernllt does not grant authority to access private property or to use sssements I further acknowledge that the use or occupancy of
the slrueture 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 codes Use or occupancy of the building or structure perm shed prior to approval by the
Bulldlnq Department Is solely of the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and
approval Is given by the Building Official I further acknowledge that a lien may be placed on the title of Ina property upon which the permit Is Issuad
specifying that the use c r occupancy of the building or structure Is provisional and revocable until the setielsellon of all Inspection requirements
APPLICANT'S SIGNATURE
s�
1
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
1_le North
i Inspection Section APPLICATION
155 North First Avenue, #3W-12
h;llsboro, Oregon 97124
Information: (503)640-3470 Fax: (503) 693-4412 Pruject/PermitL�-, <�f
Number '' '��'�!�`= Date
PRINTPLEASE Please . 4. Complete Fee Schedule below
Number of Inspectlons per permit allowed 40
1. Location of Installation �4 Service included: Items (;ost(ea.) Sum
Address--�_- i,/ z — A. Residential-per unit
Building -
City _lLm�11_1r --Suite No. --- 1000 sq.f1.or legs _J! $85.00 ��' 4
Tenant Name - Each additional 500 sq ft
or portion thereof } $15.00
(if commr•cial) - — _ Limited Energy $10.00 1
Each Manurd Home or Modular
Directions Dwelling Service ur Feeder _.__ $40.00 _ 2
-- -- B. Services or Feeders
Installation,alterations or relocation
200 amps or less $50.00 ---_—.— 2
Commercial I- Resider tial r'i 201 amps to 400 amps $60,00 — , 2
401 amps to 600 amps $1170.00 2
601 amps to 1000 amps — _ $13000 2
2a. Contractor in tailatipn on Over 1000 amps or volts ____ $300.00 2
CIV Y' Reconnect only _— $4000 _ 2
Electrical Contractor._�t 7 _ ��_
Address �- I ' `"
- � �� L� �--L--1- _:_4�°t C. Temporary Services or Feeders
Date._l,_ �-(_, _3-job Umber Installation,alteration or relocation
Property Owner _- - il1i� ,� E' 2W amps or leas $40.00 __ 2
�
Contractor's License No. i. 201 amps to 400 amps $5500 2
� 401 amps .o 600 amps $130.00 _ 2
Contractor's Board Reg, No. c c Over 600 amps to 1000 volts see•e°above _
Signature of Su r.rPec'n D. Branch Circuits
License NO. ? 1, Phone NO. r ( _ New,alteration or extension per panel
a) Tho fee for branch circuits with
purchase of service or feeder fee.
2b. For owner installations: Each branch circuit -_ S2.00 2
b) The fee for branch circuits without
---- ------------ purchane of servke or feeder fee.
r�inl Owner's�Vsme hone o.� First h,anch circuit _i S35 00 f
-------- ---- - -- ----------.---_ Each add'nl branch circuit $200
Addrese E. Miscellaneous (Service or Feeder not included
-- ---_-
Steto - -- Each pump or irrigation circle $40.00 _ 2
City - _---Zip-----
Each srjn or cutfine lighting $40.00
The installation is being made on property Signal own Signal clrcu
anol)aor
la limited
�norgy panel,alteration
which is not intended for sale, lease or rent. or extension i $40 W
Owner's signature _-_- -_ F. Each additional inspection over the allowable
in any of the above, per inspection
3. Plan Review section (if required) $35.00
5. Fees
A. Enter total of above fees $
5% Surcharge (A5 X total fees) $ _
Subtotal $
B. Enter 25% of line A for
For Inspections call Plan Review if required (Section 3) $
640-3561 0r 693-4415 Subtotal $
24-hour recd-.;rr, Less Bulk Label Fee $
one working day in fid+rance of need Balance Due $ r- �
This permit becomes null and void If the work authorized by the permit Is not comma iced wfthin 180 days from date of!ssuancr.
of such permit or If the work authorized Is suspended or abandoned of any time after work Is commenced for a period of 18o days.
Electrical Permits are non-refundable and non transferable. 10/91
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON 155
DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
..-1 COUNTY, PHONE: 503/640-347ri
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit # : 05035132 Project # FIOU27264 Status APPROVED Page 1 (.f 1
Applied : 11/02/92 Issued 11 /02/92 Expires 05/01/93 01/20/93 05 10
RESELEC
Permit Title SFR - ELEC/NEW HOUSE & L . V . O;H
Description
,lob Address 14503 SW 130TH AV TI
Owner Name INSPECTION - TIG'AF:D Region D
Applicant Name GRIZZLY ELECTRIC
Phone number 696•-6155 Valuation : 0 Approve
Inspector Comments : Rede ted
4L Ad
--j/Lt
OV.
/.�G:�
-��
Inspected by :. Date :
�.. ' �---•- T---'—"—
Inspection Requested :
Cover & Service
01/20/93 RI JCS AM PLEASE
REPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON [:MD DEVE_OPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640-3470
OPX-GON ENSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit # 050: 5132 Project:. # Pf''927264 :"tatuw, APPROVi Page
Applied 11/02, 92 Issued 11/02/92 Expires 07/19/9.; 03/20/93
RESELEC
P»rmi t Title ;_:'R ELEC/NEW HOUSE & L .V . OTH
De_c-ription
Job Address 1.45 —4 130TH AV TI
Owner Name 1W t I ON - T I GARr. CAppr,-ve
Applicant NarnN GRIZZLY ELECTRIC
Phone number- 8 6-615F� Valuat..i :r 0Ins >ectox' _
Inspe<;ted by
1 n spect x.r,n Reques,
+
Final Electricaa
03/25/93 RI DA