14658 SW 130TH AVENUE i
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DEPARTF,ENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415
OREGON PHONE: 503/848-8761
i oi
J6'L _ Urr/U1i
, irne 1`) : `,U
Permit 'Pylae RP.;identi ,tl Electrical Permit. Permit It O;,U✓lt
Permit: Status : APPRUVEI.) Appiiec: f)t,/()I_
Situs Address 1461)8 SW I JU'1H AV 'L'! i.'S.SUed k)6 01i �.
Permit. 'Title SFR _. RL' E:.:/111JRG1,Ak ALARM tr.-(A :
Permit Uef;r..-r , LiM.ITEL) ENERGY : o E:x;,,ire 1:.i�'P 1
Project Ti tlo `'-Fk -• E lXC/NE:W IIC.11, SE; t+ L. V , P1
Project Descr .. A Eltt i�,.ic 1N A
Parcel Number- 2S 11'.1
Valuation )
1,er.Tal Descr" ,
Owner INSrII:.'C'i'iON .. '1'16APD c'c,tt:J t. rlir t. t.�tl
Applicant Name PHILLIP=S E:LE(-'TRO% Cr n t.
Applicant, Addr. : 1110 NW E I.,ANDEN..a ilr�t ur:,r�it���y It
PURTLANU, OR '4120`) Vit L . ict1.I-'d Ly
Applicant, Phc,lne! : 2.2.1--0a'/I
CUN'1'RAG'; OR : PIi1LLIPI-i E;LEc.'CRUN.[(:!S Lt_. C t,-
Fee description Lltii t l't�r /L,rti t . c
Limited Entegy/Altar-, /E:xteri,ion
Subtotal E=lectrical Fees : to
:Mate Surcharge of 5`k, U
Total Electrical Fees : 0
A* Fees Required k k A' A k k Cc)II-et:-ed
Receipt No . Date i y m e n I
06/01/9.' i:. .
TOTAL THIS DATE
Fees :
Arijus1,t,n1et1t
Total Fees : 12 , U0I r,l I ayrn rt! 42 ,
NOTICE: This permit becomes null and void If the work or construction for which N Is Issued Is not common:od within 160 days. Once construction lies started,
the permn bim: ,nea null and void II construction Is Interrupted for a period of 160 days. I certify that the Information presented by the appllconi and
his agent or agents to suppnrt of this permit Is true and correct to the best of our knowledge. I acknowledge that the Aullding Department's reliance
upon false and misl,4ading Information may Invalidate this perm". All provislons of applicable laws and ordinances governing the construction and use
of this building or structure*111 be complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the grantinn of a permit does not grant authority to access private property or to use easements. I furlhor acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the building
Inspection aloft verifying,ompllance w"h the various codes. Uw or r, cupency of the bullding or strpclure permitted prior to approval by the
lullding Department Is sol Ay at the risk of the applicant and such us, or occupancy Is revocable until all Inspection requirements are satisfied and
approval Is given by the Suilding Official. I further acknowtudge that a lien may be placed on the title of the property upon which the permit Is Issued
specifying that the use or occupancy of the building or structure Is ptovislonal and revocable until the satisfaction of all Inspection requirements.
APPLICANT'S SIONATUIII?
WASHINGTON COUNTY
Department of 'Land Use g Transportation RESTRICTED
Electrical Inspection Section t
155 North First Avenue, #350-12 ELECTRICAL ENERGY
Hillsboro, Oregon 97124
LI
�/"�T'
Jnlormatian: (503) 6403470 Fax: (b[r3) 593-4412
PLEASE PRINV
5-qM
' ' ' Project No._ Derrnit No. 3
1. Location of nstallatio t Label No.— _ ate
Address_Z y� j A —St;,' --5 d ! ' Issued Gy . Office --
Cityzip-Co 1C G ^� 4'. Type of .work:
Tax Map -D&00 No. a. le, A 1 R
RE,3IDENTIAL Restricted Energy Feep. 1
Thomas Map Book: Page �a S•Sr Section D _ (for all systenis) -
Directions Check type of work involved:
Audio and Sterao Syttgma•
Commercial Residential Burglar Alarm
Tenant Name Telephone Systems'
(It commercial) _.^__—_ -___ —.-- Garage Door Opener*
This permit becomes null and void If the work suihorized by the Fire Alarin
permit Is not commenced within 180 days from data of Issuance Heeling,ventilation and Air Conditioning Systems"
of such permit or If the work authorized is suspended or abandoned
at any time after work Is con menced for a period of liar'days. Vacuum Systems"
Electrical Permits are non-reiundahle and non-transferable Other
2. Contractor app iatgn: _
Electrical Contractor ti COMMERCIAL Fee for each system $40.00
------ --___ (see OAR talo-2so-2e0)
Address s.--
Date _ YS—J± Job Num er Check type of work involved:
Property Owner
Contractor's License No. 3 < < f _ Boiler Controls
Contractor's Board Reg. No. 3 3 Y 3 Clock Systems
Phone No._ 1:?-PU- e Data Telecommunications Installations
Fire Alarm Installation
3. Owner application: HVAC
Instrumentation
Print Owner's Name Phone No. Intercom and Paging System
Landscape Irrigation Control*
Address Medical
Nurse Cells
Outdoor Landscape Lighting•
This pertnit la Issued under OAR 818-320-370. The applicant agrees Protective Signaling
to make only restricted enorgy Installations(100 volt snips or less) Other
under this permit and to do the following: -
1. Only use electrical Ilroneek;persons to do Installations where
required. (Certain resJdonelsl end other transactions ere exempt Number of Syl3tems I
from llcenaing. These have asterisk (`) Alr others nerd llcene-
Ing.)
2. Call for on Inspection when All the Mstallntions un,er tlrls per fnit 'No license_*are required. Licenses.ire required for all other installations.
are ready lint In Apectlorn.
Pur^hsss separate permits for sit installations that ere nor ready S. Fees
for Inspection when the Inspector la ou!to Inspecf under thl.7
permit. Enter fees $ —�fC-
4. Assume responsibility for tsscming that all corrections regr.rlred
by the Inspector are done,and .-
5, Assume responsibility for calling for a flnel Inspection when sl1 of 5% Surcharge (.05 X total above) $
the corrections ire completed. �Gb
The person signing this permit niust be the applicant or•person Total $
authorized to hind the applicant.
Signature --p -�-- r C{ Sp ce below reserved for validation.
Authority if other than applicantFor Inspect::)ns call
640-3561 c :,* 6 93-4416
2.4-1`101.ir recorder, one working d=Fy In ac.vance of need tf
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
Electrical Inspection Section A P®9 �C AT I O N
155 North First Avenue, #350-12 r i"` C,�
Hillsboro, Oregon 97124 �J.__ ,2
Information. 503 640.3470 Far: 503 693-4412 Project/Permit 7 i
( ) ( ) Number - S�' '.:5�i��S__ Date _Jr
EA�E INT
[--lea mpleve a// s6ctions,, 11hrough 5., ",
4. Complete Fee Schedule below
Number of!nspeclionti per permit allowed y
3. Location of installation t�
Ad ress f �I (, s ti" i,.rte i �.c' _ Service included: Items Cost(ea.) Sum
/ Building A. Residential-per unit
City — r I°,gr Il Suite No. _
11000 sq.h or loss s85.00 _ 4
Tenant Name
Each additional
(if commercial) N` M✓ t f�a u�o�e o
-)r portion thereof
sq.ft
$15.00
L,ry . d Energy --- $20.00 1
Tax Lot_ Map No. Each Manufd Home or Modular
Dwelling Service or reeder Sot?00 --- 2
Thomas Map Book: Page: Semiori:_
Directions B. Services or Feeders
- -- --- - -
installation,alterations or relocation
200 amps or leen $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 installatloi li only- Over 1000 amps or volts $300.00 2
J Reconnect only --- $`10.00 2
Electrical Contrac Q f' '1 L n'")�` ��
Address u LiLi-L.-t-,rrtr r_.- C. Temporary Services or Feeders
Date ___ .lo _„� Installation,alteration or relocation
Property Owner L r.ember _ 200 amps or lees —_ $40.00 — 2
Pro
p y -- —� 201 amps to 400 amps $55.00
Contraclor's License No. ✓/ — 401 amps to 500 amps $80.00
Contractor's Board Reg. No. TomOver 600 amps to 1000 volts see V above
.. .�-_�--
Signature of Si pr. D. Branch Circuits
Now,alteration or extension por panel
License No. Phona No. — a) i he fee for branch circuits with
purchase of service or/soder fee.
2b. For owner iristallations: Each branch circuit $2.00 2
b) The fee for branch circuits without
purchase of service or feeder lee.
15rinl 175WrX r 6 ame ?5hnne No First branch circuit $35.00 2
Each add'nl branch circuit. $2.00 — 2
E. Miscellaneous (Service or Feeder not included)
_ _ Each pump or irrig-illon circle—._. $40,no 2
Zip Each sign or outline"ghting $40 OC _ 2
Signal circulus)or a limited
The installation is boing made on property If own energy panel,alters5on
which Is not intended for sale, lease or rent. or extef9ion -- $40.00 '-- —
F. Each additional inspection over the allowable
Ownor'n Signature ____- -----------.......---- —
in any of the above, per Inspection
3. Plan Review section (if required) L.-- — _
$3500 --
5. Fees
A. Enter total of above fees $
5% Surcharge (.05 X total fees) $
Subtota! $ --
_ _ B. Enter 25% of line A for
For Inspections call Plan Review if required (Section 3) $ ..
640-3561 or 69,E-4415 Subtotal $
Less Bulk Label Fee $
24-hour recorder,
one working day In advance of need Balance Due $ �.--.----•
This permit becomes null and void If the work authorized by the permit Is not commenced within 180 days hom date of Issuance
of such permit or If the work authorized Is suspended or rbandoned at any time after work Is commenced for a period of 180 days.
Flactrical Permits are non-refundable and mon-transferable.
DEPARTMENT OF LAND USE & i RANSPOPTATION
WASHINGTON 155
DEVELOPMENT SERVICES DIVISION #350-:2
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit # 05036/ 15 Project # P0027963 Status APPROVED page 1 of 2
Applied : 12/15/92 Issuad 12/15/92 Expires 07/26/92 RESELEC3 07 : 00
Permit Title i FR - Ei E('./NEW HOUSE & L V . OTH
Descripti.(:,n
Jab Address 14658 SW 130TH AV TI Regj,r,n D
Ownar Name INSPECTION - TIGARD
Applicant Name C-R I ZZLY ELECTRIC 0 Apprc ved_.
Phone number 896-6155 ValuatLOn
I spec or Comments . Re 7 e trot-
111spee-ted Y�y —
Inspection Requested
f Cover & Service
05/13/9 .1 R1 LSA AM
01/20/93 RI JCS AM PLEASE
4i/20/93 DN WJI3 INSULATION UK ONLY-NO SERVICE
DEPARTMENT OF LAND USE & TRANSPORTATION
,Ao_ft;z, WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
COUNTY, 155 NORTH FIRST, HILL SBORO, OR 97124
PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit. # : 05036115 Project # : P002796:3 Status APPROVEL Page 1 of 1
Applied : 12/15/92 Issued 12/15/92 Expires 06/ 13/93 C'1/2U/93 05 : 10
RESELEC
Permit Title SFR - ELEC/NEW HOUSE b L . V . OTH
Description
Job Address 14658 SW 130TH AV TI
Owner Name INSPECTION - TIGARD Region r,
Appli:ant Narne GRIZZLY ELECTRIC
Phone number 896-•6155 Valuat.,an : 0 Approve3
Inspector C,-)mm !nts : jected� _
-- ---- -
--7
77—
i
C-----
T nspected by
e
Inspection Requested
*
("aver & Service
01/20/93 RI ?CS AM PLEASE
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 # : 05U3611$ Project # P0027963 Status APPROVED Page 1 of 1
Applied : 11/15/92 Issued 12/15/92 Expires : 07/26/93 05/18/93 08 17
RESELEC
Permit Title SFR - ELEC/NEW HOUSE & L .V. 0TH
Description
Job Address 14658 SW 130TH AV TI
Owner Name INSPECTION - TIGARD Region D
Applicant Name GRIZZLY ELECTRIC!
Phone numbFr 896-6155 Valuation 0 Approved
Inspectq.r Comments : Refected
Inppact.ed by : Date :
Inspection Requested
* F.ina.1 Plectrical
05/ 19/93 RI DA
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
COUNTY, 155 NORTH FIRST, HILLSBORO, OR 97124
OREGON PHONE: 503/640-3470
INSPECTION REQUESTS (24 hours): 503,1640-3561 or 693-4415
Permit # : 05036115 Project # P002796 Statin:
Applied : 12/15/92 Issued Arr�.uJLL, Mage 1 of 2
12/15/92 Expires 07/26/93 05/19/93 05 : 14
Permit Title SFR - ELEC/NEW HOUSE & L . V. RESEI.EC
Description OTH
Job Address 14658 SW 130TH AV TI
Owner Mame INSPECTION - T I CARD
Applicant Name r3RIZZTY ELEC,fR1C Region D
Phone number 896-6155
Val.uat.i pan
0 Approved
Inspec r Comm is
� Rejected
-w !
Inspected by , - ---
Inspection Requested I
_.-
* Final Electrical
05/10/93 RI DA
DEPARTMENT OF LAND USE & TRANSPORW.TION
^� LAND DEVELOPMENT SERVICES DIVISION #350-12
WASHINGTON 155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, 0/ \. PHONE=: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Kermit # : 05036115 Project # : P00k7963 Status APPROVED Pagti 1 of 2
Applied : 12/15/92 Issued 12/15/92 Expire_ 07/26/93 RESELEC3 07 : 57
Permi.t Title SFk - ELEC/NE,W HUi1SE & L V . OTH
Description
Job Address 14658 SW 130TH AN/ TI
Owner Name INSPECTION - TIGARD Region D
Applicar,t. Name 3RTZZLY ELECTRIC
Phony:: number 896-5155 Valuation , U Approved_-
Inspector Commentr : Rejected_
UJB `
Inspected by :- _ _.._____.___..__� Dste
Inspecticcn Request.e3
Cover & Service
05/20/93 RI M3F
05/13/93 RI DA AM
05/13/93 LAN KP FILE. NOTES
01/20/9? RT .TCS AM PLEASE
01/20/93 CSN WJB INSULATION OK O Y--NO SEkVI(:'E
CIT1fOFTIFARD
COMMUNMY DEVELOPMENT DEPARTMENT 0019ow MASTER PERMIT
13125,12W Hell Blvd. P.O.Bcx 23397,TOW,Oregon 97223(603)M4176 PERMIT #. . . . . . .
639-4171 DATE ISSUED: 11/04/92
SITE ADDRESS. . . : 14658 SW 130TH AVE PARCEL: 2SI09AD-WDF16
SUBDIVISION. . . . : WOODFORD ESTATES ZONING: R-7
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . H8
------------------------------------- BUILDING ----________-__
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 Sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :440 Sf
TYPE OF USE. . . iSF FLOOR AREAS----------- REQUIRED SETBACKS-------------
TYPE OF' CONST. :5N FIRST'. . . . : 1 175 s LEFT. . :9 ft RIGHT. :5 ft
OCCUPANCY GRP. tR3 SECOND. . . :891 Sf FRONT. -.20 ft REAR. . o15 ft
STORIES. . . . . . . :2 THIRD. . . . .O sf REOUI
HEIGHT. . . . . . . . 124 ft TOTAL------:2066 Sf SMOKE DETECTURS. iY
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 102956 PARKING SPACES. . : 1
Remarks: PATH 1 71 :10 SLOPE ON ROOF'
---------------------------------- PLUMBING ---------------
SINKS. . . . . . . . . . ol FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . s4 WATER HEATERS. . . -. 1 TRAPS. . . . . . . . . . . . . . .0
TUB/SHOWERS. . . z3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . .0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :O CREASE TRAPS. . . . . . . :0
DIGHWASHERS. . . . ii WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . oO
WASH I NG MACH. . . ; I SF RAIN DRAINS. . : 1
---------------- MECHANICAL ----------------- ----------------- FEES ---------------- .
FUEL TYPES-------------- UNIT HTRS. . Cl2J type amount by date recpt
/GAS/ VENTS . . . . . :0 TIF + 1460. 00 JH 11/04/92 -
MAX INPUT:@ BTU VENT' FANS. . :4 BPR[ 1, 4416. 50 JH 11/04/9,:2 -
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPL[ $ 286. 33 JLH 09/22/92 231896
TURN ) =100K . . .- I WOODSTOVES. ;l0 B5PC * 22. 03 JH 11/04/92 -
FLOOR FURN. . . . :0 CLO DRYERS. : I SSDC $ 280. 00 JH 11/04/92 -
BOIL/CMP ( 3HP:0 OTHER UNITSil PARK $ 500. 00 JH 11/04/92 -
GAS OUTLETSsl MPRT $ 45. 00 JH 11/04/92 -
Owner.: MPLC $ 11. 25 JH 11/04/92 -
R & W PARTNERS M5PC $ 2. 25 J14 11/04/92 -
12300 SW 69TH AVE PPRT $ 155. 00 JH 11/04/92 -
P15FIC $ 7. 75 JH 11/04/92 -
T`IGARD OR 97223
Phone #a 639-2639
Contractor: ----------------_______-.---.---_
R&W PARTNERS
12300 SW 69TH AVE
r
1IGARD OR 97223
Phone #: 639-2639
Reg #. . : 80970
3210. 11 TOTAL
This permit it issued subject to the regulations contained in the REQUIRED INSPELI IONS
Tigard Municipal Coder State of Ore. Specialty Codes and all other Foot/fottnd Insp Fireplace Ins
applicable laws. All work will be done in accordance with approved Float/Beam Str(tct GA-, Line Inso
plans. This permit will expire if work is not started within IN Post/Beam Mechan InSUlation Insp
days of issuance, or if work is suspended f PIM/Undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
ec
Permittee Signature : anicai Insp Water Line Insp
- .7 more Plumb Top Out Appt-/Sdwlk Insp
Issued By: Framing Insp Mechanical Final
Lall f�. r in;�_peciion 6.39-4175
C17YOF TIGARD cfrf 1WRD
COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECTION
13126 SWFWIBlvd. P.O.Box 23307, PERMIT
Ti0srt1,O►pon 07223(6031830�!17b
PERMIT #. . . . . . . : SWR92-0319
6.3,9 +171 DATE ISSUED: 11/04/92
SITE ADDRESS. . . : 14659 SW 1.30TH AVE PARCEL. 25109AD—•WLF18
SUBDIVISION. . . . : WOODFORD ESTATES ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 18
YENANT NAME. . . . . :
US)A NO. . . . . . . . . . . FIXTURE UNITS. . . e
CLASS OF WORK. . . :IVEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDI' GS: I
INSTALL 'TYPE. . . . :BUSWR I11PERV SURFACE. . : : s f
Remarks. PATH 1 SLOPE ON ROOF=
Uwner: —_-- --___.. __._..___._.__.______ _---___—_— --___________.___.___ FEES
R & W PARTNERS type amo1_lrrt by date recpt
12300 SW 69TH AVE:. PRINT $ 2:100. 00 JH 11/04/92 —
INSP `b 35. 00 JH 1 1/04/92
TIGARD OR 97223
Phone 0: 639-2639
Contractor:
CONTRACTOR NOT ON F= ILE
Phone It: :::1.35. 00—TOTAL
-Y •------._—^—.�—___
Reg #. . .
_--•--•_-___ REPUIRED INSPECTIONS --------
This Applicant agrees to comply with all the rules and regulations Sews!-, Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. the total amount paid will he 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 froi
the distance given. If not so located, the installer shall ui-chas@
a "Tap and Side Sewer" Permit and the Agency 11 install ell
Permittee Signatltire :
Call for inspect .'.on 639-4175
CITYOF ���� 131?Ssw1[Au[1wd. LNCK/RECT # 71 [lox 23397 PERMIT #
COMMUNITY ULVI:I 0i'A1[;N'S'1)i;l'ARTA4F?NT Tigard,Oregon 97223
(503)639-4171 DATE ISSUED
JOB ADDRESS: 1�/L S SGI� _ TAX MAP/LOT a S l D wD F /Y
SUB: 'wg � LOT: _ LAND USE:
VALUATION: IDD.,5FSG, _
OWNER /�� SPECIAL NOTES
NAME: 5,ffuC-e 1w-5C6N r-Ge4K _ REISSUE OF:
ADDRESS: _. LAST REISSUE: _
FLOOD PLAIN/
PHONE: _ SENSITIZE LAND:
CONTRACTOR APPROVALS REQUIRED s'o4,F, P6- 1
NAME: _ (� �7 U PLANNING: PIL `SCG
ADDRESS: /.2.?to &j �� ENGINEERING:
��4Cv�CI �Ze 97zz FIRE DEPT: _
PHONE: ��rl- �� 3 rI OTHER: 7- /
CONTR. BOARD #: �Q�'7 EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: 4-c / LIST/SUBCONTRACTORS:
MECH: �L u .�k• ,t �� BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: l/!/lQ�C6�(� TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
linaz 1 J4,Y—Z, el I
APPLICANt Si, ATURE
Received By: ''� __ _ Date Received:
ill
PERMIT # ACCT # DESCRIPTION
AMOUNT / AMOUNT PD. BAT_', DUE
10-432 00 Building F'?Ymit Fees l
10-431 00 Plumbing Permit FeesS� 5,-1 z
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) L3
-�--
32.o.3
Building ,2.,0,3
Pl umb i rig
Mechanical ,2-�f "
10-433 00 Plans Check Fee
Building -02 (0. 33
Plumbing
Mechanical
10-230 OG Fire _
.SwR 2-031 30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-41R-02 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
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) SZL '
--.�_ Soo
31-450 00 Storm Drainage Syst Dev Chrg
24-445-01 Water Quality (Fee in lief of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
611,L-
nm/3587P.WPF
r
cciTy CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)630-4171 /l~
r �
CITY OF TIGARD URTIFICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503).639-4171 DEIMI #. . . . . . .
639-417 , DATE ISSUED: 10.1-21.1/94
P A RC,E L S 109 A 0 0�!!S ill 0
3ITE ADDRESS. . . t 14C , SW 1317►TIA AVE
�31-JBDIVIE�ION. . . - WOODFORD E S,'f A T E S.3 Z ON I NG:P,-7
BLOCK. . . . . . LOT. . . . . . . . . . . . . . l ti
CLASS OF WOtw.. l:NEW
TYPE OF U;;E. . . :SF
OCCUPONCY (33PP. :R3
OCCLIPWZY I-OAD-224 4
TENANT NOME::. . . :
Remarks : PATH 1 7: 1171 'cll..C)FU- (.)NJ pr.,jor
(]whet: -
R
12300 BW V)TH AVE
TIC4ARD OR 97223
Phone 0: 639-2639
W PARTNERS
1,21300 5W 69TH AWL
TWARD OR 97223
V-1horm #1 639-26,39
Peg 4. A0970
of the above roferpric,ed tmilding Joi h*reby givirvi, and cv)-f if
the c'L.)Mplianre With tile state Of Oreclon Spec-iAlty C:Odes four the group,
AT)d which the r�pfev-pnved permit wAw isl."eci-
IN 0rrr
It'll
POST IN C'0N,,7jPICU(3U3 PLACE
NS POTION NOTICE
Cicy of Tigai d Building Del+art—t
13125 SW Sall Blvd. Tigard. Oregon 97223
Inspection Lina (Rec-O-Phones 639-4175 Business Phone: 639-4171
Inspect ion:_ .__ ---_—
Footing
Pltg. Underslab Mech. Rough-in Appr/Sdwlk
Pound.
Plbg. Top Out Gas Line FIN-Bldg.Post/Beam Struct. San. Sewer Framing g. /
Insulation -Plumb.
Post/Beam Mech. Rain Drain
plbg. Underfloor Water LimeGyp. Bd.
Date Requested:--7- y
- 0 J� Timet 11M _ PM
1
Addrese:�y�"�:Cr - -Z —_ Permit Is�YI��T-IGS'
Builders
THE FOLLOWING OORRECTIONS ARE RNWIREDt
a Y1S� �1!n Cil . `�.�q 3 ' CJ ' T�► `-�---
0
— L4 �_Sc—
Inepecto/re �-
4/APPROVED DISAPPROVED .__- APPROVED SUBJECT 7" ABOVE
Call For Reinep.