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Case File v, • A©P q Rte,S S« i voo a. n ..n I } J CO fO 111 J i:\records\microflm\targolsVwilding.doc CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection line {Ftbc-O-P'icne): 639-4175 Business Phone:�4171 C r Inspection:_1,,_L_ i Footing Susp. Ceiling Sprink. P wgh-in Appr Sdwlk Foundation Plbg. UndE rslab Mech. Bough-in Fireplace Post/Beam Struct. Plbg. Toy, Out Elec. Rough-in IN Post/Roam Mech. San. Seer er Gas Line �E41dg. Pbg. Underfloor Rain Drain Framing P'ur.1b. Alarm Water Line Insulation -Mech. Under, . Insul. Shear Wall Gyp. BH. :elect.„> Gate Requested: = Tim _AM �_PM Address: 1 �1 "fit {3NNl�+N- 1r L A Yr' G-C' L ' c�- — flTfC#: 0 �Y-) `FTE &LUWING CORRECTIONS ARE REQUIRED: ELCli' rx N J CC] 1.0 .J Inspector' nate: ^ �? LAf'PRGVED —DISAPPROVED —APPROVED SUBJECT TO ABOVE —Call For Reinsp. ELECTRICAL PERVIFIF PERMIT #:FCIEELC'j5-10652 Tf 0 F T I DAJE ISSUED: 12/26/9'-. `COMMUFITY DEVELOPMENT DEPARTMENT PARCEL: 2S11ICB-01715 i L SUBDIVISION. . . . : HOOD VIEW ZCIN ING: R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 14 Project Description : Install 5 branch circuits. ------------------------------------------------------------------------- --------- UNIT---- ---TEMP SRVC/FEEDERS­--- -----MISCELLANEOUS------ 1.000 GF OR LESS. . . . : 0 111 - 200 ramp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 FACIA riDDIL 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITYD ENERGY_ — : 0 401 - 600 amp. . . . . . . : 0 SIGNAL./PPNEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601 +, mps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVICE/FEEDER---.- CIRCUITS----- -----ADD' i._ INSPECTIONS--... 0 - 200 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 001 - 400 amp„ . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 1, 401 - 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 4 IN PLANT— . . . . . . . . . : 0 001 - 1000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION----------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) SOO VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS— : CLASS AREA/SPEC OCC. : Owner: FEES jOHN I 1ANSEL type amount ID v date recp1_ 15285 SW 100TH AVE FIRMT $ 55. 00 JI) !L,/26/95 95-27427:-, 5FICT $ 2. 73 JD 12/26/95 95--274271. TTCARD OR 97E!24 Phone #: e-20-4724 Contractors ------------------------------------------------------ - OWNER 57. 73 TOTAL ------ REITU IRED INSF ICT IONS Ceiling Cover Elect' l Final Phone 0. Wall Co er, Ren #. . : 000000 This permit is issued subject to the regulations contained in the Tigard Municinal Code. State of Ore. Specialty Codes and all other r m itt e e Si q nat ktre acolicable laws. All work will be done in accordance with aporoved plans. This aermit will expire if V irk is not -,tarted within 180 days of issuance, or 4f work is suspended for more than 180 days. f is ued LW ----------------OWNER INSTALLATION ONLY---___------_.__..- _ The NLY------------------- The installation is being made on orooerty I own which is not intended far sale, leasee or rent. OWNER' S SIGNATURE: DATE: INSTALLATION IGNATURE OF hUPR. ELECI N: DATL s ------- ICENSE NO: -------- Call for inspection - 609-4175 CITY OF TIGARD BUILDING INSPECTION NOTIC Inspection Line (Rec-O-Phona): 639-4175 Business Phone 3 71 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwfk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Bearn Mech. San. Sewer Gas Line Bld ., ,'ri� ) Pibg. Underifoor Rain Drain Framing Alarm Water Line Insulation me Underflr. Ir sui. Shear Wall Gyp. Bd. ec Date Requested: Lt - �� Time: AM PM Address: j�z g 1�1 L -f `�1� Builder, `q IJ-4 6-c-c yLe i PdrhisY �3 - c'J_L�c, THE FOLLOWING CORRECTIONS ARE REQUIRED-LC� rr - w ------ Inspector:_ --._Inspector: T Date: Z _APPROVED _DISAPPROV�Fr APPROVED SUBJECT TO ABOVE insp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phore). 639-4175 Bu.;iness Phone: 639-4171 Inspection:_ Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Hough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bld . PIbg. Underfloor Rain Drain Framing _Plumb Alarm Water Line Insulation �'f71LsLT`� Underflr. Insul. Shear Wall Gyp. Bd. Date Requested:_ I p I Z � k S'Time:X AM PM Address:_ 3_ /00 -- -TU�irQw: iLe O _ Permit # Cf THE FOLLOWING CORRECTIONS' RE RECIL"'ED Af ��. ��� •� ':C. L1-1 if��/Lal t. tk2zt eti In J G7 U _-- 111 J 7a- 7 ,LJ Inspector:_ P�,C/ Date: _APPROVEDAPPROVED _APPROVED SUBJECT TO ABOVE /�II For Reinsp. CITY OF TIGAIID BUILDING INSPECTION NOTICE R Inspection Line (Rec-O Phone): 639-4175 Bu>iness Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg, Underslab Mech. Rough-in Fireplace Post/Brain Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. UnAerfioor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mec;i. Underflr. Insul. ShearWall �Gypgd. �( Elect. Date Requested: ( —�� _Time/ ,_AM PM _ � 5 Z_ - 6 Address: 4 4 �, rr B '. i-►'I �o L u y 7 d Permit 2 3 — 7�� THE FOLLOWING CORRECTIONS ARE REQUIRED: a K r - _ Ln J cc C-0 --—— LL1 J Inspector: /. _ Date: Z APPROVED —DISAPPROVED —APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-F'hone): 639.4175 Business Phone: 639-4171 Inspection: Fooling Susp. Ceiling Sprink. P ugh-in Appr/Sdw(k Foundation Plbg. Underslab Mech. 9ouyh-in Fireolace Past/Beam Strutt. og. Top�,`(A4) Elec. Rough in FINAL: Post/Beam Mech. San. Sewer `\ Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plunib. Alarm Water Line <:::�hnsulSM� -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Reques+ed: / Z ��r7� Tirne.Xl, AM PM Address: {�t Ii Z_c).Lf 7-2- Permit t4: q 3 _ C� (E' THE F LLOWING CORRECTIONS ARE REOUIRED- rt L J G; W -' J Inspector._ Date: <%APPROVED DISAPPROVED r PPROVED SUBJECT TO ABOVE —Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceilirg Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rouyn-in Fircolace Post/Beam Struct. Plbg. Top Outec. o�ug ism j FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Und.3rfleor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Undertlr. Insul, Shear Wall Gyp. Bd. -Elect. Date Requested: Gs1�( Time: AM X PM Address:___ milder: (v 0 Ll Permit #: ,3 O 1 '7 fv i THE FOL OWING CORRECTIONS ARE REQUIRED: J CJ - U' W _ J Inspector��o Date: /l — APPROVED —DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp j, C_ ,� CITY OF TIGARD BUILDI4G INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Irn.;ection: — -- - Footing Susp. Ceiling Sprink. Rough-in Appr!Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Ibg. fop 0� Elec. Rough-in FINAL: Post/Beam Mech. Sar. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underilr. Insul. Shear Wall / Gyp. 6J. -F,ect. Date Requested: C, (' I % Time' AM PM Address: P e rm1�, F—� 3 v 1 THE FOL L WING CORRECTIONS ARE REQUIRED: / 9 1 �s- Inspector: L'JGSl--- — Date:_ APPROVED _DISAPPROVED _APPROVED SUBJECT TO A13OVE fall For Reinsp. CITY OF TiGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-U-Phone): 639-4175 Business Phone: 6 - 7 Inspection: W��/ Footing Susp. Ceiling Sprink. Rough-in A Foundation Plbg. Underslab Mech. Rough-in Firepiace Post!Beam Struct. Pibg. Top Out Elec. Rough-in FINAL: Post./Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Ra;-, Drain �ra6ming ? -Plumb. Alarm `Vater Line Insulation -Mech. Underflr. Insul, Shear Wali Gyp. Bd. -Elect. IxDate Requested:_ 7 �( l�j Time:_ AM PM Bnikte Cr Z O 72 Permit #: 1 3 O I THE FOLLOWING CORRECTIONS ARE REQUIRED. F- - CIO LD 1 --- - - �l Ins ector: Date: APPROVED DISAPPROVED APPROVED SUBJE T TO BOVE —Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-C-Phone): 639-41S7tt' siness Phone, 639-4171 Inspection:4 '-7 if Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Founoation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL. Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underfir. Insul. Shear Wall_ Bd. 1ect. Date Requested: Time: .&I PM Address: ��� 7� Builder: `�—~ Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: It w J r Inspector: �� ( -- Dater _APPROVED `DISAPPROVEDAPPROVED SUBJECT TO AI-,JVE -_Call For Reinsp. P .4 ,5-5 CITY klF TIGARD BUILDING INSPECTION NOTICE Inspection line (,Rec-O-Phone): 639-4175 Busing:s Phon4: 6 171 Inspection---- C� Footing Susp. Ceiling Sprink. Rough-in Ap Sdwlk Foundation Plbg. Unders'ab Mech. Rough-in Fireplace Post/Be .n Struct. Plbg. Top Out Elec. Rough-inINA Pop:,Beam Mech. San. .Sewer Gas Line Bld rlbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. UnderfIr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: -7 /S- Time:_&AM PM c`" Builder: �' n y Permit q: 9.3 —rte ( 7 THE FOLLOWING CORRECTIONS ARE REQUIRED: ^T Inspector: i T Date:_ APPROVED DISAPPRO ED APPROVED SUBJECT TO ABOVE Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION "!')TILE Inspection Line (Rec-O-Phon ). 639-4175 Business Phorie: 6397 Inspection: i/ Footing Susp. Coiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace A Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: ~\" Post/Beam Mech. San. Sewer G-is Line -Bldg. Plbg. Underfloor Rain Drain Framing Plumb. Alarm Water Line Insulatiun -Mech. Underfir. Insul. Shear Wails -Elect. AoV Date Requesters: Time: 4M PM Address:_ / 5-,4- (c2,(_)- ,4-IyZU_ Permit #: THE FOLLOWING CORRECTIONS ARF REQUIRED: H Ln r� w an actor: Date:_ Z / APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE ,Call For Reinsp. mow. CITY OF TIGARD BUILDING INSPECTION NOTIC -)) Inspection Line (Rec-O-Phone): 639-4175 Business Phon,,X 41,Y1 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdw!k Foundation Plbg. Unders!abg�(- Mech. Rough-in Fireplace Post/Beam Struct Ibg. Top Out Elec. Rough-in FINAL: Post/beam Mech. an. ewer Gas Line Bldg. Plbg. Underfloor Rain Drain Framin -Plumb. Alarm Water Line nsulation -Mech. Underilr. Insul Shear Wall Gyp. Bd. l Elect. Date Requested: ( > > Time:_L PM Address: Bui(der._-}CLyy--- (v Z2 -7 Permit #:j'�T-.. 93-01 76o THE FOLLOWING CORRECTIONS ARE REQUIRED: F- J I1: J Ins tor. Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE —Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone;-:-639-j4175 Business Phone: 39- 171 Inspection:_ P,J1 }-r Footing Susp. Ceiling Spr' . Rough-in Appr/Sdwlk Foundation Plbg. Underslab y= Fireplace Post/Beam �,truct. P1bg'lop—Ou^t'�'`� ;Fe�g n FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Raio Drain Framing -Plumb. Alarm Insulation -Meth. Underflr. Insul. S ear Wall Gyp. sd. -Elect. q Date Requested: ( 5 time: AM _ PM Address: Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: WIT rr - LD 1- �' c.� J Inspector: � � Date:_ G APPROVED ,DISAPPROVFn L,_-AT4VED SJBJECT TO ABOVE _Call For Rninsp. Community Development ELECTr:ICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # _ Date Issued 7- V S Phone (503) 639-4171 CITY O�TIOARD FAX (503) 684-7297 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 ,Address i 5- Z S? 3— ?w ��y p� 1 �V �E/� Service included: Items Cost(ea) Sum City/State/Zip n _T-(4 c,�_ _ ( / 27 4a. Residential -per unit �J — 1000 sq. ft or less $11000 _ 4 Name (or name of business) Each additional 500 sq ft or portion thereof $2500 Commercial ❑ Residential Limited Energy $25.00 1 Each Manurd Home or Modular Dwelling Service or seeder $6800 _ 2 2a. Contractor installation only: 4b. Services or Feeders Installation,alteration,or relocation Electrical Contractor 200 amps or less $6000 2 Address 201 amps to 400 amps $8000 2 $120.00 2 City_ _ State. Zip 401 amps to 600 amps $160.00 2 601 amps l0 1000 amps Phone No. _ �. Over 1000 amps or volts $340,00 2 Job NO. Reconnect only $5000 2 �-- contractor's license NO.___ — -- 4c. Temporary Services or Feeders Contractor's Board Reg. No. Installation,alteration,or relocation Signature of Supr. Elec'n _ _ 266 amps or less z License No. Phone No. 201 amps to 400 amps $5000 2 —.- — - 401 amps to 600 amps $7500 Over 600 amps to 1000 volts $10000 — 2b. For owner installations: see"b"above. L� //e. -�G� / 4d. Branch Circuits Print Owners Name New,alteration or extension per pane Address S, L -s— 10 0 PY a)The fee for hranch circuits with /j purchase of service or feeder lee 2 city-- -( y v G' State Zlp ` 2 y Each branch clrcrdt $500 _ Phone NQ 0,- y ? 2' b)The fee for branch circuits without The installation is being aon property I own which is purchase of service or feeder lee. r not intended for si ale, e Or ret. rivet branch circuit I $3�00 l Each additional branch circuit � $500 -- Owner's Signature ? _ 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Eachpumporuline lig ting $4000 — 2 Each sign or outline lighting $40 00 Signal circuli(s)or Toed energy 2 Please check appropriate item and enter fee in section 5B. panel,alleratlon or extension $4000 4 or more residential units in one structure Minor I abets(10) $100.00 Service and feeder 225 amps or more _System over 600 volts nominal 4f. Each additional Inspection over Classified area or structure containing special occupancy the allowable In any of the above as described in N.E.C. Chapter 5 Per Inspection $35 00 F Per hour $5,100 In Plant $5500 Submit 2 sets of plans with application where any of the above -- apply. Not required for temporary construction services. S, Fees: 5a. Enter total of above fees $ NOTICE 9%Surcharge (05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTPUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) ¢ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. w,,r-., ❑ Trust Account # rm srr Balance Due $ 1, a (_;1 I Y (A I JIM-4141) HI ( I tv-,T Ill- 111-4y1ot JAI 11 1 Nt iw M 14 1 Ht 1'41 1 IIYI(ji IV! I 00 lo . 1I1111 10 I 'll, r a CITY OF TIGARD EXPENDITURE REQUEST This form is , nulti-use form. Appropriate receipts and documentation must be attached tc; this form. Approved request due Tuesday 5 :00 PM to A/P for checks by Friday (week opposite Payroll only) . VENDOR NO. : M DATE: AUGUST 23 , 1995 PAYABLE TO: _JOHN HANSEL REQUESTED BY: PHYLLIS HARRIS 15285 SW 100TH AVE TIGARD OR 97224 MISCELLANEOUS EXPENDITURES : Date Description, Invoice No. , etc. Account No. FAmount 8-23--95 RECEIPT 95-269387 DATED 8/15/95 1.0-0000- 95 . 23 433000 ***THIS FEE WAS PAID TWICE. . . . WHEN MR. HANSEL RECEIVED A LETTER FROM THE CITY THAT HIS PERMIT EXPIRED, HE NEEDED ONLY TO CALL FOR A FINAL INSPECTION. INSTEAD, HE CAME IN AND PAID AGAIN. e J COLD - y3 LLl J . �. •"?til ;,� cc jp Jr. LL 154 ` o Q m r+ z I y CL � ` W V7 1 I a .z s .Ju y T It i O � i LJ t � Ur u C ' ►L' LL S , J ... I t; :1 r r f LJ LL LL. r LL t U L Q 14 :1I t iu .r 40 J • m LL) J INSPECTION NOTICE City of Tigard Building Department 13175 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-V71 Inspection: ----— Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line fti� Poet/Ream Struct. San. Sewer Framing -Bldg Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Lin Gyp. Rd. -Mech Dame Requostedt (� 2 Timet A PH Addreeet 5 �- C] 1 ZL —_ Permit Builder:_L�2 L� - I-I /7 c4 _..-. THE ^OLLOWING CORRECTIONS ARE REQUIRED: � t .__.—��_�fou h� o . •T� - - Inspector., -----_-.--_--- — Date: APPROVED DISAPPROVED APPROVED SUBJF.rT TO ABOV Call For Reinep. iSPECPION NOTICE City of Tigard Building Depart—t 13125 nw Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rea--O-Phones 639-4175 Business Phones 639-4171 Inspections Footing Plbg. Underslab Noah. Rough-in Appr/Sdwik Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Koch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line .�, Bd� -Koch. Date Roquestods CC I�ry� (��-��(3 Times Addresss152 Pat71t #t 93 BuildorstZV�" THE FOLLOWING CORRECTIONS ARE RNQVIREDr f2: N F- G] LL1 Inspectors � _ Dates_�_�� �AFFwOVED DISAPPROVED APPROVID SUBJECT TO ABOVE `_Cali For Reinsp. INSPECTION NOTICE �U City of Tigard Building Departasat 13125 aw Ball Blvd. Tigard. Or"= 97223 Inspection Line (Rec-O-Phune)s 639-4175 Business Phones 639-4171 tt Inspections��'r I \ C' - _L j.f��\ _��/ • __ Footing Plbg. Underslab Hoch. Rough-in Appr/Srlwlk Pound. Plbg. Top out magas ye FINALS Pont./Beam Struct. San. Sewer FrO1ng -Bldg. Poet/Beam Mech. Rain Drain l j vulatiogJ -Plumb. Plbq. Underfloor Nater Line Oyp. ad. -Mach. Data Requested: Z (/— .3 _-Time, z_AM 7_PX Addresst� >ZnJ I Permit #t q3 ��/'-/4 Rullclert1U�lL^ L( / r�.�l l �`^ `✓[ _� TFIF. FOLLOWING CORRECTIONS ARE REQUIRED: L'\J 7 Z- 2- C C 7 JZ - -Sd r r. ",\j.2 Ik J Inspectors� �' tate: y APPRMD DISAPPROM1RD APPROVED SUBJECT To ANoVE —Call For Rsinsp. INSPECTION NOTICE City of Tigard Building Department 13125 B! Ball Blvd. Tigard, Oregon 9722 Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ _ Footina Plbg. Undeislab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam ruct. San. Sewer !rasing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor /Water Line Gyp. Bd. -Mech. Date Requested: �[ ! Gl �� __71"I /�7_AN PM Address: I G,Z O� /LI C.' — Permit i:- l 3 0 l`��]r� Builders ✓V,,�fC 1r7� CI�1 T _ THE FOLLONING CORRECTIONS ARE REQUIRED: J iJ Inspector: Da APPPLMD DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. XNSPECTIgy NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 9722 Inspection Line (Ree-O-Phons)t 39-4175 Businese Ph nes 639-4171 Tnepections _ hl Footing Plbg. Undo lab Mech. Rough-in Appr/Sdwik Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing --Bldg. Post/Beam Hoch. Rain Drain (T2ulati n ) Plumb. Plbg. Underfloor Nater Line Gyp. Sd. -Mach. Date Requestedt_ „moi Times AM PH Address s `J��� l L % Permit #t i Builders THE FOLLOWING CORRECTIONS ARE REWIREDs H V) Y J 03 CD w J Inspector• Dates AP DISAPPROVED APPROVED a CT TO A Call For Relnsp. LNSPRCTION NOTICB f City of Tigard Building Depirtaent 13125 Be Ball Bled. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspertion:__ Footing Plbg. Underslab Meeh. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: 11 Po /B.o 8ttult� Sen. Sewer Framing -Bldg. Bean Nechy Rain Drain Insulation -Plumb. `bq. Vnderfloor Nater Line Gyp. Rd. -Meeh. Date red �� Time: AM PM �S / Addreue 1 —_��D� Permit �: l/ Bulldert THE FOUMINO CORRECTIONS ARE REQUIRED= Inspectors__ Dater_--�5/ac/_ APPROVED DISAPPRAVED APPROVED SUBJECT To ABOVE Call For Reinap. INSPECTION NOTICR City of Tigard Building Department / 13125 BO Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone)s 639-4175 Business Phone: 635'-4171 Inspections Footing Plbg. Underslab Hoch. Rough-in Appr.;adwlk Found. Plbg. Top Out Gas Line FINALS Pant/Beam Struct. Ban. Setter Framing -Bldg. Pont/Beam Hoch. Rain Dr Insulation -Plumb. Plbg. Underfloor Nter Lite Gyp. Bd. -Meeh. Date Requostedt �_r/�. Time: _ - pM : 13–BAddreast , � � �bU - Permit #t-73– Builder: uilders THE Py)LLOWING OORRECTIONS ARE REQUIRRD: V) H LLJ J Inspectors _APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _—Call For Reinep. INSPECTION NOTICE City of Tigard Building Department L A3175 59 Hall Blvd. Tigard, Oregon 97223 Inspection Line,/(Roe-O-Phone)i 639-4175 Business Phone: 639-4171 Inspections_ �,< Footinq Plbg. Underslab Mech. Rough-in Appr/Sdwlk i Found. Plbg. Top Out Gas Line PINAI.s Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Waterins Gyp. Bd. -Mech. /n Date Requeeteds�(� � �L --Time: _�___AM v`PM Address: 1J� `� — Permitt: Builder: ��- THF FOLLOWING CORRECTIONS ARE REQUIRED: / Vit--' o. R i— J Inspector: _ __---- _--_ Dat P: -APFROVED DISAPPROVED APPROVED !UBJEC:TT TO ABOVE Ca11 For Rsinsp. CITYOFTIGARD .'M kcimsam MASTER PERMIT COMMUNITY DEVELOPMENT DEPARTMENT 01111400041.9 13125 SW Hall Bkd P.O.Bux 23397,TkpW,Oregon 97 (SM)639-4175 PER111T . . . . . . . . V4 3 13--0176 6,�,1)--': DATE IESUED: 1-413/29/93 TE 132'81 ;.W 1001H P(-',RCEL; LSIIIC13-017A AJEDIVISION. . . . HOOD v I EW ZON I NG: R-3. 5 . . . . . . . . .. LOT. . . . . . . . . . . . : .I,+ BUILDING iCISGUE: DWELLI,'16 UNITS:0 BASEMENT. . . . . . . . :0 f, Ci..ASS OF WORK. -RDD OL'ORMS: I BATHS:2 GARAGE. . . . . . . . . . :0 Sf TYPE 01`7 USL. . . zSF FLOOR REQUIRED TYPE OF CONST. :Sq F1 RST. . . . :36 0 S f LEFT. . :40 ft R I GHT. :20 ft LAL"'CUPANCY GRP. r R3 LiE LUND. . . :0 5 f FRONT. ,"`0 ft REAR. . :30 -1't :-,i"'UP I ES. . . . . . . : 1 THIRD. . . . .O s I iE IGIAT. . . . . . . . : 0 ft raTOL--- .. .1—.1 :,360 S f SMOKE DETECTURS. 1Y FLOOR LOAD. . . . t40 psf VALUE. . . . . $: 16560 PARKING SPACES— : 1 Remav-k5 : t�'ATH I (:'41)DITION 360 E.0 F1* PLUMBING . . . . . . . . . . J I PLUOR DRAIN!.*). . . . 0 BACKI'-'-LUW 1"REVNI-RS. 0 L(AVAMRIES. . . . . .3 WATER HEATERS. . . 0 TRAPS. . . . . . . . . . . . . . .0 L1B11"31,-1UW[1R45. . . . :-2 LAUNDRY TRAYIL')„ . . :0 CAI"Cii BASINS. . . . . . . ..17, WRTLP CLOSETS. . x2 SEWER LINE: (ft ) . :0 GREASE -rRAv-'s. . . . . . .. :o L'ISHWA5HERS. . . . : 1 WATLR LIIAL (ft ) . :0 OTHER FIXTURLS. . . . . ..0 Gi-ARRAGE D1 SP. I RAIN DRAIN (ft ) . :V, M-4SHINC, 11ACIA. 0 Sr RAIN DRAINS. . . 1 MECHANICAL FEES ULL TYPES-- - UN IT H I'P a. . :Q'i type a m o imi L by date vec,13L GA6/ VENTS . . . . . c4 BPRT $ 1 a E. 5 0 JH 03/a9/93 - ly!;)x INPUT :O DTL) VENT FAN'3. . :;-" 8PLI" $ 79. 63 RT 03/16/9 3 9 i�.i d C, ,=URN 1001( . , .-0 HOODS. . . . . . 10 b5plc $ 6. 13 JH 03/29/93 -- 1: J RN 'I00K 0 WOUDSI GVES. 0 (YIPR V I -,4. 00 JI-I 03/;x'3/9;3 1]: ;-OL;R F URN. 110 CLO DRYERS. QA t4PLC $ 6. 50 Ji; 03/2.9/93 .31 P:0 OTHER UNITS-.0 1151IC $ 1. 70 JH 013/21)/93 GAS UUILLTS:0 PPRI 1 90. 00 JH 03/29/93 -p-t3pc 4. 50 JH 03/29/93 JkN HANtSEL 5W 10110H PPL i3ARD OR 97224 Flione #i (.,20-41C-14 PLUMVING V:,13 'AUX E3985 • 1UPHD UP 9-7214,-1 Phone #. 446. 13G TUI AL .s persit is issued subject to the regulations contained in the REULI I RE D I NSPLL 1 ION'," A' Tigard Mun.cipal ".*ode, State of Lre. Specialty Codes aric all other Foot/foundFoot/fd Insp Gyp BoardInsp appi;cable laws. All worh will be date in ay.ot-dance with approved Post;/Oesm Sti,ttc:t Rain drain Insp piavi. This permit will expire if wort kot sta,~F- within Plus-t;/Beam Me&,an Me0ianic:al Final days of issua-ce, or if work is s FILM/Undet-Floir Plumb Final MeChAniCal lns,l) Bk.kildintj f7irla.1, Flj.'.tmb liip Lkit Ei-u s i or C;u n t v-o I Fvaminq Insp C.i-Awl Drain ivlf;-..lation Insp 11 CItY OF TIGARD RECEIPT OF PAYMENT PECEIPT NO. :93--2,--',8380 CIAECK AMOUNT a ER 6 7. 3,1; NAME > HANSF-1-9 JOHN CASH AMOUNT s (. 00 PAYMENT DATE : 03/1--.9/93 St;6DIVISION v PURPOSE OF PAYMrN*. AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID IE2. 50 PIIjMSIN(-4 PERM 90. 00 MV CHAN I CAL.. PE 34. 00 ST. BUll-D PER 12. 3211 PI-AN CHECK FE 8. 5121 rr C-0 SW 10 0 T 1.4 0 V C TOTAL AMOUNT PAID 267. 33 CITY OF TIBARD RFCr-'IPT OF PAYMFNI RECE I PIT NO. c^.-'37663 7 6 63 CHECK AMOUNT 79. 63 HANGEI-, JOHN CASH AMOUNT o. (bo NAME PAYMENT DAIF s 03/16/93 PDDRESS s 15285 100TH GIJBDIYIGION TIOARD, OR cL poRpoSp or' F,(4YIIFNT AMOUNT PAID PUPPOIc... 3F PAYMENT AMOUNT PA1'r re '79. 63 LA HFCK FF- 3-60P C-0 ui IMDUNT VAID 79. 63 �� y�,,, PLNCK/RECT # . —b Q k R. CITY OF TIGAD 9= PERMIT # COMMUNITY DEVELOPMENT DEPARTMENT T�4W DATE ISSUED JOB ADDRESS: I S ?8 S 5, l v D t /4 t TAX MAP/LOT ll c f- SUB: LOT: LAND USE:VALUATION: j CpC� OWNER SPECIAL NOTES NAME:, c If Q S REISSUE OF: _._. ADDRESS: ! S-l�'S �, ,_�O 1 �yt LAST REISSUE: 7 2 z� FLOOD PLAIN/ PHONE: W,—, bl - Y z —�N -a 1�' i z z z _ SENSITIVE LAND: _— COt"RACTOR APPROVALS REQUIRED NAME: ._ r_ w� 't _ PLANNING: -- ADDRESS: _ ENGINEERING: FIRE DEPT: PHONE. OTHER: -- CONTR. BOARD #: EXP DATE: ITEMS RE UQ IRFD SUBCONTRACTQRS: ` t'LUMB• tJ a Q, c•- !�I LIST/SUBCONTRACTORS: MECH: BUS TAX: ARCH/ENGINECn CALCULATIONS: NAME: C ZopeK a~�� �"��`^bt� _ TRUSS DETAILS: ADDRESS: �1 Z I 5,w. C asC , s %� 7? z _ OTHER: _ R 7 Zy R Zyz - C) N PHONE: - PROPOSCD BLDG. USE: ---- 1� COMMENTS: t 1c, 1s I�09 C �^� Gt ✓ .( -[ x 4f J --7 F LICANT SIGNATURE Received By: _ ___ — Date Received: -- PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. Dut*-k, 10-432 00 Building Permit FeesJ. "- 10-431 00 Plumbing Permit Fees -Ny S. r,..•, 4l—= , �r.t�.:.• .:._ , 7 {-_ . l�' S 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5x) Building = Plumbing �J, i-0 Mechanical —•-L 0 10-433 00 Plans Check Fee Building Plumbing Mechanical > 10-230 06 Fire 30-202 00 Sewer Connection 30-444 00 Sewer Inspection _ 25-448-02 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 (FDC) 31-450 00 Storm Drainage Syst Dev Chrg R (SSDC) 24--445-01 Water Quality (Fee in lieu of) 24-A45-02 Water Quantity (Fee in lieu of) m CO W _ _' TOTAL � 3 nm/35871'.WPf Permit No: Address: _. t- ut'; z Issued by: _ Date: —_FOR OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement hefore the building permit can be issued.This state- ment is required for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 38: 1 . A1 I own, reside in, or will reside in the completed structure. 2. Z:_0 I understand that I must register as a construction contractor if the structure is sold or oftered for sale before or upon completion. 3. AJ I My general contractor is Contractor registration number_ I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR 3. B.GZ ---1 I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board If I change my mind and do hire a general contractor. I will contract with a contractor who is registered with the Construction Contactors Board and I will immediately notify the office issuing this building permit of the name of N the contractor. L F- I hereby certify that the above information is correct and that t have read and understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. i nature of Permll Applicant Date' CONSTRUCTION CONTRACTORS BOARD 0244J 8191 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT i