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11660 SW FONNER STREET 11 � � 5 � r a � ►� �:�.� - 7o ONE 599- G3IG" 1 ,� I 3 5► / 33 �• 1 1 ' - f � 1 1 i i i� J /0 NOTICE: IF THE PRINT OR TYPE ON ANY �(-� � 1 � � I � I � 1I IIIIi1l 111I1 � 111 111 1I1 ' i.�-r111-11"1111I.r Il-r � L� _, I �. .� �. .� ��. .rli � + i•. .rl � -� � i � ( , - i ! < < � � Ii iI � �.I.� .� 1�- �1rr-I �-( �. -i- i 1-1i - Ali r i � r � i � � < < s ,.t. ...�.r.,.� - �� !! � �( 1 1 i ulkGE IS NOT AS CLEAR AS THIS NOTICE Z ( I I I I I I L _ _ �. —_--- _ 6 _� 8 l�(J IT IS DUE TO THE QUALITY OF THF --- _-- - -_ _---_ __.____ -_-_-- __ N o.38 c nwi•ww carnia ORIGINAL DOCUMENT 6Z I SZ GZ 9Z � Z � Z EZ Z iZ UZ 6I SI LT 9T � I � I [ ZT TI i U 8 IIII�IIII IIII 111111111 Illi IIII !III 111111111�1111ll 111 _l ll 111 IIII .1111. II�J. Illi 1111 IIII ILII !IIS IIII Ilii III{ {1!I IIII,IIII sill ILII ILII IIII 1111 it{1 illi IIII 1111111[ 1111 illl Illi IIII 1111 1111 Ill.l � IIII �Ll1 111 L.�i1l 11 l �� ll �1�! IIIIC�k�ll r i J i Z Z rn id - IL r CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested:/ / :5 /7'1� A.M. K_ P.M.– MST: I.oc:arion: -_1 -6kc) _ 72'YLE�'L /C Lel/ pUP. Tenant: _ Suite: 13ldg MEC: —T-- p Contractor: _ -- – _ `_ Phone: _Z 00/� PLM: Owner_ Phone: �, '.'631 EI,C Sri, _ _ BUILDING BLDG;(can't) PLUMBING MECHANICAL_ �z"� SITE Site Post/13enm PosUl3carm Post/licam Cover/Sery Sewer/Storm Footing Roof tlndl'1/Slab Rough-In Ceiling Water bine Slab framing Top 0111 Gas bine Rough-In IRe Sprinkler Foundation Insulation Sewer IlcxxUD uct Reconnect Vault 13sntt Damp Drytt ill Storm furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C W;;Slab /J Shear/Sheath Fire Wr/Alin Crawl/I'ound Dr I leat Pump Low Volt (J7ft Approved Approved Approved Approve Approt d Appr/Sdw1k Not Approved Not Approved Not Approved Not pproved Not Approved FINAL FINAL. FINAL FINAL FINAL _QPZ� W 1 ,c 1.1S Ikea r S2-- - ,5 - -��_��1 � -�__��_�Q--�L f-4►'1't � ✓L� YL° Wl�? I lel S . _ fl Call for reinspection �/ O I tion fee of S required hetore next inspection 71 Unable to inspect i Inspector We %3^ Page of CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Lire: 639-4175 Business Line: 639-4171 BUP Date Requested_�2 � AM _PM BLD - LocationN LLIL" - �"._A, _ Suite �- Contact Personi� l zlet"�"�� Ph PL 1- � � Contractor Ph SWR - ILDIN Tenant/Owner _ ELC � 7" �� g Wall ELR ---_. Footing Access: „/ FPS Foundation Ftg Drain ''� SGN Crawl Drain Inspection Notes: Slab SIT _— Post&Beam c -- Ext Sheath/Sheat -- Int Sheath/Shear Framing ----- — __.�— Insulation Drywall Nailing Firewall F Fire SprinklerFire Alarm Susp'd Ceiling - -------- —/— / l - - R2gl cc) A PART FAIL P MBING AUr 9�2 Post& Beam Under Slab __ --— -- - Top Out — ------------ Water Service Sanitary Sewer Rain Diains -- f=inal p RT FAIL -- Rough In —_— Gas Line SaUdSe Dampers PART FAIL WNIT A�. —Y. ------- Service -- Rough In UG/Slab —. -- -- Low Voltage ;II IT) --- - - AS PART FAIL. —--- Backfill/Grading r -- ----Sanitary Sewer Sewer Storm Drain ( ]Reinspection fee of$ requires+ I etnre next rnspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( Please call for reinspection RE: ____ I 1 Unable to inspect-no accass Fire Supply Line ADA -41- 9010(J Approach/Sidewalk Date __. Inspector Ext —,— Other — — Final PASS FART FAIL__; DO NOT {7FtlflfwF- this inspection record from the job site. CITY OF T MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : MEC97-0325 DATE ISSUED: 09/02/97 PARCEL: 2S103CA-00306 SITE ADDRESS. . . : 11660 SW FONNER ST SUBDIVISION. . . . : ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: URB ---------------------------------------------------------------------------------------- CLASS OF WORK. . :OTR FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VEN•i FANS. . . : 0 OCCUPANCY GRP. . :R3 VENTS W/O APF'L: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES------------- 0-3 HP. . . . : 0 DOMES. INCIN: 0 :GAS 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT : 600000 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : N 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : M 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UN I Thi- -- ----— - AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS. : 1 TURN ) =100K BTU: 0 > 10000 ct-m: 0 Remar-ks : Installing a 400000 BTU/h pool heater Owner _____.__________._..___-_.____._..______._____-----.---------- ____-- FEES JOHN NORgWORTHY type amoi_int by date recpt 11660 Sb, FONNER PRMT $ 25. 00 DRA 09/02/97 97-298830 FIGARD OR 9722 PL.CK E 6. 25 DRA 09/02/97 97-298830 5PCT $ 1. 25 DRA 09/02/97 97-298830 Phone #: Contr-actor,: - ------- ------------------ -- BLUE MOUNTAIN POOLS 14235 SW STEELS ------__..___._-.---__-_-- $ 32. 50 TOTAL PORTLAND OR 97236 Phone #: 503-760-4554 Reil #. . : 000239 ------- REQUIRED INSPECTIONS --- -- -- This permit is issued subject to the regulations contained in the Gas L.i.ne Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical I n s p _ applicable laws. All work will be done in accordance with Final Inspect ion �— approved plans. This permit will expire if work is not started �• _ _��_�___ within 188 days of issuance, or if work is suspended for more _— — than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-M-010 through OAR 952-001-0080. You may �_- 9btain copies of these rules or direct questions to OUNC by calling _ I I s s B : Jc f ��C� � Permittee S i g n a t i.i r e :�� •� % �y��L�tcQ .++-F•++i+++•1-+.+++++- ...4.+++++++•1•++++++++++++++++++- ..I-+t+•4•+++++++++-F••1-++++++++...f-+ Cal l 639-41-/5 by 6:00 p. m. for inspections needed the next b1_:siness day ++++++++++++++a+++++.I +++++++++++++++++++++++++++++++i+i++++++++•+++++++++. CITY OF TIGARD Mechanical Permit Application Recd By,PC 4,'- _ 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P E. Date to DST_ (503) 639-4171, x$04 _ Print or Type Permit M Incomplete or illegible applications will not be accepted Caned Name of Oevelf{xnent/ProNct Description Table 1A Mechanical Code OTY PRICE AMT Job Street Add72(-Q Suites A) Permit Fee -0- -0- 10.00 Address (L{� S . W fZ ,Aj/tiro. Bag. Capslate zip 1 ) Fumace to 100,000 BTU 6.00 i9cluding ducts&vents None(or name of s asa) ZI.—Spbmace 100,000 BTU+ I 7 50 S Owner p�kJ W �� including ducts 8 vents Ma-ling Address 3.) Floor Furnace 6.00 j(r, (D ',-,•�) F-0 AJ ti,lf _ including vent Cifytstat._, zip Phone 4) Suspended heater,wa.i heater 6.00 I Cc /-)k6 or floor mounted heater Name(or none of business) 5) Vent not included in appliance permit 3.00 Occupant Mating AddressL D f) ,7 X — 6) Boiler or camp,heat pump,air Bond. 6.00 to 3 HP;absorb unit to 1 OOK BU I- cily/stale ! r Zip Phone 7.) Boiler or comp,heat pump,air Gond. 11.00 Y 3-15 HP;absorb unit to 5WK BTU— Contractor Nam ^ /") 6.) Boiler or comp,heat pump,air Gond. 15.00 (Prior to /' CAD 15-30 HP;absorb und.5-1 mil 8.J— ssuance Mailing Address44 _ 9) Boiler or comp,heat pump,air Gond. 22.50 applicart ' Z S , G (i Lks—A-Q30-50 HP;absorb unit 1-1.75mil BTU" must provide all Ciwslaief zip Phone 10) Boiler or comp,heat pump,air cond. 3750 contractor t (r _ 7l l:,(1-qsS y >50 HP;absorb unit 1.75 mil BTU— license Oregon Conn Cont.Board t.x:. Exp.Osla 11.) Air handling unit to 10,000 CFM 4.50 information cl $ (� -- �B for COT COT So.Ty,orkMat�l_ Exp Oece 12.) Air handling unit 10,000 CFM 7.50 database). ��/K� �Y��K.J. _ Architect NrTe 13.) Non-portable evaporate cooler 4.50 or Moiling Address 14.) Vent fan connected to a single duct 3 00 Engineer Coyislate zip Phone 15) Ventilation system not included in 4.50 appliance permit Descnbe work New O Addilwn O Alteration O Repair O 16.) Hood served by mechanical exhaust 450 to be done Residential O Non-residential O Additional Description of work ed 17) Domestic incinerators 750 pu ti) l // , o UjC r 16.) Commercial or industrial type 3000 S T ( `7`r Incinerator Existing use of 19) Repair units 450 building or property 20) Wood stove 450 , Proposed use of 21 ) Clothes dryer,etc. +.50 building or property 22.) Other units 4.50 I ype of fuel-oil O natural gas O LPG O electnc O 23 f s piping one to four outlets I 2 00 _ _ ID0 hereby acknowledge that I have read this application,that the 24.) More than"r outlets(each) 50 nformation given is correct,that I am the owner or authorized agent of the owner,that plans submitted are,n compliance with Oregon State QTY. SUBTO'i AL 12HVS _ Signa of erlAgent Dare 'SUBTOTAL i..._ j/ �F_ 5%SURCHARGE C'V"J/", Contact Paso ame Phone PLAN REVIEW 25%OF SUBTOTAL i'estVrrec-.hpmt.doc (rev 9 *Minimum permit fees S25+50A surcharge "Residential A/C requires see plan showing placement of unit. CITY OF TIGARD MASTER P'ERMII- DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST97-034 13125 SW Hall Bit-d., Tigard,OF.97223 (503)639.4111 DATE ISSUED: 08/ /97 P'ARC`EL_: 2S 10,3CA-00306 ,ITE ADDRESS. . . : 11660 SW FONNER 3`C ',LJEiDIVISION. . . . : ZONING: R-4. 5 f+I..00K. . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION . URB Remarks: 240 square foot, 13 foot tall accessory building. Building will be used for housing a pool heater, and anciliary equipment for t Ire pool. No heat required --------------------------------------------------------------- BUILDING -------------------------------------------------------------- REISSUE: STORIES.......: I FLOOR AREAS--------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------- CLASS OF WORK.:ACS HEIGHT........: 13 FIRST....: 240 sf GARAGE.....: 0 sf LEFT..........: 5 SMOKE DETECTRS: N TYPE OF USE...:SF FLOOR LOAD....: 50 SECOND...: 0 sf FRONT.........: 5 PARKING SPACES: 8 TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 8 sf RIGHT.........: 5 OCCUPANCY GRP.:UI BDRM: 0 BATH: 0 TOTAL------: 240 sf VALUE..$: 4244 REAR..........: 5 -- ----------------------------------------------------------- PLUMBFr -------------------------------------------------------------- SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAI►+ DRAIN ft: 100 TRAPS.........: 0 LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DR,.INS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 2 CATCH BASINS..: 0 TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 100 r,CKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 1 ------------------------------------------------------------ MECHANICAL --•--......---------------------------•-------------------------------- FUEL TYPES----------- FURN ( 108K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 8 CLOTHES DRYERS: 0 GAS FURN )=180K ..: 0 UNIT HEATERS..: 0 HOODS.........: A OTHER UNITS...: 1 MAX INP.: 150888 Bld FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0 -------------------------------_---------------------------- ELECTRICAL ---- ------------------------------------------------------------ ---RESIDENTIAL UNIT--- ---SERVICE/FEEDER----- ---TEMP SRVC/FEEDERS--- ---BRANCH CIRCUITS--- ..---MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1008 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 rJ.'SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 400 amp..: 0 281 - 400 amp..: 0 Isi W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 1_IMIrED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 asp..: 0 EA ArX BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MANE HM/SVC/FDA: 0 WI - 1880 amp.: 0 601+amps-1808 v: 8 MINOR LABEL. -10: 0 1000+ amp/volt.: 0 ------------------------ ----------- PLAN REVIEW SF.C11ON ----------------- - ------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: - ---- ----------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ----------- - -- ------- ----- ------------------- A. SF RESIDENTIAL--------------------------- 8. COMMERCIAL---------------------------...-- -----I------------------------------------------ AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: OT's: :: BOILER.........: HVAC...........: LANDSCAPE/1RRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC........... : DATP/TELE COMM.: NURSE CALLS.... : TOTAL A SYSTEMS: 0 Uotner: ---- -- --------- ----------- --Contractor: ----------------------------- TOTAL FEES:$ 369.31 tRI.Y NORSWORTHY OWNER This permit is subject to the regulations contained in the 11660 SW FONNER Tigard Municipal Code, State of Ore. Specialty Codes and all TIGARD OR 97223 other applicable laws. All Mork will be done in accordance with approved plans. This permit will expire if wor4 is Phone A: 598-6315 Phone N: not started within 180 days of issuance, or if the work is Reg L.: 80!888 suspended for mere than 188 days. ATTENTION: Oregon law --------------------------- ------------ requires you to follow rules adopted by the Oregon Utility Notrficatiorl Center. Those riles are set forth in OAR 952-881-0010 through (AR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC b;. calling (583)246-1987. -_ ------------------------------------------------------ REUUIRED INSPFCTIONS ------------------------------------------------------------- Footing Insp Water Line Insp PLM/Underfloor Electrical Final Mechanical Insp Mechanical Final Gas Line Insp Plumb Final Rain drain Insp;-- Building Final _ I sr.red B _y t,�� F,ermittee Signati.rr-e 1-++++++-F++++++++++++++++++++++++++++++ -+ 'f k 4 1 4- 4 f'- _ -- I� Plan Check a IT ( OF TIGARD Residential Building Permit Application Recd By I :1 25 SW HALL BLVD. New Construction Ad a la-- Date Rec'di — <;ARD, OR 97223 Single Family DgtaC doe Attached (Duplex) oat:to P E. 503-639-4171 r Date to DST SS l i,5 4-7 303-6847297 je" M h'��TC�7 C77` i Print or Type- _._... called :' f Incomplete or illegible applications :will not be accepted ` Name of Project Name -- Job e–� i✓� - t`L-1 )(- — — Address Site Address Architert Mai�'.ng Address I i, (,6 C S� �p t� �,- Ctylstate Zip Phone Name act,n n t 14(;11� �rcr+i, N'�rsi.,cr F1+v Name Owner Mailing Address 1 ILL(I S>Vj Fc,rt�c�C CrSlate Zip Phone F_ngmeer Mailing Address 972-23 5C.:l y`fC r,,ty.'State Zip Phone Name General " ! Describe worst New O Addition O Alteration O Repair O to be done: ontractor Mailing Address Additional Description of Work: Gtylstate Zip Phone Oregon Const. Cont. eoard Lic.N Exp r.)ate Attach Copy of � I.�! � i",t,t.IriMt�-'� V'• v V r' `�sJ1r Current COT 8 striwss T,x or Me,ro M Exp. Date PROJECT y(aU c �u` Licenses t —�^-� VALUATION cjpn,Oc) C•"f' AIll'/� I Name NEW CONSTRUCTION ONLY: Mechanical _—_ Sq. FL House: Sq. FL Garage Sub- Mailing Address Contractor Comer Lot YES NO Flag Lot YES I NO C.ryrState Lip Phone (check ones I (check one) «L Oregon Const. Cont. Board Lic, Exp nate Restricted Audio/Stereo Burglar '. tach copy of Energy System Alarm Current COT Business Tax or Metro>rt Exp Date Installation Garage Door HVAC _censors ( Opener _Systems Name (check,all that Other: Plumbing awry) — _ Sub- Mailing Address --- Will the electrical subcontractor were for all YES NO restricted energy installations? contractor CtyrState Z;p Has the Subdivision Plat recorded? N/A YES NO _ I Phone CregC cn Const ont. Board L.c a_11i E--4p. Date Reissue of MSTX. Solar Compliarce ,,ttach Copy of (Calculation Attached) _ :urrent P!umoing L c s I Exp. Date I hearby acknowledge that I have read this application, that the Licenses information given is correct,that I am the owner or authorized COT Business 7ax or Metro E)(p Date agent of the owner, and that plans submitted are in compliance —_ I �_ ----- Name with O n Slate la si _ S gn tNe of CwnerlAgent Date Sub- Baa ling Address 1v ntact Person Name — Phone# ontrac:tor ` Jc.Ihnn1E: M. r5wrcr C.ryrstate Z:p -rPnone FOR OFFICE USE ONLY: _ to I IM Ma !TL#:� n �n ^C,regon Const. Cont 9oaro L,c I Exp Date i� t J� 'ach Copy of __ I Zone: (� Solar: Current E ec:rcai L.c s -- �— Exo DateIl r/� i Licenses _ ,.nguteennl;l poroval: PI ring proval: TIF: COT 3ulrises Tax x Metro:$ Cep Late 1j EMDL CCC tDST) 3197 MST Permit (BUILD) (UBUIL134 Plumb. Permit (PLUMB) (UPLUMB) Mech. Permit (MECH) (UMEC-H) '� ✓ 25� ELC/ELR Permit (ELPRMT) (UELPMT) //0 , State Tax - . (TAX) (UTAX) V BLDG: I/ PLUMB: MECH. ELCIELR: %V Plan Check MST: (BLIPPLN) (UBUPLN) _2— . q0 Plumb: (PLUMB) (UPLUMB) Mech: (MECPLN) (UMEPLN) COC Review (BUILD) (CDCBLD) (UCDC) _ CDC Review(PLN) (CDCPLN) NIA Sewer Connon (SWUSA) (USWUSA) Reimbur. District ( ) ( ) .qewer Inspection (SWINSP) (USWINS) Parks Dev Charge (PKSDC) N/A Residential TIF t rIF-R) (U rIF-R) Mass Transit TIF (TIF-NiT) (UTIF-M) Water Quality (WQU,4L) (UWQUAL) Water Quantity (WQUANT) (UWQANT) Erosion Control Prmt (ERPRMT) (UERPNI-1 ) Erosion Planck/USA (ERPLN) (UERPLN) Erosie Planck=l (EROSN) (UEROSN) i Fire Life Safety (FLS) (UFLS) TOTALS: SF REMOL DOC ;OS n 6,9; Permit#: _�'t'1 S l �- Address: In`0-1 Fr Issued h C_ __. Date: 1 7 Statement: Information Notice to Property Ownevs About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction per,nit appli- cants who are not registered with the Construction Contractors Board to sign the following stateme►rt before a building permit carr )e issued. This statement is reauired for residential building, electrical, mechanical, and plunrhing 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. Dill in the appropriate blanks and initial baxes I and 2, and either box 3A or 313: ✓1. 1 own, reside in, or will resid. in the completed structure. ✓ 2. 1 understand toat I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. D3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all, subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. 1 hereby certify-that the above information is correct and that I have read and do understand thy,Information Notice to 1'ro a ty Ow2nn s about struction Responsibilities on the reverse side of this form. (Sign' re of ermit applicant) (Date) (White copy to issuing agenc*v pernrit file, pink copy to applicant) } 4 Ml ! information Notice to Property Owners ' About +Constructior, Responsibilities �'r,ir'. il:! IN1 IYll2:.';IV1 tth'(Lt .klf r_�k ! r;I.JII'r.1li�'1 l(!;I('� ,1 ;i ` !I 'll !-�. .!. t . .,,,t. I. r„'�)' �� 1.Jr•;,' � I (l,iJ,. �.! il” I � , 1 I,. � ��I., llt4�il'U1.-� I'� I_l Illi: atM ;14 \', ll ' it1111)„ ,,1. �:•111bt "111,1.. .:-y .1k '1 .. •. '.:iu- F.MPILOVI-R RESPONSIBILi IES): 1 Ir CIII II : .I t �, 1(I",! ,ll, ,.I �I, 1 I Illi!--I ,i1 ' Y,lll• ttlth illi. 1', !! , ' ,t l!1 11 11 1i,lt I'11r llll� + •r 1t'','n,f'niti 1't .1 � ,, 'htn't,1r11111i1t' n �li'1i11 i•! ", ' I r, fl 1t1 lr rl,+l,; I I, }`t,rt 1 1:1�t 1 1•I�'• t'rnu` 1r ,1' , '!'j 0 ill (: 1 IL•I �,kil I(l"1; t.'._. ..11;,1.'1 1 .�I l ,.1'111 1 I�t111 - ..n .I - . ' � ! ,Ii G I:. � I '�lh.11}�111(tit ;I• "I, ,�� r„'t 111:1. I I I,I:. ', !i � �i I .Illi i'I! � I - I'•.11'11 ,!rli l'1l lilt: 11117. Volrl.11itI ,Lit111't. .;o.triftlrfl.;i l;lllalll..;, ,..+.: �� „„ .. .. � ., .. .lill:'.II;iICi1...... .'.i,...,. 1.. 1rr,iU1•,tl(�Int'k�f,!`1t. .,rl�� yl1l � ( Al, Il,l Ift1 til> 1'1'11 f1"t+..it; t3� FIER RF.SP!':7I°S041H)IF:S AND APE'.69) OF CONCF-14W i r.,7. k !� .rII'. '1 ',j c1x1f1.,1�11• i11: t III— ill 1 I III.'` I II � � :II I ,. �! I i• ll„I. t ijbillt;• '11111 property(Lignage 1r18t11 allt(. ( Ulluit.l l liul ill:111 a11Ct`4"Clit 11+"•�t' i1 Y'".I...i,C i1U�llll}t{4 tU t/! t U I' fll lLIC!Il, .,111_11'llll��l.,l l.- `.Ill:fl .l- 1;lli''I!. it I,'�., 11-11111 l't L'1�1'll ilk, tV-'iltl''.r(12111111 Lt' 1!1711111111: I)1L'h..t!llcS, fue, vi ,I irk th;!t fC'.tit II It`. 11111/' Ill 'IU111't VNpertlRe, Maki-CIItk"Yntth;IVPthP1, nn►t;lt'lt,r i' !'t,rtr" t ' 111'11 "l t I1.'it I,. mid to ltntlrY hlllld(n£h1f11Citll,;ill the av rl'Ii11t AV-times Ow tv(11.nred iii,gi '' I -I 11 ,tIll h;lk.c additional yt%,,s iun,,, writo ltr call the Curlstruclllm('()ntra:.tnl`. Ittl,,id kP0 W,r 141`10, Salem.OR 9—It 118-1462 1 } The Hoard i, ltic 111'11 at 7011 SIlmrrlrr 51 NV Suite YA), In Salem. Plop I,\t n 1'111-1 I Itlq i SEE 35MM ROLL# 23 FOR LARGE DOCUMENT r CITY OF TIGARD EL_ECTI*,ICAL P=RMIT DEVELOPMENT SERVICES PERMIT #: FLL97-0606 13125 SW Hall Blvd,,Tigard,OR 97223 (503)639.4171 GATE ISSUED: 09,,08!97 PARCEL; 2S103CA-00306 S11E. ADDRESS. . . : 11660 SW FONNER ST SUBDIVISION. . . . : ZONING:R--4. C BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: URB Pi-o j ect De scr-i pt i on: Installation, alteration, or relocation of are (1) service or feeder and add four (4) branch circuits to existing single family dwelling. - RESIDENTIAL UNIT---- ----TEMP SRVC/FEEDERS---- -----MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . ; 0 TACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LAPEL ( 10) . . . : 0 --SERVICE/FEEDER----- ------BRANCH CIRCUITc----- -----ADD' L INSPECTIONS--- - 0 - 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 4 F'ER INSPECTION. . . . . : 0 01 - 400 amp. . . . . . : 0 1st W/O SRVC: OR FDR. : 0 FIER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L_ BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . 0 601 - 1000 amp. . . . . : ki -- --- -------- ----FLAN REVTFW SE(:TION-------..______..._.---..- 100cO+ amp/volt . . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOI-T NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 2E_5 AMPS. . - CLASS AREA/SPEC OCC. : Owner,; _.___._.____----_-____ _.__.-_--_--....._._____._.____...._.__.---___._.___.____ FEES ----____-_-•-___-_ HOLLY NORSWORTHY type amol-int by date recpt 11C,60 SW FONNER PRM T f 80. 00 r'w.O 09/08/97 97-299040 1 1 GARD OR 9722.7 5PCT f 4. 00 GEO 09/08,, 97 97--299040 Flh o n e it: 590-6315 L.:ontract oro ___.___.----------- _-__----.---_--------------------_-----_-_____-____-- ROSF_ CITY ELECTRIC CO INC f 84. 00 TOTAL 401 ' NE CUL_LY BLVD - -- REQUIRED INSPECTIONS ----- F0RT1_.AND OR 97213 iRoi_tgh-in Eler_t' I Service )'hone #: -'87--61.64 Undergroi.ind Cove Elect' 1 Final Reg #. . . 000035 This permit is issued subject to the regulations contained in the Tigard Muniripal Code, State of Oregon Specialtv Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not startei within 198 days of issuance, or if work is suspended for tore than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-81-8818 through OAR 95?-881--1987. You may obtain a cnoy of these rules or direct questions to LW by calling ( 2�6-1967. ['('I mi.ttee Signati_ire ; - -._..__ Issi_ied By - INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or rent. OWNF R' S SIGNATURE: _ __ ___._�__ DATE: �_-�_-- -----------------------------CONTRACTOR INSTi-ILLAT ION ONLY---- SIGNATURE OF SLIPR. EL_EC' N: _.. .__ p"�_._ _ _�_ __.-. DF1TE L I CENSE NO; � 'S____ y ++++++++-4+++++++++-+ +++++++++•+++-+++++++++++++++'-+++++++++.i-+-+++++++}-++++i-++++++++ Call F.39-4175 _bv 6:00 W. m, for an insWect ion needed the (!ext bUsines5 day +++++++++.++++++++++++++++i++++-++?++++ �+++++++++++++-++ r+ t+++++++++++•F+++++++++++ Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd 4Lp —QGO�o Tigard, OR 97223 Permit # � Date is:;-,led — Phone (503) 6`9-4171 FAX (503) 684-7297 CITY OF TIGARD TDD No (503) 684-2772 Inspection (503) 639-4175 _ I 1. Job Address: 4. Compi-te Fee Schedule Below: Number of Inspectio is per permit allowed Name of Development ZService Included Items Cost(ea) Sum Address lo �t��w�"AtiA �k'r 4a. Residential -per unit 4 City/State/Zip—r,��1C �rr + 1000 sq. ft. or less - 1 I r 4 Each additional 500 sq n or gp"00 _ ate or name of business) 0 portion thereof $25 00 Residential Limited Energy Commercial ❑ Each Manure!Home or Modular Dwelling Service or Feeder $68 00 _- 2a. Contractor installation only: 4b. Services cr Feeders r- I installaticn,altera+..m.of relocation / g60 UU JWO_ 2 Electrical C ntractor zoo amps or Ins* aso 00 _ — 2 r 201 amps to 400 amps 2 $120 U0 Address -�� 401 amps to 600 amps 2 State zip— -T-73. 601 amps to 1000 amps $340 00 2 City_ -- 5340 00 ?hone No. _- -. over 1000 amps or Vons $5000 _-- 2 Reconnect only Job NG C' contractor's license NO H2 4c. Temporary Services or Feeders Contra,;A 's Board Reg No —�7 Installation,alteration or relocation --- C.,. - 200 amps nr less $50 00 ' Signati, of Supr Eler t l r _ 201 amps to 400 amps $50 UU 2 License No.��..__ hone No. I:�, ___ 401.mps to soc amps Over 600 amps to 1000 voits $10000 see"b"above 2b. For owner installations: 4d. Branch Circuits Print Owflt3f'S Name- _ New,aiterstion or extension pal pane a)The fare for branch circuits with Address _ - purchase of sorvi,:a or fosdor to ,f State_ Zip Each branch circuit _-_City.--- _ $500 Sf ity �-- — b)The fee for branch circuits without Phone No. purchase of service or Isadsr fee. The installation is being made on property I own which is First branch circuit $3500 not intended for sale, lease or rent. Each additional branch circuit 9500 4e. Miscellaneous Owner's Signature -- -- --- (Service or feeder not included) Each pump or inigation circle $4000 3. Flan Review section (if required): Each sign or outlinelignting $4000 Signal circuit(s)or a limited energy anel,alteration or extension $4000 Please check appropriate item and enter fee in section 58. Minor rebate 110) $10000 4 or more residential units in one structure Service and feeder 225 amps or more 4f. Each additional inspection over System over 600 volts nominal the allowable in any of the above classified area or structure containing special occupancyper inspec $55 00 tion $3500 as described in N E C Chapter 5 Per hour 55 no — In Plant S Submit 2 sets of plans with applicatlon where any of the above 5. Fees: apply Not required for temporary construction se-vices. tia. Enter total 0f above Fees _NOTICE_ 5%Surcharge (05 X total fees) $ _— Subtotal $ ----- PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5h. Enter 25% of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec 3) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABAND014ED FOH Subtotal $ -- — A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Trust Account # $ COMMENCED C:0 LjI "'"""' Balance Due $ RECEIVED SEP U 8 1997 COMMUNITY DEVELOPMENT (OREGON F TIGARD August15, 1997 4olly Norsworthy._ - J1'6_6d SW Fonner Street Tigard; OR 97223 __. Re: Accessory Structure Approval/MIS 97-0012 Dear Ms. No;swort'iy: This letter is in response to your request for approval of a 240 squ«re foot, 13-foot-tall accessory structure. The Director has approved this; structure finding that it meets the approval standards of Section 18.144 of the Tigard Community Development Cede. The structure is on a parcel of land that is smaller than 2.5 acres and zoned R-4.5. The structure, as proposed, does not encroach into the five-foot side yard and rear yard setbacks required fcr accessory structures in residential districts. The structure also does not exceed 30 feet in height or 528 square feet in size. There are no identified sensitive lands. Therefore, your request meets the requirements of the applicable development code .ecticns for this type of use. You are required to obtain a building permit(s) for this constructiin. Pi63se submit a copy rf this letter of approval olith your request for building permits. If you have any questions, please feel free to contact me at (5(,:1) 639-4171. Sincerely, William D'Andrea Associate Planner/AICD j curpin\will\mis97.12.dec c: MIS 97-0012 land use file Development Services Technicians 131:5 SW Hall Blvd , Tigcrd, OR 97223 (503) 639-4171 TDD (503)684-2772 — —