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CIT`/OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL.:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Pibg. Top Out Insulation lac
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San, Sewer Gas Line Appr/Sdwik Reins.
Oth3r:
Date: _(0 C A.M. — I.M. Entry:
Address: / 3 jqL _ l >,,�_IS t" _
Tenant: _ Ste: MST: CQ
Con/Own: _ MEC:
PLM:
ELC:
THE FOLLOWING CORRI'CTIONS ARE REQUIRED: ELR: —�
nspector: Date:
APPROVED
APPROVED __DISAPPPOVED/CALL FOR REINSP. C �CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phony+: 639-4171 r
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceilinq Plumb
Post/Beam Mach, Shear/Sheath Framing -Mach.
Plbg.Und/Fir/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sevier Gas Line Appy/Sdwlk Reins.
Other: _—
Date: A.M. p—P.M.. Entry:
Address: J �s.Z` /)I ._Sf'
Tenant: —___-- Ste:__ MST: ��.�_
BLIP:
Con/Own: MEC:
PLM:
ELC: _-----
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
7–APPROVED
actor: � C _— Dat _-AN
_
_DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing
Plbg.Und/Fir/Slab Plbg. Top Out Insulation -Elect.
Post/Bearn StrUCt. Mech. Rough-in Gyp. Bd. ( B!d
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: " —_ —--- _-
_ — !"' 7 '.
Date: A.M._p.M.__ Entry:
'^
Address: _ 0 geud—
Tenant: a.Z �� �d�f_�___— Ste._ MST:
, / BUP:
Con/Own: (12 MEC:
_ PLM:
-7� /719S
ELC:THE FOLLOWING CORRECARE REQUIRED: ELR:
his for Date: —4' -
APPROVED _—DISAPPROVED/C,ALL FOR REINSP. CF CO
CITY OF TIGARD CERTIFICATE OF
0C1_UPANCY
PERMIT #. . r .,. i Mi -.,t:- viii'j .
COMMUNITY DEVELOPMENT DEPARTMENT DAT'E ISGUEDP /96
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)'132-4171
PAR(A.-L: 25104BD07,300
I I L i L-ijkL:,_j. . . 13796 GW 1:71:'RN
LJBUI V I S ION. . . . MLP940019 Z ON I Nb:R- "I
A.-OLk. . . . . . . . . . t LOT . . . . . . . . . . . . . 1004...
LAL31,113 OF WORK. :NEW
I YPE OF USE.
if.XUPANLY GRP. 2 5Fr
1CLUPANCY LOAD: I
pmark4_-1 - PAI-14 I
J%RUMEAU CONST RULTION, INC-
-,833 S)W PASADENA STREET
'ORF LAND OR 17r!19
-hang
ItRLJN(-.AU CONS)TRUG"rION
383.3 SW PASADENA 51REF1
POR JI.AND OR 97219
Phaiie #: 789 117tE MOL
Peg C . 4 71746
This Gert ifiumte yv'antL. occupancy of the RUVVe 1-efPt-(br)C0d bUilding co po r t i on
t here.j f and confirms that t h e hu i. ld i ng has been i n 9 pect ed fat- co mp I i an(:e w
the 'Itatp of 0 on Specialty Codes for thf, gr-oup, 1ccupancy, and uv,.�e undo,
wh+ch the refer need permil. way i.saued.
3 L.1'0 R
UILDINC INSPE BUILDING OFFICIAL
POST IN GONGPILUUUS PLACE
L
CITY OF TIGARD MASTER PERMIT
r-'EF2MIT #. . . . . . . : MST96-0097
COMMUNITY DEVELOPMENT DEPARTMENT DATE I SSLIED: 04/11/96
13125 SW Hall Blvd.Tigard,Oregon 97V3.8199 (503)839-4171 I'AR(t E;L: iRS 104BD-07000
)ITL ADDRL13S. . . : 1.3796 SW FERN 51
,UBDIVISION. . . . : MLP94-0019 ZONING: R-7
BI.-OCK. . . . . . . . . . .. I-OT. . . . . . . . . . . . .
Remarks: PATH I
---------------------------------------------------------------- BUILDING ---------------------------------------------
REISSUE: STORIES.......: 1 FLOOR AREAS---------- BASEMENT...: 0 if REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK.:NEW HEIGHT........: 15 FIRST....: 1362 if GARAGE.....: 428 if LEFT..........: 6 910KE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 8 if FRONT.........: 20 PARKING SPACES: 1
TYPE OF CONST-5N DWELLING UNITS: 1 FINBSMENT: 8 sf RIGHT.........: 19
OCCUPANCY GRP.03 BDRM: 3 BATH: 2 TOTAL------: 1362 if VALUE-1: 95249 REAR............ 21
--------------------------------------------------------------- PLUMBING --------------------------------------------------------------
EINKS.........: 1 WATER CLOSETS.: 2 WASHING MACH..: 1 LAUNDRY TRAYS.: Q RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....; 2 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 8 SF RAIN DRAINS: 1 CATCH BASINS..: 8
TUB/SHOWERS...: 2 GARBAGE DISP..: I WATER HEATERS.: 1 WATER LINE ft: 188 BCKFLW PREVNTR: 1 GREASE TRAPS..: 8
OTHER FIXTURES: 0
------------------------------------------------------------- MECHANICAL ----------------------------------------
---------------------
FUEL TYPES----------- FURN ! INK ..: 1 BOIL/CMP ( 3HP: 8 VENT FANS.....: 3 CLOTHES DRYERS: 1
/GAS/ / / FURN >=INK .,: 0 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INP.: 8 BTU FLOOR FURNACES: 0 VENTS.........: 8 WOODSTOVFS....: 8 GAS OUTLETS...: 1
--------------------------- •------------------------- ELECTRICAL ------------------------------------------------------------
--RESIDENTIAL UNIT--- ---Sk,,VICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADDIL INSPECTIONS--
1000 SF OR LESS: 1 0 - 280 amp..: 0 e - 280 amp..: P W/SVC OR FDR..: 0 PUMP/IRRIGATION: 8 PER INSPECTION: 0
EA ADD'L 588SF.: 1 201 - 480 asp..: 0 281 - 488 amp..: 8 lit W/O SVC/FDR: 0 SIGN;OUT LIN LT: 8 PER HOUR......: 0
LIMITED ENERGY.: 0 481 - 600 amp..: 8 401 - 680 amp..: 0 EA ADDL BR CIRC 0 SIGNAL/PANEL...: 8 IN PLANT......: 0
MANE HM/SVC/FDR: 0 681 - 1880 amp.: 0 681+amps-1888 v: 8 MINOR LABEL -16: 8
1880+ amp/volt.: 8 ----------------------------------- PLAN REVIEW SECTION -------------------------------
Reconnect cnly.: 8 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 688 V NOMINALt CLS AREA/SPC OCC:
-----_------ -------- ELECTRICAL - RESTRICTED ENERG--- ---------—-----------------------------------------
A. SF RESIDENTIAL--- ------------------- B. COMMERCIAL--------------------------------_----------------------------------
AUDIO t STE'=0.a VACUUM SYSTEM..t AUDIO i STEREO.t FIRE ALARM.....s INTERCOM/PAGING: OUTDOOR LNDSC L1;
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........s LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCM..........: INSTRUMIWATIONt MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL 1 SYSTEMS: 0
Owner: -----------------------------------Contractor: ------------------------------ TOTAL FEES:$ 3592.86
BRUNEAU CONSTRUCTION, INC. BMKAU CONSTRUCTION
3833 SW PASADENA STREET 18157 SW BARBUR BLVD
SUITE 188 C
PORTLAND OR 97219 PORTLAND OR 97219
Phone N: 503-246-8246 Krone N:
Reg A..: 71746
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if wort: is suspended for more than 188 days.
REQUIRED INSPECTIONS -------------------------------------------------
Erosion Contol Underfloor insul Electrical Servi Insulation Insp Electrical Final T
Footing Insp Crawl Drain Electrical Rough Gyp Board Insp Mechanical Final
Foundation Insp PLM/Underfloor Framing Insp Rain drain Insp Plumb Final
Pnst/Beam Struct Mechanical Insp Low Voltage Water Line Insp Building Final
Post/Beam Mechan Plumb Tun Uut Gas Line Ins Water Service In
�. , 9 r
I s e i-m i t t e e+ 1 n a t ..: f..__` __.�!". I 5.3 a��ci E1 y
Call fat- i n peat i on - 639-41,75 U
J l 1 ON
CITY OF TIGARD PERMIT
PERM; T #. . . . . . . : SWR96-•Q09=,
DATE ISSUED: 04/11/90
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639.4171 PARCEL: 2SI04BD-07000
SITk 1.�,Y�jL, SW ,-LRN
SURD I V.►S 11IN. . . . : ML-f-"94-0019 ZONING: R-7
BLOCI... . . . . . . . . . . LOT. . . . . . . . . . . . . ..002
TENANT NAME. . . . . c
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWELLING IJN I TS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
I NSTALI._ TYPE:. . . . :BUSWR I MPERV CURFACE: 0 s;f
Remarks. BATH 1
Owner: -_._____________________.______._._.__._.._.._____._._________ FEES
BRUNEAU CONSTRUCTION, INC. -type amount by date r-ecpt
3833 SW PASADENA STREET F'RMT $ 2200. 00 JMH 04/11/96 96-278072
I P,ISP $ 35. 00 .JMH 04/11/96 96—`7807:::
PORTLAND OR 97(:-19
Phone #: 503•-2:46-8246
Contractor:
CONTRACTOR NOT ON FILE
FlI, ie #: $ 2't2'35. 00 TOTAL
Reg C . .
— -- -- REQUIRED INSPECTIONS --This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 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 distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a late i.
( e v m i.t t e e :a i y n ca t 1_1 r~
I -..led By Led A
Cal l for inspection - 639--4175
ELECTRICAL PERMIT
CITE' OF T PERMIT #: ELC96-0217
COMMUNITY DEVELOP DATE ISSUED: 04/11/96
MENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)539.4171
PARCEL. 2S 1048D-07k'+00
SITE ADDRESS. . . : 13 796 SW FERN ST
SUBDIVISION. . . . : MLP94-0019 ZONING:R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :00e
Protect Description: TEMPORARY ELECTRICAL SERVICE FOR NEW SF CONSTRUCTION
--------------------------
- --RESIDENTIAL UNIT---- ---TEMP SRVC/'=CEDERS----
----------MISCELLANEOUS-----
1000 SF OR LESS. . . . a 0 0 ;_'00 amp. . , . . . : 1 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . 0 C.'01 - 400 amp. . . . . . . a 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . a 0 SIGNAL/PANEL.. . . . . . . : 0
MANF. HM/ SV:/FDR. . : 0 6014•amps --1000 volts. : 0 MINOR LABEL (10) . . . : 0
.--.-.-SERV 1 CCS/FEEDER---- - - -BRAND i CIRCUITS------ ---ADD' L INSPECTIONS—
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . » 0
201 -- +00 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . . 0
C01 - 10'00 amp. . . . . : 0 --------___ --- ---PLAN REVIEW SECTION- ----_____._•._
10004• atmp/vo.lt. . . . . .. 0 > =4 RES UNITS. . . . . . . . a > 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMT='S. . : CLASS AREA/SPEC OCC. :
Owner.- ______________ _____________._.__._______----_._ FEE
c
BRUNEAU CONSTRUCTION, INC. type amokant by date recpt
38.33 SW PASADENA STREET PRMT $ 50- 00 JMH 04/11/96 96--278075
PORTLAND OR 97._'19 SPCT $ 2. 50 JMH 04/11/96 96-27807'-;
Phone #: 503•-246-8246
Contractor: -
METZGER ELECTRIC INC $ 52. 50 TOTAL
8780 SW LEHMAN ST
- REQUIRED INSPECTIONS
-- --- --
TIGARD OR 9722,:7 Elect's 1 Serv1.ce
Phone #: 503-244-•9025
Reg #. . : 96605
This permit is issued subject to the requlatiors contained in the
Tigard Municipal Code, State of Ore.. Specialty Codes and all other Permittee '3 i g n a t i r e
applicable laws. All work will be dope in accordance with
approved plans. This permit will expire if work is not started -`-
within 180 days of issuance, or if work is suspended for more
than 186 days. sued P
Y
fi_Va t
The installation is being made on property I own which is not intended for
sane, lease, or rent.
OWNER' S SIGNATURE: DATE:
II4S7ALLATION
SIGNATURE OF SUPR. ELEC' N a __. DATE: r_
LICENSE NO:
Call for inspection - 639-4175
Residential Building Permit Application
City of Tigard
13925 SV/Hall Blvd.
Tigard, OR 97223
(503) 639 71
Jobsite Address:
, 2T'ria k oO4T 199,6-- "/7 Office Use Only
Subdivision: Lot# ?-
Contact Date , / / Initials
Valuation: Result �
.,
Ne r Construction Only: (Square Footage) Planr..k RecA#
/3 Permit # ;
House: Garage: -
_ ����
Reissue of
Corner Lot? Y N Flag Lot? Y Map & TL# c?
� Zone k--1 _
Owner: 7'e-- V,1!- �L.�A('u n)e A �__. Plat # h' �! - J
Approvals Required
Address: _ TIqb
,, i
Planning Setbacks4'"'"c Sly Solar o ,t
— Engineering =221n -
Phone: ( 70 7 Other_
Items Rea
Contractor: f /vf.Cr �.[1SP�lC�Tio
Subcontractors
Address: 3 Y33 a S x),4 _ Truss Details
Other
Phone: Notes _ d
Contractor's License # —
(attach copy of current (1: n license) �•,i
Contact Name: —k "
Contact Phone: Lz 3y6, —d.?---
Subcontractors: � Architect/Engineer:
Plumbing f✓ I r.O AJ ltll k,4,,;d*L14�dress 1("190 �l�J_ _,e[,064? 5"r-c leo
h1eci•,anica1: �E'LL tfE'A T.r�1/ _ �_t A_ g�9 y3
(attach c py of current OR Contractifs License) 1� J
�L;—E /�. ��� ( C {� �'� / (Lf'rE� . Phone (�J-z31e� :4-s -s-4
JOB DESCRIPTION:
---
Applic nt Signature Applicant Phone number
Received by 'La'� � Date Received: 2
•.�.a.n.n�oo `
PJA 1,0&d 6VIIA6
Permit it Account Oescripdon Amunt Amt Pd. sal. Duo
M3 qG L j Bldg. Pennit (BUILD) ,7 • 4`'' yl�l'-,ti' ,
Plumb. Permit (PLUMB)
Mach. permit (MECH)
dba Tax (TAX') 9-0
, T 2__
Bldg: .=
r
Plumb: i
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
�' yl Sewer Connotction (SWUSA)
cC u
Sewer Insp4ction (SWINSP) 3
Parks Dev C?urge (PKSDC)
Residential TIF VF-M /� JC) c u
Mass Transit TIF
Commercial TIF; MF-C)
Industti>tt 11F MF-I)
-Kit tutional 71F (TIF-IS) 4
Cffice TIF (TIP-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosic Cntri Permit (ERPRMT) v y
:rasion P!ancklUSA ('---RPI-AN)
r
_resion Planckl i (ERCSN)
SEi �
P. PAMr 449A. of
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RECEIVE[?
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FEB 2 8 199F
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RECEIVED
FEB 2 81996
COMMUNITY OEVELOPMLNI
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CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
RIGID PLUMBING INC
P O BOX 345
FOREST GROVE OR 97116
Plumbinq Signature Form
Permit. # . . . . : MST96-0097
Date Issued. : 05/08/96
Parcel . . . . . . : 2S104BD-07000
Site Address : 13796 SW FERN ST
Subdivision. : MLP94-0019
Block . . . . . . . . Lat- . 002
Zoning. . . . . . . R-7
Remarks :
PATH I
Your company has been indicated as the plumbing contractor for the permit indicated above. In order
fnr the pli tmhing permit to be valid, please have the appropriate individual from your company sign
below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWt'IE:R : PLUMB I Nr CONTRACTOR:
BRUNEAU CONSTRUCTION, INC. RIGID PLUMBING INC
3833 SW PASADENA STREET P O BOX 345
PORTLAND OR 97219 FOREST GItOVE OR 97116
Phone # : 503 -246- 8246 Phone # :
Reg # . . : 043140
,A, ", (- '
Signature of Authorized Flumber
Please return this completed form to the address above.
ATTN: Bi..iilding Dept.
If you have any questions, please call 639-4171 , ext. #310
CITY OF TIrARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
METZGER ELECTRIC INC
8780 SW LEHMAN ST
TIGARD OR 97223
Electrical Signature Form
Permit # . . • . : MST96-0097
Date Isqued. : 04/11/96
Parcel . . . . . . : 2S104BD-07000
Site Address : 13796 SW FERN ST
Subdivision . : MLP94-0019
Block. . . . . . . : Lot : 002
Zoni.ng. . . . . . . R-7
Remarks :
PATH I
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to he valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will he autoorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: ELECTRICAL CONTRACTOR:
BRUNEAU CONS'T'RUCTION, INC. METZGER ELECTRIC INC
3833 SW PASADENA STF :ET e780 SW LEHMAN ST
PORTLAND OR 97219 TIGARD OR 97223
Phone # : 503-2a6-8246 Phone # : JL( II 'tC_'`''
Rea # . . : 96805
Signature of Supervisingectr ici an
Please return this completed form to the address above.
ATTN: Building Dept.
If you have nny questions, please call 639-4171 , ext. #310