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10180 SW HIGHLAND DRIVE-1 1-� 1-� 00 to :x H G] �zz 1� AT'e l (114V'IHJIH MS ^`'TOT CITY OF TIGARD 80(LDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 BUP Date Requested AM_— PM BLD Location /��/,�"L� ���(�fff ��/,�-f? � [_/�. Suite ME r, Contact Person Ph PLM — Contractor �f%� 7'�� , l /ICc%[��ta ) Ph// �5'�%`�//1k^ SWR // C (BUILDING Ter ant/Owner / t1:? a fJi72tLf1 ELC IRetaining Wall _ ELR _ Footing _ Foundation Ac FPS _ Ftg Drain -" ' SGN Crawl Drain In Slab SIT _ Post d Bearn Ext Sheath/Shear Int Sheath/Shear , Framing - ---_ L1 l�--- -- — ---- ----- Insulation Drywall Nailing Fire.tall Fire Sprinkler 3 u 3_. Fire Alarm Susp'd Ceiling ----- — -- -- ----- Roof �Q Misc i9-S.S Final - - - -----... PASS PART FAIL ----- -- —.-___.__ �--- - PLUMBING — Post 8 Beam __....�---------_._---- _ -------— -- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post 8. Beam �— Rough In Gas Line �— Smoke Dampers Final - -------- -- -- -- -- --- . ?ASS PART FAIL ELECTRICAL Service^ Rough In UG/Slab Low Voltage Fire Alarm -_ ------- _._— -- -------- - FOSS RT FAIL I _ Back fill lGrading .—�- _---- -- --- -- _ ..-----_--._------ Sanitary Sewer Stoi m Drain I j Reinspection fee of$ required before next inspection. Pay at City Hall, 1312.5 SW Hall Blvd Catch Basin ( )Please call for reinspection RE ( j Unable to inspect- no access Fire Supply Line -- ADA / Approach/Sidewalk pate `�P Inspector^— ��r Ext _ Other �7�-+� Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOFTIFARD CriYOF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT Mom ARM I I t#. . . . . . . 13126 SW Hell Blvd. P.O.Boot 23397,Tipmrd,Oregon 97223(6«!)839-4176 l� 11 E ADDRE5,11.. ,, > : 10180 SW H I(3111-..ANO DR PARCEL. 1 1 1 CC- 169L710 '_:jJBI;IVI£ION. . . . : SUMME=.RFIELD NO. 4 ZONING: R-12 BLOCK. . . . . . . . . . . LOT'. . . . . . . . . . . . NE:I UL:: FLOOR AREA -•­..---_---- EXTERIOR WALL CONSTRUCTI(3I.: LLASS OF WORK. :AUD FIRST. . . . - 168 s f N: S: E: W: 'f YPE OF USE., . . :SF SECOND. . . s f PROTECT OPENINGS" - - TYE=E O1' CONST. :5N THIRD. . . . : Sf N: S1 C•: W: CjCCUPANCY GRP. :Rel TOTAL—- : ;.(;8 f ROOF CONST: F1 RC RE OCCUPANCY LOAD a BASEMENT. : S f AREA SEP. RATED: STOR. : IAT. : ft Gf-1RAGF_. . . : sf OC:CU EP. RATEvD- BSMT?: p1E:Z7.?: REDD aE:TBA(.'KS-- _—_.___ RFPUIRE D------_—__—_._.._.._._..__. FLOOR LOAD. . . . : psf I-EFT: ft RGHT: ft FIR SPKL: SMOK DET. ., -, DWELLING UNITS: F"RNT: ft REAR: ft FIR ALRM: HNDICP ACC: DE'DRMS: BATHS 111P SURFACE:: PRO CORP: PARKING: VALUE. t: 3000 Remar-ks : ENCLOSING PW'T 10 Owner; ____._.____.. _._____...__ _._.._.____ FEES RUTH LEHMAN type amol_int by date rer_'pt J 0180 SW F11UHLFIND DR PRMT $ 38. 50 JLH 04/29/92 — PLCK $ x_.5. 03 JLH :::2,, ' t I G A R D OR 'i 7c.'.r'4 ,3F}C.'r s 1. 93 JLH 04/L 9/�) Plitine ##: COrlt r sc,t Or". ----- --------------------------- J. D. — ._---...._...___.------__....___--- J. D. COURTNEY CONST .'7770 SW 67TH PORTLAND OR Ptnorne tx: 6146 1305 E 65. 46 'TOTAL_ Req #. . : 805 ''7 —_— -- -- REUUI RED INSPECTIONS This pewit is issued subject to the regulations contained in the Ft-am inq InsF3 Tigard Municipal Code, State of Ore. Specialty Codes and all othar I n s 1_i I at i n n T n s p apciicable iivs. Ali work will be done in accordam with Gyp Board ITis p approved plans. This posit will expire if work is not started Fir al Intzpection within 168 days of issuance, or if work !s suspender for sore than 166 days. c�r•mittee a.UT1att.ire :�+�. C.aI. I ftrr, in9peL•ti0n — 639 -�►.IIU -� � ARD "1 �23391 ntia. PLNCK/RECT N� (r i'(� rl I T(C1l1 �, 1 iV Oregon PERM IT # 4 �' 4 Z- G i v3 cOMMUNI'll' 1)VNELOI'M EINT 1)EI'ARTMPINT Tig(503)639417127J (503)6394171BATE ISSUED -- JOB ADDRESS: D!80 9 - TAX MAP/LOT 2 S1 II c L it y.0 4- LOT: �A62 LAND USE: - VALUATION: P OWNER SPECIAL NOTES __—. / NAME: /1 E' D1q /1-/ _� REISSUE OF: ADUi?FSS• l UlOy'p�'�`Q'�'�o LAST REISSUE: • FLOOD PLAIN/ PHONE: SENSITIVE LAND: APPROVALS R[[^QUIREG CONTRACTOg — — NAMF--.; �D� - ��N�y l_v/V ___._ PLANNING: _ -- ADDRESS. l 717U 5 f`��' � ENGINEERING: aR7,Lan,�c� 4Rf�eOL FIRE DEPT. -- - --- PHONE: (,19 -130 OTHER: _..--- CONTR. BOARD #: `�C�.S2�_ EXP DATE: -711'9 - 3-/0 -43 ITEMS_REQU I RED / SUBCON_f RACTORS: PLUMB: ,ti/0''� —_ - LIST/SUBCONTRACTORS: --- � - Wch: IVO n) e- BUS TAX: -- ARCH ENGINEER CALCULATIONS: NAME: _— TRUSS DETAILS: ".DDRESS: _-- _-- _ OTHER: --- PHONE: PROPOSED BLDG. USE: --- COMMENTS: -- -" 'tom - APPLtCAfJi SIGNAIURF iteceived B � Date Received: Y' PHM II # ACCT # DESCRIPTION AMPONI AMOUNT PD. BAL. DUE 4Z 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building Plumbing Mechanical p3 10-433 OG PlanL Check Fee -2 5-- 3 Builairiq C7 3 Plumbing Mechanical 10-230 06 Fire 30-20" 00 Sewer Connection 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees ?5-448.06 Institutional TIF Fees 2.5-V8-03 Office TIF Fees 25-448-01 Residential Traffic Fe 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) _ 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 24-445-01 Water Quality (Fee in lieu of) 24--445- 02 Water Quantity (Fee in lieu of) I OI AL S �l G_ � ;� 3 3 nm/3587P.WP1 elf vd' -Del v e- O`�♦� OLOO i ��sirtu/ •e o �o [ Y CdJ�tS�' I vl $d � � ��LAU aao , i Qc,Pfu/o.3 /Ul P v Jw#.,Als.j Q#- a �tau ToscD 3"°.5° �R,G4� r Code , iN rI�� L #J ?J,*0 Dot w I I' �110-i X14 G i ti G�. .1/'u u 5 w.• �('p�.n, •,,�r sf slot 3'o-co sx� -- H Y S Atoll 17 A ��P , i� I I �,�� D•- i r I rFca Bd ax6 P.� INi axe Sr„1� �xc p•r• h,_2 r . -Ali W -04110 Pogo"# ratdor. J� �Js�u�t �sePot INSPECTION NOTICE City of.Tigard Building Department 13125 Rif Hall Blvd. Tigard, Oregon 97223 Inspection Line (Ree-O-Phone): 639-4175 Buniness Phone: 639-4171 Inspection:—.--- Footing Plb3. unCcr^lab Neil.. Sough-in Appr/Sdw1M Found. Plbg. Top Out Cas Line FINAL: Poet/Beam Struct. Ssn. Sewer Framing (/-Bldg. �\ Poet/Beam Mech. Rain Drain Innulation -Plumb. Pl,bg. Underfloor Water Line Gyp. Bd. {'�� -Mech. Date Requested:_ -� � FT Tim�T" AM _—__—PM lei 1 �1 �1Q Builder: THE FOLLO ING CORRECTION E REQUIRED: a- - - -- - �T �- Int- spe-core Dat o: % APPROVED DlS-_"PROVED APPROVED SUB.IECT TO ABOVE Call For Relnnp. MECHANICAL OF T I GARD PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 0. . . . . . . : MEC96-07;07 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 DATE ISSUED: 09/05/96 PARCEL: 26111c',C`169011- SITE ADDRESS. . . : t0180 SW HIGHLAND DR SUBDIVISION. . . . : SUMMERFIELD NO. 4 ZONING: R-7 PD BLOCK. - - v . . . . . . . . . . . . . . . . . . . :220 --------------------------------------------------------------------------------------- 1-7 CLASS OF WORK. . :ADD LOOR FURN. . . EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. : : 0 VENT FANS. . . .' 0 OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 21 ------------ 0-3 HP'. . - - : 1 DOMES. INCIN: 0 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX :NPUTa 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 F IRE .TAMPERS?. . : 30-50 HP— - - C 0 WOODSTOVES. . ' 0 GAS PP,ESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( WK BTU: 0 116000 CfM1 0 GAS OUTLETS. : 0. FURN ) =100K BTU: 0 > 10000 cfm: 0 Remalr-l-(s : Installation of I boiler, meat pl.tmp, or air- cond. to 3 HPI. Owner: FEES RUTH LEHMAN type amount by date r-e(:Pt 10180 SW HIGHLAND DP PRmT s 16. 00 D*A 09/04/96 96-28356�- PRMT $ 9. 00 D*A 09/04/96 96._2835(--" TIGARD OR 97224 5PCT $ 1 . 25 D*A 09/04/96 96--2:871`r-, Phone #: Cont react oro UNIVERSAL HEATING & A/C 4435 SE 25TH AVE PORTLAND OR 97202 Phone #1 232-1944 25 TOTAL Reg #— : 012031 REQUIRED INSPECTIONS This permit is issued subject to the regulations containt) in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical ' nsp applicable law%. All work will be done in accordance with Misc. Inspection approved plans. This permit will expire if work is not started Final Inspection within 188 days of issuance, or if work is suspended for more Final Inspection than 180 days. C ::b_ 4 ' 'ey-ni ittee a I.We ....... i.ss;Lted Byl:�L� c'..11 1 for, inspect ion E39-41 75 City of 'Tigard MECHANICAL PERMIT Planck/Rec. # H�C9&-C13o- , 13125 sw Hail Blvd. APPLICATION Permit # PO Box 23397 Tigard, OR 97223 (503) 639-4171 L)rn Irk ' ' _ IQ- Z1 c, c ZI Description . 7) ,� �, Table 3A Mechanical Code QTY PRICE AMT I1 Job i 1 h I GK n( F-�1�.� 1) Permit Fee -0- -0- 10.00 A.,drossY•�-�»� 71 o I T1 (• � ^� �� 11) Supplemental Permit 3.00 nrw a rwrwFurnace to 100.UJ0 �L h rnC �2 1) incl. ducts&vents 6.00 y"' �°•-� Furnace 100,000 BTU+ Owner - 2) incl.ducts&vents 7.50 "y " oor Furnance 3) incl, vent 6.00 •'^• ° "^••• Suspended seater,wall eater I 4) or floor mounted heater 6.00 .0 «• Vent nt not incl in Occupant 5) applian(*permit 3.00 5, Repair,f heating, refng. 6) cooling,absorpt;m unit 6.00 ^^� Boiler or comp,heat pump,air con / 7) to 3 HP absorp unit to 100K BTU 6.00 "•" oiler or comp,heat pump,air con OOntraCtOr8) 3-15 HP absorp unit to 500K BTU 11.00 • n Boiler or comp, seat pump,air cond. 9) 15 30 HP absorp unit.5.1 mil ETU 15.00 'e•"""N. T `" • oder or comp, heat pump,air Gond. 1 1)C, j I � � �` 10) 30 50 HP absorp unit 1-1.75 mil BTU 22,50 hereby ac now get lzt ave Tea t us application,that the Boiler or comp, seat pump,air con information given i� correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50 of the owner,that clans submitted are in compliance wits•,State Air handling unit to laws,thet I am rel istered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 that the number g von is correct. (If exempt from State registration, Air handling unit -- please give reasr n below,) 13) 10,000 CTM + 7.50 on portable 14) �vapor.te cooler 4.50 Pnt fail connected 15) to a single duct 3.00 ` t � (�2�� C ,r enti ahcn system not l (Dy) 16) included in appliance permit 4.50 pwa•• •.w or y�+u •'• Hood served 17) mechanical exhaust 4.50 )leasri w'F>F o-r - new Cj addition alteration repairCommercial or industrial to f e done residential O non-resident,al Q 18) type incinerator 30.00 Foisting usa T- ter Le.,woo stove,water .,uilding or property— _ 19) heater, solar, clothes dryers,etc. 4.50 Proposed use of 20) Gas piping one to four outlets 200 building or property Type of fuel oil natL'al gas O LPG Q electric Q 21) More than 4 per outlet— OTIC Minimum Fee$25 00 SUBIOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 1(30 DAYS AT ANY TIME PLAN REVIEW 25'Y OF SUBTOTAL AFTER WORK IS COMMENCED. TOTAL �40•c>� Special Conditions Date issued t 0,.V I'HMAT redrnmLv laurl5G u4J1 VC,-rZSA 44--519 � N.� �,t�r►�rrtL"1 �4vta-F ►Naw,atnan�r ;►�nwwoa „ :�,�1�73`� ELECTRICAL PERMIT #: ELC96--0589 CITY OF TIOARD DATEPERMIT ISSUED: 09/10/96 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd,Tigard,Orogon 9722398199 (503)039-4171 PIARGEL: 2G 1 1 1 CC--16I)0Vj 1'1:- . . : i-*,J U0 L�W Nu 111A - iii.)Dkk ' I lwi SUBDIVISION. . . . . SUMMERFIELD NO. 4 ZONING: R-7 P,D SLO(':K. . . . . . . . . . : LOT. . . I, . . . . . . . . . :220 Plro,)ect Descriptions Adding one branch circuit. DENT I AL UNIT------- ----TEMPI SRVC/F'EEDER1_;----- --.---MISCELLANEOUG----- 1000 GF: OR LESS. . . . : 0 Vj — 200 AMP. . . . . . . : 0 PUMP,/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . - 0 201 — 400 amp. . . . . . . : 0 bIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . . '71 41-01 — 600 amp. . . . . . . : V, SIGNAL./PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL (10) . . . : 0 ­ _­ --,SERV I CE/FEEDER-- -- CIRCUITS-------- Ij,,jSP,F:,F.TIL)NS--­-- 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 '"1 400 amp. . . . . . : 0 1st W/O SPVC OR FDR. : I PIER HOUR. . . . . . . . . . . : lb 01 600 amp. . . . . . : 0 EA ADDIL SRNCH CIRC: 0 IN V,LANT. . . . . . . . . . . .. 0 601 1000 amp. . . . . : 10 ._— REVIEW SECTION—­------ 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Peronnect only. . . . . ; 0 SVC/FDR > = 225 AMPIS. . : CLASS AREA/SPEC. OCC. Own,ar: -•._.._____._._____._,_.____________.___________._.__w_.____—_— FEES RUTH LEHMAN type amount lay date recpt 101140 SW HIGHLAND DR V­tIMT $ 35. 00 CJS 09/10/96 96-263747 5P,CT 1. 75 CJS 09/10/96 96-28374/ TIBARD OR 97224 Phone #-. Contractor: GIRF ELECTRIC 4 36. 75 TOTAL 1,546121 SE PIARADISE LN REOUlRED INSPIECTIONS ------- MULIN11 OR 97042 Wall Cover Elect' l Final Phone #: 503-829-4146 Elect' l Service Reg #. . . 101 543 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signature applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started lie, within 180 days of issuance, or if work is suspended for sore than 188 days. Issued By -----OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or rent. OWNS Ft' S SIGNAT URE: DATEc _.._..._..__.____._.._._____...._----CONTRACTOR INSTALLATION UNATURE OF SA' R. ELELIN: DATE:Yajd f.CENSE NO: Call for inspec-tion 639-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # '-LC')6 -C 5&9 Date Issued 7t - I0 - SCE Phone (503) 639-4171 CITY OF TIC;ARD FAX (503) 684-7297 TDD No. (503) 6R4-2-72 Inspection (503) E39-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of L1t+uBlOpnlentx'1'1 c _ Number of Inspections per permit allowed Address._ I L:' �" �' r� (' L 3 I , v,i r) Service included Items Cost(ea) Sum City/State/Zip___". _ (A— _ 4a. Residential -per unit —— — 1000 sq. ftor less _ $11000 4 Nance (of name of business)_ Each additional 500 sq rt or portion thereof $25 00 Commercial Residential Ad Limited Energy 12500 1 Each Manurd Home or Modular Dwelling Service or Feeder $6800 _ 2 2a. Contractor installation only: 4b. Services or Feeders Installation,alteration,or relocalion Flectrical Contractor , r f, L L 200 amps or less $60 00 _ 2 Address---- °7 .4 t � / 201 amps to 400 amps $8000 z �_LT GY.�.4� —. $120 00 2 Cit i State_ Zio 401 amps to 600 amps $1Bo 00 y � � --f- 601 amps to 1000 amps 2 Phone NO_ /)� 4 f LJ �t Over 1000 amps or volts $34000 ,lob NO _ T—_T— Reconnect only $5000 contractor's license NO __. (—a �- h_ T 4c. Temporary Services or Feeders Contractor's Board Reg No _ Installation.alta won,or relocation 2 Signature of Supr Elec'n_ 200 amps or less --_ 2 License No �__ one No. e l -/ 201 amps to 400 Amps $5000 _ 401 amps to 600 ams $75 00 2 -� I-, Over 600 amps to 1070 volts $10900 2b. For owner installations: see"b"Above 4d. Branch Circuits Print Owner's Name---_— _ New alteration or extension per pane Addressa)The fee for branch circuits with _ purchase of service or feeder fee 2 City _ State__ Zip__ Each branch circuit $s 00 Phone. No. ___ ht The fee for branch circuits without I'he installation is being made on property I own which is purchase of service or feeder fee j riot Intended for sale, lease or rent. First branch al branch arcuit _uit � $$5 00 � S Each additional $5 00 Owners Signature_____. _ 4e. Miscellaneous (Service or feeder not Included) 3. Plan Review section (if required): Each pump or Irrigation circle $4000 ` Each sign or outline lighting $4000 Signal circulus)or a limited energy ` Please check appropriate item and enter fee in section 58. panel alteration or extension _ $40 00 4 or nwre residential units in one structure Minor I.abels 110) _.._�_ E Ino o0 _ _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.1ructure containing special occupancy inn $3500 P as described in N E C Chapter 5 Per hourinspPer hour _ S5500 _ In Plant _ $5500 _ Submit 2 sets of plans with application where any of the above - apply. Not required for temporary construction services. 5. Fees: Sa. Enter total of above fees $ NOTICE 5%Surcharge (05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTPUCTION Suototal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF db. Enter 25%of line A for CONSTRUCTION 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 Trust Account # $ --- Balance Due a �