13430 SW HILLSHIRE DRIVE-1 Ui
4-i
13430 SW HILLSHIRE DR. '�'
CITY OF TIGARD
DEVELOPMENT SERVICES 1hASTET # . .PIERE'�6-0`_;0i,
mum 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 F'F kM' T #. . . . . . . : M5
DATE 1E-SLIEL : 11/05/96
F'FaRC EL: c'S 104CA-06900
S I T E ADDRE_SS. . . : 1:;4..-:;0 SW H I LLSH I Rf' DR I�
SUBDIVISION. . . . : Lill-1-.SHIRE �,, ZONTNG: P-7 H"1)
BL..f.1LI:. . . . . . . . . . . L..0T. . . . . . . . . . . . . .0"_J'3
Remarks: PATH I ADDING 823 50 FT TO BASEMENT
-------------- ----- --------------------- BUILDING ------------------------------------------ ---------------------
REISSUE: l7 5TORIES.......: 0 FLOOR AREAS---------- BASEMENT...: 823 sf REQUIRE0 SETBACKS---- REOUIRED-------------
CLASS OF WORK—ON HEIGHT........: 0 FIRST....: 0 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS: Y
TYPE OF USE... :;I FLOOR LOAD....: 40 SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 0
OCU FANCY GRP.;R3 BDRM: c BATH: 1 TOTAL-----• : 0 sf VALUE..1: 55059 REAR,.........: 0
--..-------------------------------------------------------------- PLUMBING ------•-----------------------------------------------------
` bIRKS.........: 0 WATER CLOSETS.: 1 WASHING MACH..: 1� LAUNDRY TRAYS.: 0 REIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: i DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE: ft; 0 SF RAIN DRAINS: 0 CATCH BASINS.. : 0
TUB/SHOWERS...: 1 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
------------------------------------------------------------ MECHANICAL ---- ----- ---------------------------------------
FUEL TYPES------------ FURN ( I00K ,,: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: i CLOTHES DRYERS: 0
/GAS/ / / FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VFrr'C,,.......; WOODSTOVES ..: 0 GAS OUTLETS...: 0
--------------------•------------------------------------ ELECTRICAL --------.------------------------------------------------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVCiFEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS--•- --ADD'L INSPELT!ONS--
1000 SF OR LESS: 0 0 200 amp..: 0 0 - 200 dip..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
Er, '"011 500SF.: 0 201 - 400 amp..: 0 2e - 400 amp..: 0 Ist W/O SVC/FDR: 1 SIGN/OUT LIN LT: 0 PER HOUR...... . 0
LIMITED ENEP9Y.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: I SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM/SVC FDR: 0 601 - 1000 amp,: 0 601+31ps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 --------- - --- — ___...--- PLAN REVIEW SECTION ----- -----------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/BPC OCC:
------------------------------------------- - ----- ELECTRICAL - RESTRICTED ENERGY ------------------------------. - ---- -- _. .
-- .
A. SF R��IDENTIAL---------------------- -- ��,. COMMFRCIAL--------------------------------------------�•-----
------------------------_
AIID1n S STEREO.: VACUUM SYSTEM..: 9I1D1O I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM.. : 0TH: ;; BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL N SYSTEMS: 0
Owner: --------------------------------Contractor: ----------------------------- TOTAL FEES:1 656.5:
DAVID I KATHY KISER OWNER
13350 5W SHORE DR
TIGARD OR 97223
Phone M: 503-524-8779 Phone #:
Reg N..: OWNER
This permit is issued subject to the regulations contained in the Tigard Municipal Code, St:ie of Qt-e. 5pecialty Codes and all other
app,_able laws. All work will be done in accordance with approved plans. This permit wi:l expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days.
--------------------------------------I----------------------- RE(011RED INSPECTIONS ____-----------------
Mechanical Insp Low Voltage Plumb Final _
Plumb Top Out Insulat,an Insp Building Final
Electrical Servi Gyp Board Insp
ectrical Rough Electrical Final
Framing Insp Mechanical Final
f e r m i i,t
CA 11 FC)r 1ns P ect iU11 6.:,9-417 ;
'TY OF TIGARD Residential Building Permit Application eccdg�,______
3125 SW HALL_ BLVD. New Construction Additions or Alterations Date
"IGARD, OR 91'223 Single Family Cet2ched or Attached Data to P E. / 6
503) 63^-4171 oate to DST /c,
Print cr Type Permit.t T; 9r;, 0.so6
Incomplete or illegible; applications will not be accep'ed c�Iled
Name of Subdrvision Lot tf r Name ---
j Job
Address
Site Addres — Architect I Marling mare"
Nam" Cdy/State Phtarte
Owner Mailun Address — Name
(;AV/State Zip 1:1,111 Engineer Maw Address
Nama CaylState Trp- '-ne
Gen.'ral t I,i}It t?esrnbe woof— new G adddton o arteranon O repair O
Contractor Mailing f4dewf to be done:
_. -
AddMonal Desc rpoon of Work:
** Exp.
noCftgon Attxh ropy of Pmject
Current COT 8\ at�6tto Date Valuation 4-0� =-'-
Name NEW CONSTRUCTION ONLY:
Mechanical Sq.Ft. house: Sq.Ft-Garage:
Sub- Mad•,rg Aoarr_ss � �=
Contractor Comer Lot Yes No Flag Lot Yes No
i C.tyJState Zip Phone (check one) (chnrk one)
Restricted AudxVStereo +� Burglar
Qregon c artst Cont Board Uc.I F- p. D:re Energy System I Alarm
Atiach Copy of
Citrrent COT Business Tax or Metro s Exp. Date Installation Garage Doot HVAC
Ucen•;es Operw Systems
Name — (check all t`tat Other
Plurnbinq
Sub- -Mailing At'dress Wil the ele inr--: subcontractor wire for all Yes No
Contractor restricted ene.,;; ,,;,stallations?
c.tylstate Zip Phone Has the Subdivistvn Plat recorded —F WA Yes No
I
Crrgon Const pint- Boarded tics Expo- Reissue of MST# I Solar Comoliance
Attach Copy of _ (Calculation Attached _
Current umb r; !c I Elio Date I herebv ac.crowleCSe hat I lave read this appiK-ihon, that the
nfonnaton given is drrecf. ;hat I am the owner or authorised agent of
QT �turr«ss i ax or Metro s Exp Cate the owner, and that plans submitted are,n cmnliance with Oregon
State laws.
Name Signature of OwreeriAgent Dain_
Electrical
Sub- Marling ACdrtContact Person Name Phone
ss
Contractor P !' _ FOR OFFICE USE ONLY:
City/State Zip ' Phone Plat# MaplTUt
;inch C-opy ofCregon Corot. Cont. Board L:c.O E-rp Date
SetSadcs 2�ne: Solarr�
Currant _eCncl Lie. >! FEj-�',te--
:Date -- - /
Llcens� Solar,
14
Business rax or Metra u
EngrneertngA�pJing pmval: PlannApp ^ral: TIF
sYT15'lapp.doc `- —- ��/✓I
�' ! Account D P S Arr�ouns Amt. Pd, BaLQ,e
MST. Permit (BUILD)
Plumb. Permit (PLUMB) 2
Mech. Permit (MECH) ,�' , �Z � 6 , 1-1)
ELC/ELR Permit (E LPRMT)
State Tax (-FAX) i � � , s ✓
Bldg: / To
Plumb:
Mech: 3
ELCIELR: a.n
Plan Check
MST: (BUPPLN)
Plumb: (PLMPLN)
Mech: (ME(,PLN)
CD G f3u V
CDC FtevieW cpC Purl (LANDUS) /
Sewer Connection (SWUSA)
Sewer Inspection (SVVINSP)
Parks Charge (PKSDC)
Rt sidential TIF (TIF-R)
Mass Transit TIF (TIF-M1)
Water Quality (WQUAL)
Water Quantity QUANT
Erosion Control Permit (ERPRMT)
Erosion PlanckJUSA (ERPLAN)
F,,osion Planck/COT (EROSN)
Fire Life Safety (FL S)
TOTALS:
is cUt34rstacp doc
Rev 7,'96
Permit#: �',�
6r
a�E �N Vv
Issued by:
Statement: information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can he issued. This statement 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,iled with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:EXPIRED
0 1. 1 owa, reside in, or will reside in the completed structure.
o1 2. 1 understand that i must register as a construction contractor if the structure is sold or offered for sale
vvvvvv ,,,,,,,,,,,, before or upon completion.
❑ 3A. 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.
Oil
3B. I will he my own general contractor.
If 1 hire subcontractors, I will hire only subcontractors registered with the Construction Contractor
Board. if i change my mind and hire a general contractor, l will contract with it contractor who is
registered with thn CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certil'y that the above information is correct and that 1 hoi a read and dounderstand nd the Pliormation
Notice to Property Owners about Construction Responsibilities ,)a the reverse side of this farm.
(Signa of re of permit applicant) (bate)
(White copy to issuing agency permitfile,
pink copy to applicant)
CITY CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
13125 SW Hall Blvd.'Tigard,Oregon 97223*8199 (503)639-4171 PERMIT . . . . . . . : MST04-0'i
DATE ISLJED: 01/30/95
PARCEL: J_",1 04Ci-' 06900
.T'L ADDRLb:�. . , . SW HILL:'1+41RE DR
j8i)I V I S I LIN. . . . : HILLSHIRE zr'NINU: R-7 PD
fJCiC. . . . . . . . . . . i_(:11.. . . . . . . . . . . . . .0G'1
VU1LDINUi
"ISSUL. DWELLING UNITS: 1 BA'3EMENT. . . . . . . . : 7"3 5f
,-ASS OF WORK. NEW REDRMS:4 BATHS:.? GARPGE. . . . . . . . . . .464 s f
f'PE OF . . 5F FLOOR AREAS—---- PEQUIRED SET BACKS--- --------
'FIE OF C*ONST'. :51\1 FIRST. . . . : 1 107 sf LEFT-25 ft RIGHT. :5 ft
CUPANCY URP. :H3 ":ALLUNI). . 1089 Sf FRONT. ft REAR, :55
(JR I L.S. . . .. . . . :i? FINBSIVIENTiO 5 f REUU I ----
1(310.. . . . . . . . :.24 ft :C196 a.1: SMOKE DLT'LCJOR:3. : Y
..UOR LOAD. . . . :40 Cisf VALUE. . . . . 158517 PARKING SPACES. . I
!ma,-kc; : PIAT';-i I
PLUMBING
NKS. . . . . . : 1 FLOOR DRAING. . . . .0 11ACK1-L OW V N I R'5.
it)PTURIE b. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0
JB/SfA(JWLR1,3. . . . -. 3 LAUNDPY TRAYG. . . :0 GATUA 13(451N3. . . . . . . :0
, I t.H LLU6E`(;;. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
SHWA'5I-JF-.'.RS. . . . : 1 WATER LINE ( ft ) . : 10 it) OTHER F: I X T URES. 0
IRSAGE ')ISP. I RAIN DRAIN (ft ) . -0
wool T NG MACH. 1. GF RAIN DRAINF3. . : 1
MELHANICAL
LL UN I I H'T PS. . -0 type amount h y d -a t ? e r-p i,
VENTS . . . . . 10 T I F $ 1`,50. 0111 Jf::' 01/30/95
1\1 I u) :0 FA I U V EN I f (NS. . : 4 GWM $ 180. 1!1Q) JF 01 t`)
. :0 HOODS. . . . . , : 1 SWM $ 100. 00 JF: 01 0 5
PJRI1LJ ) =100K . : I W I 10 D 11-3 1,0 V E G. :0 SPIRI 50 JI,-- 0 1 30 P�':j
I-t-00H FURN. . :0 CL 0 DRYERS. 1 I BPL C 377. 33 KA R 11 /17/')4 4
- ( �HP: 0 0 T I i L R LJ N I I`'3 1. 351-11' I
1::3011._/l M I.- 1 1"). 0 13 1 f- 01 .i3O/1)
GAS OUTLETS— I PARK $ 5121121. 1210 JF_- 01 30/95
$ 4'J. 00 JF 01 /30/9`
v,il.) & KATHY viESE R MPLL $ 11. 25 if- 01 /13111/95
DR. M51..'L $ e5 i 1:- 1211./3.0, 1)5
3B f H 22 I.lb jf7 01 /30/95
OR 1) P51: C $ 1, 1. 2_5 JF' 17 1.I
,-0/95
50
one #: 3-5,:4-81/9 EROS $ 64. 00 JF 0', 321/,-)"a
n t i a c t;a v-. I.:,R P C $ c'.*O. 80 JF 01/30/9t-i
ONI-. L01i.ii '-L BUILDERS ERPC $ 2-10. 80 JF 01 /30/95
Ob SW 1AYLOP'; FERRY RU
iiGfIkD OR 97223
Phune 503-452--w_':i54
1&:'608
$ 3717. 21 TOTAL
leis pe,qit is ;ssued subJect to the rquiations contained in the REQUIRED INSPEC'11ONI-)
Tigard Muricical Cade, State of Om Speewlty Codes and all other Foot/ founc:1 Insp Fit-pplace Insp
applicable laws. All work will be done in accordance with approved Past /Seam Strt.,Tt Gas Line Insp
plans. Tris petit will P�rirp if work is not started within 180 Post/Spam Meehan Insulat ilm lns,
days of isuance, or if worts is suspenjed for tore than IN days. Plm/undslRb Insp, Gyp EAciarci Insp
PL M/L,i(J e t, f I u 1.)t Raill uraln
Lee juyA
rlerhanit:,al t11"1511�
Plumb Top Out Appy-/Sdfwl P. Insi
r-aminq Insp N V V!h at i i I F* kn4it,
CITY OF TIGARD SEWLR CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENTr,ERMIT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PERMI-1 #. . . . . . . .. CSWR94-0410
DATE ISSUED: 01/30/95
PARCEL: 25104CA-06900
ITL ADDRESS. . . : 1 ,3430 SW HILLSHIRE: DR
JBDIVISION. . . . : HIL!-SHIRE ZONING: R-7 f�'D
t.-OCK— 1-01.. . . . . . . . . . . . . :069
ENANT NAME. F I XTURE UNI TS.
,tip Nu. . . » . . . . . . : DWELL I NG UNI TS.
OF WORK. . . :N[-W NO. Or BUILDINGS: 1
�1-,L OF UbE. . . . . :SF NO.
�31JRF`ACE. . S f
NS`Al-L Typl' . . . Buswrt
tensa t-ks : P'ATH I
FEECE
� ,AV I.D & KATHY KISER type amoi.tnt by date - ver--J�.
bw ;HORS: DR PRM-r s -j,o@- Oo JF' 01 /30/95
I N, P 00 .11- 01 /3-10
LUWW OR 97223
,hone 503-524-8779
On t 0-1-. - -,-.
,.11NIHOCA UR NOV CIN FILf.
t 2J,35. 00 'TOTAL
Key RCGIUIRED IM3PLLI ION(;
hit Applicant agrees to comply with all the rules and oegUlatiOn'll • Inspection
.f the Unified Sewage Agency. The permit expires 18@ days from
the date issued. The total amount paid will be forfeited if the
oermit P?mires. The Agency does not guarantee the accuracy of the
side sewer laterals. if the sewer is not located at the measurement __.______._..__..__._•__._._.-__._..-_.-
giveri, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap ane Side Sewer" Permit and the Agency will install a laterel.
Oer-inil-,Lep Giignckt)Wfr -
s 1,i e d LA y
for 1* inspection 639--41'15
C7
DEPARTMENT OF LAND USE & TRANFPORTATION
WASHINGTON ►AND DEVELOPMENT SERVICES DIVISION #350-12
1:,5 NORTH F-IRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTF (24 hours): 503/640-3561 or 693-4415
)ermit # : 05067060 Project 4 . P,,049544 tatu, APPROVED Paye 1 c,f 2
applied : 04/28/9x, Izsu&d 04/28/9S Expa r& 10/25/95 06/ 1,0/95 9a , 012
ItEr,ELEC
)ermit Title SFR - NEW OTII
)e.scription Bequn 04/2£1/95
tub Address 13130 LW HILLSHIRS 1',R TI
)wner Name KISSER, 0AVI.0 W &r KATHRYN S Region t.)
►ppl i cant Name HEAR ELEC:T14 I C
)hone nximber 678-1355 Valttaatiun 0 Approved__._____..._._..
Approval# . APPR
nsp&Qtr;>r Comments ; Rejected _
IVR-RESi1LT:.
ERvOP
� .
"TP-mim C --kn&-�
'1.wnbing
Iechanical. :
.iectrical .
,tructrual :
xeneral /
nspect ecl by: -1-_ _... _._._ DatA
Inspection Rog1.1osted,
Final Electrical 0494 E AP DN i�ltt
06/30/95 RI RT IVR 24-107" 0 E
I I.-FIT L. OF
411cy
c)c'cut;'r
PERMIT #. . . . . . . : MST94 04!,,
CITY OF TIGARD DATE ISSUED: 08/14/95
COMMUNITY DEVELOPME14T DEPARTMENT
13125 SW Hall Blvd.Tigard.Oregon 9722308199 (503)839-4171 PARCEL : 2-S'104CA 06900
;ITE- ADDRLW'). . . s 1,3430 SW HILL'Ail.ki'L OR ZONING: R--7
,.IUBI)I V I S I ON. Ll S H I Rf--
. . . . . . . . . .
t-OT. . .
IALOCK. . . . . .. . . . .
CLASS OF WORK. rNEW
TYPE OF USE. . . iSF
0CCUpAj\jcy Cjpf"-,. -.R3
OCCUPANCY LOADsP24 4
NAM NAME- - - t
peainv+f� r
iner.
KATHY KISER
'350 �'w SHORE DR
q3ARD OR 97223
joTlf, #j 503-501,4677")
IONE. BUILDrRS
I) BOX C',;307594
.jfjRj) OR 1*7,-'81
,()Ile #1 �)'03 __2t554
. 45r-
e.r4 it- - 0 13
ies that; the above t-efere-nced btAllding or Pot-"()
ijis ''ertific'Att- CP"'tif imii;h the Tigard ilding Code
j-jer-p0f hal~; boen ifllsPeCted f(ir comPl ""17�e fcir- which i,he above
grc�up and clivi ion of oVc,,.jpajjcy incl j1qe
or the W, h, g r a n 4-e d.
permit was is%ued, avid occijpaw�-y
.........
PiiiI . N Gl( till
INSPLUTUR
P(IST IN COW;PICUOUS
Pf
J4-f,
Residential Quildli- ng Permit Application
City of Tigard
13125 SW Hall Blvd. K
Tigard, OR 97223
(503) 639-4171
L)
Jobsite Address: 1314 ,30
fti
Subdivision: E 11.L `�N l C� L= Lot # _ ( 1Office Use Only
Planck/Rec # � ( -
Valuation: _
Permit # 1 n�
Corner Lot? If l�!i
Flagg Lot? .0
Reissue of
Map & TL >/ C t.1 olf� 5:�1 L'l'
Owner: ~1 tD K i'<1z-1'� K���� "� "provals Reeuired
X �
Address ` -D(z - Planning
•�I_ C+,fl••R-�` c�f� - Engineering
e
Phon , %�-`i ' 7 79 Other
Contractor: j G F,(��f:`�i Lk' , +t l-1�L:R..S Items Required
Address c'L `L., I l\y L cI t K <' ( Subcontractors Iiv �/
+r---y r
cl
Phone: (,'1L' 3� ►.}S :.`,'`, Other S-)
��LI7 ��.- o_1�
OIL �
Contractor's License # It C,IL Q-C'
(attach copy of current Oregon license)
Contact Name & Phone:
/S 50C 2.c'A-,C� 1I
Subcontractors: , Arclitect/Engineer: i1L_AN Hft�C_oK-D DL'IC-
Plumbinq. ._. I� 411, Address
Mechanical: ' ) n r y� , 7 O�• ' 'c r RTL f1 N i� . C_1z C� 7 2U`�
(attach copy of urrent OR ont c or's Licen )
Phone: c Z.i III LI
ri
JOB DES)CRIPTION: ��^►� Q,*f% lkTl A0 �,t �tN(,t..F: FPrM�u.`{ (<_f_ ��t_t,� L
Applicant Signature & Phone number
I
Received by: Date Received
N'.WORMCOMI)B�RESAPP
CITY OF T I GAR[ PLUMBING F-117-RM I I
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13125 SW Hall Blvd.Tigard,Oregon 97223*81199 (503)639.4171 DATE ISSUED: 01/30/;
PARCEL: 25104CA,--1?.)6900
i L -,W HTLLSHI RE DR
bubi)I V I I ON. H I LLSH I RE ZONING: R--7 PD
BLOCK. . . . . . . . . i-01.. . . . . . . . . . . . . ob 1)
CLASS OF WORK. . :NEW GARBAGE DISPOSALS.
1'yV-1E OF USE. . . . :SF WASH I NG MACH. . . . . . . : 1 BACKFLOW F"REVNTRS.
OCCUPANC e GRP. - -P-3, FLOOR DF'41N',-). . . . .. . . .4) TRAPG. . . . . . . . . . . .. . . .0
STUR TES. . . . . . .. . .2 WATrR HEATERS. . . . . . . I LAI'(-,'H BAc-)'INb. . . . . . . :LA
F I X I UfiF-S----- LAUNDRY TRAYS- - . :0 S F- RAIN DRAINS. . . . . . 1
!:i I N F,S GRE*ASE TRAPS. . . . . . . :
LOVAI'OHIL6. . . . . .."D 0J-HEN '- IXTUREIi 16
I Ob/SHOWN Rb. . . . SEWEP LINE (ft) . . . . 10
W A TH R C L.L 3 E 1"(3. . WATER LINE (ft ) - - - - . 1-4-10
D I SHWASHE RS. . , . ! I RAIN DRAIN (ft ) . . . . :0
marks ., F)ATH 3
:NER:
V'11) & KA,ri-r,e1 tjl"�O. 00 JF 01/30/'.)",
-:jO SW '5HORV. L,R CTM i 16-30. 00 JF 01/30/9b
(�Wllri t, 10 LA. 0 Z .JF 01/; 0
BARD OR 97 .L It*1,1 5(30. 50 JF 161 /30191-)
am
one LA L'L.L 1 377. 33 KAR 11/17/94 94 '56 04
1-
b X,CI 1. 29, 0,"1 JF 01 0/9a
umbo tit.; L,Ut I , Ak-.t of I,-,I'i I R V. $ 500. )DO ..JF 0 13 CA/9 .5
MPRT $ 45. 0 LA JF 01/;30/91,
-
-sIll9
dre b j F. 0 1/30 9 1-j
J1- 'ill,'
'Q k- i:b JF 011311119
I L I, I U IeA I. Tees not ihovsn . . . . . . .
IN'bPEC-11ON"
,is pe)-mit i,:, issued to the r-eg Rairs drain Insp
StlOTIS contained in thv Tigard Municipal Foot /foual nInsp
,Lie, State at Ore. `. pe(_ialty Godes anti aLJ kost /14ealrl ;-Jtruct Water Line Insp
i jei.-, applIcat.,le laws. All work will be dr2ne Post/Beam mechan Appr/5dw1k Insp
,cc wj,tf-i ;approved pl ,--Ans, This Ploi/linds) ab Fina)
olrffljt will expire if work is not started PLM/Underfloor Plumb f-inal
thin 180 days (I I I S S I-IcITIC P, OV' i f 11"echani-cal Insf-) bl,,t i I d i n g F i n a L
,spended for more than 180 days. Plumb Top Out Erosion Control
Fi'amii-al Insp Wt-r- Proofing 9-P,
F ,.replace Insp Crawl Drain
(Jas 1- Ine Insp f-tg Drain Bsm
InSUlation Insp
Ljyp Board [T)'I'()
C
r V S i gnat ure
j for inspection -- 639-4175
.-ntrAc-.,t cir N o t P s -
CITY' aF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
13125 SW Hall Blvd,, Tigard,OR 97223 (503)639-4171 PERMIT #: ELC96-0677
DATE YSSLIED-, I0/23/96
PARCEL.- 2S104CA--06900
S 1.'TE ADDREbS. . . . 1X430 SW H I LLSH I RE DR
SUBDIVISION. . . . : P t LL.SH I RE ZONING:R--7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :069
Project Description : ADDING BRANCH CIRCUITS
UNI'-----.- ---TEMP SRYC/FEEDERS -----MISCELLANEOUS------
1000 SF OR LESS. . . . : 0 171 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADDIL 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+amps1000 volts. : 0 MINOR LABEL ( 10) . . . : V,
------SERV 1 CE/FEEDER--.-.- CIRCUITS--- --.---ADDIL INSPECTIONS
-
0 200 amo. . . . . . : 0 W/SERVICE OR FLEDER: 0 PER INSPETION. . . . . : 0
201 400 amp. . . .. . . : V., 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0
401. 600 amp.. . . . . . : 0 EA ADDIL BRNCH CIRC: 3 IN PLANT. . . . . . . . . . . .. fl,
601 1000 amp. . . . . V, REIN IEW SECTION_
1.000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR 225 P1,1PS. . : CLASS AREA/SPi-C OCC.
Owner: FEES
DAVID R. KATHY KISER type amount by date recpt
13350 SW SHORE DR PRMT $ 50. 00 TAT J0/23/96 96-285553
!9PCT $ 2. 50 TAT 10/23/96 96-295553
TIGARD OR 9*7223
Phone 14: 503-524-8779
Contractor -
EDI SON CONNECTION LTD 52. 50 TOTAL
PO BOX 301505
REDUIRED INSPECTIONS
I-113RTLAND OR 97--'94 Ceiling Cover Underground Cove
Phone 503-257-9600 Wall Cover Elect' l Service
Reg @00758
This pervit is issued subject to the regulations contained in the .......
Tigard Municipal Code, State of Ore. Specialty Codes and all other PLt'M i t t R-F.- G i g n a t 1-tr e
applicable laws. All work will be don" in accordance with
approved pian;. This ppreit will expire if work is not started
stithin 180 nays of issuance, or if work is suspended for more _ A 11-14
than 180 days. is;;i e
INSTALLATION ONLY--
. V
The installation is being made an property I own which is not intended for
sale, lease, or, rent.
OWNERS SIGNATURE: DATE:
INSTALLATION
SIGNATURE OF SLIP r2. FLECIN: DATE:
i.. ICENSE NO"
("all tot- inspection - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13;25 SW Hall Blvd.
Tigard, OR 97223 P!anck/Rec. #
Permit # 10 1 11 1
Phone (503) 639-4171 Date Issued F-JL0j,61
CITY OF TIGARD FAX (503) 684-7297 Iss .,:d by
TDD No (503) 684-2772
Inspect6o (503) 639 4175
1. Job Address:' � 4. Complete Fee Schedule Below:
Name of Development _ n Number of Inspections per permit allowed
pw —
Address �`f�L l -5�o CI/i�S�l Yt' `cirvlce included Itr:ms Cost(ea) Sum
City/State/Zip 'n 62',y-G _�— 4u. Residential • per unit
1000 pq It or We. $11000
N _ Each additional 500 aq ft or
Name (or name of business)
Pontin thereof $2500
Limited Energy $2600
Commercial D Residential _
Each Manord Home or Modulen l
Owelhng Services or Feeder S09 00
2a. Contractor installation only: 4b.Services or Feeders
l� ij J Installation,attera;ion,or relocation
GlC/�
Electrical Contractor 7 se o z ye t//i; r ` 200 ampr or less $F0 00 7
Address 201 amps to 400 empe $130 00
401 amps to 800 amps $12000
City &VT-td A, State_ _ Zip�;�, sot amps to 1000 amps $18000 _
Phone No. 2 c10 Over 1000 amps or votes $34000
Contractor's License N0. - C! neconned only $5o 0o _
Contractor's Board Reg. No. _ 4c. Temporary Servicos or Fecdere
Installotion alteration or reliyplion
Signature of Supr. Elec'n % �—"—�1 200 amps or less $5o o0
License No. ,`J,YZ&jS Phone N6 ,75� Y�JC c 201 amps to 400 amps $000 --
401 em to 800 amps $100 00
Over 000 amps 10 1000 volts
2b. For owner installations: fine'b'above
4d. Branch Circuits
Print Owner's Nam@ Now alteration or ertension per penal
Addressa)The lee for branch circuits wMh
purchase o/anrica or Awdar Asa. I
City Y� State Zip - Each branch circuit E5 00
Phone No. _ b)The lee for branch circuits without
The installation is being made on property I own which is purchase of aarvlce or Anadw An.
First branch circuit $3500 ?
not intended for sale, lease or rent. cad,additional branch circuit " $500
Owner's Signature 4e. Miscellaneous
(Service or feeder not Included) 2
3. Plan Review section (if required): Each pump or irrigation cirrie $4000 2
Each sign or oitlins lighting $4300
Signal cirrud)s)or a limited energy 2
Please check appropriate Item and enter fee in section 5B. panel aheralw,or erleasion $4e 00
4 cit more residential units in one structure Minor Letrls(10) $10000
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 occupancy
as described in N E.C. Chapter 5 a"r inspection $35 00
P r hour $5500
1 plant $5500
Submil 2 sets of plane with application where ami of the above
apply. Not required for temporary construction services. 5. Fees: _ a
5s. f_nf-r total of above fees $ Q� —
NOTICE 5%Surcharge(05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. E iter 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 TIMF ".i-IER WORK IS Subtotal E _
COMMENCED. El Trust Account 0 $
II Balance Due $
.�o>n.w,•.ra am non
CITY OF TIGARD BUIl01NG INSPECTION NOTI
Inspection Line (Rec-O rftno): 639.4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace /-
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg. -''L)
Plbg. Underfloor Rain Drain Framing -Plumb. '7/';
Alaim Water Line Insulation eci
Undertlr. Insul. Shear Wall / Gyp. Bd. -Elect.
Date Requested: J Y l S/ Time: AM !6d PM
Address: L .�-,1-���(,� '
! '
Builder: Permit
THE FOLLO ING JCrO REffN ,ARE REQUIRED:
Inspector: Date:
c;L4,PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
�` (� _Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171 `1
I •'
Footing Rain Drain Cover/Service INAL:
Foundation Water Line Ceding Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab l-1bg. Top Out Insulation
Post/Beam Struct. Mech. Rough-in Gyp Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwik ein
Other: ------- —
Date: � A M. ,—P.M. Entry:_ O•'
Address: L-
Tenant:____ _._.-_— Ste:____ MST
BLIP: .. —
Con/cv�yu .. -- ------ MEC:
PLM:
ELC: �i r
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _—
iefCF:
ctor:
In X113-ls
_ArrROVED __DISAPPROVED/CALL FOR REINSP — CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec O-Phone) 639-4175 Business Phone: 639-4171
Inspectior:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in F#ep4ai;e
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL.
Post/Beam Mech. San. Sewer Gas Line --Bfdg.
Plbg. Underfloor Rain Drain F,aming -Plumb.
Alarm Water Line Insulation MeG�
I lnderflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requestod: 1-7 Li T Time: Af F_ PM
y
Address: / 71c
Builder. e' Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
- - � S< C'Nr/ rc .
Iter` .
Inspector. (� el--( — Date: i
—APPROVED _DISAPPROVED PPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phona) 639 4175 w;iness Phone: 6 9 171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in A wlk
Foundation 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 Inswlation Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ 7Z3 //5 Time: AM PM
r
Address:_Zi
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Insp cto Date;_����,�
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested 7 AM PM, ��C BLD
Location /3L/ yo 5 c" ,�� ��S�t r�.e Suite MEC
Contact Person Ph _52 / PLM --
Contractor _ -''��� "� (� Z• SWR _
ILDING — Tenant/Owner ELC
Retaining Wall Y ELR _
Footing Access: r� Y
Foundation 7,t ,v FPS
Fig Drain
Crawl Drain Inspection Notes: SGN
Slab -- —-- - --- - - SIT
Post& Beam --
Ext Sheath/Shear
Int Sheath/Shear
Framing --- ---- .---- --
Insulation `
Drywall Nailing
Firewall _
Fire Sprinkler -_—_--------- --. -- __ ___
Fire Alarm
Susp'd Ceiling
Roof -- ------ ._.. . --- --
I incl —�
SS PART FAIL --
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
m
PART FAIL - -- — — —
CHANICAL
Ilost& Beam -- - -- - -- -
Rough In
Gas Line ----
Smoke Dampers
Final -----
PASS_ PART FAIL.
ELECTRICAL _
Service
Rough In -- - -
UG/Slab
Low Voltage
Fire Alarm
Final ___--
PASS PART FAIL
SITE
Backfill/Grading -- —-
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ _required before next Inspection. Pay a,City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( J Please call for reinspection RE:__ -____f____�- __ ( ]Unable to inspect no access
ADA �j
Approach/Sidewalk Inspector ���. (./�._�
Other Date _- I
P _------------ ----- Ext Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.