13623 SW HILLSHIRE DRIVE i
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13125 SW Hall Blvd.Tigard,Oregon 9722398100 (503)OM-0,171
COMMON TY DEVELOPMEN'r DEPARTMENT DATE. ISSUED: 08/09/95
10 q C D '00111';"0
S31"M ADDRESS. . . : 136ii.1' -4 HILL.1,3HIRL-. DR
1")LIDD I V 16 1 ON. . . . : HILL,. HIRE. ESTATES
Z ON I 14Ls V, i
f1LQCK. . . . . . . . . . v LOT. . . . . . . . . . .
(,LASS OF WORK. sNEW
I'YPE 017 USE. . . s 6
OCCUPANCY GRP. aR3
OCCUPANCY LOAD:;226 4
I'ENAN1' NAME. . .
kpmar-kiss PATH I
ilDE".LINE rIAHADIAN
9295 SW DOWNING DR
# 70
BEAVERTON OR 97305
Phone *s 579-011".3
------------
CONTRACTOR N91 ON Fi.-E
Phowo #s
Rep #. . i
lhis Certificate certifies the- the above fe-p t m-eieLl building or pov,tion
,�herecff has been inspected for compliance with the Tiyard BlAildin!j Code
for the Urnup and division of oc,cupency ancl use for which the above
r-efept-enced permit was issue(j, and OCCOAFNAnCy is herel.-)y Yrarlt&U.
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SUILOrr,I C I,r AU f J_') jqCj 4L
P05*f IN CONSP I uJOUS33 PLACE
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CITY OF TIGAHD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): f�39 a17J Eusiness Phone: 639 4171 (�
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t Inspection: 4: ZZ
Sprink. Rough-n Appr/Sdwlk
Footing Susp. Ceiling
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAI . C2�J
Post/Beam Mech. San. Sewer Gas LineBldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
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Alarm Water Line Insulation -Mech.
Underflr. ;nsul. Shear Wall Gyp. Bd. -Elect.
Date Rcauested: �j/ / �J Time: AM PM ■
Address:
Builder.
THE FOLLOWING CORRECTION'; ARE REQUIRED:
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PROVED DISAPPROVED _APPROVED 'SUBJECT TO ABOVE
--Call For Reinsp.
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I 1 CITY OF TIGA-P-iscJILDING INSPECTION NOTICE l,'.5/yb f
i Inspection Line (Rec O Phone): 639-4174 Business Phone: 639 X4171
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Inspection: ,(
Footing Susp. Ceiling Sprink. Rough-in Appr/•Sdwik
Foundation Plby Underslab Mech. Rough-in Fireplace h -
Post/Beam Struct. Plbg, 1 op Out Elec. Rough in jINL'
Post/Beam Mech San. Sewer Gas Line . ,%
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Plbg. Underfl•.)or Rain Drain Framing -plumb.'?rL7
Alarm Water Line insulation -Mech. 1/�
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ,'> '—] Time: AM PM
I
Address:: -
Builder: _ Permi+ tt:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L-�✓`�. � `_7�' �/l--ice ���--►��J�—)'v�
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Inspector:
_APPROVED XDISAP ROVED _APPROVED SUBJECT TO ABOVE
PeLall For Reinsp. r
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j - - CITY OF TIGARD &GILDING INSPECTION NOTICE
Inspection Lina (Rec 0-Phone): Q9-4175 Business Phone: 639-4171
Inspection.
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I Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAI-:
p' Post/Beam Mech. San. Sewer Gas Line -Bldg. ,
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Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address: -
Builder:_ Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: _
Ci�C I cL�?.SS
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Inspector:
Date:
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
/r 2�;AII For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-PI one): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling 'prink. Rough-in �Appr/Sdwlk
Foundation Plbg. UnC)rslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Rldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. Elect. ■
Date Requested: 2�_cis" Time: AM _PM
Address:
Builaer. _Permit tt: T e� ' )-3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector. _ Date:
APPROVED DISAPPROVED �APPROVEE SUBJE AG OTT ROVE—
_Call For Heinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Flec-O-Phone): 639.4175 Business Phone: 639-4171 �s
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Inspection:
v�a ���A�'I�0�¢� �y (r s�!•,"' ',9 t �.1 't f��"t�� r���,4,�a.`�.
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
4 �l�ar rffa� i y.{
Foundation Plbg. Underslab Mech. Rough-in Fireplace
t�`?!k � a ',?° ' e rl r1;,✓w aµn I{ �Fra� ft�x
4 Post/Beam Struct. P'bg. Top Out Elec. Pough-in
Post/Beam Mech. San. Sewer Gas Line
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Plbg. Underfloor Rain Drain Framing Iumb.'t
Alarm Water Line InsulationI
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Underflr. Insul. Shear WalGyp. Bd. -Elect.
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Date Requested: G Time: AM PM
Address:
Builder: Permit#: -
THE FOLLOWING CORRECTIONS ARE REQUIRED: '
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CITY OF TIGARD BUILDING INSPECTION NOTICE '1 rry qtr v 7
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Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 1 }
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Inspection:
s 1' Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
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Rough-in
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Post/Beam Struct. Plbg. Top Out Elec. Rough in INAL�
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Post/Beam Mech. San. Sewer Gas Line Bldg.
Plbg. Underfloor Rain Drain Framing ?lumb.
Water Line Irsulation -Mech.
Alarm
Underflr. Insul. Shear Wall Gyp. Bd.
Date f1equested: Time: AM PM
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Address:
Permit #: `*
Builder: y A,
THE FOLLOWING CORRECTIONS ARE nEQUIRED:4P e
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_APPROVED DISAPPROVED �PPAOVED SUBJECT TO ABOVE
Call For Reinsp.
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JUL-24-1995 08:27 WAGH.CNTY.0R.LUT/BLDG 1 503 681 3993 P.02
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' WASITYN GTON LAND DEVELOPMENT SE ces DM510N#3ao-11\2
•, 155 WORTH FIRST,HILLSBORO,OR 97121
COUN'T'Y, PHONE: 60 ,/840.3470
INSPECTION REQUESTS.... ,-. ;,~.. :•i::, •, . . .
(24 hours): 503,1640-3561 01
Permit #: 05061338« --.
Prefect #�' P0045871 Statvsi-�" TAPPI20VED Pis*— I 0
'Applied • 1,1/3,9/94,_ issued._ 11/30/94 Expirts..;_. 10/29/95 07/24/S5 0
r Permit TitleSFR:- EL&C/NEW HOUSE RESFLEC
Deacxip�.ior� OTH,
Begun: 1 1:3
1 Job Address-` }}' : 13623=SW HILLSHIRE •DR, T1
Owner Nsn�e4.Y.- t
w F�'.,_` a INSPECTION:- TIGARD Region D
Arplicant' NAAG _-- RAH ►^'_AN;' ADELINE W,
Phen! number'- 245-2299 .... V.::._'.
aluati'orie 0 Appro,/edgy
+•.i Approvalti APPR•
nspsctor, Comments,.. .. ,
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=...... :.•, IVR-RESUL
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REQUEST ER:
• Plumbing
;- Mechanical -
Tileetrier�1
� = Structrual :
h� General
Ir►s�.+sttecl by:
- Date:
Inspection Roquested:
+ Final Electrical 0193 E 71P DN I'
07/24/95 RI RIIVR 24-1J7C C. E
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CITY OF TIGARD RUILD;NG INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Fc:lndation Plbg. Underslab Mech. Rough-in Fireplace
Poa/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL
Pr st/E.`eam Nlech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation 112k,- -Mech.
Underilr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested:` �'t ` ' �1 Time: AM _ PM
Address:
Builder: 11 �41� ,�ty Permit #:C� L� �>7>
THE FOLLOWING CORRECTIONS ARE REQUIRED:
7 ] ''�./ l,� ✓ �JC�It� C��1 r�,J �'�Z�-t---v"` T- �-UY`-� i
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Inspector: Date:L
_!APPROVEDDISAPPROV,�D ,APPROVED SIJBJECT TO ABOVE
` _Call Fur Reinsp
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CITY OF JIGARD BUILDING INSPECTION NOTICE ��
r .; Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
��r d'i � .t , ,f Foundation Plbg. Underslab tAech. Rough-in Fireplace
Y•�Y � M 1 f�3•iy
Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Meeh. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. I
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time:-. AM PM
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Address:
Builder: _ Permit #:( y
THE FOLLOWING CORRECTIONS ARE REQUIRED: L-x� 2 c� -2 _.
Inspector: Date
:
_APPROVED APPROVED _APPROVED SUBJECT TO ABOVE
Call For Pfeinsp.
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CITY OF T I1 ARD RECEIPT OF PO VIFEN T RRC E I PT NO. 195-263612
CHECK. AMOUNT c tD. X01
N SME. a NORTHWEST DRYWALL. CASH AMOUNT z o�@. oor
IADDRF!35 ® PAYMENT DATE 03/31 /qK: .
SUDDIVISICIN x
ILaRPE3El. OF PAYMENT
1 AMOUNT PAID t'I.1t PO'jE l"11= PAYMf=Nl' AMC1UN1 PAID
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{i iIISCE'L.L,NNEOUFI MS'T94—rD::3,�:51 . 00 ........_...._....__._._._...�..__._...._............. ._.___...._._.....,......_...._.
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7 z t I Inspection Line (Ret O Phone): 639-4175 Business Phone: 639 4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
t 1(+ Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
I
Post/Beam Mach, San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meth.
Underflr. Insul. Shear Wall Gyp. Bd -Elect.
Date Requested:_ 3 ,- Time: AM PM
Address: )3Co
Builder: Permit#:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
4; _Ar'PROVED APPROVED _APPROVED SUBJECT TO ABOVE
r all For Reinsp.
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• CITY OF TIGARD BUILDING INSPECTION NOTICE
MInsper ion Cine (Rec O Phone): 639-4175 Business Phone: 639-4171
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Inspection:
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Susp. CoilingFooting
Foundation Plbg, Underslab Mech. Rough-in Fireplace r
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: �r >
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. d
Alarm Water Line Insulation Mach.
Underflr. Insul. Shear Wall �yp"Bdj Elect.
Date Requested: 3 / 5 Time: AM PM r
Address /A —� Z L'
Buildor: Permit #: 7 —��-3J�
THE FOLLOWli,4GI CORRECTIONS ARE REQUIRED:
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Inspector: Date:
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE ' ` wL ,;uf' r " '
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.Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspectian Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Apo,,/Sdwlk
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 nsulatio� -Merh
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Da:a Requested: 3 12"o '/y-5 Time:__hM PM
Address: r� �� �Y-tF�. �t c_�1� L
Builder: --�- Permit#: _'7—
THE
—THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:&' J
Z-PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY
GARD
Inspection Line(Rec,�O-Pho eU1639-4175 SPusi ' N NOTICE
Bus+ ass Phone: 639-4171
Inspection:
Footing Sus., Ceilin
9 Sprink. Rough in Appr/Sdwlk
Foundation Plbg. Underslab
Mech. Rough-in Fireplace
Post/Beam Struct. Plb
N
g. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer
Gas Line -Bldg.
Plbg. Undedloor Rain Drain
Alarm agm ,;�_ -Plumb.
Water Linew
Insulation -Mech,
Underflr. Insul.
Date Requested: Shear Wall
GYP• Bd. -Elect.
Time: _AM
Address: �,� - PM
Builder _ 5-
_Permit #:
T" FOLLOWING CORRECTIONS ARE REQUIRED:
2
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Inspector: ---
Date: -/3—�J--
�APPNOVED DISAPPROVED
��PROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspec'ion:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. b . T�O? Elec. Rough-in FINAL.
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underfir. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: p/ /�!�/� Time: AM PM
Address: /. --2)
Builder. Permit #: '7Y—6-3-3 5
THE FOLLOWING CORRECTIONS ARE REQUIRED:
??�
_ PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE v
Inspection Line (Rec-O-Phone): 639-4175 Business Pho G: 639-4171
i
inspection:
Footing Susp. Ceiling _i prink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rouah-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. '
Undertlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:-- �� Time: AM PM
Address:1 3 Z 3 4C'1
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Builder._�T7— Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: �"� _ Date:
APPROVED _DISAPPROVED LI/APPROVED SUBJECT TO ABOVE
Call For Reinsp. > VJi �-' f C"
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INSPECTION NOTICE
City Of Tigard Building DspardMnt
1.3125 BM Ball Blvd- Tigard, Oregon 97223 w
.O-Phoneys 639-4175 Business Phone: 639-4171
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Inspection Line (Rec
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Inspections
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footing Plbq. Underelab Mach. Rough-in A pP /sdwlk t
Pound. Plbg. TOP Out Gas Line
FINAL-
-Bldg.
et/Beam Stru San. Sewer i
--'� Insulation -Plumb.
Post/Beam Mach. Rain Drain
tiPlbg. Underfloor Nater Line GYP. -Hoch.
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LedTime: AM PN
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a Date Requesteds
Permit 1s 4
Addreses,L3(adJ
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Buildors��C s
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THE TOLLOF(ING CORRECTIONS ARE REQUIREDs
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Inspectors Dates ��,(
APPROVED DISAPPROVED ___ APPROVED SUBJECT TO ABOVE
s" Call For Reinep.
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INSPacTION NOTICE
City of Tiyird Building Department
13135 aw Hall Blvd. Tigard, Oregon 97223
`y Inspectic.: Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections
1 1
Tooting Plbq. Underelab Mech. Rough-in Appr/Sdwlk t
sf , Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
P,Lb�-Und_erfl000 Water Line Gyp. Bd. -Mach.
Data Requested:_
Time: AM PM
Address s 1 '
Builders
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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� Innpecto.s Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call Fuer Reinep.
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INSPECTION NOTICE
{ City of Tigard Building Department
13125 611 Ball Blvd. Tigard, Oregon 97223 R
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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I Inspection: —_-- i
i
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL: tCt
Post/Beam Strvct. San: Sewer Framing -Bldg. f
' Post/Beam Mach. Insulation -Plumb.
Plbg. Underfloor Qa ac'Ein� Gyp. Bd. -Hoch.
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Dote Requested: - Time: AH PN t
Addres s: l/7ll' Permit f:. �f /' _'_�_ F ■
Builder: �/�I- S_35 '{
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TFM FOLLOWING CORRECTIONS ARE RRQUIRED: 7
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Insctocs _— — — pate
APPROVED DISAPPROVED APPROVBD SUBJECT TO A
JJJJ --Call For Reinep.
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Zli3PSCTIO_ N��
Cit? or Tigard Building DeP.t.ant
33125 SR Ball Blvd. Tigard,
Inspection Line (R -D--Phone)s 639 4175 Rine�7
223
oc phones 639-4171
Inspections
Footing '
Plbg. Underelab Mach. Rough-in
Appr/Sdwlk
Found. Plbq. To Out
Top Can Line FINALS
Post/Beam Struct. Son. Sewer
Framing -Bldg.
Post/Beaso Mach. Rain Drain
Insulation -Plumb.
lbq. Onderiloor Water Line
/
GYP. Bd. -Hoch. '
Date Requested s // �
`I --__.__Times AM �-PM
Addresss�__
l � 3 !�,/��;;, !yam a33
Builders
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TBE FOLLOWING CORRECTIONS ARE REQUIREDs --- `I
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-__APPROVED DI3APPROVBD Y�
APPROVED SUBJECT TO ABOVE
,Call For Relnsp.
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I INSPNCTION NOTICE, �
City or Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
— —
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rooting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
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Pound. Plbq. Top Out Gas Line FINAL:
Poet/Beam 8truct. Framing -Bldg.
Poet/Beam Mach. Insulation -Plumb.
Plbg. Underfloor ter Gyp. Bd. -Meeh.
Date Requested: �? Times AM PM
Address: 2)�� Permit t:
Builder.:
THE FOLLOWING CORRECTIONS ARE REQUIRED,
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Inspector: Dates
APPROVED IBAPPjiOVED APPROVED SUBJECT TO ABOVE
For Reinap.
AMWOMM"W„
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INSPECTION NOTICE
City of Tigard Building Department :
13125 OW Hall Bled. Tigard, Oregon 97223
Inspection L ne (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections 0 _
Footing lbg. Undernlab Mech. Rough-in Appr/Sdwlk
i
Pound. Plbg. Top Out Gas Line FINAL:
Post/Seam Struct. San. Sewer Framing -B➢.dg.
Post/Beam Mech. Rain Drain, Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requesteds / I Tlma: AM PM
Address:-�s- Permit
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Builder:�f//��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors --// /%, ✓/� - _ 1i // / \ f
Dates
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__APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainsp.
1
DEPARTMENT OF LAND USE 6 TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION `
155 NORTH FIRST,HILLSBORO,OR 97124
0—M^L,.,I
COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415
OREGON XXXXXXXXX--> 640-34
! mage . 1 of 1 1
Date 11/30/94 1' I
Time 13 : 27
I hermit 'Type Residential E:iectrical Per ' t Permit # 05061338
,8
j hermit Status AIdPROVEU Applied 11/30/94
t
Situs Address 13623 SW HiLLSHiRE UR '1'1 Issued 11/30/94
i hermit 'Title SNR ELE:C/NE;W HOUSE Completed
Permit Descr.
`1'o Expire 05/29/95
Project 'Title SFR - ELEC/NE;W HOUSE: Project # P0045871
Project Descr. * EROSION
i
Parcel Number 2S1'1'T Land Use District
Valuation 0
Lega L Descr .
Owner INSPECTION - TIGARD Construction OTH �
Applicant Name RAHADIAN, ADELINE W.
Classification 9UU
Applicant Addr . : 9"2.95 SW DOWNING DK #/0 Occupancy R3
8 AVERTON, OR 9700 Validated by KF
Applicant Phone : 245-2199 Inspector Area
Nen description Un its Nee/Unit Ext fee Data
y
--------------- --_------ �
------------------------------•---
----
Square Footage lEnter Sq. E't . ] 2500 185 . 00 _
Subtotal Electrical Fees : 185 . 00
State Surcharqe of 5% 9 , 25
Tonal Electrical Fees : 194 . 25
** Fees Required *** *** Nees Collected & Credits ***
------------------------- ----
Method Check # Receipt No. Date Payment
CK 114 11/30/94 194 . 25 �'4f
TOTAL 'PHIS DA'Z'E ********* 194 . 7_5
Neer : 194 . 25
Adjustments : . 00 Total Credits : . OU
'Total Fees : 194 . 25 'Total Payments : 194 . 25
Balance Due : UU
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NOTICE: This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 180 days. Orce construction has started,
the permit becomes null and void If construction is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and
F, his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for Inspection&at various times during the process of construction and Cie building
Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and
approval is given by the Building Official. I further acknowledge that a Ifen may he placed on the title of the property upon which the permit Is Issued
$pacifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inspection requirements.
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APPLICANT'S SIGNATURE
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"WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
Electrical Inspection Section
155 North First Avenue, #350-12 APPLICATION
Hillsboro, Oregon 97124 /
Information: (503)640-3470 Fax. (503) 693-4412 permit
Date '1 1 /7q1(?i4_
PLEASE PRINT h Numr ` —
Please completesections, • •
4. Complete Fee Schedule below
1LOCatI n of Installation _ Number of Inspections per permit allowed
r',ess '-'h ,2 3 ?I'll }-1010,111►'t. 1�' Service included: Items Cost(ea.) Sum
ZBuildingg A. Residential-per unit
City.
ity TF) U Y-d Suite N0. 1000 sq.ft.or less $11000
Tenant Name Each additional 500 sq.ft
(if commercial) or portion thereof $25.00
Limited Energy $25.00 1
Map No. Tax Lot - Each Manuf'd Hom9 or Modular
Dwelling Service or Feeder $68.00 — 2 i
Thomas Map Book: Page:_ Section:--
Directions.----
ection: _Directions. --_ -- B. Services or Feeders
Installation,alterations or relocation t
200 amps or less $60.00 2
Commercial ❑ Residential 201 amps to 400 amps __ $80.00 ._
401 amps to 600 amps $120.00 2
2a. Contractor Installation only: 601 amps to 1000 amps $180.00 — 2
Over 1000 amps or volts $340.00 _ _ 2
Electrical Contractor LEL.fR f c I N C , Heconne.t only $50.00 2
Address PV Bog �oN�O� 'it , 9 7 0 2-0
Dated 1_ Job Number C. Temporary Services or Feeders
Property Owner - A04CLIA16 Installation,alteration or relocation
Contractor's License No.
200 amps or lose $50.00 2
Contractor's Board Reg. N —�2�9 201 amps to 400 amps $75.00 2
401 amps to 600 amps $1 00.0r, 2
' Over 600 amps to 1000 volts see'B'above
Signature Of Supr. EI
License No. Z73Y Phone Na 2ys- Z7�Z D. Branch Circuits
New,alteration or extension per panel
2b. For owner Installations: a) The fee for branch circuits with
purchase of service or feeder lee.
Print Owner's ams Phone No. Each branch circuit $5.00 2
b) The fee for branch circuits without
4
ATdr-e-SW -- purchase of service or feeder fee.Firs,branch circuit __ $35.00 2
itGTyt� i Each add'nl branch circuit $5.00 2
E. Miscellaneous (Service or Feeder not included)
The installation is being made on property I own Each pump or Irrigation circle $40.00 2
which is not intended for sale, lease or rent. Each sign or outline lighting $40.00 2
Signet circuit(s)or a limited
Owner's G;gnature — __ energy panol,alteration
or extension $40.00 _ 2
F. Each additional inspection over the allowable
in any of the above
3. Plan Review section (if required) Per inspection $35.00
Please check appropriate hem and enter fee In section 5B. Per hour $55.00 _
In Plant $55.00 _
_4 or more residential units in one structure _ _
_Service and feeder, 800 amps or more 5,'Fee
_System over 600 volts nominal A tat of;above fees $
_Classified area or structure containing special 5% Surcharge (.05 X total fees) $
occupancy as described in N.E.C. Chapter 5 Subtotal $ 11 ;Z
B. Enter 25% of line A for
Submit 2 sets of plans with application where any of the Pian Review if required (Section 3) $ i
above apply. Not required for temporary construction Subtotal $
services. Less Bulk Label Fee $
Balance Due $ 147 t 1• ;411-
For
FOr inspections call Thit permit become*null end void If the work sulhoHxwl by the permit Is not comaaneod
640-3561 or 693-4415 within 1•w days from date of issuance of such permit or d the work author,red Is 1
suspended or abandoned at any time cher work Is commenced for a period of 1.0 days.
24-hour recorder, one working day in advance of need Electrical Permit*are nen relundeble,and nondransl*rable.
e
4/94
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DEPARTMENT OF LAND USE & TRANSPORTATION
LAND DEVELOPMENT SERVICES DIVISION#350-12
W WASHINGTON 155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
' Permit # ; 05061338 Project # : P0045871 Status : APPROVED Paue 1 of 1
Applied : 11/30/94 Issued 11/30/94 Expires 05/29/95 03/03/95 05 : 31
RESELEC
Permit Title SFR - ELEC/NEW HOUSE OTH ! +'
Description Begun : 11/30/94
Job Address 13623 SW HILLSHIRE DR TI
Owner Name INSPECTION - TIGARD Region D ti
Applicant Name RAHADIAN, ADELINE W.
C phone number 245-2299 Valuation : 0 Approved f� s
! Inspector Comments : Rejected
10 IVR-RESULTS
YLREQUEST ERROR!
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Plumbing
Mechanical
Electrical :
Structrual :
General
Inspected by: �Z Date :
Inspection Requested: f'.t
C er b Strvice 0403 E AP DN 1VR
RIIVR 24-107C C E
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INSPECTION NOTICE
City of Tigard Building Dopertamt
13125 all Hall Blvd. Tigard, Oregon 97223
Inspection Lint ( -O•-Phone): 639-4175 Business Phone: 639-4171
Inspections
F Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
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a:nd. Plbg. Top Out Gas Line FINAL:
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Post/Beam Struct. San. Sewer Framing -Bldg. i
\ I h
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor WaterL a Gyp. Bd. -Hoch.
Data Requested: lJ � �! ` Times AM PN ,
�� �
Address: Permit
Builder: Z� --- E
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THE FOL*.OWING CORRZCTIONS ARE REQUIRED%
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APPROVED 1) APPROVED _AL/APPAOVED SUBJECT :O ABOVE
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CIT)f OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MASTE=R PERMIT
13125 8W Hall BIve.Tigard,Oregon 97223.8199 (503)839-4171 PERMIT #. . . . . . . : MSiT94-0.:35
DATE: ISSUED: 09/09/94
PARCEL: ='S 104CU--0080111
SITE ADDRESS. . . . 1,361: s SW (-1ILLSHiRE: DR 1
SUBDIVISION. . . . : HILLSHIRF_ ESTATCS TONING: R-••7 F'D
BLOCK. . . . . . . . . . . L OT. . . . . . . . . . . . . :008
BUILDING _.____._._-_._._.__._.-------._______..__ ----_._____..__._.._.__.__.
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 S
CLASS OF WORK. ;NEW BEDRMS:.3 BATHS:3 GARAGE. . . . . . . . . . :508 Sf �
TYRE: OF USE. . . :SF FLOOR AREAS------ REQUIRED
TYPE OF CONST. •5N f=IRST. . . . : 1408 sf LEf""C. . :5 ft RIGHT. : 11 ft
OC(;:UPANCY GRP'. :R35 SECOND. . . : 1024 sf FRONT. :20 ft REAR. . : 0 ft;
S3 TOR I E:S. . . . . . . :2 FI NBSMENT:0 s f REQUIRED ----_-----_.-----_-_...
HEIGHT. . . . . . . . ..26 ft TOT ill___...__....':2432 S t'MOKE: DETCCTORS. :Y °
FLOOR LOAD. . . . :40 psf VALUE. . . . . # : 165518 PARKING SPACES. . : 1
Remarks : PATH I
______________._._-•------___._.____ _______ PLUMBING;
SINKS. . . . . . . . . . . I FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : 1
LAVATORIES. . . . . :4 WATER HEALERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . : i LAUr\11) 1" 1 RAYS;. . . : 1 CATCH BASINS. . . . . . . :0
WATER C,LOSETS. . :21' SEWER LINT:: (ft ) . :0 GREASE: TRAPS. . . . . . . 10
DISHWASHERS. ., . . : 1 WATER LINO: (ft ) . : 1.00 OTHER FIXTURES. . . • . s0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL.. _.__._.._._.._.__._._._._._..___.._____-----'___-- FEES
FUEL TYPES---- _____.. UNIT HIRS. . :0 type amor.tnt by date r^ecpt f
/GAS/ / / VENTS . . . . . :IT •TIF $ 1550. 00 JF 09/09/94 - I
MAX INI-'UT:O HTU VENT FANS. . :4 BPRT $ 598. 00 JF 09/09/94
FURN ( 100K . . :0 HOOD;. . . . . . . I BPLC $ :388. 70 JF 08/22/94 94-255826
FURN > =111710K . . : 1 WOODSTOVESi. :0 B PC $ r'9. 90 JF 09/09/94 --
f--LOOK FURN. . . . :0 CLO DRYERcS'. : I SSDC: $ 280. 00 JF 09/09/94
ROIL/CMP ( 3HP:0 OTHER L)NIIS: 1. F='ARI( $ 500. 00 J 09/0'x/94 -
GAS OUTLE:TS: 1 MPRT $ 45. 00 JF 1119/09/94 owner: - --_____..._..__._..-.___..________..____._..___...__.._._-.. MF'I_C $ 11. L5 JF 09/09/94 ?'t
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ADELINE RAHADIAN M5PC: $ ;'5 JF 09/09/94
9295 SW DOWNING DR 3BTH $ 225. 00 JF 09/09/94 '-
# 70 P5PC; $ 11 . 25 JF 09/09/94 -
BEAVE::RTON OR 97005 PROS $ 64. 1110 .JF 09/09/94 -
'`. Phone #: 579..0113 ERPC; $ 20. 80 JF 09/09/94 '
Contractor~: $ 20. 80 JF 09/09/94 --
OWNER
Phnne 4:
3746. 95 'TOTAL
This permit is issued subject to the regulations contained in the --- - - REGIUIRED INSF'E:CTIONSi - - -'-'-
1 Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot;/fnl_tnd Insp Framing Tr sp
applicable laws. All work will be done in accordance with approved Dost /Beam Strr_tct Fireplace Insp
{ plans. This permit, will expire if work 1s not started within 180 F'ost/Beam Meehan Gets Line Insp
days of tscuance, or if work is suspended mor• more than 180 days. Cr-awl [)rain I n s l.t 1 at i o It Insr)
-1-11mir.tndslab Insp Gyp Boar-d Insp
Permittee Signature : �ti.e(•c-�1y� R-A� �PL.M/Under floor Rain drain Inscr
4 ------triachanica1 Insp Water Line Insp
T s ,1_t e ci FAY �{ , -� _ .__._- I'1 1.t m b 1 r 1-, O i_i t A p rj r•/S d w 1 k Insp
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i CITY OF TIGARD
SEWER COIVNECTION
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13126 SW Hall Blvd.Tigard,Gregon 97223.8199 (603)639.4171 PERMIT #. . . . . . . : SWR94-0303
639--41.71. DATE ISSUED: 09/09/94 l
PARCEL: 25104CD-00800
SITE ADDRESS. . . : 13623 SW HILLSHIRE DR
:SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R•--7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :008 "
TENANT NAME. . . . . :
USA IVO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UN I T,ra. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDiNGS: 1 �
INSTALL. TYPE. . . . :NUSWR IMPERV SURFACE. . : : sf
Remar-ks: PATH I
Owner-: ____..___._.________._.______ ____._._.__. __.__ _._____ ________ FETES
ADELINE RAHADIAN type ariol.tnt by date rer_pt
9:95 SW DOWNING DR PRMT $ 2200. 00 JF 09/09/94 -
# 70 INSP $ X5. 00 JF 09/09/94 -
BEAVERT'ON OR 97005
Phone #: 579--0113
C..ontr-actor^:
CONTRAC'T'OR NOT ON FILE
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Phone #: $ 2'C"",35. 00 TOTAL
Reg #. . .
--- --- REPU I RED INSPECTIONS
----_-_
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days frcm
the date issued. The total amount paid will be forfeited if the
permit expires. Fie 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 lateral.
I"'e r m i t t e e S i g n a t ij r e :
IssY_led Ely : _
Call for inspection - 6:.39-4175
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Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171 x
Jobsite Address: I�)l0 2.3 1-11b tm re, -br 1 ve-
Office Use Only
Subdivision: . -11N Wvt, 1=st�
�uLot#
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Valuation: Planck/Rec
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�;` Permit# I/151
Corner Lot? Y No
Flag Lot? Y ( .�
Reissue of
Map & TL# z/L'..
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Owner: kv kc IR0.11.ad►a-v, Approvals Required
Address-- 2 a 5 S Do w VUL . _70 j
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O R q 7°d 5 Engineering
Phone: 57q — 0113 other
fContractor: _11v�e_ Rai act,( Items Required
Address: !22 of 5 5tk) Subcontractors
0k 11-7005 Truss Details
Phone: 5 7q - 011
Other !i`f'(17)
Contractor's License #
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(attach copy of current Oregon license)
Contact Name & Phone: s
_ �n.�.d„� A/tiS �rtt�oi� 1�Itn0 ,
(�2- 52 y5
Subcontractors: t .,c- - _�-�� I Arch ltect/Engineer: 7'f l M A,,U->rz( pe,>(
L
f Plumbing: T1 rv�lot.+r" Uo�ll e,�/ P bu��/ Address: 5 N 18 Avr''`^^�
Mechanical: �zv+-e, Zof c i-kQ f( 14f a-k ri (�(J/��
(attach copy of current OR Contractor's License)9
Phone: 50 3 - 2.'j--
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JOB DESCRIPTION: l iJ fir' �1�L. � r.�, / i
5-7q - 0113
Applicant-SVarure& Rhone number
Received by: _ Date Received:
A T'e q'f�Cil ,•i, �,i 5•� ����t �4 � S,f ti". � "•I I I f�4 °.
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Permit# Account Description Amount Amt. Pd. Bal. Due -
ntsFy�.0 $ Bldg. Permit (BUILD) .53cq.U()
Plumb. Permit (PLUMB) --1-7Z 5.no ',2 -5,or)
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Mech. Permit (MECH) 4 5•�-X) v/
State Tax (TAX) 43, � �'�U ✓
Bldg: ,1 U J f
Plumb: j
Mech:
I
Plan Check (PLANCK)
Bldg
I
Plumb:
Mech:
1-AgV 613U 3 Sewer Connection (SWUSA) U u U o' o Q
S*Wer Inspection (SWINSP) 3 �2� _35-00
Parks Dev Charge (PKSDC) 500, 019 ,//
Storm Drainage Chg (SDSDC) 0Q Z 0U, 0C)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) 0.
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Commercial TIF (TIF-C) _
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT) _
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) „I 'QO G,�, C ✓
Erosion Planck/USA (ERPLA"i) ��_1 - U �7) J
Erosion Planck/COT (EROSN) o, 0, k 1 ZU UV
TOTALS: .-S9 ,1 lJ.4 f 9S
..., ay;!igp,yy�nkifW�CvefA6r.wr^a-.... .. .. ._- .._.........s•,.:.,,.,..,„,
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1� Address:
N 'I� Issued by:_._ Date: f
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STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS I I
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, URS 701.055(4) , requires residential construction permit
applicants who are not registered with the Construction Contractors Board to
sign the following statement before 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 blacks, and initial boxes 1 and 2, and either box 3A or 3B:
1 . C__..� 1 own, reside in, or will reside in the completed structure.
2. C- -� 1 understand that I must register as a construction contractor if the structure is sold
or offered for sale before or upon completion. l
3. A. My general contractor
a
Contractor registration number-._____—__.._________
I will instruct my general contractor that all subcontractors who work on the struc-
ture must be registered with the Cons!ruction Contractors Board.
i
OR
3. B.E�(l 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 Contractors Board
and I will immediately notify the office issuing this building permit of the name of
the contractor.
I hereby certify that the above Information Is correct and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
ZQC Ct� -,4' il L6L&a
Sfgtanf PerlIllt Applicant---._-_ -----� Date
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CONSTRUCTION CONTRACTORS BOARD
0244J 8/91
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
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INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
NOTE: This Information Notice to Property Owners About Construction Responsibilities
was developed by the Construction Contractors Board in accordance with URS 701.055(5),
q passed by the 1989 Oregon Legislature.
If you are acting as your own contractor to construct a new home or make a substantial improvemenr to an
existing structure, you can prevent many problems by being aware of the following responsibilities and areFii
of concern.
EMPLOYER RESPONSIBILITIES.
I
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J If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting
irc the construction or improvement of a residential structure, you will, in most instances, ,be ruled to be an
g "employer" and the people you hire will be ''employees". As the employer, you must comply with the following:
r
Orec ons Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at
the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the
tax from your employees. For more information, call the Oregon Department of Revenue at 378-3390.
I
Unemployment Insurance Tax. As an employer, you are required to pay a tax for unemployment insurance
purposes on the wages of all employees. For more information, call the Oregon Employment Division DHR
at 378-3224.
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation
Law, and must obtain workers' compensation insurance for your employees If you fail to obtain workers'
compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your
employees is injured on the job. For more information, call the Workers' Compensation Division DIF at 373-7434.
i
U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wades.
1'ouwill be liable for the tax payment even if you didn't actually withhold the tax. For me information, call
the Internal Revenue Service at 221-3960.
o,rHER RESPONSIBILITIES AND AREAS OF CONCERN: ,
COMI)liance: As the permit holder for this project, you are responsible for resolving any failure to meet
code requirements that may be brought to your attention through inspections. f
Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance
coverage for accidents and emissions such as falling tools, paint overspray, water damage from pipe punc-
tures, fire, or work that must be re-done.
Time to Supervise Employees: Make sure you have sufficient time to supervise your employees.
Expertise. Make sure you have the expertise to act as your own general contractor, to coordinate the work
of rough-in and finish trades, and to notify building officials at the appropriate times so they can perform
the required inspections.
If you have additional questions, write to: Construction Contractors Board
700 Summer St. NE, Suite 300
Salern, OR 97310-0151 '.
Phone 503-378-4621
1
0244J 10/24/89
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