15755 SW HIGHLAND COURT-1 1
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CITY OF T'IGARD BUILDING INSPECTION NOTICE
Inspt0ion Line (Recl,O-Phonej: 639-4175 Business Phone: 639-417
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Footing 8usp. Ceiling apnnk. Rough-in Appr K
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Foundation Plbg. Underslab Mech. Ro,igh-in Fireplace ;
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:—
Post/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing -Plumb. a
Alarm Water Line Insulation e '
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
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Date Requested: /Z r � ' ( S _Time: /1 AM PM
Aadress:_ Z�� / ��t•�Z l� -CLt�-�( C �.,
Builder: 7�� ? Permit #: (Cs,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:
APPROVED _DISAPPROVED _APPROVED SUBJ CT TO ABOVE
,Call For Reinsp.
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OF TIGARD BUILDING INSPECTION NOTICE
Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171
Footing g.vd~r'+ Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation 'Ibg. Underslab Mech. Rough in Fireplace
Post/Beam Struct. FIbg. Top Out Elec. Rough-in tJAL +
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. }
Date Requested: / f Time:4AM PM '
Address:
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Permit #: y r ti
Builder: A
THE FOLLOWING CORRECTI S A E RE U RElf'
40
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n,a�xuna svu
j Inspector. / Date
44
_APPROVED _DISAPPROVED PPROVED SUBJECT TO ABOVE
_Call For Reinsp. f
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CITY OF TIGARD BUILDING INSPECTION NOTICE �i 3`iti f rdA �;''
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171jr
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t s Inspection:
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} f Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
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Foundation Plbg. Underslab Mech, Rough-in Fireplace
Post/Beam Struct. Plba. 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.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. `
Date Requested: /�/�� Time: KAM PM
Address:
Builder: q 0 0�1 �j L�Permit#: �'YJSTc1 U �u� r
THE FOLLOWING CORRECTION ARE REQUIRED:
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Inspector. G' Date:c_' -30
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_APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
all For Reinsp. v
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CITY OF TIGAAD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-PhLne): 639-4175 Business Phone. 639-4171
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Inspection: Y Y .0 -fA C
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab MEach. dough-in Fireplace
d
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: 0
Post/Beam Mach. San. Sewer Gas Line -Bldg. s
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach. 0
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. �
Date Requested:_ / �� Time:XAM PM r,t ,
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Address:
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Builder: _ #:.f5 " w
--��� � 8�13 Permit 60� Cod ,
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectol:-- Date:
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_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE '¢+5'
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417
Inspection:
Footing Susp. Ceiling Sprink. Rour&in A r Ik •
Foundation Plbq, Underslab Mech. Rouo',i-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 Wdter Line Insulation -Mech.
Underflr. Insul. Shear Wall Elect.
Date Requested: Z /�� i ime:yAM P--M
Address:
Builds Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
TIns 0-tor: Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Remsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE ' ^'
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 `"k 11'
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Fost/Beam Struct. Plby. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg. •
PIb9. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line u ation J) -Mech.
Underfir. Insul. Shear Wal Gyp. Bd. -Elect,
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Date Requested: 1 5 Time: AM PM "1
Address: p'
Buildw: c7�f� ermit #:ell—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date: �' Z
'PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CrrY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639
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Inspection:
Footing Susp. Ceiling _ Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech, Rough-in Fireplace
� yr ,Y+li ,k rif
st,'Beam Struct. Plbg. Top Out Ere—c. Rough m1 FINAL:
ost/_Beam Mech. San. Sewer Gas Lme -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
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Und901r. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �d 3 �9s� Time: AM PM
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Address: �
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Builder. 229"""0� 3 PJ ermii 727 s—O-il (S
THE F LOWING CORRECT IONS ARE REQUIRED:
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Inspector: Date: /
PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE '
Call For Reinsp.
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Community Development ELECTRICAL PERMIT APPLICATION
t 13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit #
Phone (503) 639-4171 Date Issued I
MITI' OF TIGARD FAX (503) 684-7297 Issued b ---
TDD No. (503) 684-2772 y "-
Inspection (503) 639-41'/'5
I. Job Address: 4. Complete Fee Schedule Below:
Name of Development J U tom+ Number of Inspections per permit allowed
Address,' / Sr 7— J G, Z-Z- it (/V -7j f-7/ Service included. Items Cost(ea) Sum
City/State/Zip r ! 67 it C j(J _ 4a. Residential-p`r unit 4
1000 aq 11 or leas $110 00
Name (or name of business)___-- Each additional 500 nq It or
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% — portion thereof $25 00 I
Commercial❑ Residential 1-7 Limited EnorW $2500
Each Manul'd Home or Modular ~-- 2
Dwelling Servx�e or Feeder f88 00
2a. Contractor Installation only: ---
4b.Services or Feeders
Iretallatron,eltaralion,or relocation 2
FI@CtrICal Contractor _ 200 amps or lees sm pp 2
Add 'SS_ _ �� 201 amps to 400 anipe $8000 2
City _ State Zip M� 401 amps to(300 amps $12000 — 2
601 amps In 1000 amps $18000 2
Phone No. _ Over 1000 amps or Vons $340 00
Contractor's License No. Reconnect only $.5000
Contractor's Board Reg. No. 4c. Temporary Services or Feeders
Signature of Supr. Elec'n h 2 olalamps or I'alAen,or relocation 2
_ fEo 00 z
License No. Phone No. 201 amps to uw amps $71500 - 2
-- 401 amps to 800 empe $too 00
2b. For owner Installations: Over 800 amps to 1000 voltssee W above
Print Owner's Name f f P Q 4d. Branch Circuits
New,alteration or extension per panel
Inddre3���' q)1M les for brerch arwds wilh
S`t-a-tp--A--}p�- Zip purchase of earyke or Aveda.b.. 2
'--r�7, s L 7 a(jl bfA/1Ch era 1 —� $5110
Phone No. „ � T h)Thq lea for branch arcuna Meho f
The installation is being made on property I own which is _ purchase of service or Feeder Ave. 2
not intended for s le, lease 0r ren First branch arcu9 $3500 2
FaLh additional branch arcd S600
Owner's Signature`s _ A 4e. Miscellaneous
(Service or feeder not included) 2
3. FlanJRew S ctlon (I1 require Ead1 pump or nrgelion arils yt00(+ 2
Each aqn or outline lghtmg W 00
$nesse ppropriate item and enter fee in section 5B. S panel allefrs.on orlextena imited on ray
$40 00
._ 4 or more residential units in one structure %nnr LaMlh(10) fto oo
—Service and feeder 225 amps or more —
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.0 Chapter 5 Per impaction __ $3500
Por hour sm no _
Submit 2 seta of plans with applicrtion where any of the above In Plant $5500 _
apply. Not required for temporary construction services. 5. Fees:
NOTICE `s. Enter total of above fees $
5%Surcharge(05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b.Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if require f(Sac 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFI-ER WORK IS Subtotal $
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COMMENCED. l Trust Account 0
$
Balance Due $ /
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< CITY OF TIGARD BUILDING INSPECTION NOTICEt,ygft
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Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 171
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Inspection:
f 3
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
?y Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
x .�� Post/Beam Mech. San. Sewer Gas Line Bldg. l,y(a, r�
Plbg. Underfloor Rain Drain r ming Plumb.
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Alarm Water Line Insulation Mech. y�
I 1 Underflr. Insul, Shear Wall Gyp. 13d. -Elect.
' Date Requested: I �Time: AM PPA
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Address: Z S-_ 7,51
S-
r Builder: -/ ! ` 2e e� Permit #: 7 S
THE FOLLOWING CORRECTIONS ARE REQUIRED: G Ir
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Ins tor: Date: 7
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j APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
j _Call For Reinsp.
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/ CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone. 639 4171
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Inspection: 60
g r/Sdwlk
Footing Susp. Ceiling Sprink. Hou h in App
oundati Plbg. Underslab Mech. Rough-in Fireplace t }, �YF "rYr
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plumb.
Plbg. Underfloor Rain Drain Framing
Insulation -Mech. ' '"
Alarm
Water Line
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. r+J
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PM �f
Date Requested: Time-) AM ''
Address:_�,; 7 _
Builder: S < 7=,F_5__ 2-(— Permit
THE FOLLOWING CORRECTIONS!", REQUIRED: �k;
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Inspector: Date: .�{�
SAWgtOV_ED _DISAPPROVED APPROVED SUBJ CT TO ABOVE
Call For Reinsp.
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i CITY OF TIGIRD BUILDING INSPECTION NOTICE
11 Inspection Line (Rec-G-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Foot Susp. Ceiling Sprink. Rough-in A r/ d I
Foundation Plbg. Underslab Mech. Rough-in Firepl
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL.
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Undurtloor Rain Drain Fiaming -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect..
Date Requested: � ,� Tirne4 AM /\ PM
Lit
Address: 1 55
r' Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Insper_tor, Date:
APPROVED DISAPPROVED APPROVED SUBJEC TO ABOVE
Call For Reinsp.
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CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT I='E F2M T #. . . . . . . : MS F95
13125 SW Hall Blvd.Tigard,Or*pon 97223.8199 (563)539.4171 DATE ISSUED: 07/17/95
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1 iAF;C:C:I_: 2S110DD--0" G0l?l
;111., ADDRESS. . . : 13755 SW 11IGHLAND CT
3UBDIVISION. . . . : SUMMEIRF.IE::LD NO. 6 ZONING: R-7
.13LOC.K. . . . . . . . . . : LOT. . . . . . . . . . . . . : 31.4
BUILDING
RE=ISSUE: DWELLING UNITS:0 BASEMENT. . . . . . . . :0 s-F 11
CLASS OF WORK. :ADD BEDRMS:O BATHS:0 GARAGE. . . . . . . . . . :0 sf I
"YPE OF USE.. . . :SF FLOOR ARLAS-----_- REQUIPED
'YPE OF CONST. :5N FIRST. 192 sf LEFT. . :0 ft RIGHT. :27 ft: �
OCCUPANCY GRP. :R3 SECOND. . . :0 s F F='RONT. :0 -rt REAR. . :24 f 1.
5TORIES. . . . . . . .. 1 FINBEMENT:0 sf REQUIRED------
i1ElGHT.. . . . . . . . : 1 : -Ft TOTAL------------ : 1c,2 G-F 4:MOKE DETECTORS. : t: �
LUOR LOAD. . . . :40 psf VALUE=. . . . . $ : 18415 PARKING SPACES. . :0
r?emir^ks : ADDITIOPd TO FAMILY ROOM 19� SO FT PATH I
PLUMBING
INK£ . . . . . . . . . . .0 FLOOR DRAINS- - '. i` BACIfl-LOW P'RE«VNTPS. . :0
LAVATORIES. . . . :0 WATER HEATERS. TRAPS. . . . . . . . . . . . . . .0
I'IJ6/SI-IOWE_RS. . . . PO LAUNDRY TRAYS. . . :Q, CATCH BASING. . . . . . . :.0
4ATER CLOSETS. . :0 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . 10 WAI-ER LINE (-Ft ) . :0 OTHER FIXTURES
GARBAGE DISP. . . :0 RAIN DRAIN (ft ) . :0
',JPSH I N[; MACH. . . 1 F F?A T N DF?A J NS. . :QI
MSCI-1ANICAL _.._.__._____._.__.._...............____-._. ._.__.-____-_ FEES
r=UCL TYPES--.--.___._..__.___-- UNIT HTR5. . :0 type amqUnt Lay date V-0cpt 11161
/GAS/ / / VENTS . . . . . : 1 BPRT L 98. 50 B 07/17/95 95-•26808:
ivlAX INPUT-.0 BTU VENT FANS. . :0 BP'LC '$ 64, 03 SW 07/06/95 95-26.7631 x
FURN t 100K . . :0 HOODS. . . . . . .0 B5PC $ 4. 93 B 07/17/95 95-26808;
[-URN ) --100K . . :0 WOOPS"OVES. :0 11PRT $ 25. 00 B 07/17/95 95--268081--,
FLOOR FURN. . . . :0 CL 0 DRYERS. : 0 M5PC $ 1. 25 B 07/17/95 95-268218,7
1301L/CMP { 3HP:0 OTHER UN I T a:0
GAS OU FLETS:Iii
JOSEPH SEQUITO
15755 SW H I GIALAND CT
ibPRD OR 97224
-'hone #:
11TCHISON CON'' TRUCTION
0 BOX 506
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' WEST LINN OR 97068
hone #: 557--8576
Seg #. . : 106671
$ 193. 71 TOTAL
his perrit is issued subject to the regulations contained in the -- ---- - REC?UI RED INSPECTIONS -- - -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp Gyp Bciar,d Insp
applicable laws. Ail wore. will be done in accordance with approved Fotmdation Insp Rain drain Insp 1
j,ans, This pereit will expire ;f wsrk is not st rted �lithln 180 Post/Beam 5tr^�_cct Mechanical Fina).
jays of issuance, or if work is suspended f e than 180 days. st./Seam Mechan Building Final
Cr.awl DI-air, Erasion Contr^r1l
e r^m i t t e e Si i at . _ _ _ M e c.:I-1 a n i c.a l I n p R
Framing Insp
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I n s�_I l a t i o n Insp
Cal or inspect ion - 639-4175
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Residentidl Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
/Jobsite Address: 15-7-,'55 1640 Nuc hlancl Gt .
•f;'&(d Lot #
Office Use Only
Subdivision:
.6LL�y�Yy1�11 �——
Valuation: "� Contact Date / / initials •
Result
New Construction Only: (Square Footage) Planck/Rec #
House: S
�� Permit #
Garage: Reissue of
Corner Lot? Y ,�9� Fla Lot? Y N P & TL#_ `� d �� U15 C ?07
�`J 9 Zone _ 1 - 7
Tcx;.k, �u �I+lJ Plat #
Owner: ..Zi;�r�h ani - -
�• Approvals Required
Address: I�7� �I.✓ ��i cl()16►�,d i✓t • /
Planning Setbacks �/ L)\ Solar ` ✓
CC- 7 ZZ�I Engineering
Phone Other
Contractor, _Ato LI ,� COVI_I,�-r(A �� 1 Items RPguired
Address: �=iL) Subcontractors _
Truss Details _
Other
Notes
Phone: ( ) 15_'- -7- �7=`�-7t:f .r— 7j "T� •"
Contractor's License # _lam a .
(attach ccoy of current Ore_c,, license)
Contact Name: A+[,fin --
Contact Phone.
Subcontractors: Architect/Engineer:
Plumbing: Address:
Mechanical: _
(attach copy of current OR Contractor's License)
PPhone: L )
JOB DESCRIPTION. _ Jet I { I Lyvy tv pY(A c i I�-Act y
Ap�' ri. ign all,
Applicant Phone number
Received by: -�,l,l���1 C Date Received: r
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Permit# Account Description Amount Amt. Pd. Bal. Due
s.' 5 L-0 Bldg. Permit (BUILD) Fly. J U
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Plumb. Permit (PLUMB)
Mech. Permit (MECH) S. 'q) �J .
State Tax (TAX) li'• ip,�Y •
I Bldg:
Plumb: •
Mech: . L )
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Plan Check (PLANCK) J, 6-3;
3,qV
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev ;harge (PKSDC)
Residuncial TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) _
I
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: ILL
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STUART TITLE OF OREGON, INC.. - CUSTOMER SERVICE DEPARTMENT
PHONE 671-05251 NITS OWL 671-0555
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M E T R 0 S C A N P R 0 P E R T Y P R O F I L E
Washington County
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OWNERSHIP INFORMATION
* -------N W W W O M w w A..w w w '
* Reference Parcel # :2S110DD 09800 '
* parcel Number :R0498474 TRSQ: 02S-01W-10-SE SE t,
* Owner : SEQUITO JOSEPH FILLER & JOAN ' Y �
* CoOwner t °
* Site Address : 15755 SW HIGHLAND CT TIGARD 97224 '
* Mail Address 115755 SW HIGHLAND CT TIGARD OR 97224
Telephone tOwner Tenant
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7 " SALES AND LOAN INFORMATION '
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* Transperred:09/25/92 Loan Amount
+ Document # : 66749 Lender
Sale Price : $105, 000 Loan Type :
* Deed Type tWARWkNTY Interest Rata:
" Owned :100 Vesting Type
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* ASSESSMENT AND TAX INFORMATION
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" Land : $36, 000 Exempt Amount: '
* Structure :$83, 660 Exempt Type : •
" Other % Improved :70 '
" Total :$119, 660 Levy Code t02374
* 94-95Taxes : $1, 849 . 12 school Dint tTIQARD
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* PROPERTY DESCRIPTION
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* Map Grid: 655 C7 Class CodetR15
* Census :Tract 308 . 02 Block 5 •
* NbrhdCd tTRSF MillRate : 15 . 4532 •
" Sub/P1at:SUMMERFIELD N0 . 6
* Land Uset1012 RES, IMPROVED
Legal :SUMMERFIELD NO. 6, LOT 314 •
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* PROPERTY CHARA(�TERISTICS "
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* Bedrooms 32 Lot Acres : Year Built : 1976
" Bathrooms 12 . 00 Lot SgFt EflYearalt t1976
* Heat MethodtFORCED PsmFin SB : Floor CovereCAR1PET
* Pool : BsmtlnfinSF: Foundation :CONCRETE FTG '
d,' * Appliances Bldg SgFt tl, 168 Roof Shape :GABLE '
w Dishwasher 19tv1rsgFt: 1., 168 Roof Matl :COMP SHINGLE '
* Hood Fan UpperFlSF t InteriorMat:DRYWALL '
` Deck Porch Sgl?tt Paving Matl :CONCRETE
" Garage Type:uNIMPROV Attic SgFt : Confit Type:WD STUD\SHTG '
* Garage SF :528 Deck SgFt t Ext Finish:BEVEL\PLYWD '
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CITY OF T I GARD RECEIPT OF PAYMENT RECE=IPT NO. a 95-P(.41,083
CHECK AMOUNT : 106. 28
NAME" a ATChiI30N CONSTRUCTION CASH AMOUNT a 14. ow.1
PDDpFss a PO BOX 506 PAYMENT DATF 07/t7/95
WE34T l_INN, OR SUFIDIVI:SION t
97068-
PURPOSE OF PAYMfz.NT AMOUNJ PA ID PURPOSE' OF PAYMENT AMOUNT PAID
s I LD 6ING PERM 913. 50 MECHANICAL PE 25. 0Q► I
ST. BUILD FFR 6. 18 PLAN CHECK FE -23. 40
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19, 755 SW HIGHLAND CT. MST 95--0268 r�
1 u T 01 FTMr UNT PAID - - - : i f 6. 28
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I CITY OF T I GARD RFCF.I PT OF PAYMENT RECEIPT NO. w,?676Tj I
CHECK AMOUNT 87. 4:3
NAME. a 11 TCN'1 SnN CONFiTRUCT ION rAGH AMOUNT 0. 00
kDDFiESS n P O BOX '506 PAYMENT DAT17 07/06/95
WEST 1_INN, OR SUBDIVISION
97068--
I
PURPOSE OF 1",AYMEN'f AMCWNT PAID PURPOSE OF PflYhIENT AMOUNT PAID
PLAN CHECK FE 7-13R 7-13R 617. 43
15755 SW W 1 t3N1..ANt1 COURT
I CIT AL. AMOUNT PAID - -- — 87. 43
R.
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I115PECTION NOTICE
City of Tigard DaUding Depart!M—t
13125 M Hall olvd. Tigard• Oregon 97223
Inspection Line (Ree-O-Phone)= 639-4175 Business Phone: 6 9 1
Inspection:_ --
Tooting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
round. Plbg. Top Out Boas Line (-SImAbt
Yost/Beam Struct• San. Bower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. �•-Meth,__ 30
_
Oats Requested= �G.^ - L' Tinos _ AM `—I PM
Address, 1!5 5 5-
Builders Builder:
THE FOIS.ON MG CDRRECTIOMSt_ REQUIRED:
Inspector:__ Data,, /
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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F-F_F1M I.T �. . . . . . .
MECHANICAL.
CITY OF TIGARD . RMI. . .
IIYIF�'L4--00bc:
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COMMUNITY DEVELOPMENT DFRAR;MFEj.VT DATE ISSUED. 03/x--4/94
13125 SW Hall Blvd.Tigard,Oropon 07223.0100 (503)930-4171
PARCEL: 2S11ODD-09800 I. ."
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G;I TE. ADDRESS. . . : 15 755 SW H I GHL.AND CT
SUBDIVISION. . . . : SUMMERFIELD NO. 6 ZONING: R-7
BLOCK.. . . . . . . . . . . L-OT. . . . . . . . . .. . . . ..314
O
CLASS OF WORK. . :ADD FLOOR FURN. . . . : E:VAP COOLERS:
TYPE OF' USE. . . . :4- UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . : R,=. VENTS W/O ADPL: VENT SYSTEMS: �
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEI_ TYPES------ ._._._ ._.._.__..._._. 0_.3 11f-'. . . . : DOMES. I NC I N:
: /GAS/ / / 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTLI 1530 HP. . . . : REPAIR UNI FG: is
FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . :
UAb PRESSURE. . . : 50+ 14P. . . . - CLO DRYERS. . :
NO. OF UNITS------•--•-_. HIR HANDLING UNITS OTHER UN 1 T'.S. : 1
FURN ( 100K BTIJ: 1 = 10000 c_ff m : GAS OUTLETS. :2
FURN ) =100K BTU: ) 10000 cfm :
Remarks : ELLC'TRIC: TO GAS CONVIS.RSION
Owner.: -____.__..___._____.______.___.________.__._____._____.___-•- FEES
JOSEPH SEQUITO type amol.tnt by date r-ecpt
15755 SW HIGHI-AND CT PRMT :5. 00 JL; 03/24/94 _
5PC'T $ 1. 25 JG 03/24/94 -
TIGARD ON lii224
Phone #:
.:anti^actor,:
!SPECIALTY HEATING/FABRICATION
95`8 SW 'TIGARD ST
T IGARD OR 97223
Phone #: 62'051543 $ 26. 25 TOTAL_
Reg #. . : 66578
RE()U T RED INSPECTIONS
-- ---This perait is issued subject to the regulations contained In the GR S Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All nark will be done in accordance with Final Inspection
approved plane. This perait .gill expire if work is not started
within 160 days of issuance, or if work is suspended for- sore
than 180 days.
F'e�-m i t t e e S i q n a t 1_t r-e
Issited By:
Call for inspection - 639-4177,
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.... �II �kA/ti'h':+h'iiFc'k1lFNiix' IF y.•r,r.,.. ,..r,..-_.,....�-... ... ......-. ..-..-...:, .. ... --
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # _
Tigard, OR 97223
(503) 639-4171
• Descanipti
TabW 3A Mechanical Code QTY PRICE AMT .
Job J y l SS .r-Lj 1(4 ur*4() -r. 1) Permit Fee -0 -0- 10.00
Address -•
2) Supplemental Permit 3.00
i"10 1 '000 E31 U
a 5 C 't-\ (:Q t'6 �¢ 1) incl. ducts 8 vents 6.00
a ... Furnace 100,000 BTU +
Owner /'7 3 55 �+^�r' �1lct C T 2) incl. ducts&vents - 7.50
r q or umance �
1 `N_ _l� �.Z f 3) incl vent 6.00
-- o.. ____'9T"nded heater,wall eater
4) or floor mounted heater— 6
Vent riot incl.in
Occupant 5) appliance permit 3.00
----- epairo eating,re-Tng.
6) cooling,absorption unit 6.00
i er or comp,heat pump,airir coni
5 6 1,4
/1�� �/��5; ��, �C�� 7) to 3 HP absorp unit to 100K BTU _ 6.00
«. 1Boi1w or comp, at pump,air cond.
ya�d Sr 8) 3-15 HP absorp unit to 5WK BTU 11.00
Contractor 5 1 / i er or comp,heat pump,air con
z.7. 3 9) 15-30 HP absorp unit.5 1 mil BTU 15.00
�•• v• � •s i er or comp, at pump,air cand.
10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
hereby ac ow [go that I have read is application, to toi er or comp,heat pump,air cond.
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75:nil BTU 37.50
of the owner,that plans submitted are in compliance with StateterrNanaIng unit to
j laws,dial I am registered with the Construction Contractors Board, 12) 10,000 CFM 450
that the number given is correct. (If exempt from State registration, Air handling unit-
please give reason below-) 13) 10,000 CTM+ 7.50
�— on porta 7e -
14) evaporate cooler 4.50
Ventalan connected— —
15) to a single duct 3.00
J' Ventilation system not
16) included in appliance permit _ 4.50
o ••-w �"-- Hood served y
17) mechanical exhaust 4.50
Describo wFwk new U addition U alterafi6n U repair U Commercial or industna
to be done resk3ential"42_ non-residential 0 18) t1 17ype incinerator 30.00
Existing use _ - her i.e.,w s ova,wale
---
buikfing or property rZ_ 19) heater,solar,clothes dryers,etc. ( 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
huikftnn rx property — —
21) More than 4-per nutlet
Type of fuel-oil O natural gas)a LPG O electric O --- I
NOTICE
— — Minimum Fr-e$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHCRIZED tS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR --
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. __7
—
I
TOTAL
Special Conditions- I t
—---- --^ - _ I
--- Date issued_ —by i
w�roFwrt
.....,—wry .� AMk.wwN M�r.u,. e.d..w................ ... :...... r,. .. ..... ..... _ 77
...4.,rptylMY�,
ly ka
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CITY OF TWARD .w REi:(:F.:APT (IF PAYMENT FtU,F IVIT N1.). p94..•.S?`ti0510
CHECK AMOUN 1' 6.2N
C>PEMALTY MEATTNO ("ASH A1101.1NT a 0.00
Dl)Fi1:.SS a 95,28 SW 7,10ART) ST F'FIYMF N1' T►A7C: x 0:3/r24/94
S1.)laI)1.VISIC)14 tt
TIGAND, OR 9IP23•—
:'UTiPOSP O F-"AYMF"MT AMOUNT PAID PURPOSE OF PAYME-AT AMOUNT FRID
ECHANIC:AL. PE P5.OR S1'. BUILD PF H I,. P5
w
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5755 SW HIGHLAND
TOTAL AMOUNT PAID ) P6.
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INSPECTION NOTICE
City of Tigard Building Departrent
13125 SW Ball Blvd. Tigard, Oregon 97223 �� �--
Inupection Line (Rec-O-•Phone): 539-4175 Business Phone: 639-:171-
, 7 r
Inspection:_—__ _ ( �
I
Footing Plby. Under.s .ab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Pont/Beam Struet. San. Sewer Framing -Rldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: /o-z �g? _ Timet AM PM
Address:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector
nate e�'=-----L---'�-
: APPROVED DTSAPPROVED APPROVED SUBJECT TO ABOVP
Cull For Reinsp.
MECHANICAL
CITYOFTIGARDPERMIT
cnYa nMnc
' COMMUNITY DEVELOPMENT DEPARTMENT omooN PERMIT #. . . . . . . : MEC92-0311
19126 BW Moll Blvd.P.O.Sm 23397,TOW,Onpon 97223(603)6394176
' — —B1'T;��f3E►61E-�—=-f-r4'L?-f�3i�— - �
SITE ADDRESS. . . : 15755 SW HIGHLAND CT' PARCEL: 2S11ODD-0980111
SUBDIVISION. . . . : SUMMERF I ELD N0. 6 ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . •
:314 ,
CLASS OF WORK. . :ADD FLOOR TURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :GF UNIT HEATERS. . : VENT FfaNS. . . : •
OCCUPANCY C'7RP. . :R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . : TOILERS/COMPHESSORS HOODS. . . . . . . :
FUEL TYPES------- ---- 0-3 HP. . . . : DOMES. I NC l N:
: /WOD/ / / 3--15 HP. . . . : COhlMl._.. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMF,ERS?. . : 30-50 HP. . . .
WO(JI)STOVES. . : 1
CCAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF LIN T'TS---– AIR HANDLING UNITS OTHER UNITS. :
F'URN ( 100K BTU: (-- 10000 ccfm: GAS OUTLETS. :
FURN ) =100K BTU: > 10000 c f m:
Remarks : PELLET STOVE
Owner: _.__._-----------____..____.________....___.__________.___–______. FEES ----- ----______
JOSEPH SEWITO type amoi.lni- by date rec-pi;
15755 SW HIGHLAND CT F'RN1T $ 25. 00 JH 11/19/92 –
'fTGARD OR 97224 :iPCT s 1. 23 JH 11/19/92 –
PTione #:
Contractor:
CHIMCARE
PO BOX 398
CANBY OR 97013 ----------------------- ---------__--_
Phone #: 651-5758 `b 26. 25 TOTAL
Reg #. . : 62054
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection �–
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All Mark still be done in accordance with
approved plans. This permit will expire if work is not started
within 190 days of issuance, or if work is suspended for more
than 190 days.
Permittee S i_y f i a t i_1 r e :- J �� _---- ----_�
1 4 5 It f+d
By:
Call f'or inspection – 639-41.75
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1 Jk x��J�43
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City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hail Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223
(503) 639-4171
. .�.,«. escnpuon �
.) �_- � ��, Table 3A Mechanical Code QTY PRICE AMT
JobS W C 1) Permit Foe o- -0- 10.00
Address !
C` 2) Supplemental Permit 3.00
« K.iFurnace to 100,000
0,6 r �# 1) incl.ducts&vents 6.00
r,V Am*— f P1— CTurnace 100,000 BTU+
S- _s �/ N 2) incl,ducts d vents 7.50 !
Owner
y. 'Uoor Furnanco
722y35IJ/ 3) incl.vent 6.00
Suspen eater,wallBeater
4) or floor mounted heater 6.00
aGszTVent not incl.in
Occupant 5) appliance permit 3.00
Gr Reparr of heating,roing.
6) cooling,absorption unit 6.00
YBoiler or comp,halt pump,air cond.
1/IVC _ _ 7) to 3 HP absorp unit l0 TOOK BTU 6.00
.y r+s.... twilor or comp,heat pump,air cond.
U pX 8) 3-15 HP absorp unit to 500K BTU 11.00
Contractor ,,, w Boiler or comp, eat pump,air F5-77
`f Q-3 9) 15-30 HP absorp unit.5-1 mil BTU 15.00
fg�Pthat
•• .. of er or comp, eat pump,air coed.� (i' 10) 30.50 HP absorp unit 1-1.75 mil BTU 22.50
er y ac ow I have read this application,that the Boiler or comp,heat pump,air cond.
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State Air handling unit to
laws,that I am registered with tlhe Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air handling unit —
please give reason below.) 13) 10,000 CTM+ 1 7.50
Non portable
r ' - 14) evaporate cooler 4.50
Vent fan conneote�
15) to a single dud 3.00
Ventilation system not
16) included in appliance permit 4.50
« •� flood seryy
S 2 17) mechanical exhaust 4.50
Describe week new U addition alteration repairomme a or industrial
to
n ustnalto be done residential p non-residential O 18) type incinerator 30.00
-Eifsting use 01 other i.e.,woodstove,water
building or property 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4-per outlet j
Typo of fuel-oil Q natural gas O LPG Q electric Q
NOTICE
Minimum Fee$25.00 SUBTOTAL j
PERMITS BECOME VOID IF WORK OR CONSTRUCTION --
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OH WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. —
TOTAL �z S
Special Cond iitiuns
Date issued by
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CITY OF' TIGARD RECEIPT OF PAYMENT RECEIPT NO. :92.2?-3872
i9 CHECK AMOUNT 26. 25,
NAME" : SEQUITO, JOSEPH CASH AMOUNT : 0. 00
ADDRiE:SS : 15755 SW HIGHL.nND CT PAYMENT DATE : 11/19/92
�;I.1DG'[Vlfilt]N
T'f.GARD, OR 97224--
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMFN T AMOUNT PAT D
P5. 00 ST. -BUILD PER___._.. - .. 1. ;
r
fPELLET LET STOVE PLIlih1I If ^#
TOTAL AMOUNT ESA I D - > 26. 25
`d