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11660 SW MANZANITA STREET-1 sail. E. ADDRESS: f4 K C • I; f tt f { I� 7 V lAre- . is\microfilm\targe' \building.doc 4 <4 v� CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Vater Line Ceiling -Plumb. Post/Beam Mesh, Shear/Sheath Framing -Mach. Plbg.Und/Fir/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. • Idg. San. Sewer Gas Line Appr/Sdwik Reins. Other: - . Date: �- A.M. P.M.—.—._ Entry: Address: - Tenant: -- — _ Ste._ G� MST. �2 BLIP: L;onj�q.-� `�`�'v MEC: _ y4,3 ELC: —THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _ I r � V 7/1 Inspector: Date: b i PPROVED —DISAPPROVED/CALL FOR REINSP. CF CO til, 5 i Pf ,f T CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone:639-4171 FINAL: Rain Drain Cover/Service r Footing -Plumb. Water Line Ceiling Foundation Framing -Mech. t' r Post/Beam Mech. Shear/Sheath -Elect. Plbg.Und/Flr/Slab Plbg.Top Out Insulation . Gyp. Bd. -Bldg. post/Beam Struct. Mech. Rough in Reins. San, Sewer Gas Line Appr/Sdwlk Other: ------- s }t, p AMP.M. Entry: ---- Date: + -�—M`— A,M- ✓c, Address: MST: Ste: Tenant:.,--------- BLIP: �' MEC: Con4P: P,^ --- _ PLM: ELC: _.�---- CORRECTIONS ARE REQUIRED: THE FOLLOWING ELR: ?�r'F'I,13I�P .fi _ gLfy'1f' �0A ! I J fes---- I — i Date Inspector K�-� � - O APPROVED ..._._DISAPPROVED/CALL FOR REINSP. CF C n l ZZA CITY OF TIGARD BUILDING INSPECTION NOTICE a ' ,h Inspection Line: 639-4175 Business Phone: 639-4171 41, Footing Rain Drain Cover/Service FINAL: ; Foundation Water Line Ceiling lur Post/Beam Mech. Shear/Sheath Framing -Mach. Plbg.Und/Fir/Slab Plbg.Top Out Insulation - le Post/Beam Struct. Mech, Rough-in Gyp, Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: 1 Date: _ AA.M.M. P.M. Entry: Y- Address: . Tenant: Ste: MSl': BLIP: Con/0. _ MEC: PLM: ;r ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: r � n � a y. q L—� 1 —� _ h 4 zl P s ov, � . Inspector. — - -- -_--- — _— Date: ._ i y i ySlA+�4�{i _APPROVED _ ISAPPROVED/CALL FOR REINSP. CF CO + CITY OF T!GARD BUILDING INSPECTION NOTICr63,9 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: ;g1)'III Inspection: wffr,,VV1l Footing Susp. Ceiling Sprink, Rough-inppr/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 Idg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation ec O Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested:_Wil/ �j Time: M PM y Address:_, Builder: Permit#: j THE FOLLOWING CORRECTIONS ARE REQUIRED: Y- Inspector: / --- _ Date: 2 _ —APPROVED DISAPPROVED _C_PPROVED SUBJECT TO ABOVE —Call For Reinsp. , tt L Ft4'�p1 }"�':��F/ ' �6�•L$yk'�' .�....��w,siasa�x+�Ss@�M!�wan�a�,.,.a. ,.........._,__. _ _ w,.,,M�, ', �rly9 vs CITY OF TIGARD BUILDING INSPECTION NOTICE \ 3 it , t �, i Inspection Line (Rec-O-Phone): 639 4175 Business Phone: 639-4171 1, Inspection: C.C��-f Sprink. Rough-in Appr/Sdwlk Footing Susp. Ceiling Foundation Plbg, Underslab Mech. Rough-in Fireplace I 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, Underfir. Insul. Shear Wall QGyp gdr -Elect. / / Date Requested: ;2./ 1 �S Time: AM PM Address: Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: C �dN4� Z. LT 1,712 Date: Inspector: _� — APPROVED _DISAPPRaVED OWED SUBJECT TO ABOVE Call For Reinsp. x J INSPECTION NOTICE 1 City of Tigard Building Department 13125 SW Hail Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41 )-�' Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Mach. Rain Drain 4-TOT.tion -Plumb. i, Plbg. Underfloor Water L .no Gyp. Bd. -Mach. • Date Requested:. Address: ` + ` Time: ]W PM- ' ■ � ��. Permit #���r- m THE FOLLOWING CORRECTTONS ARE REQUIREDi Q7-TU TZA -ice 1 K7 Al/I Inspector: _. Date:- /(d,C-�=� i _APPROVED DISAPPROVED '*PFROVED SUBJECT TO ABOVE _Call For Relnsp. is DEPARTMENT OF LAND USE&TRANSPORTATIO14 15ND DEVELOPMENT SERVICES DIVISION WASHINGTON 5 NORTH FIRST,HILLSBORO,OR 971224 COUNTY, INSPECTION REQUESTS: .0;03/MO-3561/693-4415 OREGON XXXXXXXXX--> 640-3471,) Page 1 of 1 Date 11/30/94 Time 08: 21 Permit 'Type Residential Electricai Permit Permit # 05061306 Permit status APPROVED Applied 11/29/94 Situs Address 11660 SW MANZANITA ST Tl Issued 11/29/94 Permit Title SFR - ELEC/SEHVICE Completed Permit Descr . To Expire 05/28/95 Project 'Title SFR - 4 CIRCUITS Project # P0044833 Project Descr. * EROSION Parcel Number ZS11'I - Land Use District valuation U Legal Descr . O4rner INSPECTION - TIGARD Construction OTH Applicant Name METZGER ELECTRIC Classification 9U0 Applicant Addr. : 8'/80 SW LEHMAN ST Occupancy R3 TIGARD, OR 97223 Validated by KF q Applicant Phone: 244-9025 Inspector Area Fee description Units Fee/Unit Ext fee Data ------------------------------------------------------------------------------- Service/Feeder : 200 amps or less 1 60 . U0 60 . 00 Subtotal Electrical Fees : 60 . 00 State Surcharge of 5% 3 . 00 Total Electrical Fees : 63 . 00 *** Fees Required *** *** Fees Collected & Credits *** Method Check # Receipt No. Date Payment CK 2125 11/29/94 63 . 00 Fees : 63 . U0 Adjustments : , OU Total Credits : . 00 Total Fees : 63 . 00 'total Payments : 63 . 00 j Balance Due: . 00 I i Ni NOTICE: This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 180 days, Once 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 his agent or agents In support of this permit Is true and correct to the boat 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 complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge..tat the granting of a permit does not grant authority to access private property or to use easements. I further acknowtedge that the use or occupancy of the structure or building permitted depends upon my tailing for Inspections at various times during the process of construction and the 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 Inanection requirements are satisfied and approval Is given by the Building Official, I further acknowledge that a lien may be planed on the title of the property upon which the permit Is issued specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inanectlon requirements APPLICANT'S SIGNATURE w F-7. ilidilik, WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use & Transportation Electrical Inspection Section APPLICATION 155 North First Avenue, #350-12 Hillsboro, Oregon 97124 Information: (503)640-3470 Fax. (503) 6934412 Permit PLEASE PRINT Number `) ' ��`� � (!' Date Please complete all sects roughf 4. Complete Fee Schedule below i1 1. Location of Installation II Number of inspections per permit allowed Address 11 G C1 M<<v1 z�t j 1-t ��5 "1 Service included: Items Cost(ea.) Sum Buildingg City Suite No. A. Residential-per unit f , r_� Tenant Name - 1000 sq.ft.or less $110.00 4 (if commercial) Each additional 500 sq,ft -- or portion thereof $25.00 Limited Energy $25.00 1 f Map No. _ Tax Lot _ - Each Manuf'd Home or Modular t F r Dwelling Service or Feeder $68.00 2 Thomas Map Book: l�.i� age: Section: Directions S, 1 i-i I M1 - 4-L, -I }"� I s,_ n S.tf IYa Qc Ke -- 1 , ( L {4 c, ,,% I l J 4 1, B. Services or Feeders )- '- Installation,alterations or relocation -I 200 amps or less -(-_ $60.00 �S> . ILL-1 VI-2c?❑ Residential © He? V, cr w 1�� C201 amps to 400 amps $80.00 - 2 401 amps to 600 amps $120.00 2 2a. Contractor installation vnl 601 amps to 1000 amps -- $180.00 2 Y- Over 1000 amps or volts $340.00 - 2 Electrical C ntractor f-{Y ��r r' 1= w r I r t Reconnect only $50.00 - 2 Address 'I ` If, s- �,_ �' r�jc�,.t � - city_T_" - fir Ct� State 6 (- ZIP`-'r'� a .� C. Temporary Services or Feeders Date I I t ? 5 1 '1 q Job Number 7-1 --f , Installation alteration or relocation Property 6wner_ D ,x 1 T- I I.1 el" u - c- 200 amps or loss __- $50.00 _ - 2 Contractor's License No. 1 1 I t . 1 �.� 201 amps to 400 amps $75.00 2 Contractor's Board Reg. No. ` c) 401 amps to 600 amps $100.00 2 - � Over 600 amps to 1000 volts see•8'above Signature of Supr_. Elec'n/�"L,n 1 1 1 L t - _ License No. > 1 ,_,L• . , Phorte No. 4 t-f�J - ?U, D. Branch Circuits 'r� New,alteration or oxtennion per panel a) The foe for branch circuits with 2b. For owner installations: purchase of service or feeder tee. Each branch circuit $5.00 2 i3rinl wner s f e - phone No. b) The fee for branch circuits without purchase of service or feeder fee. ATd-ress First branch circuit -_- $35.00 2 Each add'nl branch circuit $5.00 2 city State ip ---- E. Miscellaneous (Service or Feeder not included) Each pump or irrigation circle $40.00 _ - 2 The installation is being made on property I own Each sign or outline lighting $40.00 _ 2 which is not intended for sale, lease or rent. signal circuit(s)or a limited energy panel,alteration Owner's Signature or exlenslon $40.00 _ 2 F. Each additional inspection over the allowable in any of the alcove 3. Plan Review section (if regvired) Per inspection _� $35.00 Per hour $55.00 Please check appropriate item and enter fee in section 5B. In Plant _ $55.00 _4 or more residential units in one structure --Service and feeder, 800 amps or more 5. Fees System over 600 volts nominal A. Enter total of above fees $L, •11 I Classified area or structure containing special 5% Surcharge (.05 X total fees) $ occupancy as described in N.E.C. Chapter 5 Subtotal $ (.l .3 C, c', B. Enter 25% of line A for Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ above apply. Not required for temporary construction Subtotal $ services. f.-1 Trust Account $ Balance Due $ h C, , For Inspections call 'hie permit becomes.cull and void If the work authorized by the erm"la not commenced 640-3561 or 693-4415 within 190 days from date of issuance of such permit or ft the work authorized is suspended or abandoned of any time offer work is ccmmenrsd for•period of 190 drys. 24-hour recorder, one working day in advance of need Electrical Permits sre non refundable and non transferable. 8/94 f Y r._. DEPARTMENT OF LAND USE & TRANSP)RTATION LAND DEVELOPMENT SERVICES DIVISION #350-12 JOIZWASHINGTON 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 503/640-3470 1W OREGON INF,PECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 Permit # : 05061306 Project: # : P0044833 Status APPROVED Page 1 of 1 Applied : 11/29/94 Issued 11,'19/94 Expires 05/28/95 12/06/94 07 : 34 RESELEC iPermit Title SFR - ELEC/SERVICE OTH ;Description Begun : 10/20/94 1 , Job Address 11660 SW MANZANITA ST TI 4 Owner Name INSPECTION -- TIGARD Region ►► � Applicant Name METZGER ELECTRIC Lro Phone number 244-9025 Valuation : Aper45: Inspector Comments Rejected e IVR-RESULTS REQUEST ERROit! I 1 I l Inspected. taY _. al I Li l� ege : Inspection Requested . * Cover 0404 E AP DN IVR 12/06/94 R1 ITM METER RFLOCATION t - WASHINGTON DEPARTMENT OF LAND USE&TRANSPORTATION LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY INSPECTION REQUESTS: 503/640-3561/693-4415 k OREGON ;.,..1,; I'a ci e 1 of 1 aY. DatO 10/20/94 ,i Permit; '.Type Reu1t;jen-tial Eir,`ctri!:'ctJ. lz)latlrllt M :)j(.i:.;!ltir.):i 1 omit t..ttu ; A1' 'ltOVh;U AT)p1it,x)d 1, 0/20/94 �! Sit—us A+.+.Ire.'; 1,1660 �;W MAN ,AN I. Pi�,rtrt.i L' '1''i t.lc� F kt - 4 ('.C1;,'Lf 1_'C'-, (:olylp r e-ted Permit . To kxpitr> l;4/18/9`, Pr C.jec:'L '.1''i't1e ..;1 kti 4 .,1i c ;.(i.'1'a P. o:.1ect 3f P(.1(144833 Px:o j e c t U&rscr • L:F? r:�1 t)N :\ 1'1ctt t:c 1 Ntill bf-ri 1 �,rtrt. Ut'. Valuation () Legal. L),-,1v ct' . OW[tr-+r N 1IE,(-' 1-"):V LC.r1!,, (:on:;ttac.t. on t.)TH Applicant NaMe Nt.;BEN, 1-V,lNlt1.,�.) C'1c- ssii'.ir_.aticrl 9010 Ap1+1_ic"ant; A«lc.lr . . 1.:c ,bU .,fro YAN Ati ;•i'A U(-.cuj::)ancy Valioated by PH tCL.,pc-:•-cI-r•)1' Area y Fee (lr,;;c'riptl.C)Rt tirl:i i. :. t ev/Littit Ext fee Data 1:;t: 35 . 00 Addl . k5t :incYt vd; \:n.tt k c..•.c.l,_-;: �:I ..' it 1,r't: ; , itfl "; b ubtet'aI E., t.I, icer 1. I 'i{1 . 1.111 Total k:; "ect'rical rr>c:, 1)2 . o 4 A n < # Ml e,tktocl a Yale rt t Ia r!s l 1 (J a'i /''Ct b2 . w l•7 TOTAL 11-:11", DATE )..1 {U5 t:r71r,nts CI(I 1'otal E'eL�� : 50 \)t a.:G. P a 4 G NOTICE: This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 180 days. Once construction ties started, the permit becomes nul!and void If construction Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and his agent or agents In support of this permit Is true and correct to the best of oui 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 complied with whether or not specified on the plans or noted on the plane corrertlon shoats. 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 Inspections at various times d1iring'he process of c-jnstru n and the building Inspection staffverifying compliance wlth the various codes. Use or occupancy of the building or structure permitted prl apprgval by the Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection re Irbmet Are satisfied and approval Is given by the Building Official. I further acknowledge that a Ilan may be�Iace�tha Iltie of the property u w the permit Is Issued specifying that the use or occupancy of the building or structure In provlelonal and revoc hie until the action I ins ctlon requirements. 'l , APP I ATURE y ! 11 l � � WASHINGTON COUNTY Department of Land Use & Transportation ELECTRICAL PERMIT Electrical Inspection Section APPLICATION 155 North First Avenue, #350-12 Hillsboro, Oregon 97124 Information: (503)640.3470 Fax: (503) 693-4412 Permit ! r� PLEASE . . Plumber S -j DatePlease comp,ie�e all sections, 1 through 5. /�•_'-�i .�'/ 4. Complete Fee Schedule below 1. Location of installation Number of Inspections per permit allowed Address, L 66 d 5 wyti 1 AV I-_%, �V L'S4 Service included: Items Cost(ea.) Sum 1 Building A. Residential-per unit City _ ✓til Suite No. 1000 sq.ft.or loss $110.00 4 Tenant Namej� �� T Each additional 500 sq.tt (ii commercial) L,.ry or portion thereof $25.00 Limited Energy $25.00 1 Map No. Tax Lot _ Each Manuf'd Home or Modular Thomas Map Book; Page: Section: Dwelling Service or Feeder -- $68.00 2 ■ . ._ Directions __-_ ___.-_-______ B. Services or Feeders Installation,alterations or relocation Commercial �_� Residentialr 200 amps or less $60.00 2 201 amps to 400 arnps $80.00 2 401 amps to 600 amps $120.00 2 601 amps to 1000 amps $180.00 ----- 2 2a. Contractor installation only: 601 1000 amps or volts $340.00 2 Electrical Contractor _ u _ Reconnect only -^ $50.00 - 2 Address _m _ _ _ Date _ Job Nuber C. Temporary Services or Feeders Property Owner _ Installation,alteration or relocation Contractor's License No. _ 200 amps or less $5000 2 Contractor's Board Reg. No. _ 201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 - 2 Over 600 amps to 1000 volts see"El'above Signature of Supr. Elec'n License No. Phone No. •___ D. Branch Circuits New,alteration or extension per panel 2b. For owner installations: a) The foe for branch circuits wlth n ! purchase of service or(seder lee. Print Owner's Name -Phone No. .- Each branch circuit _� $5.00 2 _ _� b) The fee for branch circuits without 1 MISS --- - purchase of service or feeder lee. _ f 11 04�_ 2Z First brnnch circuit $35.00 2 Cite- Stale ip Each add'nl branch circuit_S_ $5.00 Li-_ r� 2 E. Miscellaneous (Service or Feeder not included) The installation is being made on property 1 own Each pump or irrigation circle $40.00 _ 2 which is not intended for sale, lease or rent. Each sign or outline lighting _.e $40.00 2 Signal circuit(s)or a limited Owner's Signature energy panel,alteration or extension _ $40.00 2 F. Each additional inspection over the allowable in any of the above 3. flan Review section (if required) Per inspection $35.00 Please check appropriate:hem and enterfee In section 513. Per hour $55.00 _ i In Plant _ $55.00 f 4 Or more residential units In one structure _-u _Service and feeder, 800 amps or more 5. Fees s System over 600 volts nominal A. Enter total of ahove fees �� ` Classified area or structure containing special 5% Surcharge (.05 X total fees) $ -7) 5%occupancy as described in N.E.C. Chapter 5 Subtotal $ B. Enter 25% of line A for Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ - above apply. Not required for terrlporary construction Subtotal $ services. Less Bulk Label Fee $ _ Balance Due $ For inspections call Thi permit becomes null and void If the work authorized by the permit Is not commenced 640-3561 or 693-4415 within 180 days from date of Issuance of such perm"or H the work authorized Is suspended or abandoned of any time atter work is commenced for a period of 180 days. 24-hour recorri,r, one working day in advance of need rlectncalPermitsatenonrefundableandnon-itanstorable, 494 1 �.1 rF1ptM�*rown•w.ewr•�...:m.r.,....m,+..,..ww,!.mM«u�rv.w..,.., ... -,....•,rr a .vc'-+N4YpdC�,1R+kf1W14�+e�fm+amrrrex».xi..w..rrv....way+,.fix...nwrnnKmrnn..ws.:r.w.„w:vwr.w....,.,a.+...+,,..,.�„ WASHINGTON COUNTY INSPECTION CARD Project No ON DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NO. FOR INSPECTIONS CALL: 640-3561, 24 HOURS { FOR INFORMATION CALL: 640-3410 j DATE l• � ADDRESS 2 PERMITEE DIRECTIONS _ PHONE NO.t �� , -T C INSPECTIONS: EISTRUCT E]PLUMB FIMECH OELECT CALLED IN BY F]APPROVED. REQUESTED INSPECTION APPROVED •11 `1L HOWEVER NOTE: NOT APPROVED: REPAIR OR REPLACE AND RE-INSPECT: STOP WORKL.• t, �J E ICAW- "� (: V C/ INSPECTOR �g. ,, d 'a t 4f � • th t �1. a w t P44 4 :atua A ;f 5,.. I, t'/ .q A. F,xpi r.r- 04/1 3/+e. .0/24/94 07 ; 00 lie.> -:' ��.:t.: i.. : ;s.. ,�,att 1f}/�rtici4 ''.:fir' AppI I _ _ -- — 10 G T 0'/ s, 1 NS E'TION NOTICE City of Tigard Building Departeent 13125 SA Hall Blued. Tigard, Oregon 97723 4 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk round. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer raming \ -Bldg. Poet/Beam Mach. Rain Drain C-- Insulation _Plumb, , Plbg. Underfloor Water Line Gyp. Rd. -Mach. Date Reque sted: Time: AM __PM Address: Permit is - O ZZ ;' t Builder: f,. THE FOLLOWING CORRECTIONS ARE REQUIRED: A ' _ C T —� 4-1 Inspector. • —__� Uate: - _APPROVED —^ DIISAPPD -- APPROVED SUBJECT TO ABOVE _ v/Cell For Reinep, INSPECTION NOTICE City of Tigard Building Department 1 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 6,39-4175 Business Phone: 639-4171 I Inspection: , ,ll/l�►"tel` Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor water Line Gyp. Rd. -Hach. . �j� Date Requested:---- � 7 Time: AM (J PM Address:�l{�OL-'_ (" ko m-y L�� _ Permit 1 s ��1� Cl 1 z2'-7 Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: I '_/_(_ .'APPROVED --- DISAPPROVED -T APPROVED SUBJECT TO ABOVE ——Call For Reinap. ti I CHY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #` ' • ' ' • ' : 13125 SW Hall Blvd.Tigard,Oregon 97223.819g (603)big=4171 DATE ISSUED: 06/15/94 t PARCEL- 1 S 134•CA--00519 I '11'E ADURFc:.'.­. . . L lb(t 71 SW MANZANI TA ST � UBD I V 15I ON. . . . : PANDRAMA NO. 2 ZONING: R-4. 5 BLOCK. . . . . . . . . . I_UT. . . « . . . . . . . . "r UUILDINU _---.-.--_.____---__..___-__--__-_____..____ REISSUE: DWE:LLINU UNITS:0 BASEMENT. . . . . . . . :0 St CLASS OF WORK. :ALT SEUFIMS:O BAT H5: 1 GARPOL. . . . . . . . . . ..0 s f TYPE": OF USE=. . . :SF FLOOR AREAS_.._._._____..-....___ REUU I RED SETBALKS--------------.- TYNE OF CONST. :5N FIRST. . . . -. 120 s f LEFT. . -.0 ft R IGHT. :0 F i. OCCUPANCY GRP. :R3 SECOND. . . :0 s f FRONT. -0 ft REAR. . -O Fi � STORIES. . . . . . . :0 THIRD. . . . -0 s f HE I GHT. . . . . . . . : O ft TUTAL-----• .-0 s f SMOKE DETECTORS. : FLUOR LOAD. . . . :40 psf VALUE. . . . . $: 4300 PARKING SPACES— :111 Remarl,ts : ALT OF GARAGE EXTENDING BATH ROOM INTO GARAGE: PATH I CONST � ------------------------------------- P=LUMBING' ----•-----____.__ SINKS. . . . .. . . . . . :0 FLOOR DRAINS. :0 BACKFLOW PREVNTRS. . :0 LAVATORIES. . . . . : 1 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . : 1 LAUNDRY TRAYS. . . -0 CATCH BASINS. . . . . . . :0 WATER CLOSET'S. . : 1 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . 10 DISHWASHERS. . . . :O WATER LINE (ft) . :O OTHER FIX'TURElS. . . . . 90 (:iARBAGE DISP. . . :0 RAIN DRAIN (ft ) . :0 WASH INS MACH. . ., : 1 6F RAIN DRO I NS. . :0 -___--__._._-__-_ ME:C:HANIL:AL --- ____.__________._.__..____.._______._._ FEES FUEL_ UNIT' HTRS. . -0 type amount by date r^ecpt /ELE/ / / VENTS . . . . . :0 BPRT $ 50. 30 JF 06/15/94 - MAX INPUT:O BTU VENT FANS..-1 'APLC $ :32. 83 SW 06/07/94 94-253212 TURN ( 100K . . :0 HOODS. . . . . . ..0 -)PC $ 2. 53 JF 06/15/94 - FURN ) =100K . . :0 WOUDS'TOVES. :0 v,PRT $ c:5. I210 JF 06/15/94 FLUOR F'URN. . . . :O CLU DRYERS. 1 MF-'1_C $ 6. 25 5 JF 06/15/94 - SOIL/CMP ( 3HP:0 OTHER UNITS: 1 M5PC $ 1. 25 JF 06/15/94 GAS OUTLETS:O PPRT $ 37. 50 JF 06/15/94 - Owner-: ____..___-_.__.______._______._._____-___..__.___.F'SPC 1. 88 JF 06/15/94 '- DONALD HUBE;R 11660 SW MANZANITFI TIGARD OR 97223 Phone #: 654-11612 t; Contractor,: OWNER Phone #: Reg #. . . _..__ ________.__________ _____.._-----•-•---__ ._ a Sh 1::57. 74 TOTAL This perait is issued subject to the regulations contained in the ---_--- REQUIRED INSPECTIONS ------- Tigard Municipal Code, State of Dre. Specialty Codes and all other PLM/Underfloor, Building Final applicable laws. All work will be done in accordance with appr d Mechanical Insp plans. ?his perait will expire is not started withi Plumb Top Out days of issuance, or if work is s snende r enre th I Fra m i n p Insp _ Insulation Insp Vler,mittee Signature ;' G _.._.__..._.. yp Boar-d Insp Fn U _..._.�. Mechanical Finial _...._.._ Issued By . _ Plumb Finast Call for inspection - y39 4175 x' _ T I r Residential Building Permit Application_ I City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 JobsiteAddress: C Office Use Only �uodivision.rq•torgM� tit 2 Lot # ,j i ! Ptanck/Rec # Valuation: � � � ^� I� Permit # Ms �/- c):z z '7 Owner: �..�1L1E11�� LZ u� c�� \ � j �' Reissue of � Address: (D(0G ` C Z ✓ �i ✓ U� c*t�'l �y�� � Map& TL # ,,,, C)� I 6Phone: `j� -1/�• �� l S y ' //6. Approvals Required Planning= Contractor: Engineering ^ . Address: � Other ` Phone: Items Required 1'� '' Contractor's License # Subcontractors (attach copy of current Oregon license) Truss Details Contact name & phone:_5.. �_lt jd I lir, Subcontractors: Plumbing: Ck-e)y 1 it c Mechanical: cv''04-6"" � (attach copy of current OR Contractor's License) Architect/Engineer: Address: w U L Phone: " 77 �G r q JOB DESCRIPTION: T I l vcjj- r, tL7�" �� v� iA 1,L—c �c l +-t i 5 �/6Cj ant Signature P ne number -- Received by: Date Received: ..yir.•rA9xS1�W.. .i. r.., ,.yam Permit # Account Description Amount Amt. Pd. Bal. Due M,5 tij,j222 Bldg. Permit (BUILD) .�U._?�� Sv•5-D I Plumb. Permit (PLUMB) 3� � 3 i ?l o Mech. Permit (MECH) �z )' State Tax (TAX) — - Bldg: ,L•S'S /'� Plumb: Mech: —LLL-21 ■ Plan Check (PLANCK) 3 Bldg: 3 Z �3 / ei /� ■ Plumb: Mech: G- 7- Sewer Sewer Connection (SWUSA) -- Sewer Inspectio:i (SWINSP) --------- Parks Dev Charge (PKSDC) — .---- Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) — -- Mass Transit TIF (TIF-MT) _ Commercial TIF (TIF-C) Y Industrial TIF (TIF-1) _ Institutional TIF (TIF-IS) _ Office TIF (TIF-0) Water Quality (WOUAL) Water Quantity (WOUANT) i Fire District (FIRE) Erosion Crild Permit (ERPRMT) ` I Erosion PlanckNSA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: r i r i 1 Permit No: I Address: _ H � 4 N z Issued by: —_ Date: �. ' FOR OFFICE USE ONLY STATEMENT: ' INFORMATION NOTICE TO PROPERTY OWNERS � ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, OR's 701.055(3) , requires residential construction permit ■ applicants who are no'. registered with the Construction Contractors Board to sign the following statement before the builc;ing permit can be issued.This state- 4 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 blanks, and initial boxes 1 and 2, and either box 31, or 3B: ;r 1 . [ +T7 1 ovum, reside in, or will reside in the completed structure. 2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3. A. 7 My general contractor -___...___� ; Contractor registration number------- I umber___I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR 3. B. C__. '1 I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with 'he 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 Prop rty Owners about Construction Responsibilities oil the reveres s of this form. ; ature of Permi Applicant Vate CONSTRUCTION CONTRACTORS BOARD fr, 0244J 8/91 WHITE COPY TO ISSUING AGENCY PERMIT FILE ¢k PINK COPY TO APPLICANT k ",• Ai.; ;}�+ f ':;� pn„,r,}°r ,. '�. r�,�;, „�. , t., N� a m ;;.8�tiw ,d, l INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES I NOTE:^ This Information Notice to Property Owners About Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), Ipassed by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a nr•_v home oe make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting s in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an "employer'' and the people you hire will be "employees''. As the employer, you must comply With the following: Oregon's 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. Unem to ment InsuranceTax: As an employer, you are required to pay a lax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employmer}t 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 DIFat 373-7434. U.S. Internal Revenue Service: As an employer, you roust withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 221-3960. OTHER RESPONSIBII-ITIES AND AREAS OF CONCERN: , K< Code Compliance: 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. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance 4 coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punc- tures, fire, or work that roust be re-done. I i Time to Supervises .frmployees: 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 ff Salem, OR 97310-0151 i Phone 503-378-4621 0244J 10/2.4189 L ! I, It tl T'IC:AI , - RI {'I I l-'I III PAY11I1:N I I'd 1;1:l E'1 NCI, OEM, DONW-J) LA-ISI-A HM(i1.1NT �I1 1'I;f Ss Ni•IYM.:611 1)(411-, z Ob 1•a; Sil1801Utr,t1..)N � ff I �I I I 1t "HE OF PWYME=N"E AMOUN i P01 1) P I lifl'i)'�,t {1I E�i1 V M1=.iJ l EaiM{lllN 1 1'I 11.11 I .i1fI.p1N13 t'E=:RM M1i'I'34 Nt":�?� 5kl, 5tt1 PLUIVIDANH t-'FRIVI IiI. `.p0 'II.(.:PIANl GA . {='E MIA F T., B1.1111. 0 OV E? I �I 1 I i I i 11 J I ITUAL.. AMOUNT PAU) !:! i M w '� L I. I UY CIF 711C41101 RV11, TPI {II I'll 1,11 ill 141-i I !PI NO. [::111 (Y, NMI[A IN] i ti t 111 IFSf.-R, Ey(AHA1,_l'1 I t'I:it I FIMClI1h41 u' why { i n�IrI,l ',jC3 x 1 I660 SW IAAN7itl,�i fit Ptna{I.-1N4E hif4: i W'.6/0l " E ;i"aRD, lilt SI-11:1111 V 1,:"t I I)NI, x t f I It r t :I C 01mi II IN 1 1,1411) 'l IMM ?!-A 11t V-IfAyhlkl"I 1 (401111 IN 1 F10 J 11 14#4 C'HP:l; 1 1 f, ..19H ,r,, /,y b � 1 j! I f i i l � HMl 1111,11 E'A't I! c