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12695 SW MORNING HILL DRIVE 41 INA Su!uaobll MS S69Z1 J J a Z � z o cn LO 0) Lu 12695 SW MORNING HILL DR CITY OF T'GA R �� ELECTRICAL PERMIT PERMIT 0: E 0-003 59 DEVELOPMENT SERVICE GINALDATE ISSUED: 06127/2000 13125 SW Hall Blvd.,Tigard, OR 972.23 (303)639-4171 PARCEL: 2S104AC-07400 SITE ADDRESS: 12695 SW MORNING HIS-1. DR SUBDIVISION: MORNING HILL NO 9 ZONING: R-25 BLOCK: LOT : 217 JURISDICTION: TIG Prosect Description: Installation of(1)branch circuit w/o feeder RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL 00): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION_ '1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: i_ Reconnect only: SVC/FDR `=225 AMPS: CLASS AREWSPEC OCC:_ Owner: Contractor: GILMOUR, CAMPBELL M + CONDUIT ELECTRIC DOWNEY, DEBRA A DBA DUIT LEVEL TOOL CO 12695 SW MORNING HILL DR 2074 NW ALOCLEK STE 405 TIGARD, OR 97223 HILLSBORO,OR 97124 Phone: Phone: 466-9754 Reg#: SUP 4501-S LIC 109669 ELE 26-905C FEES Required Inspections Type By Date Amount Receipt PRMT GWL 06/27/2000 $37.50 0003288 5PCT GWL 06/27/200C $3.00 0003288 Total $40.50 i-- This Permit is issued subject to the regulations contained in the Tgard Municipal Code,State of OR. Specialty Codes and all other aprAcable laws. d All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or If,work is suspended fnr more than 180 days. ATTENTION: Oregon law requires you to follow rules adop'ed by the Oregon Utility Notification Center. Those N rules are set forth in OAR a52-001-0010 through OAR 952-001-0080. You may-btain copies of these rules or direct questions to OUNC at(503) 246-1987. PERMITTEE'S SIGNATURE ISSUED BY: Ce�-� md C9 OWNER INSTALLATION ONLY W The installation is �clnn made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ _—_- _ DATE: CONTRACTOR INSTALLATION OMLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 6394178 by 7:00pm for an Inspection the next business day I f•'I It'I r I If li d I► T E I Lr i N I i FAX NJ. : 4669825 Tun. 25 2`PM 12:4-rP l'l P1 CITY OF TIGARD Flan Check 0 13125 SW HALL DI_vD. Electrical Permit Application Poi ny TIGARD OR 9722 + �� Der«;Rea'd G -2�-F'V / ` Phone (503)fi39-4171, x31'' � / hate to P E. In�:peca)un (503)6394176 Date to DST F'fmI of l ype / Darmit s 1:ax (501) 5q9 1460 Incomplete or 111eq,blo will not be accepted CaIled 1. Job Addryon : 4.. Complete Fee Scheduler Below: - -� Name of f)evrlopment - Numher of Inspectloni per permit allowed N,trne (or name of business) _ Service Inclikided: Itams Cott Sum Addrw-,s lvas , i Y�0►'7ti 10h/1 I I Dyl-let, 4a es dentJel ,uer ull City/Statei7ip I 11A- 1000 sq n or lens 3 117 Tri 4 — — __�1111. Each addIllonn,4 , It nr _� ---- port)nn tharenr f 210175 1 CammWrcial C� ResidentialtimitndEnergy S 4000 Each Manurd Hnmw or Modular 2a. Contractor installation only: uwalling Service .it Feednr t i 2 75 ^� 2 (Prior to permit issuance.,apple-s-ti must provide contractor license 4h.sarvicss cr Froider, infonllatimr for COT tlabi base)- ,i, , Inslr!Ileflen alin-711n� or ralnr,atl0n Electrical Contractor (U tK ,,-4 f ' e 4>1�-v 200 amps or less __ = 8425 2 nddre5e, ALV")`I �I_�) Ili O201 ampr In 4110 amps 3 85.50 2 1��Q — �1 tea`. . ant seer r5 it,ii err. s - ? (-it �1 SG7tP, rJ X- 7.i 1 I ► t _--- t 128.50 _ ��- Y � .� P.._ �� r,oi amps In 1000 am �-. P• S 363 IS �._ --- 2 Phone No. �-4Lolo • 9"7 ., 1 Over to11u amp,or vnh, _ : 383 76 _ g _.11...11 Job li 0 0118� _ - - - Rnrnnru+rt nnty - --- _ _ $ Fler: Cont. t ice}NO AO�IOh EYp.Dete 1111 _ _- 4. Tampormy services or t-eedem -- OR Stat.CC13 Req No jai-C{0S(. Exp.Date_ Iminlle Hon,alfrrstinn,nr relnc ni,,n COT Business Tax or Metro No. Exp.Date 200 amps or loan s 5350 2 ----1111_—_ 201 amps u,40n amps --- ¢ 90.25 2 rr 401 amps In nn0 amps $ ,07 00 .-�Igntu are of 5upr Elecn --- _ _ 2 //�� Over POO amps;to 1000 vattr,, Lirense No, t"��V I S 1 x11 111,1tn sae"ham Pbova rhone, No _��lo ��] - - --- - 4d.Rranrh Circuits - New,il"eretion or extension per pared a)The fon fnr branch rfrcuits 2b. For owner installations' wffh purchase ofservice or feeder fee. Print Owne,'s Nano Far_h branrh circuit S 5 a5 2 b)The fne for branch circuits ---------- --.1111-- Address _—� without purchase of service City State Zip or feeder fcr. Phol It? No. -� _ First branch circuit t 99 It �7-s0 l jj� Fach addifinnal branch r_iru,it S 5 3S -- — 1 he installation is bring made on proparty I own wi:leh Is not Aft Misrwlianenux intenHeri fnr• 'A, Irwin or rent. (Service or leader not Included) Each pump or Irrigal,on circle 42,75 _-_ ---- Owner's Slfgnatf.irnFacts sign or ourllne lighting S 42 75 - _ -- Signal cirruRlc)or a limited energy iZ 3. Plan Review section (i1 roquirsd)•' panel•Altrralion or extension $ 90 00 Minor Labels(111; -�� t+ 301.0 -- � Please shack appropriatp Itwm and enter fee In cectiun 50. 41.Each adcJMon,l Inspection over 444�j� U) 1111_ 4 or mnre rpnide,ltial units in une Strurturr the allowable in any of the above Sefvicr3 and feeder 225 amps tit morr_ Per inspection _ E 50 nn Per hnrrr $ 5000 Systsm over 0110 volts nominal In Plant9.00 r — _ S _ __ClAsrcd'ted area or 5tructltre.containing ipr-dol occupancy as _ -' described In N r C Chapter 5 5. Fees: UJI I R° F7rdpr iota]of nbove fees S J Submit 2 sets of plant;with application where any of thea: ove apply, ` ! A Surrharge NA x fetal fres) fent required fnr temporary con"nrction eorvirare uMnhf 'Ve $ 64.Fill 251*of fine 6a V)r NO11C'_ Pla:l Review•If r tyulmd(Sar 1) PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subroraf _ S LS NOT COMMENCED\MTI IIN 11110 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR a PERIOD OF tAn nAVS crura Arrnrrnt N _ - Al ANY T IMF ArrFR WORK IS COMMFNCFD. Tottel balance!Dere s r_f 0 ,\dsls\fnrms\cicdricder. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Linn: 639-4176 Business Line: 639-4171 BUP ^—Date Requested_ —____AM --PM BLD Location_-" 5W Suite MEC Contact Person Ph 4 '� ) PLM �r Contractor Ph SWR _ BUILDING TenanUONner E:LC ;20 G Gv 3��Tj Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain RGN Crawl Drain Inspection Notes: �" — Slab = s.l SIT Post& Beam - Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Fir(wall Fire Sprinkler _ - Fire Alarm Susp'd Ceiling Roof Misc. Final PASS PART FAIL -- - — — PLUMBING Post&Beam ------__--- - Under Slab Top Out r -- - Water Ser:,ce Sanitary S.ower - - Rain Drains Final _.— PASS PART JAIL _ MECHANICAL Post& Hearn -- --- -- - — -- Rough In Gas Line -- --- -- Smoke Dampers Final -- - ----- -- - - P FAIL LECTRIC L — a ervice Rough In N UG/Slab --- —- - ------ --- - Low Voltage —_ -- --- —------ -- - - Fire Alarm I m l 'S ART FAIL13 W -� Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply tine ( ] Please call for reinspection RE: �. I ]Unable to Inspect-no access ADA Approach/Sidewalk Other Date _ _Inspector _ Ext Final PASS PART FAIL D NO REMOVE this inspection record from the job site. CITY PLUMBING PERMIT®F TIGARD PERMIT M. . . . , . . : M5 T94--010 DATE ISSUED: 03/16/94 COMMUNITY DEVELOPMENT DEPARTMENT 13125 8W Hall Blvd.Tigard,Oregon 97223.6199 (R03)639-4171 PARCEL s ^cS 104AC-07400 SITE ADDRESS. . . s 12695 SW MORNING HIL:_ DR SUBDIVISION. . . . : MORNING HILL NO 9 ZONING: R-25 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :217 CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . - 1 TYPE. OF USE. . . . :SF WASHING MACH. . . . , . . : t BACKFLOW PREVNTRS. . s 0 OCCUPAM: Y GRP. . aR3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . s0 STORIES. . . , . . . . 12 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 FIXTURES--- -•-------- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . al SINKS. . . . . . . . . . . I GREASE TRAPS. . . . . . . sO LI4VATOR I ES. . . . . :4 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . a SEWER LINE (ft ) . . . . :0 WATER CLOSE Ta. . :3 WATER LINE (ft ) . . . . : 100 DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . s0 Remarl— : PATH I OWNER: -----------------------•------- ------------------FEES-----------•----- JAY MILLER BLDR INC TIF f 1520. 00 JG 03/16/94 - F1 0 BOX 23291 BPRT f 513. 00 JG 03/16/94 - BPLC f 50. 00 JLH 03/10/94 94-249942 TIGARD OR 97281 B5PC $ 25. 65 JG 03/16/94 -- Phone #: 684-7543 SSDC $ 280. 00 JG 03/16/94 - PARK $ 500. 00 JG 03/16/94 - Plumbing Contractor:---------------- MPRT t 45. 00 JG 03/16/94 - MPLC $ 11. 25 JG 03/16/94 - Name :- ._. ��/LLC!' j'L/ M5PC $ 2. 25 JG 03/16/94 - Addresss _ PPRT f 155. 00 JG 03/16/94 - City :__ States _ P5PC f 7, 7JG 03/16/94 - Zip: Phone#s_� Reg It-_ ------- REQUIRED INSPECTIONS ------- This permit is issued subject to the reg- ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp Lode, State of 01-P. Specialty Codes and all Post/Beam Struct Water Line Insp other applicable laws. All work will be done Post/Beale Mechem Appr/Sdwlk Insp iTi accordance with approved pians. This Plm/undslab Insp Mechanical Final permit will expire if work is not started PLM/Underfloor Plumb Final within 180 days of issuance, or if work is Mechanical Insp Building Final 1. r'Uspended for more than 180 days. Plumb Top Out Erosion Control r Fraying Insp Crawl Drain jl Fireplace Insp Gas Line Insp _ Insulation Insp - >< GYP Board Insp Authorized Pfl-Tmbing Contractor Signature Ll Call for inspection - 639-4175 Contractor Notes : _ DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION ►350-12 4D 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-356, 693-4415 Permit 4: 05051725 Project N : P0039389 Status s APPROVED Page 1 of 1 Applied : 04/05/94 Issued 04/05/94 Expires 10/02/94 05/09/94 06 : 41 -; , RESELEC Permit Title SrR - ELEC/NEW HOUSE J /„p OTH Description : �" Dequn: 04/05/94 Job Address : 12695 SW MORNING HILL DR TI � v" Owner Name INSPECTTON - TIGARD L Y Region Applicant Name T & M ELECTRic' Phone number 250-1596 Valuati --1 0 Approved Inspector Commento : Rejected IL oc — m W J Inspected by : Dato Inspection Requested: * Cover & Servi r- e r 05/09/94 RI Jl" v tS4 s 4" i� yk h' }dxa ! , 1 r " DEPARTMENTOF LAND USE 6 TRANSPORTATION WASHINGTON DEVELOPMENT SERVICES DIVISION 0350-12 . 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 893-4415 Permit U . 05052908 Pr,:,jest # P0039389 Status APPr LIVED Page 1 of 1 App.li4-d 05/06/94 Is_:uFc9 05/06/94 Expires 11/02..'94 05/10/94 07 . 48 RF.SELE~C: Per,,,i t. Titie 5F'R - BURGLAR ALARM 8TH Derr°r.tpt.ion Begun 04/05/94 Jab Aldr^—ry 12695 SW MORNING HILT DR TI Own"r Nan,# INSPECTION - TIGARD Region Applicant Name WIL.SONVILLE LOCK & SECURITY Phone numLer 682-2323 Valuation : A. Approved_. Inspector Comments _. Y:y:_ �_ _ Date : Inspect r cn Request4d * Cover & Seri ire 05/10/94 RI JF DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION#350-12 COUNTY, 155 NORTH FIRST, HILLSBORO,OR 9719` t PHONE: 503/640-3470 OREGON _ INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 P?r,mit # 05051725 Project # P0039389 Status APPROVED Page 1 of 2 Applied 04/05/94 Issued 04/05/94 Expires 11/05/94 06/24/94 05 : 31 RESELEC Permit Title SFR - ELEi-'/NEW HOUSE OTH Description Begun 04/05/94 Job Address 12► >W MORNING HILL DR TI Owner Name IN-' rION - TIGARD R Applicant Name T & M ELECTRIC ' \ Phone number 250-1596 Valuation 0, Approved W Inspector. Comments Re �ected_L�__ _ IVR-RESULTS i 1 Inspected by : z Dater 1. 4 0�� _l — Inspection Requested : * Final Electrical 06/24/94 RI JF "KAT" tE DEPARTMENT OF LAND USE &TRANSPORTATION WASHINGTON �j LAND DEVELOPMENT SERVICES DIVISION #350-12 j d 155 NORTH FIRST, HILLSBORO, OR 07124 COUNTY. � / PHONE: 503/640-3470 OREGON 4 t D INSPECTION REQUESTS (24 hours): 50:3/640-3561 or 693-4415 l v . PUU i".4V 9 Statur, APPROVED p4ge 1 of 2 APP05/06/94 05/06/94 Expires 11/06/94 09/26/94 45 . 31 RESELEC BLIWI'LAR AI,AR?l OTtf Ijk�. 1 ri Begut. . 04/05/,14 Jot I t 614 W MokN I NG HIL', DR TI Ow:, "r, Ce --Apt . ,: y•it 1%1 aim* i�ro i. 'NV 1 I.AX LOCX & S1�OUfit I TY Phcvij* nuwr�l,".r hS ,..;323 valuation : t' IVY(•- L4ULTtl FtEQLIE ST LURUP m lnE x' y Dsl1t -1/0 " - Inst" n .;a F3.nal Eie lt.r.Y ra I C}4�19 E ?:' DN (14/16/94 ki 35 �';Jil/a4 P1 At?E G8 2 2.7 PM RLSE DN 10 RE8CHED OR _ DEPARTMENT OF:AND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION � 155 NORTH FIRST,HILLSBORO,OR 97124 COUN"1 I/t INSPECTION REQUESTS: 503/640-3581/893-4415 PHONE: 503/648-8761 OREGON Page 1 of 1 Date 04/05/94 Time : 11 : 18 Permit 'Type Residential Electrical Permit Permit # s 05051725 Permit. Status APPROVED Applied 1 04/05/94 Situs Address 12695 SW MORNING HILL DR 'ri Issued : 04/05/94 Permit Title 5FR - ELEC/NEW HOU.>E Completed i Permit Descr, To Expire it 10/02/94 Project Title SYR -- ELEC/NEW HOUSE Project # 1 P0039389 Project Descr. * EROSION Parcel Number 251'TI - Land Use District Valuation 0 Legal Descr. s Owner INSPECTION - TIGARD Construction OTH Applicant Name T & M ELECTRIC Classification 900 Applicant Addr. : 833 NE BALDWIN ST Occupancy R3 HILLSBORO, OR 9-1124 Validated by KF Applicant Phone : 250-1596 Inspector Area CONTRACTOR : 'T & M ELECTRIC Lic. C 34-148C 648-6556 Fee description Units Fee/Unit Ext fee Data ------------------------------------------------------------------------------ Square Footage [Enter Sq. Ft . ] 2500 185 . 00 Subtotal Electrical Fees : 185 . 00 State Surcharge of 5% 9 . 25 Total Electrical Fees : 194 . 25 *** Fees Required *** *** Fees Collected & Credits *** ---------------------------- --------------------------------------------- Method Check # Receipt No. Date Payment CK 4045 04/05/94 194 . 25 TOTAL THIS DATE ********* 194 . 25 Fees : 194 . 25 Adjustments : . 00 'Total Credits : . 00 Total Fees : 194 . 25 'Total Payments : 194 . 25 Balance Due: . 00 CL oc a rn m NOTICE: This permit becomes null end void If the work or construction for which"fie Issued Is not commenced within 180 days. Once construction has started, LU the permit becomes null and vold If construction Is Internupted!or a per"of 180 days. I certify that the Information presented by the applicant and J his ayent 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 perm". All provisions of applh:able Ism 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 eorrsetlon sheets. 1 acknowledge that the granting of a perm"does not grant sutttrxtty to acresto private property or to use easements. 1 further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for Inspeetlons at various times during the process of constriction and the building Inspection staff verifying compliance with the various codes. Use or occupancy of the Mallding or structure permitted prirx to approval by the Building Department Is solely at the risk of the applicard and such use or occupancy to revocable until all Inspection requirements are satisfied and approval Is given by the Building Official. I further acknowledge that a Ilan may be placed on the title of the property upon which the permit Is Issued specifying that the use or occupancy of the building or structure It provisional and revocable until the satisfaction of all Inspection requirements. A►rL ICANT'ti E,ONATURE WASHINGTON COUNTY ELECTRICAL P E R IM IT Department of Land Use b Transportation Electrical Inspection Section APPLICATION 155 North First Avenue,K3511-12 Hillsboro, Oregon 97124 Information: (503)640-3470 Fax: (.503) 893-4412 Project/Permq<_,6-/ PLEA�E PRINT Number '/� [`- Date ! Please complete 4. Complete Fee Schedule below 1. location of Installation �1 �y� -_ Number of Inspection per permit allowed Address 1 �' r7 �J kk-'._1 0.44 I Volt ►, /"n Service included: Items Cost(es.) Sum Build' a, A. residential-per unit City_ 1 Suite No. a j 2 I'r1/4 �--• l000 sq.n.or lase $110.00 _�� 4 Tenant Name Each additional 500 sq,h s (If commercial) _ _ or portion thereof $25.00 'Imlted Energy -- $25.00 - 1 Tax Lot _ Map No. Each Manufd Home or Modular Dwelling Service or Feeder .-- $86.00 2 Thomas Map Book: Page: Section: Directions. - --.- -- B. Services or Feeders Installation,glteretions or relocation 200 amps or less $80.00 -•-- 2 Commercial ❑ Residential,KC 201 amps to 400 amps __- $80.00 2 401 amps to 600 amps --. $120.00 2. 2a. Contractor Installation only: 601 amps to max,amps --_ $180. - 2 Y Over 1000 amps or volts _- $34000.00 _ 2 Electrical Contractor -r-f-'m e1f2, ¢u. IV c Reconnect only -- $50.00 2 Address nl /V. Date___ Job Number C. Temporary Services or Feeders Property Owner _3 n .1*► i."e fL Installation,alteration or relocation Contractor's License No. 3 4 r/fl$ C. 200 amps or less $50.00 2 Contractor's Board Reg. No. 101 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 2 Over W. amps to 1000 volts see'B'above Signature of Supra Elec'n License No. . LSI Phone No. aS 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 fit. iSrint ner'e ams oneNo Each branch circuit $5.00 2 b) The fee for branch circuits without A----ess ---- purchase of servko or feeder foe. First branch circuit $35.n0 - 2 i�- tate Zip -�"- 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 Signal circuits)or a limited Owner's Signature -- energy panel,alteration or extension $40.00 2 a 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 = In Plant $55.00 _ _ 4 or more residential units in one structure W _vService over 800 amps; feeder 800 amps or more 5. Fees W --System over 600 volts nominal 1 g 5 � A. Enter fatal of above fees $ -_ Classified area or structure contaWng special 5% Surcharge (.05 X total fees) $ _. occupancy as described in N.E.Q. Chapter 5 Subtotal $ B. Enter 25% of line A for Submit 2 sets of plana with application .where any of the Plan Review if required (Section 3) $ - above apply. Not required for temporary construction Subtotal $ services. $ Less Bulk Label Fee Balance Qua $ For Inspections call th%pwmk becomes nun and void N"w work*W&mrt ad by era pwadt Is nat 00mmeemed 640-3561 or 693-4415 wNAln 160 dwrr e from dela of Wmanoe of Duch perif or 010N tlwork arN erorbod wapMMI o abandoned M airy amo Mar work loomma m"ler a paled ef 100 days, 24-hour recorder, one working day in advance of need EW&W PwmbM we n rm refundable and no"anelwaMa. 1/94 DEPARTMENT OF LAND USE i TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSGORO,OR 97124 COUNTY INSPECTION REQUESTS: 503/640-3561/693-4415 l PHONE: 503/646.6161 OREGON Page I i of 1 Date : 05/06/94 Time : 11 : 19 Permit 'Type I kesidential Electrical Permit Permit # : 05052906 PeLlnit Status : APPROVED Applied s 05/06/94 Situs Address 112b95 SW MORNING HILL DR TI Issued t 05/06/94 Perttllt 'Title SFR - BURGLAk ALARM Completed : Permit Uescr .. To Expire 1 11/02/94 Project Title Si-It - BURGLAR ALARM Project # Project Uescr . * EROSION * � 3,9381 Parcel Number : Z!--,IT1 - Land Use District Valuation 0 Legal Uescr. Owner INSPECTION - rTIGARD Construction OTH Applicant Name WILSONVILLE LUCK & SECURITY Classification s 900 Applicant Addr . : P. U, BOX 517 Occupancy WILSUNVILLE, OR 97070-0517 Validated by PH Applicant Phone: 682-2323 Inspector Area : C:UNTRACTUR : WILSUNVILLE: LUCK & SECURITY Lic , C 3-198C 682-2323 Fee description Units Fee/Unit Ext fee Data ---------------------------------------------------------------------------- Limited E:ntegy/Alter./E:xtension 1 40 , 00 40 , 00 Subtotal Electrical fees : 40 , 00 State Surcharge of 5% 2 , 00 Total Electrical Fees: 42 , 00 *** Fees Required *** k** Fees Collected & Credits *** Method Check 0 Receipt No. Date Payment CK 5239 05/06/94 42 . 00 TOTAL TH15 DATE ********* 42 . 00 Fees : 42 , 00 Adjustments : , 00 Total Credits : . 00 Total Fees : 42 . 00 'Total Payments : 42 . 00 Balance Dues . 00 CL rU) t J _m NOTICE: Thin permit becomes null and void If Iffe wale or construction for which it Is Issued Is not commenced within IN days. Once construction hoe started, Jthe permit becomes null and void If construction Is Interrupted for a period of 1/0 days. 1 certify that the inlormellon presented by the applicant and his agent or agents In support of this permit Is true end correct to IM hest of our knowledge. I ocknowiodge that the Building Department's reliance upon false and misleading Information may Invalidate this permit. All prtMolone of applicable laws and ordinances governing the construction and ire of this building or structure will be compiled with whether or not specilled on thn pians or rated on the plana correction sheets. 1 acknowledge that the granting of a permit does not grant authority to access prhMe property or to of w easements. 1 further acknowledge that the use or occuponcy of the structure or building permlMed depends upon my calling for Inspectltme at vorloue 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 permuted prior to.ipproval by the Building Department Is solely of the risk of the applicant and such use or occupancy is revocable until all Inspection nequlremenle ore satisfied and approval Is given by the Building Official. I further acknowledge that a Ilen may be placed on the this of the property upon which the permit Is Issued specifying that the use or occupancy of the building or structure Is prnvlslonal and nmecable until the dlon dl of all lon requirements. 4ACANT'S SMNATURK —�r- WASHINGTON COUNTY RESTRICTED Department of Land Use 8r Transportation Electrical Inspection Section 155 North First Avenue,#350-12 ELECTRICAL ENERGY . Hillsboro, Oregon 97124 APPLICATION Irtloanation: (503) 8403 3-44 470 Fax: (503)� 12 • - - y.w Please f � • • • • Project No _ Permit No. 57:.)ye r, 1. Location of Installation Label No. _ Date Issued By_�� Office Address S l City g a — zip Code Z 4. Type of work: Thomas Map Book: Page Section _ RES' AENTIAL Restricted Energy Fee $40.00 (for all systems) Directions 5' 0�1� i'�`tel YD /35.t-A 7LD Check type of work Involved: Commercial !j Residential � Audio and Stereo Systems" Tenant Name Burglar Alarm (1 commercial) Telephone Systems* This permit becomes null and void If the work authorized by the 3arege Dox Opener* Fire Alarm permit Is not commsr.od within 160 days from date of Issuance of such permit or If the work authorized Is suspended or abandoned Heating,Ventilation and Air Condltionin�9vottems• at any time after work Is commenced for a period of 160 days. Vacuum Systems" Electrical Permits are non-refundable and non-transferable. 2. Contractor 9ppllcation: v Electricalontr ctor U-)r f6etiyi I lc j _IC a,jx°Capt COMMERCIAL Fee for each system $40.00 Address +() 'V/ b 11 ------ (set OAR 916-x60-240) Date -S--G_ Job Number Check tyre of work Involved: Property Owner ra r--. - Contractor's License No. to r Boiler Controls Contractor's Board Reg. No. __ ` r Clock Systems Phone No. .� 3.� Data Telecommunications Installations Fire Alarm Installation 3. Owner application: HVAC Instrumentation -- Print Owner's Name Phone No. Intercom and Paging SystemLandscape'rrigation Control' Address `– Medical Nurse Calls i ity9510 ___2_1D Outdoor Landscape Lighting" This permit Is Issued under OAR 918-320-370. The applicant agrees Protective Signaling to make only restricted energy Installorlons(100 vont amps or Mss) Other under this permit and to do the following: "– —�- 1. Only use electrical licensed persons to do installations where IL required. (Certain residential and other transactions are exempt Number of Systems from licansinp. These have asterisks(-). All others need Ikons- Ing.) kons- -- U) 2. Cali for an Inspection when sit the Installs tions under this permit *No licenses are required. Licenses are required for all other Installations. are ready for Inspection. 3. Purchase separate permits for all Installations that are not ready Jam. Fees V .i for Inspection when the Inspector Is out to Inspect under this . m pe1nrh. Enter fees $ tJ 0 4. Assume responsibility for assuming that all corrections required O by the Inspector are done,and W . 5% Surcharge (05 X total above) $ _j5. Assume responsibility for coiling for a final Inspection when all of the corrections are completed. The person signing this permit must be the applicant or a person Total $ euthcrized to /-hs'Qp;k,l r0 �, -- signelure 1 / 7 T( Space below reserved for validation. Authority if other than applicant _ For Inspections call 640-3561 or 693-4415 24-hour recorder,one working day In advance of need DEPARTMENT OF LAND USE&TRANSPORTATION ^Moab, WASHINGTON LAND DEVELOPMENT SERVICES DIVISION n 155 NORTH FIRST,HILLSBORO,OR 97174 COUNTY, INSPECTION REQUESTS: 503/"0-3N1/593-4416 OREGON PHONE: 503/949-$781 I Page J i ofvl Date : 05/04/94 Time : 15 : 54 Permit 'Type : Residential Electrical Permit Permit # : 050528JO Permit Status : APPROVED Applied : 05/04/94 Situs Address : 12695 SW MORNING HILL DR TI Issued : 05/04/94 Permit Title s SFR - AUDIO & STEREO SYS'T'EM Completed s Permit Descr. To Expire t 10/31/94 Project Title SFR - ELEC/NEW HOUSE Project # : P0039389 Project Descr, s * EROSION Parcel Number 2511,1 - Land Use District : Valuation : 0 Legal Descr. Owner INSPECTION - 'TIGARD Construction OTH Applicant Name I T & M ELECTRIC Classification 900 Applicant Addr. : 833 NE BALDWIN ST Occupancy t R3 HILLSBORO, OR 97124 Validated by EB Applicant Phone: 250-1596 Inspector Area : Fee description Units Fee/Unit Ext fee Data --- ---- ------------------------------------------ Limited Entegy/Alter./Extension 1 40 , 00 40. 00- Subtotal Electrical Fees: 40 , 00 State Surcharge of 51 2 . 00 Total Electrical Fees : 42 . 00 *** Fees Required *** *** Fees Collected & Credits *** ----------------------------------- Method Check # Receipt No. Date Payment CASH 00 05/04/94 42 . 00 TOTAL THIS DATE 42 . U0 Fees : ******* ** 42 . 00 ^ ' ,ustments : . 00 Total Credits : - . OU 'total Fees : 42 . 00 Total Payments : 42 , 00 Balance Due: . 00 a oc ro (a NOTICE: This permit becomes null and void If the work or construction for which It hi Issued Is not oat,menced within 180 days. Once construction has started, W the permit becomes mull and void If construction Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and J uls agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Doper'ment's ren nal pon false and misleading Information may Invalids%this permit. All provIslone of applicable lawn and ordinances governing the ,onntructlon and use ce of this building or structure will be compiled with whether or not specified on the plans or noted on the plane correcthn•heels, n,o now aloe and the granting of a permit does not gent outftortty to access private property or to use essemsntts. I further ackrnow+ 1a:the use or occupancy t the stn cturo or building permitted depends upon of my calling for Inspections at varloue times during it s process o xWlo:t and the,oullding inspect on staff verifying compliance with the various codes. Use or occupancy of the building or structure parrht"t-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 requlremefits are satisfied and approval Is given by the Building Official. 1 further acknowledge that s Ilan may be placed on the title of the property upon which the permit Ic Issued specifying that the use or occupancy of the building or structure Is provisional and revocable unt:;i:;9l0KiATUft1 ll 1 Ion rsquirvments. WASHINGTON COUNTY RESTRICTED D!,pattment of Land Use dr Transportation t Electrical Inspection North Firnu3W-1z ELECTRICAL E NERGY Hillsboro, Oregon 97124 fnloratlon: (63)840170 FxO61 803-"1212APPLICATION PRINTPLEASE Project No. Permit NO. �J �r3i� 1. LocjRtiV In�t�a//� Label No.— Date L�'t -�/F Address l Issued By Office City_ __ zip Code_ 4. Type of work: Tax Map_ _ Map No. RESIDENTIAL Restricted Energy Fee $40.00 Thomas Map Book: Page Section (for aN systems) Directions Check type of work Involved: Audio and Stereo Systems• Commercial ❑ Residential,& N BurglarAlarmName Telsphot Sym. (if commercial) — Qarsps Dos Op~ permit becomes null and vold M the work authorized by the Fin Alarm permit Is not commenced within 190 days from dale of Wousnoe Heating,Ventilation anal of such perr tit or If the woi k authorized Is suspended or abandoned CondlUon hWstems• at any time after work Is ocmmenced for a pwlod of 190 days. Vacuum systems" Electrical Permits are non-refundable and non-transferable. Other 2. Contractor application: Electrical Co r h r� C-L-�G 1C� COMMERCIAL (a"OAeach a•s�e0 $40.00 Address ) �1 Date Oy- Job Numt•er Check type of work Involved: Property Owner Contractor's License No. Boller Conte Contractor's fkqard Rtem .�N.�o-j I�Telelseornmunicalkwm Inetallaft Phone No. hAl 17 Fire Alarm Installation 3. Owner applicAtion: HVAC Instrumentation Print Owner's Name Phone No. Ino T and Paging system -& 06 Irrigation ControP Address Mae d Nurs.CAMIs 5109— Zip — Outdoor landscape Llghtlnq' This permit Is hon sed under OAR 919420-370. The applicant apnea Prolectm SO-Wing to make only nstrktod enoW Installations(100 volt antpe or Joss) Other under this permit and to do Nes foNowkrg: 1. Only use electrical licensed pwvons to do Msbllistlons r,rAW required. (Certain nsldsntlel and other trenswatknsata axwnpt Number of Systems from)leaning. Thew have sole iska JO). Mothers need/bens- -- Ino.) C 2. Call for an Inspection when all the Installafk vara under this permit 'No Nosnssa are required. License am required for aN other kWalla6mm ars ready for Mopectlon. J. Purchase separate permlM for alllnsblladme that ore not ready 5. Fees for Inspection when Mrs inspector is out to intrpuf under this permit. Enter fees $ U G• 4G 4. Assume responslbAlly for assuming that all co"wflons require ) 0 by the Inspector tire done,and 5% Surchar a 05 X total above $ r t v S. Assume responsibility for wiling for a final Inspection when ate of g U the corrections are complated. a The person signing this mR t be the spplk:an,ors person Total $ suthorked to bind lice Signature GY Space below reserved for validation. Authority h bther than applicant _ For Inspections call 640-3561 or 693-4415 24-hou. recorder,one working day in advance of need 11192 . CITY OF TIGARD ✓ COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW H&N INd.Tlowd.MOW OnnellN (602)$394171 PLUMBING PERMIT' PERMIT N. . . . . . . s PLM94-0217 639--4171 DATE ISSUED: 09/26/94 PARCEL: 2S104AC-07400 ITF ADDRESS. . . : 12695 SW MORNING HILL_ DR .SUBDIVISION. . . . : MORNING HILL NO 9 ZONING: R-25 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :217 CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : MOBILE HOME SPA( "-S. s TYPE OF USE. . . . :SF WASHING MPCH. . . . . . . : BACKFLOW PREVNTRS. . s1 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . .. . . . . : TRAPS. . . . . . . . . . . . . . s STORIES. . . . . . . . s2 WATER HEATERS. . . . . . s CATCH BASINS. . . . . . . : FIXTURES-------------- LAUNDRY TRAYS. . . . . . 9 SF RAIN DRAINS. . . . . s SINKS. . . . . . . . . . s URINALS. . . . . . . . . . . . s GREASE TRAPS. . . . . . . s LAVATORIES. . . . . : OTHER FIXTURES. . . . . s T'UB/SHOWERS. . . . : SEWER LINE (ft ) . . . . : WATER CLOSETS. . : WATER LINE (ft ) . . . . : DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . : Remarks : BACKFLOW DEVICE Owri er: ------------ -----__------ -----_ - -_------- _ FEES RALPH ELAM type amount by date recpt 12695 SW MORNING HILL DRIVE PRMT $ 15. 00 JF 09/26/94 — 5PCT $ 0. 75 JF 09/2:6/94 — T i GARD OR Phone #: Contractor: --------------•----•------------ OWNER --------------------------------------- $ 15. 75 TOTAL Reg -------- REGUU I RED I NS;•-F-C T I ONS ------- This persit is issued subject to the requlations contained in the RP/Backflow Prev Tigard Municipal Lode, State of Ore. Sperlalty Codes and all other Final Inspection applicable laws. All Mork will be done in accordance with 4. approved plans. This perait will expire if work is not startedix _ within 188 days of issuance, or if work is suspended for sore N than 180 days. I-permee Signature: ittSit W Issued By : Call far inspection — 639-4175 City sof Tigard PLUMBINQ PERMIT APPL1CA13ON Plandu'Rec. # _ 13125 SW Hall Blvd. Permit 0fin y77 17 Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE+ST. SURCHARGE "`•••0i'•••••, on 711010 Femgr 5101"M QW O 1 BATH HOUSE$14D.00 (3 2 BATH HOM 5190.00 Job (?f;`r`, �,�,ti �"c ;N i O 3 BATH HOUSE SM.W Addrsssa ar.�r w Fse Includes M pkrnbing t dun in tin dwMrg and the Ihtt 100 jW r7?13 of wsw service, senRary sewer and abnn sewer. See losebelow. 70*7;'�?— FIXTURES QTY PFUCE AMr j"nzy sly 9.00 Low" 9.00 Owner Tk*or TubWwwsr Cant. 9.00 WWW Closet 9.00 N�+M 900 Qarb4 �d 9.00 Occupant �" Washing Maofrka 9.00 Floor Drain 9.00 err a, WNW wow 9.00 Laundry Roan Tray 9.00 '~ Uffnal 9.00 OVw FLthtras (SPaah) 9.00 Contractor �... �`" 9.00 9.00 awe. ar 9.00 Sewer let 100' 30,00 el`Rows"'"k ""aft nm-PZ'- Sewer-4a.Add& 100' 29.00 Water service lot 100' 30.00 I hereby acknowledge that I have raid this spptlCatlon, that the Water Service es.AddR 200' 20.00 Imlor ation given Is correct, that I sm Mrs owner or authorized agent of the owner, that plans submitid ars in compliance with Stats lawn, that Stone 3 Rah Drain tot 100' 30.00 1 am registered w Nh the Constriction Conba ftes Board, that the Stone&Rain Drain AddlL 100' 25.00 number given Is correct (H amapt Nom Sits registration, plseoe give reason below.) MobYe Hare Space 20.00 Back Flow Prevw6m Device or Ant!-Pollution Device 9.00 1°'""•'°`"""""' °i' Arty Trap or Waste Not Connected to a Fixture 9.00 Describe work now 0 addition 0 alteration 77 mpair 0 Catch Bash 9,00 to be done residential Q non-residential Q Insp. of Exist. Plumbing 40.00/hr lL Existing use of Specially Requested Inspections 40.001hr building or property Rain Drain, single fan* dwe" 30,00 Residential baddlow prevention devices 15.00 J Proposed use of Eo- building or property a '(F-rcept raa/dentlaf AacMMw Ul proventlon *Wd" J NOTICE *Wnlmum Fee $20.00 SUBTOTAL 15 U PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 8%sunCHARGE �- CONSTRUC'(ION OR WORK IS SUSPENDED OR ABANDONED -•-•-- -� FOR A I)ERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN RFVIFW 25% OF SUBTOTAL Spacial Conditions TOTAL Data Issued by CITY MJF TIGARD MASTER PERMIT PERMIT #. . . . . . . : MST94-0108 QOMMUNITY DEVELOPMENT Dk,�q��41T DATE I SQUED r 03/16/94 13125 SW Hall eNd.Tigard,Oregon 97n3N/99 (503)839.4171 PARCELs 2S104AC-07400 SITE= ADDRESS. . . 1 12695 SW MORNING HILL DR SUBDIVISION. . . . : MORNING HILL NO 9 ZONING: R-25 131_..00K. . . . . . . . . . LO7. . . . . . . . . . . . . 1217 ---------------------------------- BUILDING -------------------------------------- REISSUE;rMST93-9538 DWELLING UNITSel BASEMENT. . . . . . . . s0 sf CLASS OF WORK. rNEW BEDRMSs3 BATHSs3 UARAGE. . . . . . . . . . :410 sf TYPE OF USE. . . a SF FLOOR AREAS----------- REQUIRED SETBACKS------------- TYPE. OF CONST. :5N F I RST. . . . : 1834 sf LEFT-0 ft RIGHT. a 10 ft OCCUPANCY GRP. :R3 SECOND. . . r864 sf FRONT, 520 ft REAR. . :42 ft STORIES. . . . . . . 12 THIRD. . . . r0 sf REQUIRED-------------------- HEIGHT. . . . . . . . ---------------_--- HEIGHT. . . . . . . . s24 ft TOTAL--------:2696 %f SMOKE DETECTORS. :Y FLOOR LOAD. . . . e40 psf VALUE. . . . . te 131488 PARKING SPACES— ill Remarks : PATH I PLUMBING -------------------------------------- SINKS. . . . . . . . . . sl FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . rO LAVATORIES. . . . . 14 WATER HEATERS. . . it TRAPS. . . . . . . . . . . . . . :0 TUE/SHOWERS. . . . s3 LAUNDRY TRAYS— : 1 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . s3 SEWER LANE (ft) . s0 GREASE TRAPS. . . . . . . r0 DISHWASHERS. . . el WATER LINE (ft ) . e100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . el RAIN DRAIN (ft ) . :0 WASHING MACH. . . it SF RAIN DRAINS. . e1 __-----___.--____-- MECHANICAL ------------------------------------- FEES --------------- - FUEL – -----_FUEL TYPES---- --------- UNIT HTRS. . :0 type amount by date recpt /GAS/ / / VENTS . . . . . e0 TIF f 1520. 00 JG 03/16/94 – MAX INPIJT:O BTU VENT FONS. . :4 BPRT $ 513. 00 JG 03/16/94 – FURN ( 100K . . :0 HOODS. . . . . . .. 1 BPLC $ 50. 00 JLH 03/10/94 94-249942 TURN ) =100K . . : 1 WOODSTOVES. :O B5PC $ 25. 65 JG 03/16/94 FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JG 03/16/94 – BOIL/CMP ( 3HPeO OTHER UNITSe1 PARK $ 500. 00 JG 03/16/94 – GAS OUTLETSei MPRT f 45. 00 JO 03/16/94 – Owr�er: --------------------------------MPLC $ 11. 25 JG 03/16/94 – JAY MILLER BLDR INC M5PC $ 2. 25 JG 03/16/94 – P D BOX 23291 PPRT $ 155. 00 JG 03/16/94 – P5PC $ 7. 75 JG 03/16/94 – T IGARD OR 97281 Phone #: 684-7543 Contractor: -----.---------.---------------- ?AY MILLER IL t-'U 130X 23291 (K N TIGARD OR 97281 Phone #: 684-7543 Reg #. . : 30109 ---------------------------------•--------- m $ 3109. 90 TOTAL 0 This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS ------- J Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp plans. This permit will expire if work is not started within IN Post/Beau Meehan Insulation Insp days of issuance, or if work is suspeoll for more than IN days. Plat/undslab Insp Gyp Board Insp PLM/Underfloor Rain drain Insp "e-mittee Si-gnature : Mechanical Insp Water Line Insp Plumb Top Out Appr/Sdwlk Insp Issued By: Framing Insp Mechanical Final Call for inspection – 639-4175 CITY OF T SEWER CONNECTION PERMIT PERMIT M. . . . . . . t SWR94-0114 COMMUNITY DEVELOPMENT D%uAtTMONT DATE ISSUEDt 03/16/9/1 19126 BW Man Blvd.Tigard,Or"on 97229.8109 (609)690-1171 PARCEL: 2S104AC-07400 ':ITE. ADDRESS. . . : 12.695 SW MORNING HILL DR SM13DIVISION. . . . t MORNING HILL NO 9 ZONINGS F-25 l?L.00K. . . . . . . . . . s LOT. . . . . . . . . . . . . v217 ------------------------------------------------------------------------------- TENANT NAME. . . . . I LISA NO. . . . . . . . . . t FIXTURE UNITS. . . t CLASS OF WORK. . . sNEW DWELLING UNITS. . t1 TYPE OF USE. . . . . OSF NO. OF BUILDINUSt1 INSTALL TYPE. . . . OBUSWR IMPERV SURFACE. . : Olaf Remarks : PATH I Owners ---------------------------------------------------- FEES -------------- JAY MILLER BLDR INC type amount by date recpt c' O BOX 23291 PRMT $ 2200.00 JG 03/16/94 — INSP $ 35. 00 JG 03/16/94 — TIGARD OR 97231 Ghione N: 684-7543 Contractors ---•--------------------------•— CONTRACTOR NOT ON FILE ------------------------------------- Phone M: $ 2235. 00 TOTAL Reg #. . : -------- REQUIRED INSPECTIONS -------- This Applicant agrees to comply with all the rules and regulations Sewer Inspection _ of the Unified Sewage Agency. The permit expires IN days from the date issued. The total amount paid will be forfeited if the _ permit expires. The 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 ali directions from the distance given. If not so located, the installer shall purchase _ a "Tap and Side Sewer' Permit and the j envy will instal! a lateral. Pernitt e Signature - Issued i nature :Issued By L C Call for inspection — 639-4175 7 0 5 5 I�_ Residential Building Permit Applitration city of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobslte Address: f lUf i1 I�1G►� 11 `�Y office Use Only Subdivision: Lot# � / Valuation: �/ , I .f Reissue rat Owner: I[/1,�,�� Y'� tJ1(��r t� _. Address: Tb F�ax zi L - Map& "il �1 Gni( °I 7 / / ApFrovals Eie�c tjlr�d Phone: Planoing I Contractor: _. Engineering Address. _ _ Other tt!?ttt Itwcycaif€'c! Phone: Contractor's License # (attach copy of current Oregon license) fuss t7et;.ail Subcontractors: Plumbing: Mechanical:IL (attach copy of curre OR Contractor's License) a Architect/Engineer: OC N Address: _ m Phone: W J COMMENTS: 4A App icant Signature & Phone number Received by: _ Date Received: Permit # Account Description Amount Amt. Pd. Bal. Due , /j'I�►7l�D�� Bldg. Permit (BUILD) �.S . ,0 Plumb. Permit (PLUMB) Mech. Permit (MECH) ✓ r'� � r State Tax (TAX) Bldg: oZ s �/s" ✓ Plumb: )) Mech: 2 ✓ Plan Check (PLANCK) Bldg: SC) Plumb: Mech: 1—,,)fv Sewer Connection (SWUSA) 2 2 00 Sewer Inspection (SWINSP) �� 5 )— Parks Dev Charge (PKSDC) ✓ GU SW Storm Drainage Chg (SDSDC) its Residential TIF (TIF-R) /v _ U Mass Transit TIF (TIF-M '� 4L U —LLU Commercial TIF -C) IL Industrial TIF (TIF-I) �C N Institutional71F (TIF-IS) J Office TI1= (TIF-O) Wate arty (WOUAL) _.. W 'j ter Quantity .(WOUAN7) Fire District (FIRE) TOTALS: CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT i3l"wv"ON Wd.Tlmd,orew 97M66190 (am gH1T1 CERTIFICATE OF OCCUPANCY xxxx PERMIT #. . . . . . . t MST94-0108 634- 4171 DATE I gSUED t 06/24/94 PARCEL t 25104AC..07400 SITE ADDRESS. . . t 12695 SSW MORNING HILI_ DR SUBDIVISION. . . . a MORNING HILL NO 9 ZONINGtR• 25 BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . . t217 ------------------------------------------------------------------------------------- CLASS OF WORK. tNEW TYPE OF USE. . . :SF OCCUPANCY GPP. t R3 OCCUPANCY LOADt224 4 TENANT NAME. . . t Remarkst PATH I Owner: --_._.-_----------------...-_-_-_----.--- .JAY MILLER BLDR INC V O BOX 23291 TIGARD OR 97281 Phone #t 684-7543 Cont rect or a JAY MILLER VID BOX 230459 TIGARD OR 97281 Phone #: 684-IrP43 Neg #. . : 30109 OccLtpancy of the ahove referenced building is hereby giver, and vvrtifies the compliance with the State Of Oregon Specialty Codes for the group, occupancy, and Use ander which the referenced permit was is= _ted. a RU DiNl3 INS{�FCTOR .I L ING OFFICIAL OC I~ U) POST IN CONSPICUOUS PLACE _m a w J