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CITY OF TIGARD BUILDING INSPECTION NOTICE i �tws a
Inspection Line: 639-4175 Business Phono: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
/i'
Post/Beam Mech. Shear/Sheath Framing Mach. A+E
PIbg.Und/FI,iSlab Plbg.Top Out Insulation Elect.
,
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
i
Other:
Date: __ ��� `�G�
A.M. P.M. Entry:
Address: 2--
Tenant: _—... __ — Ste: _ MST:
Con/Own: MEC:.
PLM: _
I ELC:
1 THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: s�1_ j
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Inspector: /.!�' T-_.----—_ Date
l APPROVED —DISAPPROVED/CALL FOR REINSP, CF CO
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CITY OF TIGARD CERTIFICATE OF
raccuPAlvc,Y
PER1411 #. . . . . . . : OIST95--028i.'
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUEDi 06/04/96
13126 SW Hall Blvd.Tlpard,Oregon 97223.8199 (503)630.4171
PARCEL s i 5117+'1N►1-H:i�5`i
l l E ADDRE56. . . : 1381*7 SW M i aTI.E:TUE DR
SUBDIVISION. . . . s HILLSHIRE: SUMMIT' Mc:: ZONINGsR--•7 Dli
BL.3CV. . . . . . . . . . s LOT. . . . . . . . . . « . . :35
CLASS OFF WORk. :Nr-W �
rYF-'E OF USE:.. . s " tj
OCCUPANCY GR. . .-0",
OC:CUFIiaNC:Y LOAD e .l
ltseMasr•kes F�'F�aTW 1
lOwners _.__.._...._.._._ ...._._-..__.... ..._.-.._ .._._..,... -
ll WINDWr:OD Hot S
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140/b SSW Ultl HV IE.W MRR
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TIGARD OR 97224
Phone 4 s 590- 4700
Cant;•ac:tors - _.,_....... ........._., - _
W I NOWOUD CONST RIX 1 I ON, l NC.
�'t933 ILM T IERRA LEL MAR
I,W.AVE'RI'ON OR 9700i
t t'�tanN 0: 7130-4375 M
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! !�i% Gert ificate grants occupancy of the above referenced builclirrg or portion
thereof and conrirms that the buildiny ilas been inspec:tw fo" oml7li�.anr_e with
thr State of �•
Oregon pe . Coder oder for the groo.tp, oCu
c0'- u
cy, � ci ae under
i,4hJ.ch / eferenc:ed pa i was issued.
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POST' IN CONSPICUOUS PLACE.
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1 CITY OF TIGARD BUILDING INSPECTION NOTICE
-4175 Business Phone:639-4171
Inspection Ling:839
Footing Rain Drain Cover/Service FIN
Foundation
Water Ceiling <151 �a��„ �
Post/Beam Mach. Shear/Sheath Framing
-Mec
Plbq.Und/Flr/Slab Plbg.Top Out Insulation
-Elec
Post/Boam Struct. Mach. Rough-in Gyp. Bd. \Bldg,•
Appr/Sdwlk Reins.
San, Sewer G
4
Other:
A.M. �P{M. Entry:
Date: _
�. Address:
—�-- Ste,-_ — MST:
Tenant: �_d•�
BUP: t
Con/Own:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR .
V 4/,CEJ -�>�QrC ,,e
Insp eto --- ----
PPROVED DISAPPROVED/CALL FOR REINSP, CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
'1 •
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rein Drain Cover/Service FINAL: i
Foundation Water Line Ceiling -Plumb,
Post/Beam Mach. Shear/Sheath Framing -Mach,
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. IN
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Lineppr/Sdw k Reins. y
Other: yr
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Date: A.M. P.M. Entry:
!� Address: _���� � //'_L.,Lc�tYp
Cr'
Tenant: _. Ste:T_ MST: C.
BUP:
Con/Own: MEC:_
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PLM: _ r
ELC: ,:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: --- - – Date:
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-MAPPROVED —DISAPPROVED/CALL FOR REINSP. CF CO � a
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CITY OF TIGARD ELECTRICAL PERMIT -
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
MITRESTRICT-ED: ENERGY ,
13125 SW 11xll Blvd.Tigard,Oregon 07223.8100 (503)630.417. F ATE I T #: ELF195-0143
143
DATE. I SSUF=D: 05/0'7/96
PARCEL..: S104CD--08300
SITE ADDRESS. . . : 113817 SW MISTLETOE DR
SUBDIVISION. . . . : IONING:R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
Protect L'escription
A. RES IDENTIAL-_-----�--- B COMMERCIAL-
AUD I 0 & STEREO. . - - AUDIO & STEREO. . : INTERCOM & PAGING.
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/I RR I(;AT. . : X �
GARAGE OPENER. . . . . CL.0CF:. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . :
HVAC. . . . . . . . M. . . . . : DATA/TI=LE COMM. . : NURSE CALLS. . . . . . . . :
VACUUM SYSTE . . . . : FIR=. ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHE=R: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL_. .
INS'FRUMEN'TAT I ON. : OTHER. . : _
TOTAL. # OF SYSTEMS: I
Owner: F=EECi
WINDWOOD HOMES�y _ type amount by date recpt
PRINT $ 40. 00 CJS 03/07/96 96-279085
5PCT' $ 2. 00 CJS 05/07/96 96-279085
LI�1
Phone #:
Contractor:
LEDAR LANDSCAPE $ 41=. 00 TOTAL
14375 SW PATRICIA
REGlUIRE.D INSPECTIONS
HILLSBORO OR 9712Elect' l Service
Phone #1: 513-L,28-3411 Elect' l Final
Reel #. . : 5843 M
This permit is issued subject to the regulations contained in the -_-
Tigard Municipal Code, State of Ore. Specialty CCJEs and all other Perm i t ee Si gnat'.Ir~e~
applicable leas. 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 for more '0--A4
than 180 days. I s s 1.I er. E-4 INSTALLAT-ION () --- - -.... ...._----..__-_._-_._..__.___
TF"re installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' 5 SIGNATURE": DATE.-
INSTALLATION
SIGNATLFRE OF SUF'R. ELEC' N: _._ __�`.- _ _ ._____.. ___ DATE:
LICENSE NO:
Call for inspection - 639--4175
it tt 1�.,.;"p;u ..11+ �s,•,L'Yrd"'iet',ra a..oa: .:. ...
Community Development RESTRICTED ENERGY ELECTRICAL APPLICA`- -...
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT# RPMb!4/�'
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED 5.-7- 96
TDD No. (503)604-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
/3PI7 5W M'54-426 __
Address RESIDENTIAL—Restricted Energy Fee. . . . . 190.00
(Ff")ft ALL SYSTEMS)
City State Zip Check T•v�oe of Work Involved:
PERmi rS ARE NON-TRANSFF•RABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
15 NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
❑ Garage Door Opener*
2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conc:itloning System*
h Contractor(ZbAA A 4 Type 4ANDS,C/ E ❑ Vacuum Systems* i
❑ Other
Address_/437.5 SW A/J7'/Qi()A AVE 0A
Date,— S"7" IA7 COMMERCIAL—Fee for eaO system . . . . • . . . . �44QS!
/ / (SEE OAR 918-260.260)
Property Owner_ /NQ wood. /k HES Check k Tvoe of Wort.Involved:
�,.
Contractor's Board Reg. No. �g9 ❑ Audio and Stereo Systems
t„- qa ❑ Boiler Controls
Phone# (0 P&O' 3 ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire,Nlarm Installation
F•= ❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
❑ Intercom and Paging Systems
¢” Address �,/
i 93 Landscape irrigation Control*
City State Zip ❑ Medical
' This permit Is issued under OAR 918.320-370 This applicant agrees to make only ❑ Nurse Calls
resuicted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape I ighl i ng*
following:
❑ Prolective Signaling
1. Only use electrical licensed persons to do Installations where required.(Certain
a residential and other transactions are exempt from licensing.These have ❑ Other
asterisks(*).All others need licensing).
s 2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503.639.4175. ❑ I
_ Number of Systems
3. Purchase separate permits for at:installations that are not rear';for inspection
when the inspector is out to Inspect under this permit •No licenu•s are required, Lia•nses are required for all other installations.
4. Assume responsibility for assuring that all corrections requlreG Lr the inspector
''. are done,and
5. Assume responsibility fnr calling fo.a final inspection when all of the 5. FEES
corrections are completed.
00.
The person signing for this permit must be the applicant or a person a. Enter Fees
authorized to bind the applicant.
%� �•,�� b. 5%Surcharge(.05 x total above) $
Signature TOTAL
�i Authorit,�if other than applicant
ENERGAP,CHP
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- P # IP' ITC!TY OF TIGARD =ERMI'l" . . . . . . . :
r'LM96-0108
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/07/96
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)639-4171
1='ARGEL: cS 1 tZi9DA•-H5235
SI'TE ADDRESS. . . : 13817 SW MISTLEI'UE DR
SUBDIVISION. . . . : HILLSHIRE SUMMIT #E' ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 35
CLASS-CSF-WORK. . :Nf W- ~ -GARBAGE-D I SPOSht_a. :- 0 - MOBILE-HOME= SPACES. : 0�-_-- �
TYPE OF USE. . . . :SF WASt-;ING MACH. . . . . . : 0 BACKFLOW F'REVNTRS. . : 1.
OCCUPANCY GRE'. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 17t
STORIES. . . . . . . . . 2 WATER HEA'T'ERS. . . . . . 0 CATCH BASINS. . . . . . . . 0
1=IX1"URES-•-------------" LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIE:S. . . . . : 0 01-11ER FIXTUR'ZS. . . . .. 0
TUB/SHOWERS. . . . : 0 HEWER LINE (ft) . . . : 0
WATER CLOSETS— : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Ftemar k s : PATH I
FEES ______________.. '
WINDWOOD NOMI-S type amoi.tnt by date r,ecpt
1407E SW BENCHVIE:W TERR F'RMT $ 1`,. 00 JDA 05/07/96 96-
5F'CT '75 JDA 05/07/96 96---
T IGAFRD
6--
TIGAF2D OR 97.224
Phone #: 590-4700
Contr^actor
CEDAR LANDSCAPE
14016 5*W PAT-R I L I A
HILL_SBORO OR 97123 _-..-----_..---___.-------------
F='hone #: 503--62"B-341. 1 E 15. 75 TOTf--aL
Req #. . : 5843
REUU I RED INSPECTIONS
----- --
Tiffs permit is issued subject to the regulations contained in the RP/Backflow Pr^ev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final lnspf-ction
applicable laws. All vork will be done in accordance with
approved plans. This permit will expire if work is not started _•„_. _w.___ _� _�____.__._ ______�....
within 180 days of issuance, or if work is suspended for more
than 180 days.
P a t-in i t t e e S i g n a t 1_t r e : ` /r✓/l rc� (//L// __._.___. ......... -.---.__ _____Y r M_._._ .._ ___—____-_• -_-__
fr
Iss�_ted By :
r. G -I�LYVI - —_._ __..-- --
,; <;1 Call for- inspection 639--4175
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City Of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # r1.l�l).-1�
Tigard, OR 97223 •
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
"r^•a r'^'+^r" , New Single Family Residences Only
Ad*- 0 1 BATH HOUSE$140.00 0 2 BATH HOUSE$195.00 I
Job 13Y1. S"W 0126zr16 0 3 BATH HOUSE 5225.00
S Address ars.. a" Fee includes all plumbing fixturns in the dwelling and the first 100 feet
`7'/C,Q k 6 of water service, sanitary sewer and storm sewer. See fees below.
4-i."r^•.4•�( FIXTURES QTY PRICE AMT
I
Sink 9.00
M."Ad&- / "- Lavatory 9.00
Owner /-j 8:12 /�/��S`/rte' �4/1/�: Tub or Tub/Shower Comb. 9.00 1
Shower Only 9.00 I
T/Glao o/(, Water Closet 9.00
rww1r"(/w"""�"M Owl Dishwasher
Dishwasher 9.00
vy/Albyilood //'jf?if,S Garbage Disposal 9.00
Occupant Washing Machine 9.00
Floor Drain 9.00
• a^ Water Heater 9.00
Laundry Room Tray 9.00
�^• Urinal 9.00
CEhr?,k 4A vl) s!i+ c 6.)5'-3.1/1 Other Fixtures (Specify) 9.00
M""XIW- -R- 9.00
Contractor
P11Tt1cm 9.00
9.00
Nj/ls�wFe1
X, q'^i.2.3 Sewer 1st too' 30.00
saa"•a'••'""N•. C",a._T."° Sewer-ea. Addit. 100' 25.00
Water Service 1st 100' 30.00 _
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of -
the owner, that plans submitted a(e in compliance with State laws, that Storm &Rain Drain 1st 100' 31.00
I am registered with the Construction Contractors Board, that the Storm &Rain Drain Addit. 100' 25.00
number given is correct. (I'exempt from State registration, please
give reason below.) Mohile Home Sp.me 25.00
Back Flow Prev
Device or Anti a 9.00
Any Trap or W,
Connected to a Fi.,,_ 900
Describe work new (,y addition alteration O rena(r Q Catch Basin 9.00 '
to be done residential non-residential Q Insp. of Exist. Plumbing _ 40.00/hr
Specialy, Requested Inspection:. 40.00/hr
Existing use of
building or property �fG' t �- Rain Drain, single family dwelling 30.00
Residential backflow prevention
devices 1500
Proposed use use of
building or property _ -__ (Except residential backflow _
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 76-
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 54:SURCHARGE
CONSTRUCTION OR WORK IZ SUSPENDED OR ABANDONED --- - --
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 2514 OF SUBTOTAL
7�
TOTAL !S "
Special Conditions
7
Date issued by 3
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