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CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., 7799rd,OR 97223 (503)639-4171
CERTIFICATE OF
OCCUPANCY
PERMIT 0. . . . . . . x M8T95-0238
IJATE ISSUCDs 11 /08/96
I
1 PARCEL.s ;?S 104EaA--O47g10
SITE ADDRESS. . . s 13884 SW MARC I A DR
i
SUEIDIVIE,ION. . . . t CASTLE MILL. 4Fc' ZONINO:R? lc: PD
jALOC.K. . . . . . . . . . LOT. . . . . . . . . . . . . 1080
CLASS_.qFW,W..._.___.___.�__._a_._,_____._._.�.._._.____..._.__.________�.__.__.._._�,..___w�.__......•_....._._.__._.._
ORK. s NEW
'TYPE OF USE:. . , s cjF
1 TYPE OF CONGTR s 5N
OCCUPANCY GRP. s A3
' ()C'C:UPANCY LOPP, s 2. j
l
Remarkst PATH I `
t DOM MOP I SSE'TTE
:000 SW MF'ADOWS RA P
SUITE * 151 k
LAKE OSWEOO OR 9703 !i
' Phone Ms 6i?0--7538 �
jC;ontractor-s -_. --_.._w._._. . .__
DON MORISSETTE HOM1-_9
at7lOO SW ME:ADOWr, RD
i SUITE 151
' LAKE: OSWE:GO OR 97035
Phone Ms 620-753a
Reg O. . s 35533 !
This f:ertifir_ate grants occupsincy of the above referenred building or portion
thereof and confirms that the building has been inspected -for Compliance witil pp
the State of Oregon SPecimIty Codes for the group, occripancy, an"q use r.inder E
which the referent^ed permit was issued. �
ECt� _
It TOR BUIt_DINp OFFICrIAL. r
POEN IN CONSPICUOUS PL.AC:E,
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1 CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling Plumb.
Post/Beam Mech. Shear/Sheath Framing Mach. + dkY
PIbg.Und/Fir/Slab Plbg.Top Out Insulation Elect,
r
Post/Beam 5truct. Mach. Rough in Gyp. Bd. -Bldg
Reins.
San. Sewer Gas Line Appr/Sdwlk +`
p
Other:
Date: A.M. P.M. Entry:
Address:
Ste:�— MST: ..._S�
Tenant: -- — BLIP: _
1
Con/Own: MEC:
PLM: �--
ELC
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspertor: Date:
r Rt — — -- ---- - 1
zel(OPPROVED —DISAPPROVED/CALL FOR REINSP. CF
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Rusiness Phone: 639-4171
I Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mach, r
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct, Mech. Rough-in G p. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk� Reins.
Other:
Date: �_l!-4G A.M. Entry:
Address: 8'�tu Ayww --
i. Tenant:_— ----- -..---- Ste:., MST:9J 0 2 3
Con/Own: BLIP:_ —_ _ MEC:
PLM: _
ELC: _._...
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: . - _-- - --- Date:
APPROVED —DISAPPROVED/CALL FOR REINSP, CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE `IAS �k' 'tnan'/��' �?�
Inspection Line: 639-4175 Busine.,s P iene- 639-4171 �• f r
a�xd
4""ft
Footing Rain Drain Cover/Service
Foundation Water Line Ceiling -Plumb.
V.� it �r Iv +Vr# � {���i��,. •
Post/Beam Mech. Shear/Sheath Framing -Mech. r 'r
Plbg.Und/Fir/Slab Plbg, Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -BldpI
San. Sewer Gas Line Appr/Sdwlk Reins.
1 Rte
Other.
Date: ' — l�—�2 ,G
A.M. P.M. Entry;_.__.- � ,"'��,�;ir�tt
t �t
Address: 1 �S�S�I Scu /��
Tenant: Ste:_ MST: 4 9 3 Fr
_. /L '-� � BUP"a�'� t
Con/Own:
MEC
PLM. c
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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�v�®!may'+�5i-�'��1�__�•c.�,r�SF_3�cJ,,,S �
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Inspector: s "
p ---- ----——___------ Date: .,._
_APPROVEDPROVED/CALL FOR REINSP, CF CO
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PERMI
CITY OF TIGARD PERM ITN#. . . . . . . 11ST95 (&7' ,-)
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/22/95 •
13125 SW Hell Blvd.Tigard,Oregon 07223.0100 (503)539-4177
F'ARCE:I_: 2-G 10413f-i-.CIA,700
'SITE ADDRESS. . . : 13884 SW MARCIA DR
(_iUBD I V I S I ON. . . . . CASTLE HILL Ohl.2 ZONING: R-12 RD �
3L.00I:. . . . . . . . . . . LOT. . . . . . . . . . . . . :081a
........
CLASS OF WORK. . :NEW GnR5nGE D I GPOSAL . . : 1
TYPE OF USE:. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1 �
OCCUPANCY CARR. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . :0
5'rORIES. . . . . . . . .2 WATEP HEZATERS. . . . . . : 1 CATCH BASINS. . . . . . . 110 '
FIXTURES--------- --- -_ - LAUNDRY TRAYS. . . . . . :0 73F RATIv DRAINS. . . . . : 1
!3INKS. . . . . . . . . : 1 [REASEw TRAPS. . . . . . . :0 �
L.AVATORIES. . . . . :3 OT -1E.R r1XTL1r=. . . .1�I
TUB/SHOWERS. . . . : W R LINE (ft ) . . . . .ih
WATER CI_OSE:TG. . -3 W(-i VER LINE (ft ) . . ,. . : I ,-10
DISHWASHERS. . . . : 1 'AIN DRAIN (ft ) .0
RemaPATH I
i
OWNER: --
DOM MORISSETTE 3WM $ 180. 017 JD 06/22/95
5000 SW MEADOWS RD SWM $ 1Olb. 00 JD '.716/22'/95
5 -
3UITE # 151 11PRT 1� 700. 50 JLC 06/22/15 j
LAKE OSWEGO OR 971,135 Br'LC $ 455. 33 SW 06/06/95 95.__266309
F-,hone ##: G20•-7538 lr�rPC t I5. 0's .TD 1Z1C•/wy,'�3;;
PARK 1 500. 210 JD 06/22/95 —
P1umbing C:ontra(-t o)- . .. ._ ___. .. __ . ..._.._.._.. .._ _ MPRT #, 45. 00 JD 06/.:12/95
M� MPLC $ 11. .^5 JD 06/ 'x::/95 -
Cr'_. _ 3BTF $ ;2G...l. 0�. JL 06/22/95
City -. _ GL.aI:e : P5F"'C $ 11. x:5 ,JD 1216/22/05
zip:Y,• ____ �.i (__ h ne�iE: �_ "ROE; $ 8B. 210 .JD 06/22/95 -
e t(•:__ v Additional fees not shown heT-e?. . . . .
1
REQUIRCD INSPECT TONS
This per-mil: is 1-Ss led subject to the reg
klations crontained in the Tigard Municipal Footing Inrip InsulGation InsF
('.od(m, State of Ur-e. Speci.:k.lt. y (~',ades and all roundation Insp Gyp Lenard Insp
ether applicable laws. All wcr^k will t,e donee Post/Beam Jtruct Rain drain Insp
fi j.n accordance with approved plains. This rost/Deam Mec,han Wa'1:er i-_ine IIII sE7
permit will expire if work is not star^ted Crawl Dr-ain Water Service In
within 180 days of i. ssi-1ancP, or- if wol,k is Pl.m/undslah Insp Appr/Sdwlk Insp s
suspended for more than 18121 clays. PLM/Underfloor- Mechanical Fir.al
me',A)aniccal Insp Pll.lmb 11inal "
Plumb Top Out Building Final
i-)-ami.ny Insp Erosion C'onti,ol
Fireplace Insp
i0rized
l,ery !_i ne Insp
Plumbing ntr^actnr^ ..)i _ Gi :
Call for inipectiorl - 639 -4175
Cont r•ac_t or, Not.es
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MASTER
CITY
MASTERi '>LRhII f
OF GAR® PERMIT #t. . . . . . . . :1ST95.-023`0
COMMUNITY DEVELOPMENT DEPARTMENT DATE_ ISSUED: 06/2. '/95
13125 SW Hall Blvd.TIO,vd,Oregon 97223.8199 (503)830-4171
PPRCEL: 25104BA -04700
SITE' ADDRESS. . . : 1,:684 SW MARCIA DR
SUBDIVISION. . . . : CASTLE MILL #._ ZONING: R-12 PT_1
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .060
BUILDING
REISSUE. DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
1
CLASS OF WORK. :NEW DEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :405 sF
l'YF='E OF USE. . . :SF" FLOOR 4RCA ____....___. _.. REQUIRED SETBACKS------
TYPE
__._._..._._
TYPE OF CONST. :5N FIRS'F. . . . : 1620 of LEF=t. . :5 ft RIGHT. :5 ft
OCCUPANCY GRP. : GECOND. . . : 14 ;70 ~ .F rRO4T. :44 ft nEAR. . :wO ft 4
STORIES. . . . . . . .: PTNPSMENT.0 S REDUIRED-------
HEIGHT. . . . . . . . . 110 ft TOTAL - ---- :30''x0 >fMON.E DETECTORS. :Y
FLOOR LOAD. . . . : 40 psf VALUE. , . . . f . 206388 PARKING SPACES. . : 1
Remar-ks : PATH I
PLUMPING
131 NKS. . . . . . . . . . . I FLOOR DRAINS. . . . :0 FLOW PPEVNTRS,. . : I
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . : 3 LAUNDRY TRAYS. . . :0 CATCH . . . . . . . «0
WATER CLOSETS. . :3 SEWER LINE (ft ) . «0 GREASE TRAPS. . . . . . . :0
DISHWASI#ERS. . . . : 1 WATER LINE (ft ) . : 1014) (7TIICR FIXTURES. . . . . «0
GAREAGE: DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : i ^f RAIN DRAINS. . : 1
MECHANICAL -_......_._.___.._.____._._._•w..___._____._._...w___ rEES --------
FUEL TYPE,-_.. -._...... ....._...._._. JJNIT HTRa. . «0 type amol-Int by date r-ecpt
/GAS/ / / VENTS . . . . :0 5WM $ 180. 00 JD 06/22/95
i MAX INPUT:@ BTU PENT F-ANI3. . :4 aWM 1. 100. 00 JD rlr6/22/95
TURN ! 100s; . . .0 110ODS. . . . . . . I BPRT .1; 700. 50 JD 06/22/95 -
i TURN ) =100K . . . I l•1(ai.1DSTOVES. «0 EAPI_C t 45'3. 3 3 SW 06/0G/95 126Guu`3
FLOOR FURN. . , . :@ CLO DRYERS. 1 B5F''C $ 35. 03 JD 0[t/i2i:./9!7;
i?O11_/CMF' ( 3HP..0 OTHER UNIT'. 1 F'ARI! 1, -00. 00 JD 0G/C?/95 �
GAS OUTLET 7: 1 MF--'RT 9; 45. 00 JD 06/22/95
Owner„ __•.___. _.__..__-..._. ....._.__.___..__.._._. _._____..._._._.. _ MF'LC 11. 1-5 JD 06/30/9
DOM MORI SSETTF_" 2. 25 JD 06/22/95
'5000 5W MEADOW':) RD 3STh 2E"'. 00 JD rr6/:7'�/95 -
')'UITC: # 151 P-rc s 11. 25 JD 06/22/95
l_ARE OSWEGO OR 07035 E:R0'S., $ 88. 00 JD 06/22/93 -
Phone #: 620-7538 ERPC $ 2S. [,0 JD 06/22/95 -
Con�r'aCtor- : - .__.. _ _. __.._ ..-...._._._...-....._ ERPC $ : 8. L0 JD 06/2i':/95
D0N MOFI I F)SETTE HOMES DFI1_C 1, 50. 00 JD 06 121-'/95 -
5000 77W MEADOWS
RD '
SUITE 151
I_raKE OGWE.GO OR
Phone #: 620-7538
Reg 35533 ---
2460. 81 1"0 11_
TI•,is pereit is issued subject to the regulations contained in the - - - -- REQUIRED INGPEC'fIONS ----
Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp r'lLlmtt Top Or.lt
applicable laws. All Nark will be done in accordance with approved F o unci at i on Insp Framing Insp
plans. This perait will expire if work is not started within 180 Post/Beam Str^r.rct Fireplace Insp
days of issuance, or if work is scspended fur sore than 180 days. Post /Ueam Mechan Gas I._.ine Insp
f:vat-il Dirairl Insl.11ation Ti �.
!'er'mittee aign�at �.lr°E'ie:! ✓111 .�� .. V_ F'lm/1.irrcislab Insp Gyp Seat-d In-- r_
PLM/UnOer,floor Rain Insp
Mer'hranic:a1 Insp
Water- Linc? In,p
077. 1 far inspecrtion - 639.-4175
g9 � ,
SEWER C014NEC'TION
CITY OF TIGARD IDERMI"l,
r'Efth11 T #. . . . . . . : SWR95---0233
COMMUNITY DEVELOPMENT DEPARTMENT :(TATE. ISSUED: 0G/22/9S
13126 BW Nall Blvd.TlCvd,Oregon 97223.8199 (603)634.4171
r,nRCEL: C:S 104EI1"1-0,4700
';ITE ADDRE J'1. . . : 1,3084 SW MARCIA DR
SUDDIVIGICIN. . . . : CASTLE HILL #j: ZONING: R-12 F'D
13LOCI.. . . . . . . . . . LOT. . . . . . . . . . . . . :000
9
I TENANT NAME. . . . . :
UGA NO. . . . . . . . . . : FIXTURE UNITS. . .
CLASS OF WORI•:. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF EIU I LD I NGS: :1
INS _,1_1_ TYr-C. . . . :F.USWR IMF'ERV :uRrriC E. . : : of
I
Re inar'ks : P,nTH I
a
FEES
r DOM MOR'ISSETTE type amount by date recpt
j
5000 SW MEADOWS RD PRMT $ 2,200. 00 .TD 06/L2/95
15UITE # 151 INSF- $ 35. 00 JD 06/212/95
LAIC O";WE:GO OR 97035
i F)Vlurie #: &C111 -77538
r
t
i
'JNTRACTOR NOT ON FILE
t
1-Ti a n(i #. $ C` ;1. 00 TOTAL
ReL.i +f. .
_— - -- REQUIRED I N5P,ECT I ONS
This Applicant agrees to comply with all the rules and regulations Sewer InaF)Pction
J the Unified Sewage Agency. The permit expires 180 days from _W._._„____,•_. ___.____. _._.__.�._.
the data Issued. The total amount paid will be forfeited if the
oar;it expires, The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
,liven, the installer shall prn5pect 3 feet in all directions from
the distanc- giver, if not so located, the installer shall purchase
a "Tap and Side Sewer” permit and the
Agency will install{', a lateral,
F't E'ea a 1 •it IJ 1`e
4
fi
Call fL-r iTispec_tion 639--4175
1
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Residential Building Permit Application x,13
-city of Tigard
I 13925 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: !' �`>� � y' HCl ` Y • I
d
✓Subdivision: (AAA-V ��i ( � Z Lot# Office Use Only
Valuation: v� U w Planck/Rec #� '" •� i
i
Permit# Al
Corner Lot? Y N
Reissue of I
Flag Lot? Y N _
Map & TL#Z`s a(A.B 7C )
- i
Owner: Approvals Required
Address: � Vel HE�1� 9 `�I� I rJ Planning
Engineering _
Phone: ( OO - �eJ�Ji� _
: --- Other
(�oy)f
icontractor: Cutin
-- Items Required r--r 1 15 "
"{ Address: '( Pt,{ ak�hn_v� PU W.c S}rC e.(�
--- --- ---- Sudcontractors
----- — Truss Details
Phone: _ —_— Other
Contractor's License # �j
(attach copy of currant Oregon license)
Contact Name & Phone:--D9 6 � -771-5 38
Subcontractors: Arch itect/Engineer:7-f-10-11-j--r —
4"
Plumbing:bkborj PrK.eeS 1? UH 61 INJ 0 Address: _ J M�� �• �jj I�'� I ;
a
Mechanical:711el.L—(_al)NfT%-1 Q"_ J 6Dr51^�I (� �
(attach copy of current OR Contractor's License) 2 0
Phone:
I
JOE DESCRf PTION: i
Applicant Signature & Phone number
Received by: —y-�'-- _ — —_ Date Received:
NM0RLMk)MDEIARESAPP
�t' �5--244-5
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IV IS EMS i MCI
_..... s ••Mzrnr.4A"NWh�rsY Mnn;mrK. ..,
Permit# Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECN) �,-
State Tax (TAX)
Bldg: 35"4,13
Plumb:
Mech: .2 /
Plan Check PLANCK) 2,50 - �I
� ri .f
Bldg:
Plumb:
Mech: Z
tvl i-0;3 Sewer Connection (SWUSA) d
,y
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) S S�
Storm Drainage Chg (SDSDC) _
Residential TIF (TIF-R) VtM-CA%a/" .
i
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
--- —
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
' Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
1 Erosion Cntrl Permit (ERPRMT) � a
Erosion Planck/USA (ERPL.AN)
Erosion Planck/COT (EROSN) 2LLv
yyys ��
TOTALS: s c ter`
vo
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i Irr.i 5i't�}S: rai .ld!•�:.:':Sti=iS:, :•i=�!'�7� 4'S't��}�'' �•�!���':
.::•:q. \,`t. �•' f,f;,':•;' •���F! :41Ii���/r' .��\l�€71r ���ss���I��•. :l�i�.��f •f�s ,,\�i
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• C.•2dlt No.
G<ta/ssueC:
:=
7RAPFF-7C IMPACT FF r-•
CRErJli VOUCPE.:?
!n accardancs w, � •�•••��
th the i rbc Impact F99 OrdIII "
�sf is entitled to �' � Mgt=..evelopment Corpomd'an
on lot(s)6'3-13 i rbc I N act:-se C,'Od ts', at=n be agpliad 10 77F dmrges
s of rifle bill o. 2 Ceve/cgm&nt. ?Ire�'sa of
are subject to the!v/es and/imitations of the -1j,=
O NI w amts
This arca. W.:r?N1NG. fr;,
voucher must\5e prasartad at the fire of;sszrancs of the 3u;lding P9rtit Ory deferral
#I : was granted ismancs of an Occ jparcy r=9rr't;t. -==•
tltl ti ••f
i MA!m!X CF•.?CFUEV i CORPOF.A SON Irene
title and filtereSt in and to that car,ain i y aSSryRS a/I r7S right•
ratffc Impact Fse
a'-aa to be grarrtad
upon the ISSLancs of a building permit for Lot j Ir ;•:
CAS L_H!L NO. 2 suzdlvrsron, .:
• Was'rinston County, Ore,^on, to the order of,
DO:i MORISSETTE HOMES, INC.
5000 S.W. MEADOWS ROAD, #151
LAKE OSWEGO. OR 97035
• rLz
77n'
s ass;-rmart cf i,d;;c Irate Fsg C,-adit rade and given this
day of 19
MA-- '/!RIX DEOFrW EV 7 CORPORA noN, r�
an Oreyvn corporation
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Tt/e or Positron j
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CITY OF- T'Il:Gel) RFCF`IP'T' Or PAYMENT RE=.CF'IPT NO. 05--2671.49
C:HE Ct< AMOUNT Y 40+5. E31 I
NAMI.:: t DON MUFt I SS;F:T Tl� HC1MCI3, INC' CASH AMOUNT t 0. 00
FEL�llRE 17+..i o 1-'AYMF.NT DATF t QIP+/2'3/135
9000 SW MEADOWS FM ';TE:' 15#1 .USDIVI9XON t
LAKE OGWF-130 OR 97o,35.-
PURPOSE
70;35.-PURPOSE OF PAYMENT AMOUNT PAID PURPC)SIE OF' Pf)YME:NT AMOUNT PAID
E3lJIl_DTNF3 PFRM 4! T9 tZ23f3 t7� F+I..UMBINf_i FryfMF2M �?� ,' (�i I
MECHANICAL PF, 5. 00 ST. BUIL D PrR 48, 53
PI..AN CHECK FE P-66. 158 9F.:WER USA S5WR95--0233 r?�:17JCI1„ 00
! SE:WF='R S NSPE:C:T 35. 00 0 PARE 9 SDC 500. 00 I
WO QUALITY FACILITY F'E'E: 180. 00 Hc.,.0 QUANT I T Y V-"nC I L I T Y FEE 100. 00
DF Rf ;slClN cnNTROL. Pt-RMIT'FF-F 88. 01A E:RORION CONTROL_ PLAN CK , Ci, k.W
! VROSION CONTROL 28. (10
1 �
1,3884 SW MARS: I A DR
CASTLE HILL 02 LC)T 80 ( � r �• ��� �' I �
TOTAL AMOUNT PAIL? - - _> 4445. 81
i
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4r,
MECHANICAL ✓
PERMIT
CITY OF TIGARD PERMIT #. . . . . . . . MEC96-0102
DATE ISSUED: 06/18/98
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 01223+6199 (5031639-4171 PARCEL: 2S 10 4PA-04700
SITE ADDRESS. . . : 13884 5W MARCIA OR
SUBDIVISION. . . . : CASTLE HILL #2 ZONING: R-•12 PD
PLOC_-�,. . . . . . . . . . . LU1.. . . . . . . . . . . . . :080
CLASS OF WORT;. . :ADD FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP'. . :A1 VENTS W/O APPIL. III VENT SYSTEMS: 0
:,TORIES. . . . . . . . . 0 POiLERS/COMPRFSGORS HOODS. . , . . . . . 0
"=UEL TYPES--___ _-._._..______ 0-3 HID, . . . . 1. DOMES. INCIN: 0
: /GAS- / / / 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT : 0 BT"LI 1`..'_30 HP. . . . : 0 REPAIR UNITS: 0
FI RE DAMPERS?. . : 30- 50 HP'. . . . : 0 WOCIDSTOVES. . : 0
GAS PRESSURE. . . : 0+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UN]: TS---_ ----- - AIR HANDLING UNIT,"; OTHER UNITS. : 0
1=URN ( 10011 PTU: 0 (= ! 0000 cfm : 0 GAS OUTLETS. : 0 T
F L. RN ) =100K ITU: 0 i 10000 cfm: 0
Rem,-..irks.- Installing one gala comp. to 3Hp.
Owner-: - -__________._._.______.__.._.._..__..___._.______----_____________- FEES ..__._.--------- ---- p
M1CHAE.L KIRBY type amo'_lnt by date r-;?cpt
13884 SW MARCIA PRMT $ 25. 00 CJS 06/18/96 98--•280694
5P'C-1 $ 1. iR 5 CJS 1116/ 18/96 96--280694
TIGARD OR 97223
y,
Phone #:
Cont Tactor:
CL I MAT E C',0NT ROL INC
3315 NW 261-H
PORTLAND OR __---------------------------------.._.. --_
i.
1:1rnone #: $ 2''6. 25 ToT*AL.
062196
-- ---- REQUIRED INSPECTIONS --- ---- y
This permit is issilm subject to the regulations contained in the rlect-lanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mise. Inspection
applicable laws. All work will be done in accordance with F ina:l Inspection
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work i'; suspended for more
than 188 days.
Permittee a i G n a t P_I r e : 1X1CA.l..al CGA.._.._..__.__.._.
Dy
Gall for inspection - 639-•4175
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City of Tigard MECHANICAL PERMIT Planck/Rec. # aeo6gy
13125 SW Hall Blvd. (' P , C ION Permit # 2) ECS-D18,)
PO Box 23397
Tigard, OR 97223 '
(503) 639-4171
escnption
Table 3A Mechanical Code CITY PRICE AMT
.lob 1) Permit Fee '-0- -0-t. 10.00~
Address CAXWri`
2) Supplemental Permit 3.00
Furnace to 100,000 BTLT
" 1) incl.ducts&vents 6.00n
»� Furnace 100,000 BTU+
Owner 1 2) Incl.ducts&vents 7.50
Floor Fumanoo
3) incl.vent 6.00
Suspended eater,well i.eater
4) or floor mounted heater 6.00
«. Vent not incl.in i
Occupant 5) appliance permit 3.00
.rzP Repair of heating,re ng.
6) cooling,absorption unit 6.00
i
q
Boiler or comp,heat pump,air cond. ,m
7) to 3 HP absorp unit to 100K BTU 6.00
Boiler or comp, at pump,air co
. 6, 3.15 HP absorp unit to .WK BTU 11.00
Contractor
�
Boiler or comp, eat pump,air coM.
C11 a--,O 1 9) 15.30 HP absorp unit.5-1 mil BTU 15.00
IM ~N.. , ^ gBoiler or comp,heat pump,air cond.
10) 3050 HP absorp unit 1-1.75 mil BT1 22.50
hereby a edge that I have read is application,that the Boiler or comp,heat pump,air sono.
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 hangling unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is'correct. ,(It exempt from State registration, itan i3f ng unit
i please give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) evaporate cooler 4.50 `
i
Vent tan connected
15) to a single duct 3.00
Ventilation system not
Q ' 16) included in appliance permit 4.50
v»�• •■ Hood served y
17) mechanical exhaust 4.50
am w u itu. ,i Bon repair Commercial or industrial
to be done residen ial an r. -ntial Q 18) type incinerator 30.00
x1s6Nj Use of Other i.e.,woodstovo,water
building or property 19) heater, solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00 C
building or property
21) More than 4-per outlet X90
Type of fuel "o1 Q natural gas LPG Q electric Q
NOTICE
Minimum Fee$2500 SUBTOTAL 5.00
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS 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 REVIFW 25%OF SUBTOTAL 1
AFTER WORK IS COMMENCED.
TOTALTj �+S
Special Conditions — —
I
Date issued 6 by 1 :� , — -
hti,�CNNAT
wnrt!cwmNv
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Home Layout
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{ CITY OF TIGARD BUILDING INSPECTION NOTICE
... I
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I
Inspection:
■
Footing Susp. Ceiling Sprink Rough in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in "NAL:
Post/Beam Mech. San. Sewer Gas Line �y
Plbg. Underfloor Rain Drain Framing -Plumb. ✓
Alarm Water Line Insulation ;.;)ch, L---'
II Underflr. insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �L J6 Time: AM PM
Address: 'D l / 1 r0
Builder. Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED"
l
A4 Sr»G_L,
i _ ✓ .;c" 1/"� C :. /ni s L/L %1)Z.'
i
• �`it iU�L, f.� 7-7� ��-��� C f'�.1i9 C�--.�
!9�����
Inspector:_ -
_APPROVED _DISAPPROVED `r'-LVED SUBJECT TO ABOVE
Call For Reinsp, i
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I
Inspection:_
Footing Susp. Coiling Sprink. Rough-in Appr/Sdwlk I
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbq. Top Out Elec. Rough-in FINAL.
Post/Beam Mech. San. Sewer Gas Line Us—�
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulation
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested:_ ��((J Z j6 Time: AM PM
Address:
Builder: 7 Permit #: .3U
THE FOLLOWING CORRECTIONS ARE REQUIRED:
..:.
,'s
Inspect Date:
ROV
ED _DISAPPROVED APPROVED SUBJECT TO ABOVE
V
__Call For Reinsp.
i
.I .
XY.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Linn (Rec-O-Phone): 639-4175 Business Phone: 639.4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beare 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.
Underflr. Insul, Shear Wall Gyp. Bd ect
Date Requested:
Time: AM PM t
Address: R�/�'� � �1_
Builder: 7/ �'a ��- --�Permit #: 6 3
THE FOLLOWING CORRECTIONS ARE REQUIRED: (— 2 r_`
'2 CT
Inspectorzg I c e`t?
APPROVED _DISAPPROVED
_APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
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> ,� ,�p°•�i«'.7 a •qn «.;mp .n:rr;; s w pvee.•r na r t m.+v ,w� 'au�>� . h.�. Wlf, ..
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CITY OF TIGARD BUILDING INSPECTION NOTICE e
Inspection Line (Rec-O-Phone): 639-4175 Business Fiwne: 639-4171
Inspection:
Footing Susp, Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg,
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp, Bd. -Elect.
Date Requested: Ile 2 Time: AM PM
Address:-02
Builder:_ J ?, g d 7 Permit #:IF
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
i>
Inspector:1 _ - Date:�U
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
i.
_Call For Reinsp.
y
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•n
71 .
1
Inspection:
Footing Susp. Ce ling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top OLS, Elec. Rough-in FINAL:
Post/Beam Mech. Sari. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - lutes
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: O��/ G Time: AM PM
Address:_
Builder. Permit #: __
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector!��%; "_:�'` Dater
J
_APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
II For Reinsp.
9.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ✓ °
i,
Inspection:
Footing Susp. Ceiling Sprink. Rough-in AP rr/SdwIk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: bk
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. 1/ , �1 ct.
Date Requested: �7( a ' -' Time: AM PM
Address: `>
Builder: _Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector. la S Date:
_APPROVED —DISAPPROVED APPROVED SUBJECT ABOVE
Call For Reinsp.
T
F
Li
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171/''
Inspection:
Footing Susp. Ceiling Sprink. Rough-in 4ppr/Sdwlk
Foundation Plbg. Unrlerslab Mech. Rough-in Fireplace
Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL:
I.
F'ost/Beam Mech. San. Sewer Gas Line -Bldg is y
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Undedir. Insul. Shear Wall qyp j3d. Elect.
Date Requested: c-
1 Time: M PM
Address:
Builder:
Permit
�i
THE FOLLOWING CORRECTIONS ARE REaUIRED:
i
,
Inspector: _Date:
_APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
i
_—Call For Reinsp.
i
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t fir.!
rY
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in A r/Sdwlk
Foundation pp
Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plb To Out p
9• p Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Ling
-Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water LinensulT ^alio
Bch.
Underflr. Insul, Shear Wall
Gyp. Bd. -Elect.
Date Requested: G
Time: AM PM
Address:_
Builder:
— Permit #: C7��–
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Inspector:
Date: 3 C. /
APPROVED _DISAPPROVED +PROVED SUBJECT TO ABOVE
_ {\ _Call For Reinsp. 1
n\ i
i
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslabech. Roug / Fireplace
Post/Beam Struct. Plbg. Top Out in FINAL:
Post/Beam Mech, San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Gramm -2p -Plumb.
Alarrn Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ (, rj /j Time: AM �FM
Address: _
Builder:_ Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: .Dater(
��`APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
��� _Call For Reinsp.
411,A ^l
0"
1 5�'
F �
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639••4175 Buci Gas Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested: Time:Y11,4M_ PM
Address: O �� E all
Builder: _Permit #:
THE FOLLOWING CORRECTION, 4RE REQUIRED:
Ae
•z• r
Inspector:� s,�2 } �� .<<. pate `r T
_APPROVED _DISAPPROVED _LX�PPROVED SUBJECT TO ABOVE
_Call For Reinsp. �
oil
t
...� gip.
at
CITY OF TIGARD BUILDING INSPECTION NOTICE
Insp'bction Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171
Inspection:
Footing Susp, Ceiling Sprink. Rough-in ppr/Sdwlk
Foundation Plbg. Underslab t��
Rou -in Fireplace
Post/Beam Struct. Plbg. Top Out &'� . Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line �ly -Bldg.
Plbg. Underfloor Rain DrainFraming ` -Plumb.
Alarm Water Line Insulation _,¢/-Mech.
Underflr. Insul. Shear Wall hi�J Gyp. Bd. f;Ck' •Elect.
Date Requested: c Times,' - AM PM
Address:_ zags
Permit #:
Builder: --
� /� 2�
i THE FOLLOWING CORRECTIONS ARE REQUIRED:
� U
V11
-
Inspector:_ Date:
_APPROVED P(DISAPPROVED _APPROVED SUBJECT TO ABOVE
For Reinsp.
4
' fG.rV •YMw ;vy �1R' tl+ 'MI'orre,
9
7
y
CITY OF TIGARD BUILDING INSPECTION NOTICE
i
Inspection Li. 'Rec-O-Phone): 639-4175 Business Phone: 639-4171 j
Inspection:
77
Footing SusP• Ceiling prink. Rough-in APPr/Sdwlk
Foundation Plbg. Underslab M-ch. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect. '
is I
Date Requested: Time: AM _rPM ,
Address:
Builder: _ Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: Z
i C
Inspector: �._ �J" _ Date:_jL ,A
APPROVED N_(SAPPROVED _ AP; RIVED SUBJECT TO ABOVE
Q _r XII For Reinsp.
4
44'
1 f '�
CITY OF TIGARD BUILDING INSPECTION NOTICE I
Inspection Line (Rec-O-Phone): 639-4175 Business P' one: 639-4.71 �I
Inspection:
Footing Susp. Ceiling Sprink.1_ Rou h in /ppr/Sdwlk
Foundation Plbg. Underslab Mec; gh-in
Ro gh-in Fireplace
Post/Beam Struct. Plbg. Top Out FINAL:
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:_ �� Time: AM _PNI
x`11 c C/
L�75 Address: L
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ro
'"j w--e
� 4
Inspector: '� Date:
APPROVED G411SAPPROVED APPROVED SUBJECT TO ABOVE
all For Reinsp.
� �km�
y
t'�p1
1 -
1i
CITY OF TIGARD BUILDING INSPECTIGy NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business P- one: 639 4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk '
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam 5truct• 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.
Underflr. Insul. sar�71/ �� Gyp. Bd. -Elect.
Date Requested: �'� I l _Time: AM PM
Address: . �p A Y I C
Builder: _Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRE):
Inspector:_ _— Date: •
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APPROVED DISAPPROVED PROVED SUBJECI TO ABOVE
_Call For Reinsp.
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT# _
Phone(503)639-4171
FAX(503)684-7297 DATE. ISSUED T J c
TDD No. (503)684-2772 ---
CITY OF TIGARD Inspection (503) 639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
"I. LOCATION OF INSTALLATION 4. TYPE OF WORK
A cess RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 540.00
(FOP,ALL SYSTEMS)
City Stale: Zip ick Type of Work Involved:
I
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK Audio and Stereo Systems
IS NOT STARTED WIl HIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR y
1n0 DAYS. ❑ Burglar Alarm
1. CONTRACTOR APPLICATION El Garage Door Opener*
11I Gfr/4If 54�FO'/2.5 ❑ Healing,Ventilation and Air Conditioning System*
Contractor!,J�y C. a---- 1yPe-_-_ _ _--_----- - ❑ Vacuum systems*
Address _..1J - - �Q_!' dre ❑ Other
Date COMMERCIAL—Fee for each system . . . . . . . . . $4UQ
(SFE OAR 918-260-260) t
Property Owner tC/.��_� �Qy^� /� Lhed Type of Work Involved:
Contractor's Board Reg. No. _!�1 u-------- ❑ Audio and Stereo Systems*
❑ Boiler Controls
Phone#
Z11 r -- - --- --- ❑ Clock Systems 9.
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Inslallation
❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ landscape Irrigation Control*
1. city State Zip -- EJ Medical
'+
t. ❑ Nurse Calls
This permit Is Issued under OAR 918-120.370.This applicant agrees to make only
restricted energy Installations(100 volt amps or less)under this lwonit and to do the ❑ Outdoor Landscape lighting"
following:
1. Only use electrical licensed persons to do installations where required,(Certain ❑ Protective Signaling
residential and,ether transactions are exempt from licensing.These have El Other
asterisksl'1.All others need licensing), - — —
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503-639-4175.
❑ Number of Systems
3. Purchase separate permits forall installations tical aro not ready for inspection --� -'--�'-- —
when the inspector is nut to inspect under this prrmir w lit rm,v-ave mquiwd Licenses are required for all other installations.
4. Assume responsibility(or assuring that all(onertinn,requimd by the inspector
are done,and
5. Assume responsibility for ralling 6x a final inspection when all of the corrections 5. FEES
are completed.
The person signing for this permit must he the applicant or a person a. Fnter Felt,-, $
i e
authorized to bind the applicant.
b. 5% Surcharge(05 x total above) $
Si
TOTAL
Authority if nth,-;
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
1
Inspection: —� _ �-- .il�}•.��
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech, San. Sewer Gas Line -Bldg. W,
Plbg. Underfloor Rain Drain Framing -Plumb. v'
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
c
Date Requested: C� Time: AM PM
Address: ]r�j 9 p'S�
Builder: U `4 Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: b�, � Date:
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec O Phone: 639-4175 Business Phone: 639-4171
Inspection: —
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Merh. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer (� ams LirjO -Bldg.
Plbo. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meeh.
Llnderflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: C Time: AM PM
Address:
Builder: Permit #: /
THE FOLLOWING CORRECTIONS ARE REQUIRED:
———Ew-
ats Ins ctor:_ Date:
OVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
CITY OF TIGARU BUILDING INSPECTION NOTICE I
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
Z.—
Inspection:'
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
FOUndation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Eloc. 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 Vall Gyp. Bd. -Elect.
Date Requested: _1 `� �� Time: AM PM
Address: �'� )W r"C <t
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
41
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_a gi, c, (.C-
'nspPctor:,L _e 4; Dater
—APPROVED 4DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp. �1 1
, V
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. a
Tigard, OR 97223 Planck/Rec. #
Permit #
Phone (503) 639-4171 Date Issued 3' L'- JS
CITY OF TIGARDFAX (503) 684-7297 Issued by
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below: a
Name of Development _�yNumber of Inspections per permit allowed
Address 1.3 goo
I 5 LJ //& r p.< en. 1J /C-, Service included: Items Cost(ea) Sum 4 e
City/State/Zip_ I , G A 3 4a. Residential•per unit 4
1000 eq It or lees $1 to 00 ��.DO
II II wt
Name (or name of business) Y►9
en or 1z t'tsea �S Each additional 600 aq ft or portion thereof {25 00
Commercial❑ Residential Limited Energy 92500
Each Manufd Home or Modular 2
Dwelling Service or Feeder 966.00
2a. Contractor Installation only: 4b.Servioss or Feeders
rr
_ IInstallation,alteration,m relocation
200amps or leas se 00 2Electrical Contracto2
Address t)7D In
1.5 201 amps to 400 amps $8000 2
401 amps to 600 amps 912000 2
City ► a,/rr r+nh State_o�L Zip g 700 Q 601 ar,ya to 1000 amps 918000 2
Phone No. le y/— Q Q I Z Over 10r u anpa or volts $34000 2
Contractor's LicenseNo.— - q Reconnect ov1v $5000
Contractor's Board Reg. No. `42--2 Z 4c.Temporary Services or Feeders
Installation,alteration,or relocation 2 t
Signature of Supr. Elec' 200 amps or less $5000 2
License No. 35- �t Phone No. Ly/-Bnl Z 201 amps to 400 amps -- $7500 2
401 amps to 800 amps $10000
Over 600 amps to 1000 volts y
2b. For owner installations: sea•b•above
4d. Branch Circuits
Print Owner's Name New,allarstion or oxtansion per panel
Address_ a)The leo for branch circuits IMfh
cityState Zip purchase or eervke or Aeohrr Asa. 2
Each branch circuit 95 00
Phone No. b)The fea Io branch circuits IMfhoul
The installation is being made on property I own which is purch,rse of servke or Aredw 11N. 2
not intended for sale, lease or rent. First branch circuit 93500 2
Each additional branch arcuit 95 00
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $4000 2
Each sign or outline lighting 94000
Please check appropriate Item and enter fee in section SB. Signal circuit(s)or a limited ennrgy 2panel alteration or extension $4000
4 or more residential units in one structure Minor Label%(10) $10000
Service and feeder 225 amps or more {
System over 600 volts nominal 411.Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Par inspection $3500
Per hour $5500
Submit 2 sets of plans with application where any of the above n Plant $5500
apply. Not required for temporary construction services.
5. Fees:
NOTICE 5a. Enter total of above fees $ 4d
5%Surcharge(05 X total fees) $
1
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ tl
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b.Enter 25%of line A for
CONSTRUCTION OR WOPK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ i
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ❑ Trust Account M $
Balance Due $
.nd4emdeNrbt�m SPP ._
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C I"fY OF, 1'I fiARD — RFrE'_I PT Of- PAYMENT RECEIPT NO. 395-268909
�AMk t CITY ELECTRIC P,• SUPPLY C0 C14EC:K AMOUNT t 246%. 7µi
PI)DRESS a 10014 S. W. CANYON RD. CASH AMOUNT a 0. 00
PORTLAND, OR. PAYMENT VA I'C= s thR/P�c�/9"i I
972P115— SUBDIVISION a ;
j
PURPOSE~ OF PAYMENT AMOCIN`f RAID PURPOSE OF PAYMENT
AMOUNT PAID
�._...w..P !;�u. 00 S
T. BUILD PER._._....__._.. _ ww ..._ .. K
Y
1
t3884 S. W. MARC IA DR. I
TC:ITAL AMOUNT PAID _ _ w) 246. 75
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Undersla Mech. Rough-in Fireplace
Post/Beam Struct. (' gPI6—Top t Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Lirj -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: —s ' % Time: AM PM
Address:
Builder: Permit If:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
a _
ez
Inspector: �~
Date:
� �-- -- >
?_-APPROVED _DISAPPROVED PPROVED SUBJECT TO ABOVE
_—Call For Reinsp.
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Community Development RESTRICTED ENERGYJELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT #
s Phone(503)639-4171 BATE ISSUED C I —7
I FAX(503) 684-7297
I DD No. (503)684'2772 �
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
i
Afjdress RESIDENTIAL--Restricted Energy Fee. S40.00
j 9t �yv- 7Z _ (FOR ALL SYSTEMS)
I
Cily State Zip Check Tyne of Work Involved:
PERMITS ARE NON-TRANSFERAIILf AND NON-REFUNDABI f ANI)FXPIRF If WORK A dio and Stereo Stems*
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS StJSPI`NOT D FOR ^ y'
180 DAYS. Burglar Alarm
❑ age Door Opener"
2. CONTRACTOR APPLICATION `eating,Ventilation and Air ConditioningSystem*
Cuniractor _ Type_-_-- -_..._-_. ._ .... Vacuum Systems' ,, e
-------. ---- ---- ❑ Other
Address
,
COMMERCIA .—Fee for each system . . . . . . . . . $40.00
(SLE OAR 918-260-260)
Properly Owner
__-_------- ----- --___.- . Check Type of Work Involved:
Contractor's Board Reg. No. _—_-_ _-------_------- -_ ❑ Audits and Stereo Systems*
❑ Boiler Unrilrols
Phone # ❑ Clock S stems
3. OWNER APPLICATION
El Data Telecommunication Installations
❑ 1 ire Alarm Installation
M 1,-4R / I�(R� iib- 76Zx- ❑ IiVAC
Print Owner's Name Phone No
El Instrumentation I,
7Co!v $r✓ L-q uL /J f'ofl o� —f'L ---
❑ Intercom and Paging Systems
Ad ress
yv— &-y4-- 9 7 tip ❑ Landscape Irrigation Control*
City Slate i Zip ❑ Medical
Thi-.px+nnil Is issued under OAR 918-320.370.This appgeant agrees to make only ❑ Norse Calls
restri(tens energy Installations(100 volt amps or less)under Iltis permit and to do the ❑ G)utdoor Landscape Lighting'
following:
1. Only use electrical licensed persons to do installations where required.(Certain El Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisks(').All others need licensing). -` --- -"`-
2. Call for an inspection when r:"of die installations under this permit are ready I
for inspection at 503.639-4175. ❑ Number of Systems
1. Purchase separate permits for all installations that are not ready fnr inspection
When the inspector Is ot,t to inspect under this permit. •No licenses are required. Licenses are required for all other installations
4 Assume responsibility for assuring that all corrections required by the inspector `
are done,and t
S. Assume responsibility for calling for a final inspection when all of the corrections 5. FEES
are completed.
The person signing for this permit must he the applicant or a person a. Enter Fees $ C�
authorized to Lind the applicant.
h. 5°/n Surcharge(05 x Sola!above) $— .......... f
j Signatur t � )
I TOTAL. $
C~
Authority if other than applicant
FNFRGAP t 'IT'
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(:TTY ClF -I'II:ARII •- RECEIPT, OF PAYMENT RECEIPT NO.
CHECK AMO( l%jj- 42.a� `' f[I
NOME K I RBY� I..UR I M. 44. 00
ADDRE.S's r KIRWY, MICHA(•:l-. P CASH AMOUNT a 0. 00
7610 SW LOTUS BLOSSOM FAL PAYMENT DATE:: a 07/24/951
NE:AVF RTON OR 9700A.- SUSS I V T 5I ON a
PURPOSE CIF F,"AYMEN-r
AMOUNT PAIS) PURPC)5E OF PAYMENT AMOUNT PAIL) I
ELECTRICAL PF RMIT 40. 00 ST. ^BUILD PER
_.r_� ._._.
P. 00
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1 s1184 SW MARC T Fl r
EL R95 ..00(::s0 +
TL74"A1... AMOUNT PAID 42. 00 II
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plhn. Underslab Mech, Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL.
Post/Beam Mech. San. Sewer Gas Line -Bldg.
bg.LU7de7loor RainDrain Framing -Plumb,
Alarm Water Line Insulation -Mech.
Underilr. Insul. Shear Wall / Gyp. Bd. -Elect.
Date Requested: C 4 Time. AM PM
Address:_ p
Builder: Permit#: U�2 3 u
THE Fr,JLLOWING CORRECTIONS ARE REQUIRED:
t
i' Date:
Inspector.
&Z
�( APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
T Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
e ik o- Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I
° , '•' Inspection:_
■
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plb>6. Underslab Mach. Rough-in Fireplace
ost/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL.:
Ppst�em M-�., San. Sewer Gas Line -Bldg.
\, 'f� Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meeh.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
� Address:
Builder:_ Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
I
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Inspector:_ v � _ �L- ------ Date: 1. / 27
_APPROVED __DISAP'ROVED APPROVED SUBJECT TO ABOVE
_,Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwi',
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech, ewgr Gas Line -Bldg.
Plbg. Underfloorally n D n Framing Plumb.
Alarm Vaiter Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �, �� lj, �7 5 _ ime:L PM
r
Address: r---
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspec for _ Date:_
!)APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE ?f
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ` ,,
Inspection:
�Edoti�g' Susp. Ceiling Sprink. Rough-in Appr/Sdwlk �• `t
oundatip�i Plbg. Underslab Meeh. Rough-in Fireplace -
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. 'nsul. Shear Wall Gyp, Bd. Elect.
r'
Date Requested: �> Time: AM PM
Address: _
Builder: Permit c / __
� � 7 � Permit #: L; �)L
THE FOLLOWING CORRECTIONS ARE REQUIRED:
V
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c
--
Inspector:_ Date:
—APPROVED _DISAPPROVED PROVED SUBJECT TO ABOVE p
_Call For Reinsp.
6