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13957 SW MISTLETOE DRIVE 80 30AUSIW MS L96£I 0 W 0 H W J H N ti M r 13957 SW MISTLETOE DR CITY �� ������ ELECTRICAL PERMIT PERMIT#: ELC2000-00668 DEVELOPMENT SERVICES - DATE ISSUED: 12/5/00 13125 SW Hall Blvd..Tigard,OR 97223 (503)639-4171 PA;±CEL: 2S104CD-01700 SITE ADDRESS: 13957 SW MISTLETOE DR SUBDIVISION: HILLSHIRE ESTATES ZONING: R-7 BLOCK: LOT : 017 JURISDICTION: TIG Proloct Doscription: Installation of(3)branch circuits for new washer/dryer on second floor. Job No. 510 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 HM/SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1r_W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA AJD'L BRNCH CIRC: 2 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: DALE MCNEIL DAVID JEROME ELECTRIC 13957 SW MISTLETOE DR PO BOX 751 TIGARD, OR 97224 HILLSBORO,OR 97123 Phone: 503-579-1721 Phone: 648-5144 Reg$: LIC 36051 SUP 2877S ELE 34-119C FEES — Few red Inspections Type By Date Amount Receipt Wall Cover PRMT CTR 12/5/00 $60.15 2720000000( Elect'I Firal 5PCT CTR 12/5/00 $4.81 2720000000( Total $64.96 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other 3pp9nable laws. All work will be done in accordance with approved plans. This permit will expire it work is not started within 180 days of Issuance,or If work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAF;952-001-0080. You may obtain cop these s or direct questions to OUNC at(503) 246-198' 3 PERMITTEE'S SIGNATURE � � ISSU BY: 1A OWNER INSTALLATION ONLY a The installation is beinq made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �X� - DATE: LICENSE NO: c�),977S Call 639-4175 by 7:00pm for an Inspection the next business day 12.01/2000 12;15 F'AI("5036847287 City of Tleard 10003 Electrical Permit AptUcati®a N C� Date rorcived: /,IZ- Perm+t no. fL _-c u GJ City of Tigard �'��' �� Pro)ect/appl.00.: Pxpuedam ruyofTigard Address'. 13125 SW Hall Blvd,Tigard.OR 97223 Dateisseod: By: Receiptt,o.: Phone: (503)639-4171 O``+ Pax: (503)598-1960 Can file no.: In I type. Land use approval' ;addm- ily dwtlling or accessory U ComtnerclWindustnal O Multi-family 0 Tenant improverneot l3 struction f]Addition/alteration/neplacement 0 Other..lob `��' r v v� Bhl`.ao Suite no.. _ Tax m Io WCO W no..' Lor Block Subdivision: _ Project name: _ Description redi ation of work on preautw Estimated date of etio0/in coon: r -4- Job noo. Fie Mme Business name: _& F R Q ME E L E C T R I (Ia.) TOW sss. he Addtasa: P O _ E 7 5 E ttedt 6alaisarttlacANpiny city: H i RQstats: O R QIP 9 712 3 So viabo tab* Phone: 4 -51 Pax _ cavil: t000 sq.a.or ICU 4 CCB no.: Elec.bus.lic. 3 4-119 C UmiEmb sq.D.or Portion thereof _ �_ limiad ,ewMrttid 2 Cit /metro lic.no.: _ _ Unti edtmax2 nsaumifw.lured home or naodnlar dwdliq $i eaatu c of supervisinP e! uic► l>I�(req�uc� -- Date— %twice Wworfealer 2 asedere S tett name(Pring DAVID A J E R O M E ILkewerso 2877—Sne"k"'e arrallmitim- MIKUH eatiaa: 200 amp or less2 t to 400 sffq 2 Name( t): a 20l amp to 400 ± 2 Mailing adtlreto: k IJ , t�� 60l N t• 1100 a 2 City: c `[ Slate: ZlP Oval at Volts 2 Phone: `� - - L' Fax: fi maiL omiact _ Ownuu-in Nation:The in%Wladon is being made on propetty I own �'ry m which is ui ortntea�for sale,lease,rent,or 5 agt s to r s" liORS 447.451,479 670 7�� ` - 201 asst ix ea _ 2 �'"C 201s to 400 nips � 2 Ownef s S Date' l0 mo /faaC'�aircaM•ww,attaMiaa, K 4'ala 1M Pamq' Name: � __- _._ A Fee for hrsrteh circuits with putdme of Addross: service or feeder tee,each branch circuit 2 City. I Sta1C: ZIP: �y 8 Fre for tmu+ea circuits without Petchan Fez - 6-snail: of service or f*Was rot,rte branch circuit: 1 2 f ash additional bounds:/resit: � Mbc.( K stats N U Service ovet 225--oMpnercial O Healastamfx Each a a inn eheds 2 o Srnice over 320 amps-rn' a kt O . Bach si n or etttliaa 1 Psnel. 2 J fatly(twellinea a dine over I OSMMI quire arta loos a Sipaal circa t(a)or a 1 tecow 00 O Syntem over 6volts nomieni taxe reudcnlial units in one stnmkire dterawsa,Otattteeiad' 2 C)Building over dt ee rwrin ❑ rl,400 amp+at mwr, •Dated O Oceoment kid over D structural or R4 pule Eatiti aNr she anewalwe 1.A ❑E`aets�lie an d Otht' — Pm — .� Submit`Neta of pUsme wkb my of tre am-le.�` llaveai`arion tae -- ^ The—bo--the trot tt eai4a h trtrtlpKatr arestahtlrtl0ss aaerelteother » ---- til fee Nos.0#wrk4 4M WAP saw arils.PANIC ora Jvtk+frctlon hr"We i'#p" is. Notice-This permit application Ptxtr .....................S O visa MasterCard expires if a pt:rtn)t is not obtained Plan review(ttt o %) $ — Crum cod nNmt>.+r _.�1, within 140 days after it has been state surchwr(8%)....S accepted as complete TOTAL.......................$ ams of u saewa oa etaaat eart CITY OF T I GA R D PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT 0: PLM2000-00439 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 12/5/00 SITE ADDRESS: 13957 SW MISTLETOE DR PARCEL: 2S104CD-01700 SUBDIVISION: HILLSHIRE ESTATES ZONING: R-7 BLOCK: LOT: 017 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: 1 BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Adding clothes washer to 2nd floor Owner: FEES DALE MCNEIL Type By Date Amount Receipt 13957 SW MISTLETOE DR PRMT CTR 12/5/00 $72.50 27200000000 TIGARD, OR 97224 5PCT CTR 12/5/00 $5.80 272.00000000 Total $78.30 Phone 1: 503-579-1721 Contractor: NORTHWEST CENTRAL PLUMBING 2870 SW 221 ST HILLSBORO, OR 97123 REQUIRED INSPECTIONS Phone 1: 642-2067 Top-out Insp Reg#: 1-IC 72253 Final Inspection PLM 34-197PB a ra This permit is issues; subject to the regulations contained in the Tigard Municipal Code, State of OR. 0 Speciaity Codes and all oiher applicable laws. All work will be done in accordance with approved plans. W This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-00,'0 through OAR 952-0001-0080. You may,obtain copies of these rules or direct questions to OUNC by calling (503) 6-1987. IssuedPermittee Signature: ' Call(503)6:3-9/4175 by 7:00 P.M.for an Inspection needed thernext business day Plumbing Permit Application Date received:f,�-5-C ) Permit no.: Q 3 City of Tigard Sewer permit no. Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: case file no.: Payment typ. 1"Tv&2 family dwelling or accessory U Commercial/industrial ❑Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Food service U Other: Job address: 5 'Lj 7 �L' M.i S-4 IP , C p 2 Description Qty. Fee ea. Total Bldg.no.: Suite no.: New 1-and 2-Lamlly dwellings only: (Includes 100 R.ror each utllNy connectlon) Tax map/tax lot/account no.; SFR(1)bath Lot: Block: Subdivision: SFR(2)bath Project name: SFR(3)bath City/county: ZIP: Each additional badAitchen Description and location of work on premises: Slteudlitles: Catch basin/area drain Est.date of completion/inspection: brvwells/Ieach line/trench drain Footing drain(no.lin. ft.) Manufactured home utilities Business name: NSR 1c 1,,,_e5 _.n Manholes Address: Z d. © S 2-2 1 "r Rain drain connector City: D rZ State:07F, ZIP:C-1-7 12.3 Sanitary sewer(no.lin.ft.) Phone: Z zee Z Fax; z 5�'i— --mail: Storm sewer(no. lin.ft.) Water service( CCB no.: Z Z ';-3 Plumb.bus.reg.no: 3, lin.ft.) City/metro lic.no.: I(k CIO Absorption valve a or Nem:: Contractor's representative signature: u bso Print name: ,o p Date: I - -- Back flow reventer Backwater valve Basins/lavatory Name: 'Clothes wnsher Dishwasher _ Address: Drinking fountain(s) _ City_J State: Zip: Ejectors/sump_ Phone: Fax: E-mail: Expansion tank Fixture/sewer cap Name(print): i;),'Af- \c N r-, Floor drains/floor sinks/hub Mailing address: _ V Garage disposal Hose Bibb City: State: T_IP: Ice maker tl Phone: 5 1 V1 1 Fax: E-mail: Interce tor/ mase trap _ owner installation/residential maintenance only: The actual installation Primer(s) will he made by me or the maintenance and repair made by my re-gular Roof drain(crntc:nercial) employee on the m rt I own as r ORS Chapter 447. P Ix' Y per P Sink(s),basin(s),la•;s(s) _ "iii ure: Date: Sum -+ 'Tubs/showedshower pan m Urinal W Name: Water closet J Address` Water heater City: State: ZIP: Other: Phone: s Fax: �E-mail: Total Nd all jurisdictions accept credit cods,please cell jurisdiction for mom Issromsssion. Notice:This permit application Minimum fee................S 50_ U visa U MastercardPlan review(at V %) $ _ expires if a permit is not obt Tined Credit card numher: - / / - within 180 days after it hrJ been State surcharge(896)....$ _-17 Expires —� Name of cardlwldet as shown on credit card accepted as complete. TOTAL .......................$ Q 3� S Cnaholder signature — Amamt 44)-0616(MOCOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 241whily dwellings only: FIXTURES (individual) QTY ea AMOUNT (Includes all Plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory - 16,60 for each utility connection) _ One 1 bath $249.20 Tub or Tub/Shower Comb. 16.60 Two(2)bath _ $350.00 Shower Only 16.60 Three 3 bath 399.00 Water Closet 16.60 SUBTOTAL Urinal � 16.80 _ - 8%STATE SURCHARGE Ej Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 TOTAL Laundry Tray _ 16.60 Washing Machine � 16.60 Floor Drain/Floor Sipl. 2" 16.60 �,.. a" - 16,60PLEASE COMPLETE: 16.60 - Water Heater O conversionlike kind 16.60 Quantityb Work PertOmted Gas piping requires a separate me nical Fixture Type: New Moved Replaced Removed/ permit. _ Capped MFG Home New Water Servil a 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavato� --- Tub or Tub/Shower Hnse Bibs 16.60 Combination _ Roof Drains 1660 Shower Only _ DrinLing Fountain N.60 Water Closet -- Urinal Other Fixtures(Specify) _ - 16. _ Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Floor Draln/Sink: 2" Sewer-1st 100' 55.00 3" - - �- Sewer-each additional 100' 46.40 4" ~ Water Service-191 100' 55.00 Water Heater Water Service-each additional 200' _ 46.40 Other Fixtures Storm&Rain Drain-1st 100' 55.00 (Specify) Storm d Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 48.40 - - Residential Backflow Prevention Device' 2.7.55 - Catch Basin16.80 Inspection of Existing Plumbing or Specially 72.50 Requested Inspectionsper/hr COMMENTS RE RDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 16.60 -- - QUANTITY TOTAL _ CL Isometric or riser diagram Is required If �- Quantity Total is >B -- H "SUBTOTAL -' C 8%STATE SURCHARGE J m "PLAN REVIEW 25%OF SUBTOTAL R uired onl "fixture t total Is>9 W - TOTAL ; "Minimum permit fee Is$72.50+s%state surcharge,except Residential Backflow Prevention Device,which Is$30.25+s%state surcharge. "Ali New Commercial Buildings require plans with Isometric:or riser diagram and plan review i:\dstslforms\plm-fees.doc 10/10/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 •� BUP Date Requested�� ' r _AM PM BLD _ Location /3 l 3 7 5r^' h �� -� !J�_ Suite MEC Contact Person i Ph 3-13 G`�� 5-1VY PLM Contractor_ -�' Ph SWR BUILDING Tenant/Owner ELC i,,* Retaining Wall ELR _ Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: ,+) j 0 Slab SIT Post&Beam �7 Ext Sheath/Shear Int Sheath/Shear Framing �— Insulation Drywall Nailing — Firewall --- Fire Sprinkler 2 --- Fire Alarm Susp'd Ceiling Roof Misc: — — — — Final PASS PART FAIL — — PLUMBING _ Post&Beam Under Slab Top Out — Water Service Sanitary Sewer _ Rain Drains _ _ __— Final PASS PART FAIL _ MECHANICAL Post& Beam ---- — —--' -- Rough In Gas Line - -- — Smoke Dampers Final "— PASS PART FAIL ECTR - -- d Service 0: Rough In UG/Slab _r Low Voltage F' rm J 6 F' m ART FAIL — — W in- Backfill/Grading .—_--- Sanitary Sewer Storm Drain 3einspection fee of$ required before next Inspection. Pay at City Hell, 13125 SW Hall Blvd Catch Basin Fire Supply Line ease call for reinspection RE:—, [ J Unable to inspect-no axess ADA Approach/Sidewalk Date — - Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site. CI " LDING INSPECTION DIVISION MST 24-Hour In 639-4176 Business Line: 6304WI BUP v Date Requested/ �AM� BLD Location 3 3 7 S �.✓ OWr le tu-t Suite MEC Contact Person _ Ph PLM Contractor o M -e— Ph SWR BUILDING Tenant/Owner -frSt C vac /Q.. i h ELC Retaining Wall Gr`-� ci, `l�G✓�► ' ELR Footing Access: Foundar;, FPS Fig Drai SGN Crawl Di,, Inspection Notes: -- S,ab — SIT Post&Beam —� Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _ Firewall /J Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: -- Final PASS PART FAIL ---- -- ---- - PLUMBING Post&Beam — Under Slab Top Out _ Water Service Sanitary Sewer — Rain Drains _ Final PASS PART FAIL — MECHANICAL Post&Beam Rough In Gas Line - - Smoke Dampers Final — - PASS PART FAIL ELFT --- -- ------- a 'Service Rough In N UG/Flab -- Low Vurage\, F' Alarm f - WFin m S - ART FAIL W SITE -� Backfill/Grading — —� Sanitary Sewer Storm Drain [ ]Reinspection fee of$! —required before next inspection. Pay at City Hell, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: ible to inspect-no access Fire Supply Line ADA Approach/Sidewalk Other Date ., Z z'" Inspector Ext 17;S PART FAIL DO NOT REMOVE this Inspection (record from the Job site. ELECTRICAL PERMIT CITY OF T DATEIISSUED:C066/007/96 "COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S104CD-01700 13126 SW H&N Blvd.Tlpad.Or on 97223.3199 (603)939.4171 SITE ADDRESS. . . : 13907 SW MISTLETOE DR SUBDIVISION. . . . : HILLSHIRE ESTATES ZONINGSR-7 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..017 Project Description: Installing first branch circuit and one additional circuit -------------------------------------------------------- ---RESIDENTIAL UNIT---- ---TEMPI SRVC/FEEDERS---- -----MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 -- 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 -- 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVICE/f-EEDER_.--- ----BRANCH CIRCUITS----- ----ADD' L INSPECTIONS— 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDERS 0 PER INSPECTION. . . . . s 0 201 - 400 amn. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . s 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC/ 1 IN PLANT. . . . . . . . . . . s 0 601 -- 1000 amp. . . . . : 0 ------------------PLAN REVIEW 1000+ amp/volt. . . . . : 0 ) a4 RES UNITS. . . . . . . . 5 ) 600 VOLT NOMINAL. . s Reconnect only. . . . . : 0 SVC/FUR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner --------------------------•---------- FEED --•-------------- JOHN GEARHART type amount by date recpt 13957 SW MISTLETOE DR PRMT $ 40. 00 B 06/07/96 96-280372 5PCT $ 2. 00 B 06/07/96 96-•280372. TIGARD OR 97224 Phone #: 692-0800 Contractor: ---------_---_.-_.---------•--------------------------------------------- OWIVE R t 42. 00 TOTAL -•------ REQUIRED INSPECTIONS ---- -- Ceiling Cover Elect' l Service 1='hon(- #- SF:�h. 0130VE Wall Cover Elect' 1 Final This permit is issued subject to the regulations contained in the k Tigard Municipal Code, State of Ore. Specialty Codes and all other Pe it ee Signature applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 1899 days of issuance, or if work is suspended for more than 18e days. Issued By -- _ _-OWNER INSTALLATION ONLY- -_-----.__.-_---------_--_.---_-- 1fie installation is being made on pr�Pgrty 1 own which is not intended for IL sale, lease, or rent. OWNER' S SIGNATURE: DATES r to ---------------------CONTRACTOR INSTALLATION ONLY----------•---------_-------- SIGNATURE OF SUF'R. ELEC' N: DATES ro W LICENSE NO: _ Call for inspection - 639-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hail Blvd. Tigard, OR 97223 Permit # Date Issued _ (c 7- ( _ Phone (503) 639 4171 CITY OF TIOARD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 6394175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development� Number of Inspections par permit allowed Address /3Q,r7 �L✓ �s ���1t Service included: items Cost(ea) Sum City/State/Zip��� �_L - 4a. Residential -per unit / 1000 sq. ft. or lees $110.00 Name (or name of business) /� �+'Q/� E �d500 eq fl or there portion thereof $25.00 L"Red Enemy s25 no 1 Commercial ❑ Residential Each Manurd Home or Modular Dwelling Service or Feeder $66.00 2 2a. Contractor installation only: 4b. Services or Feeders v- -_ -- -� Installation, or les relocation on,or krelocation2 Electrical Contractor 200 amps or s lees Address 201 amps to 400 amps $60.00 2 401 amps to 600 amps $120.001 City_ - -_ State^ Zip - 601 amps to 1000 amps $160.00 2 Phone NO. _ Over+000 amps or volts $34000 2 ,lob NO. Reconnect only $5000 2 _ �-- contractor's license NO.+ _________ �_ 4c.Temporary Services or Feeders Contractor's Board Reg. No. Installation,Alteration,or relocation 2 Signature of Supr. Elec'n ___� 200 amps rx leu ^_ 201 amps to 400 amps _ $50.00 2 License No._-____ 110 Phone No. 401 amps to 0 amps $7500 2 Over em amps to 1000 Vohs 3100.00 2b. For owner installations: see"h"aboVe 4d. Branch Clraufts Print Owner's Name I _ New.alteration or extension per pane Address '!.1,! a)The fee for branch clrcults with 2 purchase or service or feeder fee. City_ �//JA Stat Zip 77 1 Each brench clrcult $5.00 Phone IVa. aW - G 191�1- 6100 Fes'• +S b)The fee for branch circuits without 2 The installation is being made on property wn which is purchase of service or fee rfee. 2 First branch cimulf $35.00 � ' 0Q not intended for sale, lease or re Each additional branch circuit $5.00 ��11�,�YT�T' Owner's Siqnature 4e. Miscellaneous (Servire or feeder not included) 2 .% 2 3. Plan Review section (if required): Each pump or outline lig tingcirc $40.00 - Eech sign nr outline IlgMing $40.00 2 Signet circult(s)or a limited energy Please check appropriate Item and enter fee In section 5B. panel,altarstlon or extension $4000 _ 4 or more residential units in one structure Minor labels(10) $100.00 a Service and feeder 225 amps or more 4f. Each additional Inspection over N System over 500 volts nominal the allowable In any of the above _Classified area or structure containing special occupancy $35.00 as described in N.E C. Chapter 5 Per Inspection -� Per hour $55.00 In Plant $5500 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: W 5a. Enter total of above fees $ (� i NOTICE 5%Surcharge (05 X total fees) $ _ Subtotal $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25%of line A for �UTHORtZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review If required (Sec.3) $ c,ONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal S A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS r COMMENCED .oA .r.�- [A Trust Account N $ Balance Due = 42.00 March 20, 1995 City of Tigard Building Inspector Tigard, Oregon RE: Shear wall holddown requirement fo(Lot #17N Hillshire Estates Dear Inspector: It has been brought to my attention by the framer for this house that the rear left wall of the family room identified on the attached structural engineering as C/7 and B/7 has had the appropriate hold downs installed in the lower pony wall framing below the floor base. I have been in contact with Payton Rowell's office who provided the Structural Engineering originally. They have instructed me to advise that we provide a 'Simpson' CMST 12 over the floor frame diaphragm above. The 'Simpson' CMST12 in combination with the continuous 1/2" plywood sht'g over the rim joist which is now in place will resist the 2952 pound vertical loading as diagramed on page #9 of the attached approved structural calculations. Thank you for your attention to this matter. If I can be of any further assistance, please feel free to call. Sincer. ly, and L. White P.O. Box 1454 Lake Oswego, Oregon 97035 (503) 590-4375 o. oc H cc: Dale Richards, Windwood Construction 03 Ui Page No. 1 CASE HISTORY FOR CASE NO.: MST94-0365 WOOD TECHNOLOGY !NC 13957 SW MISTLETOE DR 12/31/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA007 Application received / / / / 09/21/94 PASS JF 09/22/94 BLT MSTA010 Plan check deposit paid / / / / 09/21/94 PASS JF 09/22/94 BLT MSTA020 Plan check by 09/22/94 / / 09/22/94 PASS RT 09/22/94 ALT MSTA030 Check for prcl. restrict. / / 09/22/94 09/22/94 PASS JLO 09/22/94 BLT MSTA092 (F) Issue combination permit / / / / 10/07/94 PASS JLG 10/07/94 JG MSTA092 (F) Issue combination permit / / / / 10/07/94 10/07/94 JO MSTA097 Issue plumbing signature form / / / / 10/07/94 PASS JLG 10/07/94 JO MSTA091 Issue plumbing signature form / / / / 10/11/94 10/11/94 KS MSTA705 Foot/found Insp / / / / 10/25/94 USA INSPECTION; DRAINAGE. FAIL RB 10/25/94 RB MSTA705 Foot/found Insp / / / / 10/25/94 PENDING SEISMIC RESTRAINT; STEPPING PASS RB 10/25/94 RB REQ-MTS; CRAWL DRAIN; NF. CORNER- RETAINING SITUATION TO BE LOOKED AT LATER; USA APPROVAL W/ SILT CURTAIN. MSTA705 Foot/found Tnsp / / / / 11/02/94 PENDING ISSUES RE: EASEMENT AT RIGHT ARID FAIL RB 11/02/94 k0 SPILLAGE OF EARTH AT BACK. CONTACT KEN RE: ISSUES. MSTA705 Foot/found Insp / / / / 11/03/94 pier pads too close to cut edge; seismic PASS RB 11/03/94 RB restraint; ground rod painted. MSTA710 Post/Beam Structural / / / / 11/22/95 0-1- this floor system consist of joist A/N KS 11/27/95 KBS ( not post / beam MSTA711 Post/Beam Mechanical / / / / 11/22/95 M-1- see mechanicals notes DIS KS 11/27/95 KBS MSTA717 PLM/Underfloor / / / / 02/21/95 PASS MS 02/22/95 MRS MSTA720 Mechanical Insp / / / / 02/28/95 SEE REPORT FAIL RB 03/01/95 RB MSTA720 Mech4nical Insp / / / / 03/08/95 PASS RB 03/20/95 RS CL MSTA722 Plumb Top Out / / / / 02/21/95 require back-water valves FAIL ME 02/22/95 MRS at MSTA722 Plumb Top Out / / / / 02/27/95 PASS MS 02/27/95 MRS N MSTA725 Framing Insp / / / / 02/24/95 ELECTRICAL NOT PERFORMED FAIL RB 02/24/95 RB MSTA725 Framing Insp / / / / 03/06/95 0-1- list of corrections RB- DIS KS 03/07/95 KBS m incomplete at this time W J MSTA726 Framing <REINSP> / / / / 02/28/95 SEE REPORT FAIL RB 03/01/95 RB Page No. 2 CASE HISTORY FOR CASE NO.: MST94-0365 WOOD TECHNOIAGY INC 13957 SW MISTLETOE DR 12/31/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd code Sent Done Done Date By MSTA726 Framing <REINSP> / / / / 03/20/95 during gypsum inspection it is evident SUBJ RB 11/27/95 KBS that contractor proceeded with construction without getting approval of framing or insulation, which failed on 3/8/95. MSTA727 Low Voltage / / / / 07/13/95 LVD MJR 10/03/95 MJR MSTA735 Gas Line Insp / / / / 03/15/05 PASS MS 03/16/95 MRS MSTA740 Insulation Insp / / / / 03/08/95 see report dtd 03/8/95 FAIL RB 11/27/95 KBS MSTA740 Insulation Insp / / / / 03/20/95 covered w/gypsum prior to getting SUBJ RB 11/27/95 KBS approval of insulation. MSTA745 Gyp Board Insp J J j / 03/15/95 NO RE-INSUL INSP HAS BEEN CALLED FOR, DIS GS 11/27/95 KBS EXPOSE AREAS OF QUESTION AND .ALL FOR RE INSP MSTA745 Gyp Board Insp / j j / 03/17/95 PASS TLP 03/20/95 TLP MSTA745 Gyp Board Insp / / / / 03/17/95 M-1- corrections not done from prior DIB KS 11/2.7/95 KBS inspection by GS MSTA745 Gyp Board Insp J j / / 03/20/95 pending- note-framing/insulation this PART RB 03/40/95 RB date; misses nailing thru out; NOTE; BASEMENT EXCLUDEu :ROM INSPECTION- NO FRAMING, INSULATION, MECHANICAL HAS BEEN DONE AT THIS LEVEL DO NOT COVER WITHOUT FIRST GETTING THE APPROPRIATE INSPECTIONS. MSTA745 Gyp Board Insp j j j / 03/21/95 PENDING- NAILING OF UPPER EDGE OF RETURN PASS RB 03/21/95 RB AIR VENT EXCLUDING BASEMENT MSTA755 Rain drain Insp / J J J 11/16/94 around house ok PART MS 11/17/94 MRS MSTA755 Rain drain Insp / / / / 11/18/94 need to go out 4'' PART MS 11/18/94 MRS MSTA760 Water Line Insp / J / j 01/31/00 PASS MS 01/31/95 MRS Page No. 3 CASE HISTORY FOR. CASE NO. : MST94 0165 WOOD TECHNOLOGY INC 13957 SW MISTLETOE DR 12/31/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Cade Sent Done Done Date By MSTA'765 Appr/Sdwlk Inep / / 1 05/10/95 1. Extend sidewalk on Hillshire drive PEND LT 05/23/95 NL side to GTE M.N. 2. Place 3' drain line in existing curb weep holes (2 required). 3. Expansion joints (1/2" felt) every 40 feet, deep knife cut every 20 feet with 5 foot panels. 4. Be prepared to protect finish. 5. Call for approach when formed up. MSTA765 Appr/Sdwlk Inep / / / / 06/27/95 1) Install 4" PVC pipe sleeve around PEND LT 07/37/95 NL stop sign anchor before pouring. 2) Compact rock. 3) Remove concrete around GrE MH 6 reform. OK to block off i pour other sic.%walk now. 4) Expansion felt required every 401 i at cold joints. 5) Be prepared to protect finish. 6) Call for approach inspection when formed. MSTA765 Appr/Sdwlk Inep 11/20/95 / / 11/06/95 1. Move back of wheelchair ramp back to PEND LT 17/'1/95 C•H 81 from curb as painted. 2. Grade rock in approach for full 6" 6 compact. d. R3. Sawcut curb on both aides of approach. 4. Replace drain line on downhill side-it has a hole in it. Place drain line to existing weephole by approach. Ui S. Felt requ'-^A every 401. G. Be prepare- co protect finish. Page No. 4 CASE HISTORY FOR CASE NO.: M8T94-0365 WOOD TECHNOLOGY INC 1 13957 SW MISTLETOE DR 12/31/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA770 Misc. Inspection / / / / 02/07/95 pending- nail edges (splices) of PASS RB 11/27/95 KBS exterior sheathing where missed. Staples shall be equivlont of 8d nails for approval. MSTA770 Misc. Inspection / / / / 07/31/95 EFA MJR 07/31/95 MIR MSTA770 Misc. Inspection / / / / 07/31/95 EFA KTR 07/31/35 MJR MSTA790 Electrical Final / / / / 07/13/95 PASS MJR 12/31/98 JT f MSTA795 Mechanical Final / / / / 11/22/95 0-1- see bldg, final for mechanical DIS KS 11./27/95 KBS corrections MSTA795 Mechanical Final 05/20/96 / / / / N-1- remove insulation incontact with B DIS K8 05/20/96 KBS vent also support under floor insulation above B vent MITA797 Plumb Final / / / / 07/03/95 attach presure relief line to water FAIL TLP 11/03/95 TLP heater water healer Ilot sitting level fasten and secure gas line j outside hose bibb not working c hose bibb in garage not working MSTA7P7 Plumb Final / / / / 07/13/95 door locked NR MS 11/03/95 TLP Ms'rA797 Plumb Final / / / / 07/14/95 trap leaking FAIL MS 11/03/95 TLP no accesr tc _ asi MSTA797 Plumb Final / / / / 07/21/95 PASS MS 07/21/95 MRS d N m W J i. Page No. 5 CASE HISTORY FOR CABS NO.: MST94-0765 WOOD TECHNOLOGY INC 13957 SW MISTLETOE DR 12/31/IA • Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA799 Building Final / / / / 11/22/95 b-, need final erosion approved DIS KS 11/27/95 KBR N-2- slope finish grade away from structure 4-3- gas fireplace not functional at this time V4- faulty smoke detector upper level 8 5- provide handrail at lower level #-6- provide smoke detector at lower level and interconnect 0 7 insulate walls at lower level 0 9- gas piping at crawl space needs supported M-9- need to locate low point drain #-10 remove wood firms and debris and loose materials at crawl space M-11- insulate all exposed heat ducts at crawl N-12- recover vapor as needed crawl 6-13-remove insulation incontact with B vent at crawl M-14-support flex ducts at crawl N-15- stairs at lower level. not to code,top riser exceeds limits M-16- guardrail at ext deck ( verticals bars exceed max' spacing MSTA799 Building Final OS/20/96 / / 05/20/96 k l- faulty smoke detector DIS KS 07/23/96 JF 0-2- grout joint betweem fireplace and hearth 0-3- return handrails to walls lower level 4-4- insulate basement walls to IL R-21-value exposed insulation willrequire to be covered with FS paper k-5- remove insulation incontact with B } vent J #-6- positive connections post to beam at front of structure JMSTA799 Building Final 07/16/96 / / 07/16/96 PASS KF 07/24/96 BT2 MSTA970 Case Finaled / / / / 07/16/96 PASS KS 07/24/96 BT2 CITY QF TIGARD h4 DEVELOPMENT SERVICES AUJEM 13125 SW Hill Blvd.,IW4 OR 97M(0)=4171 CERTIFICATE OF OCCUPANCY PERMIT +#. . . . . . . a MST94-0365 DATE ISSUED: 07/24/96 '-31 TE ADDRESS. . . : 13957 SW MISTLETOE DR PARCELa 2S104CD-01700 SUBDIVISION. . . . s HILLSHIRE ESTATES ZONINGsR-7 PD 13LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..017 JURISDICTION:TIG ------------------------ CLASS OF WORK. :NEW TYPE OF USE. . . :SF T'YP'E OF CONSTR:5N OCCUPANCY GRP. sR3 DLC:UP'ANCY LOAD:2 Remarks: PATH 1 Owner: ---------------------•---------•----- WOOD 'TECHNOLOGY INC 39888 NW VERPOORT RD FOREST GROVE OR 97116 Phone #a 503-357-2405 Contractor: -----------•------------------•----- WOOD TECHNOLOGY INC 39888 NW VERPOORI- RD FOREST GROVE OR 97116 Phone #.- 357-2405 Req M. . : 000840 Ihis Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the refer -nee permit was issued. IL BUILDING INSPECTORT L/INSPECT I N SUPERVISOR m (3 POST IN CONSPICUOUS PLACE W J DEPARTMENT OF LAND USE i TRANSPORTATION WASHINGTON LAND DRMELOPMENT WIVICES DMSION 155 NORTH FIRST,HILLSBORO,OR 97124 Comm, INSPECTION REQUESTS: 503/540.3551/593.4415 OREGON XXXXXXXXX--> b4U-347U Page 1 of i Date U3/Ui/9S 'Time 13 : 02 Permit 'Type Residential Electrical hermit Permit # 05064491 Permit Status APPROVED Applied 03/01/9S Situs Address 139b / 5W MISTLETOE UR '1'1 Issued 03/01/95 Permit 'Title bFR - BURGLAR ALARM E Completed : Permit Uescr_ . JOB 1425 To Expire 08/28/95 Project 'Title SPR -- NEW HOME SL'kViCE Project # P0047460 Project Uescr . * EROSION ilarcel Number 2S1T1 - Land Use District : Valuation U Legal Uescr . uwrier INSPECTION - TIGARD Construction OTH Applicant Name CHELSEA AUulU VIDEO Classification 90c1 Applicant Adair . : /'/33 SW CIRRUS L)R Occupancy R3 BEAVERTON, OR 9 /005 Validated by PH Applicant Phone: 641-3blO Inspector Area : Pee description Units Pee/Unit Ext fee Data -------------------------------------------------------------------------------- Limited Enerqy/Alter ./Extension 1 40 . 00 40 . 00 6ubtotai Electrical Pees : 40 . 00 State Surcharge of 5% 1 , 00 Total Electrical Pees : 42 . 00 *** Pees Required *** *** Pees Collected b Credits *** ---------------------------- ---------------------------------------------- Method Check # Receipt No. Date Payment CK 38114 03/01/95 42 . 00 TUTAL 'THIS DATE ********ti 42 . 00 Fees : 4l . 00 Adjustments : . 00 'Total Credits : . 00 Total Pees : 42 . 00 'Total Payments : 42 . 00 Balance Due: 00 NOTICE: This permit becomes null and void 11 the work or construction for which it Is Issued N not commenced within 100 days. Once construction has started, 1 the permit becomes null and void If construction Is interrupted for a period of 100 days. 1 cerft tint the Information preesi by tin appli ant and his agent or agent In support of this permit Is true and correct to the boat of our knowledge. I acknowledge that the Building Depertment's reliance upon false end misleading Information may Invalidate this perm#. All provisions of applicable Iaws and ordinances governing the construction and use of this building or structure will be compiled with whether or not specified on the pians or noted on the plans corection sheet. I acknowledge that the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of the structure or building permitted deponds upon my calling for Inspections at various times during the process d construction and the building Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and approval Is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit Is Issued specifying that the use or occupancy of tha building or structure Is provisional and revocaAle until the satisfaction of all Insper_tion requirements. APKJCANT't SKINATUIIR 1131 ss WASHINGTON COUNTY RESTRICTED 7epartment of Land Use & Transportation electrical Inspection Section ELECTRICAL ENERGY 155 North First Avenue, #350-12 Hillsboro, Oregon 97124 APPLICATION Information: (503)640470 Fax (503)693412 PRINTPLEASE Please completesections, e Permit No. 1. LocatiQI�gf Inst latlf�(1 Date Address 1'J �1 LLLLw , City zip Code 4. Type of work: Map No. Tax Lot RESIDENTIAL Restrlctad Energy Fee $40.00 Thomas Map Book: Page Section (for all systems) Directions Check type of work Involved: Commercial El Residential B`�b�r Alandarm o Systems" Tenant Name Telephone Systems• (if commercial) Garage Door opener" This permit becomes null and void If the work authorized by the Fire Alarm permit Is not commenced within 100 days from dote of Issuance of such permit or If the work authorized Is suspended or abandoned Heating,Ventilation and Air Conditioning Systems" at any time aftor work Is commenced for a period of 180 days. Vacuum Systems" Electrical Permits are non-refundable and non-transferable. Other 2. Contractor application, Electrical Contractor_� �1 Q.� A l.l6QA COMMERCIAL Fee for each system :gp,pp Address LL7 St-U l,>,,�Q 0A . Ise.OAR e1e-2ao-leo) Date -�) Job N ber - Check type of work Involved: Property Owner Contractor's License No, Boik�r Controls Contractor's Board Reg. No. Clock Systems Phone No. (..P W I "._lam 10 Date Telecommunications lnstallations Fire Alarm Installation 3. Owner application: HVAC Instrumentation Print Owner's Name Phone No. Intercom and Paging System Landscape Irrigation Control' Address - Medical Nurse Calls City leeZip Outdoor Landscape Lighting" This permit la Issued under OAR 918-320.370. The applicant agrees Protective Signaling to make only restricted energy Installations(100 volt amps or lose) Other under this permit and to do the following: i. Only use electrical licensed persons to do Installations when required. (Certain residential and other transactions are exempt Number of Systems 1. from licensing. These have asterisks(")• All others need Ikens- C Ing) 2. Call for an Inspection when all the Installetions under this permit *No licenses are required. Lkenses are required brad other krstedatbns, are ready for Inspection. 3. Purchase separate permits for ail Installations that are not ready 5. Fees for Inspection when the Inspector is out to Inspect under this00 3 permit. Enter fees $ 0 4. Assume responsibility for assuming that all corrections required by the Inspector are done,and ba S. Assume responsibility for calling fora final Inspection when all of 5% Surcharge(.05 X total above) $Lj _ the corrections are completed. I, The person signing this permit must be the applicant or a person Total $ authorized to bind the applicant. Signnhue Space below reserved for validation. Authority if other then applicant For Inspections call 640-3561 or 693-4415 24-hour recorder,one working day In advance of need 4N4 . '1 DEPARTMENT OF LAND USE i TRANSPORTATION WASHINGTON LAND DIWELOPMENT SERVICES DIVISION c 1U NORTH FIRST,HILLSBORO,OR 07124 a^s—as' —U COUNTY, INSPECTION REQUESTS: 503/640.3501/503-4415 OREGON XXXXXXXXX- 64U-3470 Page 1 of 1 Cate 02/(`9/95 Time 10: 42 Permit 'Type Residential Electrical Permit Permit # 05J63835 Permit Status APPROVED Applied 02/U9/95 Situs Address 1395'/ 5W MISTLETOE UH '1'1 Issued 02/U9/95 Permit 'Title 5k'R - NEW HOME SERVICE Completed Permit Uescr . To Expire 08/08/95 Pro sect 'Title 5NR - NEW HOME SERVICE: Project !r P0047460 Project Uescr . * EROS.i_JN karcel Number 2S1T1 - Land Use District Valuation U Legal Uescr. owner 1NSPECTIUN - TIUARU Construction OTH Applicant Name MCKENZIE ELECTRIC INC Classification 90U Applicant Addr . : PU BOX 820 Occupancy R3 LAKE OSWEGO UR 9/U34 Validated by MJF Applicant Phone: 624-2312 Inspector Area Fee description Units Fee/Unit Ext fee Vata ------------------------------------------------------------------------------- ~quare rootage [ Enter 5q. Ft . ) 2700 210 . 00 .subtotal Electrical Fees : 210 . 00 ~tate Surcharge of 54 10 . 50 Total Electzical Nees : 220 . 50 * ** Fees Required *** *** Fees Collected & Credits ,r�* Method Check # Receipt No. Date Payment CK 11'/b 02/09/95 220 . 50 TOTAL 'TH18 CANE *,t*****rt* 220 . 50 Fees : 220 . 50 Adjustments : . UU Total Credits : . 00 Total Fees : 12U . 5o 'Total Payments : 220 . 50 Balance Due: . 00 NOTICE: This permit become@ null and void N the work or construction for which It Is Issued Is not commenced within 100 days. Once construction has started, the permit becomes null and void If construction Is Interrupted for a period of 190 days. I certify that the Information presented by the applicant and his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordlnsnce@ governing the construction and use of this building or stricture will be complied with whether or not specified on the plans or noted on the plans correction sheste. I acknowledge that the granting of a permit does not grant authority to access private property or to use easements. 1 further acknowledge that the use or oncupancy of the structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the building Inspection staff verifying compliance with the various codes. Use or occupancy of the building or ebueture permitted rrior to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are sells and approval is given by the Building Official. 1 further acknowledge that a Ilan may be placed on the title of the props pon Which the perm I seaed specifying that the use or occupancy of the building or structure Is pmvlslonal and revocable until the•etlefs all Ind. , nrequ Ma. APM $710 WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use ac Transportation Electrical Inspection Section APPLICATION 155 North First Avenue, #350-12 Hillsboro, Oregon 97124 Information: (503)640-3470 Fax. (503) 6934412 Permit 5-0383 S 2-9-9 PLEASE PRINT Number Date s_ Please coniplete all sections, 1 through 5. 4. Complete Fee Schedule below 1. Locationof Installation Number of Inspections per permit allowed Address I 957 /V/Ar(- e- _ Service Included: Items Cost(ea.) Sum Buildingg A. Residential-per unit 27oo City_ ?/ _PVO _ Suit©N0. Tenant Name 1000 w•ft.or lass $110.00 4 Each additional 500 sq.ft (H commercian or portion thereof $25.00 Umited Energy $25.00 1 Map No. - Tax Lot Each Manurd Hcme or Modular Thomas Map Book: Page: Section: Dwelling Service or Feeder $68.00 2 Directions _ B. Services or Feeders -- Installation,alterations or relocation 200 amps or lass '� $60.00 0.- 2 Commercial ❑ Residential Q' 201 amps to 400 amps $80.00 2 401 amps to 800 amps $120.00 2 28. Contractor Installation onl� 801 ami to 1000 ramps volt -- $180.00 2 Over 1000 amps or volts $340.00 2 Electrical C litre or /r�� /?/c (!cZ 1s 7::V� reconnect only $50.00 2 Address .D • c o City 4,Q�_c1Tw6 U�d State QVr ZIP_.? C. Temporary Services or Feeders Date Pr,-,P-F- _ .lob Number Installation,alteration or relocation Property Owner WrAb ,yds e e_ll 200 amps or less $50.00 2 Contractor's License No. x .S' 201 amps to 400 amps $75.00 2 Contractor's Board Reg. No. �- 401 amps to 600 amps $100.00 _ >: g -� Over 600 amps to 1000 volts see'B'above Signature of Supr. Elec'nD. Branch Circuits License No. .?7. 1' Phone No. a2 New,alteration or extension per panel a) The fee for branch circuits with 2b. For owner Installations: purchase of service or feed f e. Each branch circuit _2F $5.00 2 b) The fee for branch circuits without Print Owner's ams one o, purchase of service or/seder fee. Address First branch circuit $35.00 2 Each add'nl branch circuit $5.00 _ 2 City State Zip - E. Miscellaneous (Service or Feeder not included) Each pump or Irrigation circle $40.00 2 The installation is being made on property I own Each sign or outline lighting $40.00 2 which is not intended for sale, lease or rent. Signal circult(s)or a limited energy panel,atteration Owner's Signature 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 Per hour $55.00 Please check appropriate hem and enter fee In section 58. In Plant $55.00 J _4 or more residential units in one structure 5. Fees M _Service and feeder, 800 amps or more 0 _System over 600 volts nominal A. Enter total of above fees $ 11.1 ___Classified area or structure containing special 5% Surcharge (.05 X total fees) $ occupancy as described in N.E.C. Chapter 5 Subtotal $ B. Enter 25% of line A for Submit 2 sets of plans with application where say of the Plan Review if required (Section 3) $ above apply. Not required for temporary construction Subtotal $ services. ❑ Trust Account $ Balance Due $ 22-0,;y;Q For inspections call This Permit bocomea nulland void New wwk au#wbvd by the paedl Is na eemmaaad 640-3561 or 693-4415 within IGO days from dela of Iawenes of each pamll a M the wait wlhabed Ir suspended or abandoned at any Miss eiwr work Is eewmeeeee la a paled at Ise dere. 24-hour recorder, one working day In advance of need Elantrleal Parmlls are nen-ralundabla and nen4ranakrabla eR4 DEPARTMENT OF LAND USE 6 TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 0350-12 155 NORTH FIRST, HILLSBORO,OR 97124 COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): W3/640-3581 or 693-4415 Permit 8 : 05063835 Project 8 : P0047460 Status APPROVED Paye 1 of 1 Applied : 02/09/95 Issued 02/09/95 Expires 08/08/95 02/23/95 05 : 31 RISELIC Permit Title SFR - NEW HOME SERVICE 0TH Description Begun: 02/09/95 Job Address 13957 SY lillgTL.a'P�f DII TI_ Owner Name 'T��ECTION - TIQARD Region D Applicant Name 14CKINZIS ELECTRIC INC Phone number 624-2322 Valuation: 0 Approved, Inspector,,//Comments: ectad 6.4 _ !Ji ^ - Groh /Q/11 �P C_ r01 14'kl Ak4aL -�^ l'Ll't"I IVR-RESULTS v Elul,ldu 14LC-7-11f7C-7-11f 13bSt/ eats REQUEST tRROR ! 5C boe)o 2 50Z ' 009, Plumbing . &6- �& ` ✓ a Mechanical : Electrical :CD Structruikl : _i ® General � Inspected Date: Inspection Requested: a ovsr +i Besy. 0403 E AP DN IVR /23/95 RI BW 624-2322 WASHINGTON COUNTY INSPECTION CARD DEPARTMENT OF LAND USE AND TRANSPORTATION PHIMET N0. � . FOR INFORMA10NS CALL: 640-3561. 24 HOURS FOR INFORMATION CALL: 640-3470 ..��►►-- // GATE 7 ADDRESS __ ,�� / S / S.L�-' y�ji�S�ILIII{ PERNITEE DIRECTIONS PHONE NO. BUILDING MISCELLANEOUS PLUOBING �ECTRICAL ftg post/beam nail mobile home ground rain drain leap service fdn frame apron/ wood stove post/beam storm seerver 1 s sidewalk slab insul FINALHVAC top-out FINAL FINAL ialc� gas test sewer USA No. f"5,e,cL, 2 3 OTHER NOT APPROVED REQUESTED INSPECTION APPROVED REPAIR AND RE-INSPECT APPROVED HOWEVER NOTE: STOP WORK UNTL: k D _ 9 u GATE � INSPECTED BY ' .r CITY OF T I GARD MASTER PERMIT COMMUNITY DEVELOPMENT DV) PERMIT #. . . . . . . : MST94-0365 13125 SW Hall Blvd.Tigard,0raW 97223o61 (609)x,1' DATE ISSUED: 10/07/94 PARCEL: 2S104CD--01700 SITE ADDRESS. . . : 13957 SW MISTLETOE DR SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R-7 PD BLOCI-IN. . . . . . . . . . : LOT. . . . . . . . . . . . . :017 ------------------------------------- BUILDING ------------------------------------------- REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :543 sf CLASS OF WORK. :NEW BEDRMSP4 BATHS:3 GARAGE. . . . . . . . . . :903 sf TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS---------- i YPE ETBACKS---------- iYPE OF CONST. :5N FIRST. . . . : 1405 sf LEFT. . s29 ft RIGHT. s35 ft OCCUPANCY GRP. :R3 SECOND. . . v1210 sf FRONT. :20 ft REAR. . : 18 ft STORIES. . . . . . . .2 FINBSMENT:0 sf REQUIRED---------------------- HE:IGHT. . . . . . . . :28 ft TOTAL-------:2615 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . is 190209 PARKING SPACES. . : 1 Remarks: PATH I ------- PLUMBING --------------------------------------- SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : l LAVATORIES. . . . . :5 WATER HEATERS. . . il TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERG. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . cO WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . tO DISHW(ISHERS. . . . , 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0 BARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O W(ISHING MACH. . . : 1 SF RAIN DRAINS. . : 1 --.-----------— MECHANICAL ------ ------------------------------ FEES ----------------- I-LIEL TYPES----- UNIT HTRS. . :0 type amount by date recpt /GAS/ VENTS . . . . . s0 TIF $ 1550. 00 JG 10/07/94 - MAX TNPUT;0 BTU VENT FANS. . :5 BPRT $ 660. 50 JG 10/07/94 - FURN ( 100K . . .-0 HOODS. . . . . . il BPLC $ 429. 33 JF 09/21/94 94-257021 FURN ) =100K . . : I. WOUDSTOVES. .-O B5PC $ 33. 03 JG 10/07/94 - FLOOR FURN. . . . :0 CLO DRYERS. : I SSDC $ 280. 00 JG 10/07/94 - BOIL/CMP ( 3HP:0 OTHER UNITS: l PARK $ 500. 00 JG 10/07/94 - GAS OUTLETS: 1 MPRT $ 48. 00 JB 10/07/94 - Owne'-- $ 12. 00 JG 10/07/94 - WOOD TECHNOLOGY INC M5PC $ 2. 40 JG 10/07/94 - 39888 NW VERBOORT 111.) 3BTH $ 225. 00 JG 10/07/94 - V-15PC $ 11. 25 JG 10/07/94 - FOREST GROVE OR 97116 EROS $ 64. 00 JG 10/07/94 - Phone #: 503-357-2405 ERPC $ 20. 80 JG 10/07/94 - Contractor: --------------------ERPC $ 20. 80 JG 10/07/94 - WOOD TECHNOLOGY INC .39888 NW VERBOURT ROAD iL F-OREST GROVE OR 97116 U) T"'hone, #- 35*7-2405 Reg #. . : 84056 J $ 3857. 11 TOTAL This permit is issued subject to the regulations contained in the -------- REQUIRED INSPECTIONS ------- LU Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp -J 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 188 Post/Beam Mechan InSUlation Insp days of issuance, or if work is suspended days, Pim/undslab Insp Gyp Board Insp PLM/Underfloor Rain drain Insp Permittee Signature Mechanical Insp Water Line Insp Plumb Top Out Appr/Sdwlk Insp Issued By : ,-aming Insp Mechan ica I Final Call for inspection 639--4175 CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT SEWERp,tRMMkCT ION 13126 BW Mal Blvd.Ttjard.Orpon 97223*6109 (603)430-4171 PERMIT M. . . . . . . a SWR94•-0327 639-4171 DATE ISSUED: 10/07/94 PARCEL: 28104CD-01700 SITE. ADDRESS. . . : 1:3957 SW MISTLETOE DR SUBDIVISION. . . . : HILLSHIRE ESTATES ZONINGa R-7 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..017 --------------------------------------------------------------------------------------- TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . : CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGSel INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :If Remarks: PATH I --•- -------------- FEES ----------------- WOOD TECHNOLOGY INC type amount by date recpt ,39888 NW VERBOORT RD PRMT $ 2200. 00 JG 10/07/94 - INSP f :35. 00 JG 10/07/94 - F-OREST GROVE OR 97116 Phone #: 503-357-2405 l;nntract or a -----------------------------._. I.ONTRALTOR NOT ON FILE ---------•--------------------------- 1='Ii 2235. 00 TOTAL Reg #. . . - ----- REOUIRED INSPECTIONS -------- This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 180 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 all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the AgIpey wil - t 1 a latera). _ Permittee 5i gnat,_rr e : _ �� �� IL HT s rs,.red B y ' _ _. _._.._...__. _ __ N Call for inspection — 639-4175 _J _m O J • Residential Building Permit ARR11cation City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobslte Address: Subdivision: 14itt S ;kE Itl4ak5 Lot N 17 Office Use Onh, PlancWR*c* 2- -7 R valuation• 11 / Comer Lot? (DYN Reissue of Flag Lot? Y N Map &TL 2Sla q C 9 - Owner: 31111A [-Uma gA,e-r• Anert>tyeh:Rrwullred Y Address: Planning Engineering Phone: Other `Contractor: 11It M TE66c) Wo Reaulmd Address: (]&Zb 2 ai I�fCOtt fait W �/tFr &2or,t�^8 ej 9-r1110 friss Details Phone: 5DZ-357-04*5 Other Contractor's LicenseMIUMMUNIN (attach copy of current Oregon license) Contact Name & Phone: 150-357-.04D-S __ a � I �T' • �-12Z ' ubct rchltect/Engineer: _ F- /,. Plum ing: DII ddress: -i ec apical: , m (attach y o c nt OR on cto s UcejW W Phone: W J JOB DESCRIPTION: AS7-6�o S Applicant Signature & Phone number Received by: Date Received: N W)MCOMDE"ESAPP Permit d Account Description Amount Amt. Pd. esti. Due ` nrSff U. G)� Bldg. Permit (BUILD) /,a 41)V v Plumb. Permit (PLUMB) IZIL IL � / Mech. Permit (MECH) ,ce '"`` State Tax (TAX) (-ew J v Bldg: 0 3.0 3 lumb: //,-Z _ M h: _ V,q o � Plan Ch k (PLANCK) ,(��1 33 ✓ vZS� L3 Bldg: Z Plumb: / Mech: 12, v ,S t-,,04-0 3 z 7 Sewer Connection (S A) Sewer Inspection (SWINS 31 Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) 0 �� Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) n' Office TIF (TIF-O) OC H N Water Quality (WQUAL) Water Quantity (WQUANT) m Fire District (FIRE) J Erosion Cntrl Permit (ERPRMT) `Y Erosion Planck/USA (ERPLAN) �D• _! ' Erosion Planck/COT (EROSN) pprr TOTALS: a Z. J J 2-60 p y ZJ f 61U. MISTLETOE DRIVE ' n + F- 1 I I i I I I F'RC r--'-of • a i RES " -' •- 1 , w 1 ' i f