14169 SW MISTLETOE DRIVE ^,r u �tw r'�.�� 1^t'• I � r5�j 4 i ' l'� f._ . 1 ;�, :fir, s ,tt',, _ °r` 'd, 'f',
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6 EX16T NG STREET ,UREUNG
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-_� _ `` \\ I PROVIDE ACONCRE.E SIDEWALK AT
...� " s__ ———— �.. B THEC
STREET ECCE INSTALLED PER THE
_ __
.___———— _ \ \` \S9 . -/ / CITY STANDARDS AND REQUIREMENTS
19�+VIDE STREET TREES AS REQUIRED BY /y j/q, COA°ER-- \ :aL _.______ W - OIG YPTtO '! \. \e\ �✓ _✓ T7PICAL PROPERTY LINE .
THE CITY STANDARD6 AND IEQ: --/ WArEN;LINE "LS
EXISTM06' CONCRETE STREET 0WWi Ya
\ \ I \ tYPICAL MIN, BUILDING SETBACK LINES ,r
1
PROVIDE A $/4• COPPER WATER LME META!LED 1 \ \ \ �� AROUND THE PROPERTY AS 51-O,tN -Ele
24' MIN. BELCD THE F'N15H GRACE SURFACE '45TALLED (P 34_�' MINIMUM' 1 I I \ \ \\ 1 CITY PLANNING STANDARDS
PER THE GTY ST Ar.C4RD6 NL'> REQUIREMENTS / `\\ .\ \ \ '✓IDE A' ASS SMITARY SEtUER CONNECTION
c NTT I 1 \ , TO EXISTING SANITARY SEUER STUB 4
PROV'DE 48' WID_ CONCRETE ENTRY I;/ALK TO 1 ' I ,d-
THE aRONT DOOR AS BHOur. _ -
III it
TYPICAL PROPERTY LI1g MAN LEVEL FINISH FLOOR:
I \' ELEVATION 469""
BUILDING PERIMETER - TYPICAL
1
rFRGNT OF GARAGE bLAD - ELE V. 468.B0
REAR OF GARAGE SLAB - ELF.". 46676'
MAIN FLOOR FINiDH ELEV. 4690' q, '
y 5 SANT
_SEDER LINE
TYPICAL DRIVEWAY - 4' Mp1 3500 p.8.1. CONCRETE
SLAB WITH BROOM FINISH OVER 4' MIN. 3/4' MINA
COMPACTED GRANULAR FILL SLOPED TO DRAM-
TOWARD STREET EDGE
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•t\I6' \ r0_0 Al' \ ? PROVIDE 36' MIN. SILT EROSION
BI� VM��� `,O P CITTYYTST CONNDARDNSOLY'
AND REiREE
7A' ENT:
/ �(D AROUND THE LOL ER EXCAVA'ED-/- --
BUILDING PERIMETER
TYPICAL MN BUILDING SETBACK LINE E —'- ---'--_--- -
•CONTRACTOR 19 TO VERIFY ALL FIELD CONDITION$ s
IS PRIOR TO CONS'RUCTION
LOWERSAVE OVERHANOVERHANGABOVE THE /
BUILDING LINE - SEE THE BUILDING •CONTRACTOR IS TO 'VERIFY ALL FINAL 570WAND
PLANS AND DETAILS -- — \ / - SANITARY INVERT ELEVATION STU15B FOR PROPER
PTHE SIDE YARD GRADE TO DRAM DRAINPRIOR TO ESTABLISHIFINAL BJILDIAGE NG
PARALLEL WITH THE SIDE TARELEVATION NG O LOT LINE '
A6 BHOIIN •CONTRACTOR IS TO VERIFY LOCATION OF ALL .
JNDERGROUND UTILITIES PRIOR TO EXCAVATION
ADJUSTED NEW GRADE LINES AS 81iOI1N • •CONTRACTOR IS TO VERIFY HE LOCATION 7,t MAX. GRADE SLOPE AT ANY POINT ` GM OF ALL
ON SITE PROPERTY LINES AND BUILDING SETBACKS TO VERIFY
THAT THE HOUSE MEETS ALL THE CURRENT CITY 9TV'IDARD6 �`-
- AND REQUIREFIh-N19
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SITE PLAN DFSuNE , �N BY.
4 'tQA PIL�6-L51I 4 RE ESTATES
44, � .a. , OT 0110
9fY t Fi. ,, UAt'2F_ FEET PA
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fa PLAN 13,948 SQ
IL �/A RESID � NGE
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If this novice appears clearer than the MAY 1 91997
document, the document is of mm•ginol quality.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
A
Footing Rain Drain Cover/Service FINAL:
I Foundation Water Line Ceiling `Pium�•,
post/Beam Mech. Shea. ,;heath Framing Mech.
-Elect.
PIbg.Und/Flr/Slab Plbg.Top Out Insulation _
PosUBeam Struct. Mech, Rough-in Gyp, Bd. Bldg.
San. Sewer Gas Line Appr/Sdwik Reins.
+ Other:
Date: ` i c� ' A.M. —P.M. " Entry:
Address: .—%y/ (,� ? i c
r_
Tenant: Ste:__-_- MST:
-— -- BUP: ---
Con/Own: ��-- MEC:
PLM• 71
-7Tv�
ELC: -r
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR.
-- —
Inspecto .�a�"�— — Date: '
PROVED —DISAPPROVED/CALL FOR REINSP. CF CO
ti ,. F�, „n,6r.s �• �` wFl N�pi h'(I119F 1!f)IM
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PLUMBING PERMIT
CITY OF TIGARD DATIEIISSUED: . 08/09/966-111;.34
COMMUNITY DEVELOPMENT DEPARTMENT
13125 5W Hall Blvd.Tigard,Oregon 97223.0109 (503)039.4171 PARCEL: 2S 104CC--0050111
SITE ADDRES`:�. . . : 1416' SW lylISTLE_TOE:: DR
SUBDIVISION. . . . : HTLLSHIRE ESTATES NO. 2 :ZONING: R-7 PD
BLOCI . . . . . . . . . . . LOT. . . . . . . . . . . . . : 110
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. : ID IAOB I LE HOME SPI-iCES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . 0 BACKFLOW PREVNTRS. . : 1.
OCCUPANCY GRP, . : RS FLOOR DRAINS. . . . . . . IZI TRAP'S. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HE=ATERS). . . . . : 0 CATCH BASING. . . . . . . : 0
FIXTURES-- - _-- ---- --- LAUNDRY TRAYS. . . . . . 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE:: TRAPS. . . . . . . : 0
LAVATORIES. . . . . : 0 OTHER E=I XTURE-S. . . . : 0
TUB/SHOWERS. . . . : Ill E E:WE'.R LINE (ft ) . . . : 0
WATER CLOSETS— :: 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Inst al 1. i.nrd a resicienti.al backflow device.
Owner: ____.._._.....__.__-_.__._...____.____..____.___._____..__----.__._________.____ FEES ----- - --- -----
WINDWOOD HOMES type amol_Int by elate r^ecpt
14076 SW BENCHVIEW T'ERR P'RMT $ 15. 00 CJS 08/09/96 96-282759
5PC1- 0. 75 CJS 08/09/96 96-282759
T IGARD OR 97224
24
Phone #: 590-4701
Contractor
CEDAR LANDSCAPE
14375 SW PATRICIA AVE
1 HILLSBORO OR 97123 __._.______._______._.--•---__.____._____..._____.
1-117 on e #- 503-628-3411 $ 13. 75 TOTAL
Reg #. . . 5843
__..__....-__._ REQUIRED INSPECTIONS
— ----- -
?his permit is issued subject to the regulations contained in thz RP/Backflow Prev
Tigard Municipal Code, State of (Ire. Specialty Codes and all other f. incl. Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 160 days.
l>e r•m i t;t e e
1 :; Irci By
( F0l for inspect inn — 639-4175
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CITY OF TIGARD Plumbing Application Recd By.
-
13125 SW HAIL BLVD. Commercial and Residential Date Recd V-q -qcDate to P.E. '
TIGARD, OR"97223 117
Date to DST
(503) 6394171 Penult Al t L 02y S7
Print or Type Related SWR 0
Incomplete or illegible applications will not be accepted called
Name of Dovtopment/prolectFaUty Re
Job k H
Address Street Address suite y BA0. Ei 9 �'
Bldg cityistete zip ryse!4"werandetortnoewer,"Sesteeibeiaw;,' ;
LT1q,4RD OW
Name — FIXTURES(individual) QTY PRi: :-, AMT
Sink _ 9.00
Owner Mailing Address Suite Lavatory 9.00
City/State Zip Phone Tub or Tub/Shower Comb- 9.00
Shower Only 9.00
Name Water Closet 900
Dishwater 9.00
Occupant Mailing Address Suite Garbage Disposal 9.00
_ Washing Machine 9.00
City/Stale Lip Phone Floor Drain— 2" 900
Name 3" 9.00
C AR L�rY�(sc��yE 4" 9.00
Cor'ractor Mailing Address TSuite Water Heater 9.00
11317 SuJ r &IA /9GL-" Laundry Room Tray 9.00
city/State Zip Phone
l//�l t , o (np. 4 71.2 �v �. j4r// Unnal _ 9.00
Oregon Const.Cont.Board Uc.# Exp.Date Other Fixtures(Specify) 9.00
Attach Copy of J-8-1 9.00
Current Plumbing Lic,0 Exp.Date 9.00
License Sewer-1st 100" 9.00
CUT Business Tax of Metro>x Exp.Date Sewer-each additional 100' 30.00
Name I Water Service-1st 100'
2500
Water Service-each additional 200' 30.00
Architect Mailing Address Suite, — Storm&Rain Drain-1st 100' 25.00
or Storm A,Rain Drain-each additional 100' 30.00
9
En ineer City/State Zip Phone Mobile Home Space 2- 00
Comme=rcial Back Flow Preve Linn Device or Anti- 2500
Describe work New O Addition O Alteration O Repair O Pollution Device
to be done: Residential O Non-residential O Residential Backflow Prevention Device' 15 00
Additional description of work Any Trap or Waste Not Connected to a Fixture 9.00
Catch Basin 9.00
Insp.of Existing Plumbing — 40.00
-- _ pet hr
Existing use of Specially Requested Inspections 40.00
building or property_- __ per hr _
Proposed use of
Rain Drain,single family dwellln9 30.00
_
building or properly________ Grease Traps 9.00
Are you cappirg tiny Axtums7 Yes p No —A QUANTITY TOTAL a
I hereby acknowledge that I have read this application,that the infomiation Isometric or user diagram is required H Uuanrty Total is >9
given is correct,that I am the owner or authorized agent of the owner,and "SUBTOTAL
that plans submitted are in compliance with Oregon State Laws.
Signature of Owner/Agent Date 5%SURCHARGE a ?•�? f 21-
1
PLAN REVIEW 25%OF SUBTOTAL /T! ' .�
Contact Peron Name Phone
Required only d nqure try tout is>9^
TOTAL �
2),416 �,Jc/� 7 0� 1 Sa.? —
—- — 'Minimum permit fee Is$25+5%surcharge.except Residential Backflow
i.ldstslplmapp.doc Prevention Device,which is$15+5%surcharge
,Y.agsFg�IMp+aAwvunr+*
'�'I►I� �r (h�. ��4�I�u�p Iles i��il�l�i��
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ELECTICL
C'W'ITY OF TIGARD RESTRICTED E'NE.RGY �
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96-022
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 DATE: 1 f.;SUED: 08/09/96
PARCEL: 2 S 104CC--00`:00
SITE ADDRESS. . . : 14169 sw M1f3-fLETOE DR
SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 12 ZONING:R-7 PID
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 110
1-1roject Description:
A. RESIDENTIAL- ----- -- 13. COMMERCIAL- -�-- -_-w_______._.____________.____...__._.-____..__.___.
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : 14
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOC':K. . . . . . . . . . . . MED ICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE:' COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYST'E.M. . , . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: : : HVAC. . . . . . . . . . . . .. F='I'ROTECTIVE: SIGNAL. .
INSTRUMENTATION. : Cl"THER. . :PACKFLOW : . X
TOTAL # OF SYSTEMS: 1
Owner.. -____________..________.___.._.___...._.__..__...._ _..._....__._-__._. _ y
WINDWOOD HOMES type amount by date recpt
14076 SW BENCHVIEW TERR PRly1T E 4.0. 00 CJS 08/09/96 96-:.:82759
`^.;PCT $ 2. 00 CJS 08/09/96 96--2*8 759
TIGARD OR 97_24
Phone #: 590-4700 j
Contractor: ---._______.__.__.__.__.__•-_---._.__._._...._._.__..________._____
CEDAR LANDSCAPE. $ 42. 00 TOTAL
14375 SW PATRICIP
------ - REWIRED INSPECTIONS
HILLSBORO OR 97123
Phone #- 503-628--3411
Reg #. . : 5843
This permit is issued sub ect to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Pet-m i t e e S i gnat ure
applicable laws. All work will be dune in accordance with
approved plans. This leru t will expire if work is not started C...
within 189 days of issuance, or if work is suspended for sore gyp_
th,.n 189 days. lss�led By
INSTALLATION
The :installation is being made on property I own which is not :. ritended for
sale, lease, or- vent.
OWNER' S SIGNATURE:: DATE
INSTALLATION C11VLY-
SIGNATURE OF SUS R. ELFC1 Ni DATE-
LICENSE
ATE:LICENSE NO:
Cal I for inspection 639--417
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. A
Tigard,Ob: 97223 PERMIT#,El,
Phone(503) b39-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503) 684-2772
CITY OF TIGARD Inspection (.503) 639-4175 ISSUED BY C'hcl -!F�ae
4
(
PLEASE COMPLETE ALL SECT/CANS
1. LOCATION OF INSTALI.ATION 4. TYPE OF WORK
1 I6q 50 rA 1 5TCE 7VF
Addrgss RESIDENTIAL —Restricted Energy Fee . . . . . . . . . S40.00
(FOR At-I_SYSTEMS)
City State Zip Check Type of Mrk Involved:
PERMITS ARE NON-TRANSrERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE Oct'. vVORK IS SUSPENDED FOR y
Ina DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
1:1 Heating,Ventilation and Air Conditioning System*
Contractor CrAgf2 1,4A Dscr4� type ❑[ Vacuum Systems*
Address_�¢37S" S wp f i4f�(C/A /9�E �l� eRo � �Other_�RR/rir9!"�d✓ Cont TKa t
_— -- _
Date 8- 7(.0 COMMERCIAL—Fee for each system . . . . . . . . . X40.00
/ (SEE OAR 0 I ti-2G0-2G0) t
Property Owner �,�( ry�d /y0/�t�'S Check 1;vng t,�f Wort.Involved:
Contractor's Board Reg, No. S 8f j ❑ Audio and Stereo Systems
Boiler
Phone# to Controls
Clock Systems
J. OWNER APPLICATION ❑ Data Telecommunication Installations j
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name T Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is issued under OAR 918.320-370.This applicant agrees in make only
❑ Nurse Calls
restricted energy Installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
1. Only use electrical licensed persons to do Installations where required.(Certain ❑ Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisksM.All others need licensing).
2. Call for an Inspection when all of the installations under this permit are ready
for Inspectlon at 503-639-4175.
❑ Number of Systems
T Purchase separate permits for all installations that are not ready for inspection
when the inspector Is out to inspect under this permit •No Ilcemm are required. Licenu-s are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the Inspector
are done,and
5. Assume responsibility for calling for a final inspection when all of the 5. FEES
corrections are completed.
The person signing for this permit must he the applicant or a person a. Fnter Fees $
authorize to hind the applicant. ---
G�� b, 5%Surcharge(.05 x total above) $
Signature
TOTAL $ ��
Authority if other than applicant
ENFRGAP.CHP
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CITY OF J .I CiAr+O - W-,T l: 14'r (:IF PPYhYIJ411' RF•.J. W.1 NO. c ( 21132 Wr
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AMOUNT 1 57. '7 5
11-10ME I:EI:RR I.ANl.1C31;14PE. 1 d*ki WMOUN r a o. QW, F
ADDRf-=T'3q 1 143r!`5' SW PAIR1C.'1.A AVE '< hH'Y1*11-.N1 1.AI1-. 1 00-/09/96
PURPOSE OF PAYM1:.:N 1 1-1011JUN I PWD PLIHI't, 1?t;,UF 1.4, I>11 till HMUUN I P$4J C►
h L,k,C 1'R 1 Cf4l- F'E ftM I '1' 40. WN N'1 !IMkikNt t~'h rdvl Pt 1*196-44it-,S4 A 5. #444
1TI. BUILD PER
E:LR96—Iryf'1 P, M.01196--IX.,-34
".;3h
14 i 69 SW M 1^,3"I l + ,1 01- I)p �4!.
l l'71'W1.. HMCJIJN r I'w c,
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I,.WI�+#�•(+�r+10111'4 I
ibill 111' ul W1( 't, . M1. 0W) M
t�t�t ! =i#ti a l^►.^�/''� '.;l•� 1•'tii I It t 1. i t� 111,1. 1'114I�I1 1V I ltla{h� 4'Iki+'Ijl�l��j�•
H t 1. OR
Sri
1 }1;t .t t:• i.- Oh PH',0i H I HMA IN 1 i t 1'f_I111,1 t` ► 111 1't+i Ott 1,41 1.11111t 11'111 1 444 j f
1_:. 1 1 1l+ rt of 0. 410 1'(.1l1'IhttI'll ('+ OAA 1't in',f. ,r'+,
f�LRWVP158, P1 V!96-
14J69 SW 1,11411 F- 10E- 1 ik
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In1(11'. FMOUNI 1'114111)
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CERTIFICATE OFOCCPAN
CITY CSF TIGARD PERMIT #. . . .. . . :YMST95--0;79
COMMUNITY DEVELOPMENT DEPARTMENT DAl E ISSUED: 06/13/96
13125 SW Hall Bed.Tigard,Onpon 07223+8190 (503)838-4171 `
PFikC:�ErL a 261 0ACC—ktif11 afitllZ+
f TE ADURF SS. . . z 14169 SW M 13TLET'UG Did
,.:.IJBDIVISION. . . . s HILLSHIRE. ESTATES NO. r:: lONINO:R--7 DD
BL.00K. . . . . . . . . . I LOT'. . . . . . . . . . . . . 3110
G`.LASS OF WORK. :NEW
fYF'E OF USE.
.GRP:
:_r
f OCLUPANCY LOAD: :'
1
Remarks: PATH I
owner: _ ....._....._-_,....,.W_.__ ...,._._._......_ ._. _. ..,._ ,._._ ._.
4
W I NDWOUD HOMES
#
140/6 SW BENCHV I E=W T'ERR
TIGARD OR 9 72 4
Phot►e #z 590-4700
W I NDWOOD 140MES
14076 SW SENC:HV IEW TLRRACL
1IGARD OR 97224
'Phone #: .590--41lblb �>
4 Rou #. . : 050196
This Certific&te Hrarrts ac:'r.UPanc,y of Chep above referenced building or portion
lthereof ,and confit^ms that the building has been inspected for complianLe with
the cytate� of Oregon fapecialty Cc+des far the g+''a'lp, C.-Ltpan y, and use under
which the referenced permit was issued.
0
# IiUILDINty 11V14PE:CTOR BUILDING C1C'f IC,1h'al_
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F'OS T IN CONSP I GLJOL.1'd', PL.AC:E:.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service g� :
Foundation Water Line Ceiling PosUBeam Mach. Shear/Sheath Framing
Plbg.Und/Flr/Slab Plbg. Top Out Insulation
Post/Beam Struct. Mach. Rough-in Gyp. Bd. INTZ
San. Sewer Gas Line Appr/Sdwlk eins
y Y Other: -
p ' Date: -��--uII-1//•1r L- A.M. Entry: _
}, l� Address: -
f
Tenant: Ste:__..._.__ MST �1
,�'' BLIP:
t
Con/Own:. �S� MEC:
PLM:
ELC: .
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THE FOLLOWING CORRECTIONS ARE REQUIPED: ELR:
' � r
40,
y'
Inspector: Date:
_APPROVED DISAPPROVED/CALL FOR REINSP. CF
_.....-,..»M1w�--.,..._.........—......,.....,.�...�.........—.__....�...-....• ..w„- Cpl
+K1t=,+1 w S tdl �t6� 9 �ltc
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 m
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling ( PI� u�'
I Post/Beam Mech. Shear/Sheath Framing
Plbg.Und/Fir/Slab Plbg.Top Out Insulation F.le -
Post/Beam Struct. Mech. Rough-in Gyp. Bd.
San. Sewer Gas Line Appr/Sdwlk _ins.
1 /
Other:
Date: 1 -- A.KI,u--P.M.._� Entry:_
Address: ` --
i
U
Tenant: ---------- ------------- Ste:_— MST:
BLIP: ---
Con/Own: _ _— MEC: _
PLM:
EL C:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
— - I
Inspector: -—�--- Date:
APPROVED _—DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE ` ��
Inspection Line 639-4175 Business Phone: 639 4171
Footing Rain Drain Cover/Service FINAL: E
Foundation Water Line Ceiling lumbi
Post/Beam Mech. Shear/Sheath Framing
PIbg.Und/Fir/Slab Plbg, Top Out Insulation ect. F4 n
Post/Beam Struct. Mech. Rough-in Gyp. Bd. - d
San. Sewer Gas Line ^ Appr/Sdwlk Reins. ,r,
/�'
Other:
Date: ._�L c — A.M. P.M. Entry: _
Address: y� +
Tenant: --------- Ste: MST: O
BLIP:
Con/Own:. ---_ MEC:
PLM:
ELC: --7- _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: _ - - �. _ Date:
_ APPROVED .&-DISAPPROVED/CALL FOR REINSP. CF CO ;1
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CITY CSF TIGARD ELECTRICAL PERMIT —
COMMUNITY DEVELOPMENT DEPARTMENT RESTRICTED ENERGY
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (50:1)839-4171 PERMIT #: ELR96-0182
DATE. ISSUED: 06/06/96
PARCEL.: c S 104CC•-00500
SITE ADDRE:SS. . . : 14169 SW MISTLETOE DR
SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 2 ZONING: R--'7 PD
BLOCK. . . . . . . . . . . 1_.01f. . . . . . . . . . . . . : t10
1;
Pr-oJect Description: Restr^icted enir-gy
A. RES I DENT I AL.—__.______ B. COMMI RCI AL
AUDIO & STEREO. . . : X AUDIC & '.STEREO. . : INTEkC OM & IDAGING. . :
BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OP Nl:_R. . . . : X . . . . . . . . . . . MEDICAL_. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : X DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYST'EEM. „ . . : X FIRE 2iI_ARM. . . . . . . OUTDOOR LAN.DSC; LITE:
GTHER:ALL ENCOMF': : X HVPC. . . . . . . . . . . . : PROTECTIVE. SIGNAL. . :
INSTRUMENTATION. : OTHER. . :
TOTAL # OF' SYSTEMS: 0 i
Owner,: __._..____.._.___...___._.___.__._________..._.._._._.___.._____..__.___.._.____._— FEES ---___._.._-___----____.-..-__
WINDWOOD HOMES type amoLInt by date recpt
14076 SW DENCHVIFW TERR PRMT $ 40. 00 JSD 06/06/96 96-280:310
SPC:T" $ L. 00 JSD 06/06/96 96-280318
1-16AFRD OR 97224
Phone #: 590-4700 �
CONTRACTOR N T ON 71LE $ 42. 00 TOTAL
REDUIRED INSPECTIONS
Catling Cover Elect' l Find
Phone #e Wca1 .1. Lover
Req #.
This permit is issued subject to the regulations contained in the
Tigard Ikunicipal Code, State of Ore. Specialty Codes and ail other Per^mitee �ignure
applicable laws, All work will be done in accordance with
approved plans. This permit will expire if work is not started —
within 180 days of issuance, or if work is suspended for more
than 180 days. I s,s led Hy
(:1WIV1-_1; IN,;TAI_LATION ONLY--___._______._.____.___._._____ � w
11•ie installation is being made on property I own which is not intended for,
sale, lease, at- rents
OWNER' S SIGNATURE: DATE.:
INSTALLATION
1
SIGNATURE OF SUPR. E:LE.C' N: DATE::
.�_.__..__..__�._._..__.._.____._.._.__. ._.._..._..._.__....._.__ x
I__I CENCiE IVU:
Call for^ inspection 6,39-4175 "
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a Community Development RESTRICTED ENERGY CJRICAL APPLICATION :
13125 SW Hall Blvd. _ ( (L,_ 0f C�,—e
Tigard,OR 97223 PERMIT#
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772 G
CITY OF TIGA,RD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Address �- RESIDENTIAL-- Restricted Eno
r�,y Fee. . . . . . . . . 140.00j g rL2 (FOR At-l-SYSTEMS)
C�jty 0 State M Zip Check Type of Work 1psDjud:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDA01E AND EXPIRL IF WORK f Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR r
180 DAYS. Burglar Alarm
"i Garage Door Opener*
2. CONTRACTOR APPLICATION Heating,Ventilation and Air Conditioning System*
Contractortypo Vacuum Systems'
❑ Other
j Address
COMMERCIAL—Fee for each system . . . . . . . . . 540.00 ,
(SEE OAR 918-260-260)
Property Owner Check Tyne of Work Involved:
Contractor's Board Rel;. No. ❑ Audio and Stereo Systems
❑ Boiler Controls
+' Phone
-- ---- ---_ _�_ ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
8 ❑ Fire Alarm Installation
Scic)-44t Do ❑ HVAC
1 Prinl Owner's Name Phone No
i ❑ Instrumentation
1101b SLj }'
Address ❑ Intercom and Paging Systems
Ti to 1j 2�ZZ, — ❑ Landscape Irrigation Control" i
City State Zip ❑ Medical
This permit is Issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls
d restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor 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
F asterisksM.All others need licensing). i
2. Cell for an inspection when all of the installations under this permit are ready
for inspection at 503.639.4175. ❑ Number of Systems j
3. Purchase separate permits for all installations that are not ready for inspection
when the Inspector is nut to Inspect under this permit. No licenses are required. Licenses are r.•.luired for all other Installations.
4. Assume responsibility for assuring that all corrections required by the Inspector --------.-
are done,and
5. Assume responsibility for calling for a final Inspection when all of the 5. FEES
corrections are completed 1
The person signing for this permit roust be the applicant or a person a, Enter Fees $
authorized to hind the applicant.
b. 5% Surcharge(.05 x total above) $ C
Signature-�-�S i�
TOTAL $
Authority if other than applicant
ENFRGAP.CHP
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CITY OF TIGARD BUILDING INSPECTION NOTICE u Y {
Inspection Line: 639-4175 Business Phone: 639-4171 i � �I
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
jPost/Beam Mech. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation C-V ec
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line A r/Sdwlk Reins. a 1,
Other:
Date: _e_ A.M.__ P.M. Entry
Address: C�—ML � rI��Rn
Tenant:_ _ Ste: MST:
BUP:
Con/Own: MEC:
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: C14 e.- Date:
PPROVED AISAPPROVE ALL FOR REINSPf CF CO } ti
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CITY OF TIGARD BUILDING INSPECTION NOTICE w
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 -Meth.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Strutt. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdw►� Reins.
Other:
Date: :-L 1!�-_ A.M. —_--P.M. Entry: —
Address: _..__1 y 1 b pi = �,(&2._.kis+_C,
Tenant _— _ Ste:_--- MST: 5_l _��1'_y
Y ---
�Go�/Own: BLIP ----- -
MEC: __--
`181 780 PLM
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
i
Inspector: _ Date:
APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
'�1 �`t� 4 N i til•�.7�= v ^ i tir i 1 �'y4 .�.t,1
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CITY OF TIGARD BUILDING INSPECTION NOTICE i
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 W
Inspection. _.
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plb To Out
9• P Eler dough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul, Shear Wall gypBd. //
c` �(;'l 'i act.
Date Requested: Tim%Z AM PM
Address:
Builder:
Permit ay:
THE FOLLOWING COFRECTIONS f RE REQUIRED:
7-=-
Inspector: Date: VC 30
_APPROVED _D(�ISAPPROVED APPROVED SUBJECT TO ABOVECCC..
L
'—J//GGG y.� _Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: 1
Footing Susp. Ceiling Sprink. Rough-in Appr,Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
i
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line !Insulation Mech.
�-____
Undertlr. Insul. Shear Wall c, Gyp. ..Bd. , —Elect.
Date Requested: ' < / �� Time: AM PIA
Address:_1
Builder: I s✓�t" S jp �7�/y Permit #:
L ..�RR� �!t T /5 0 5p
THE F L U�COE6`'ON ARE REQUIRED:
Inspe or: Date:
-_APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
`Call For Reinsp. M
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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. Rouin—N,dWlk
Foundation Plbg. Underslab .ech. Rou -
pp
Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line '"dBld
- 9
Plbg. Underfloor Rain DrainFTami
_ - -Plumb.
Alarm Water Line Insulation
-Mach.
Underflr. Insul. Shear Wall
Gyp. Bd. �j,;/, -Elect,
Date Requested:_ 7 � ��� y
Time:
II AM PM
Address:–
Builder:
Permit #: �' c C1 z� ;
HE FOLLOWING CORRECTIONS ARE REQUIRED:
rtYviSS c s
Ins ector:
--- Date:
APPROVED __DISAPPROVED _APPROVED SUBJE T TO�AOVE
/
C —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/Sdw,fk
Foundation Plbg. Underslab Leh Rough-i6 ' Fireplac'9
Post/Beam Struct. Plbg. Top Out t// Elec. Rou h in�' FINAL:
Post/Beam Mech. San. SewerGas Lin � ) -Bldg.
Plbg. Underfloor Rain Drain `Framing ( -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. .hA�Wafl Gyp. Bd. -Elect.
r.
Date Requested:
c� lTime: AM PM
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
V_
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Inspector: ,/1,f� Date:
_APPROVED XDISAPPROVED APPROVED SUBJECT TO ABOVE
1 Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-C-Phone): 639-4175 Business Phone: 639-4171
Inspection:
i
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Ro_uah_in Fireplace
Post/Beam Struct. Plbg. Top Out ( eh•in' FINAL:
Post/Beam Mech. San. Sewer Gas ine� -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underfir. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: L fj ` I Time: AM PM
Address:_ C-- �c, .,�E-C-
Builder: _ Permit #: 0.5 3.3
THE FOLLOWING CORR�CTION�S ARE REQUIRED:
Inspector-
Date:Date: Z- ' / 61
C 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
t
Inspection: _ y
Footing Susp. Ceiling f�`&4rink. Rough-in App-/Sdwlk
Foundation Plbg. Underslab 1 �Rough.-
Fireplace
Post/Beam Struct. Plbg. Top Out Eec. ough-n FINAL:
Post/Beam Mech. San. Sewer as Line -Bldg.
Plbg. Underfloor Rain Drain \'� raming -Plumb
j. .
Alarm Water Line Insulation -M
Underflr. Insul, Shear Wall Gyp. Bd. lett.
Date Requested: -2-/61 '—{ (,2 Time: A '0PM
Address
Builder: Permit #: U .3 7 ti u :c
t}y {�f t ti Ftl 1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
da s4ta��' 4r
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Ins ector.
P Date: -2
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
-k6all For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain DrainCover/Service
FINAL:
Foundation Water Line CeilingPlumb.
Post/Beam Mech. Shear/Sheath
Framing -Mech.
Plbg.Und/Flr/Slab Plbg_ Top Out Insulation
-Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd.
Bldg. ,
San. Sewer Gas Line Appr/Sdwlk
Reins.
Other:
Date:
— -- _--- �� A.M. P.M.----- Entry:- --
Address:
Tenant:_
- - Ste:__ - —
_ MST:
Con/Own -- — -- MEC:
PLM-
THE FOLLOWING CORRECTIONSARE REQUIRED ESR;
�.I�G .�P i it ♦ � I -
3777 7.1
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Inspector:
Date
—APPROVED _ ISAPPROVED/CALL FOR REINSP CF CO
66,
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CITY OF TIGARD BUILDING INSPECTION NOTICE r \
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 U
Inspection: UUUU
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab c-*t§—cF—Ro 9?Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam MechP San. Sewer Gas Line -Bldg,
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
-Merh.
Underflr. Insul. Shear Wall Gyp. Bd.
-Elect.
Date Requested:_ c�l S rrj(y, Time: AM PM
Address:
Builder: Permit
/ THE FOLLOWING CORRECTIONS ARE 'IEOU'RED: 1
1 (I )-S�
St III -A
1.-�--
Lo,-t
Inspector: _ Date: 2X
_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
X—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 Mech. Rough-in Fireplace
Poste- °t Elec. Rough-in FINAL:
P h. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp, Bd. -Elect.
Date Request7ed: rL�Q Time: AM FM
Address:- ! �-� � LL cl Y 1�,L�•��c..�._,�.G ►�:_i
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_r Date: _��_,
G APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTA
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: V _c
Footing ! Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. bg. Top Ou Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
�Undertlootf'8 Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: I ( Time: AM PM ',
Address: ' l ��( G� 4-4) T—t -
�t
Builder; Permit #: T S 0
THE FOLLOWING CORRECTIONS ARE REQUIRED: 4
ell
Inspector: Date:
—APPROVE) �-'eL1134SAPPROVED —APPROVED SUBJECT TO ABOVE
all For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOT;CE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plb . Underslab "Mech. Rough-in Fireplace
Post/Beam Struct. pq Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer j�X' Gas Line -Bldg.
Plbg. Underfloor in Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �T�� Time: AM PM
Address:
Builder: Permit #: r S
THE FOLLOWING CORRECTIONS ARE REQUIRED:
G�
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L%L
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Inspector._! Date: �w _
—APPROVED —DIS.APPRO14ED APPROVED SUBJECT TO ABOVE
} C 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 A r/Sdwlk
Foundation PP
Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct, Plb To Out P
9• P Elec. Rough-in FINAL:
Post/Beam Mech. an, ewer;
Gas Line -Bldg.
Plbg. Underfloor Rain Drain
Framing -Plumb.
Alarm Water Line Insulation
-Mech, c;
Underflr. Insul, Shear Wall
Gyp. Bd. -Elect.
IDate Requested: ���Q �• �,� • ,
Time: AM PM'
Address: L (. c"�
Builder: f
--------- Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:
Date:_
PROVED iDISAPPROVED _`APPROVED SUBJECT TO ABOVE
/---AP
__Call For Reinsp,
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 t
Inspection:
o .
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk I
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plb To Out
9• P Elec. Rough-in FINAL:
Post/Beam Meeh. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Insulation -Mech.
Underflr. Insul. ,hear Wa Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address:
Builder: Permit #: � 3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
LOAJ
-� Q_„�^ C�,, (ted
-AA t
ro
CL
4 p L
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Inspector:
--v-: 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: 639-41,71 ■
Inspection:
Footing Susp. Ceiling Sprink. Rough-in AppNSdwlk
1
■
Foundation Plbg. Underslab Mech. Rough-in Fireplace
ost/Beam t�T_] Plbq. Top Out Elec, Rough-in FINAL:
_ Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm Water Line Insulation -Mech.
UnderfIr. Insul. Shear Wall Gyp. Bd.
Date Requested: — ( 9 Timea'' APAPM
Address:
Builder: — 'c�(P " Permit #: �7 c-3-7 q-3-7q
THE FOL�UlNq CORRECTIONS ARE REQUIRED:
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I•�.ty 1� rrS�7r� ,tel
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Inspector:_ Date:
APPROVED DISAPPROVED L £ SUBJECT TO ABOVE
— —
tN _Cali For Reinsp.
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1 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 Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top OutN g Elec. Rough-in FINAL:
Post/Beam Mech. ` Gas Line -Bldg.
Plbg. Underfloor i Framing -Plumb.
Alarm Valer Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elec�
Date Requested. 1 4 ! Time. AM PM
Address:� �Builder: Permit_Permit q: S C,�3 TG
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Of
Inspector: _ Date:
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
77
a.
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CITY OF TIGARD BUILDING INSPECTION NOTICE rr \ F
I Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171
��I�� Inspection:
C
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
undatio > Plbg. Underslab Moch. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line
-Bldg. � �I
Plbg. Underfloor Rain Drain
Framing -Plumb. 4
p Alarm
Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
W'1 Date Requested:_ ( � C(S Time;AM
PM
Address:_ �\
s Builder: r -5 G ��
Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector:
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
a
A
CITY OF T I GARD PERMIT #ELECTRICAL#: EC9�LC95PERMIT
.'-05:��,
DATE ISSUED: 11/07/95
COMMUNITY' DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)630.4171 PARCEL: `S 104CC__00500
r
.iIT'E± ADI)RE=:SS. . . : 14169 S3W MISTLETOE DIS �
SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 2 ZONING: R-7 P'[)
IALOCIi. . . . . . . . . . LOT. . . . . . . . . . . . . : 1 1 0 fit!: fi
F='ro.ject Descr,iptxon: Rr^esidential 4, 000 sq ft.
-----RESIDEN71FIL UNIT------ _.--_TEMP SRVC/FEEDERS-•---_ -----MISCELLANEOUS, ---- �;,�`�� }"�;
1000 SF OR LESS. . . . 1 0 200 amp. . . . . . . : 0 PUMP/IRRTGATION. . . . : 0
EACH ADD' L 5005F. . 6 21 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . - IZI
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . .. 0
MANF. HM/ SVC/FDR. . : N 601+amps--1000 volts. : 121 MINOR LAPEL. ( 10) . . , : 0 I y,F
_.... SERV I CE./FE 17-DER- -_- ------ADD' L. T NSPECT I ONS
200 amp. . . . . . : 0 W/SERVICE OR FEEDER: iT PER INSPECTION. . . . . : 0
':'0 1 - 400 amp. . . . . . : 0 1st W/O fiRUC OR FDR. .- 0 PER fiOUE?. . . . . . . . . . : itl401, 600
amp. . . . . . 0 EA ADDL 1?RNCH G I RC• 0 IN PLANT. . . . . . , 0 ,
(:01 - 10Q)0 am p. . . . . .. 0 PLAIV REVIEW SECT I
.QVC/FDR ) = 2.2S AMPS. . : _�CLASS�AREA/LNPF:AREA/SPEC °
t000+ amp/volt. . . . . : 0 ) -•4 RES UNITS. . . . . . . . > 600 VOLT NOMINAL. .
Fler_onnect only. . . . . 0 �
Owner: _____.________._.__.___.____.._______._______.___.___________ FEE.
BEAR ELECTRIC CO type amo,ant by (I ate recpt
BUTTEVILLE RD NE P'RMT i+ 260. 00 CJS 11/07/95 95-.272584
PO BOX 309 5P CT 91 1.3. 00 CJS 1 1/07/975 95-272384 I
DONALD OR 97020
Phone #: 503--0713-1355
Contras-tor,.
CONTRACTOR NOT 01\1 1-71L..E iK 77::1. 00 TOTAL
REQUIRED INSPECTIONS
Ceiling Cover Electrical Servi
E.'hone #: Wall Cover- Elec:trial Final
Req #. . t.
i
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permitt_ ee -8__ignat,_rr^e
applicable laws. All work will be done in accordance with i
approved plans. This pereit will expire if work is not started
within 180 days. of issuance, or if work is suspended for @ore
than 180 days.
INSTALLATION
l'he installation is Lreinq made on property I own whicFr is not intended for-
(1 a I e,
or,:,ale, prase, or , f?T1
OWNF R1 1; 5I GNA1 URE : DATE
INSTAL_LA'TION
SIGNATURE IJF SL.IP'R. E:LEC' N: ��1._...C�tJ�? _.__.._...__..._-_.___. DATES
Call for inspection 639-4175
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Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #QZ-
Permit
Phone (503) 639-4171 Date Issued //- 7-
CITY OF TIGARDFAX (503) 684-7297 Issued by rhg r/r't <c`i�r+� /f
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
3, S0 3 S
Name of DevelopmentH1tLSHl", C5rd l'ES Number of In•peotion•per permit allowed
Address /Y / 4 '7 r $W M t SLt& To E PX Service included: Items Cost(ea) Sum
,
City/State/Zip / 1&AILp• /,lf.£i"ru 27223 4a. Residential-per unit 4
1000 eq It or loss $11000 //0, 00
Name (or name of business) W/NO PV0,U 14'wIEJ Each iotiorel 500 eq N or
portion thenal G :26.00 �SO.dl.) 1
Commercial❑ Residential 12 LOT 0//O Limited Energy $2600
Each Manut'd Home or Modular 2
Dwelling Service or Feeder W8 00
2a. Contractor Installation only: 4b.Services or Feeders
Installation,alteration,or relocation 2
Electrical Contractor &&/L EI.Ec—f2r I. /NL• _ 200 amps or lees $ea 00 2
Address Po. BOJ( 387 201 amps to 400 amps $8000 2
401amps to 600 amps $120 00 2
CityDab , State 02 Zip 92y2o 601 amps to 1000 amps $19000 2
Phone No. (Q 9 f— /1 5.5' Over 1000 amps or volts $34000 2
Contractor's License No. 2=4 /j 2 e- Reconnect only $1ro 00
Contractor's Board Reg. No. 4c.Temporary Services or Feeders
Installation,alteration,or relocation 2
Signature of Supr. Elec'nX 200 amps or leas $50.00 2
License No. -73 Phone o. - 201 amps to 400 amps $7500 2 l
401 amps to 900 amps $10000
Over 600 amps to 1000 volts I'
2b. For owner installations: see•b•above
4d. Branch Circuits
Print Owner's Name -_ New,alleretion or extension per panel
Address n)The lee for branch circuits with
purchase of"mks or Aesdw An. 2
city State Zip
Each branch circuit $500
Phone N0. b)The fee for branch circuits without
The installation is being made on property I own which is purchase of souks or Am&r Asa. 2
not intended for sale, lease or rent. First branch circuit $35 DO 2
Each additional branch circuit $500
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2 i
3. Plan Review section (if required): Each pump or irrigation circle $4000 _ 2
Each sign or outline lighting $4000
Signal circuil(s)or a limited energy 2
Please check appropriate Item and enter fee in section 58. panel allerntlon or eldenelon $4000
4 or more residential units in one structure Minor Labals(10) _ $10()00
Service and feeder 225 amps or more
System over 600 volts nominal 41. Each additional inspection over,
Classified area or structure containing spacial occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per hour Per hour uon $3500
$5500
Submit 2 sets of plans with application where any of the above
In Plant $6500
apply. Not required for temporary construction services. 5. Fees:
p` NOTICE So. Enter total of above lees $
5%Surcharge(.05 X total fees) $ Oo
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ Z 7 3.Op b
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ 27 ,Go
COMMENCED. IJ Trust Accountill
$ — X _
Balance Due $ 271100
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection`L�inpe((Rec-O•Phone): 639-4175 Business Phone: 639-4171
Inspection:
ootin IU 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. Undedloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Undertlr. Insul. Shear Wall Gyp. Bd. t.
Date Requested: -4--111`l Time•` �A PM
Address:
Builder: _Permit a: � 77
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Z� "�r/'—' Date:
_APPROVED _DISAPPROVED ROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD MASTER PERMIT
P'ERMIT #. . . . . . . : MST93--0379 r �
COMMUNITY DEVELOPMENT k*1'4iNT DATE ISSUED: 10/31/95
,
13125 8W Hall Blvd.Tigard,Orpon 97223.8199 (503)839-4171
PARCEL: 2S 104CC-00500
SITE ADDRESS. . . : 14169 SW MISTLETOE DR
SUBDIVISION. . . . : HILLSHIRE ESTATES NO. c_ ZONING: R-7 PD
t,
BLOCK. . . . . . . . . . . LO1.. . . . . . . . . . . . . . 110
___.._._---__..____-___._.____._..______-•_-_-- BUIDING
F
REISSUE: DWELL I NG UN I TS: 1 BASEMENT. . . . . . . . :0 s f �y
CLASS
TYPEOFF USE_ :SF-W FLOOR
4EAS PATHS:4 ' REQUIRED SETBACKS--- sf
---- -
TYPE OF' CONST. :5N FIRST. . . . : 1775 f LEFT. . : 12 ft RIGHT. : 10 ft
OCCUPANCY GRP. R3 SECOND. . . : 1809 sf FRONT. .,:O ft RE.AR. . :50 ft
y,.qtr•,
STORIES. . . . . . . :2 FINBSMEEN'T•:0 s REQUIRED----___.___._______..__.___ '?; ;;VI
HEIGHT. . . . . . . . ::33 ft TOTAL --__:3583 s f SMOKE DEETECTORS. :Y
FLOOR LOAD. . . . :40 ps f VALUE. . . . . $ : 243066 PARKING SPACES. . : 1
Remarks : PATI-! I
PLUMBING .__._____.___.___-------•-•----.___._._________.__.
SINKS. . . . . . . . . . FLOOR DRAINS. . . . :0 BACKFI-OW PREVNTRS. . : 1
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :4 LAUNDRY TRAYS. . . : 1. CATCH BASING. . . . . . . ..0
WATER CLOSETS. . :4 SEWER LINE' (f•t ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE- ( fl; ) . : 100 OTHER FIXTURES. . . . . .0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASH I NG MACI 1. . ., : 1 517 RAIN DRAINS. . : 1
_..___.__..__.._..__.___... MECHANICAL. ._..____.__..__.__.______.__.-___._________ FEES _..-.-____._____.______
FUEL_ TYPES--------.____ UNIT HTRS. . :0 typF? amount by dAte recpt
/GAS/ / 1 VENTS . . . . . :0 TIF $ 1590. 00 JSD 10/31/95 95-272299
MAX INPUT:O BTU VENT FANG. . :S Sb1M $ .1(30. 00 JSD 10/:31/95 95--272299
FURL`.! ( 100K . . :0 110OD S. . . . . . : 1 SWM $ .100. 00 JSD 10/31/95 95-272299
TURN )=LOOK . . : I WOOD STOVES. :0 SPRT $ 793. 00 JSD 10/31/95 95•--1:_•72L''99
FLOOR FURN. . . . :0 CLO DRYE"RS. : 1 DPLC $ 515. 45 BONI .10/09/95 95-E71401
1A0TI_/CMP ( .3HP:O CTHJFR UNITS: 1. 135PC $ 39. r5 JSD 10/31/95 95' 272E")9
GAS OUTLETS: 1 PARK $ 500. 00 JSD 10/31/95 95-272299
Owner: -- --- -__...__._.__...____._____.__:_.._________._...MPRT $ 48. 00 JSD 10/31/9' 95-272299
WINDWOOD HOMES hlPl_.0 $ 1,'. 00 JSD 10/3.1/95 95--272299 i
14076 SW BENCHV IEW TFRR Ir15RC $ 2. 40r .TSD 10/31,195 95-272299
PPRT $ 249. 00 JSD 10/31/95 95--27 2299 y
TIGARD OR 971:2124 P'5I='C $ 1.t=. 4C JSD lih/31/9•. 95 _'299
Phone #: 590-4700 EROS $ AS. 00 JSD 10/31 /95 95--272299
(;ontrar_tor: _._.____.__.____.______.____...__.____..-1=RP'CE $ .-'8. 60 .T SD 1.0/3.1/95 99-272299
WINDWOOD HOMES E R P C $ 2,8. 60 JSD 10/31/95 95-272 ,99
14076 SW BENCHVIEW TERRACE
"TIGARD OR 97224
PI-rtrne #: 5':)0i 4700
1"
Req #, . : 05019f,
4137. 15 TOTAL
This permit is issued subject to the regulations contained in the ----- -- REQUIRF'D INSPECTIONS
Tigard Municipal Code, State of Dre. Specialty Codes and all other Footing Insp Plumb Top Ol_rt
applicable laws. All work will be done in accordance with approved For_rndat ion Insp Electrical Servi
plans. This permit will expire if work is not started within 160 Post/Beam Strf.tct Eler..trir.•Al Rol_rpah
days of issuance, or if work is suspended f no, t Post/Beam Mechan Framing Insp C
Crawl Drain I_ow Vol ill 1
Flermittee c�at;_��. e :� ' - 1 P'lm/l.rndslah Insp Fireplar.e Insp
PLM/Underfloor Gas Line Insp
Iss�-red Dy - __... ___ t �. � f/ x� Mechanical Insp Insr_:lation Insp
Cal l for inspection 639--4175,
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SEWER CONNECTION
CITY OF TIGARD PERMIT#. . . . . . . : SWR95-0433 .
COMMUNITY DEVELOPMENTMNT DATE ISSUED: 10/31/95
i 13195 SW Hall Blvd.Tigard,Oregon 9722398109 (603)639.4171
PARCEL: 2S104CC-00500
s SITE ADDRESS. . . 14169 SW MISTLETOE DR
r SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 2 ZONING: R-7 PD Y
i BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 11.0
TENANT NPMF_. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . :
CLASS OF WORT;. . . :NEW DWELL_I NG UN I TS. . : 1 ,
{ TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : sf
r
I
I Remar-ks : PATH I
owner: ____._.__._____--•--.-----_.________—___._.._.__._.__._________.__— — FEES
WINDWOOD HOMES type amol_rnt by date reept
14076 SW PENCHVIEW TERR PRMT $ 2,200. 00 JSD 10/31/95 95-272299
i
INSP $ 35. 00 .JSD 10/31/95 95-272299
TIGARD OR 97w:, 4
Phone #: 590-4700
Contractor:
CONTRACTOR NOT ON FILE 9
Phone #: $ 2235. 00 TOTAL
? Rey #. . .
--- - -- REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer- Inspection
of the Unified Sewage Agency. The permit expires IA® days from
the date issued. The total amount paid will be forfeited if the _� _ __-.,.•._,______+__ ��-
permit expires. The Agency does not guarantee the acc•iracy of the
side sewer laterels. If the sewer is not located at t,,e measurement '
given, the installer shall prospect 3 feet in ail directions from `_�•_� _ ,•_._ _.•__ �•_•___•
the distance given. If not so located, the installer shall purchase ��_ ��_ _^_•__�. _
a "Tap and Side Sewer" Permit and the Agency wil install a lateral. _.___•__._�_____
Par••mit'tee Sigttat-u•'e j
c i
l s s�.I e d E► �-----�-
Call for- inspection - 631? 4.175
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City of Tigard Residential Building Permit Application
�
13125 SW Hall Blvd.
I
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
Subdivision: 4/&,r Z�z4S '4�_ L Lot # la Office Use Only
ContaValuation: 24O_ QeJD Result tGate / I Initials
Planck/Rec #
New Construction Only: (Square Footage) Permit # rrl St4; - U 3 7 Y
House: Garage: Z16 Reissue of
Map & TL# Z
Zone E2
Corner Lot? Y p Flag Lot? Y O Plat # 11 LZ _
Owner: 6U::.� d /� /�d/11C%S_ Approvals Reguired
Planning Setbacks �f, Solar
Address: /Flo Ae'nc.4 { fPiy Engineering
2dP Y Other
[�
Phone: 57J 3 Items Required
Contractor: �/'f m i' Subcontractors
Truss Details _
Other
Address:
Notes
Phone:
Contractor's License #
(attacq copy of cu rent Oregon license)
Contact Name: ���fzi rAr, , S _ 0pN to_(0 15
Contact Phone: )dy
Subcontractors: / Architect/Engineer:
Plumbing: _ � S �p,SAddress:
Mechanical: ' �'AKr I /if 14. 4 . OT -
(attach copy of current OR Contractor's License) UP
Phone: 3) �7d
JOB DESCRIPTION:
Applic ure Applicant Phone number
Received by: ft, l��U, L l lL Date Received:
1 T,.
Huepnae.v...nc
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Permit S Account Description Amount Amt. Pd. Bal. Dui ".
g j U 3 7 Bldg. Permit (BUILD) W3 '7�3 i
I .
Plumb. Permit (PLUMB) --g V 02 y w.
Mach. Permit (MECH) �"
State Tax (TAX)
Bldg: JL6 5-
Plumb:
Plumb: /21,4 S�
U ' . yU �
Mach: -�•�(U = D
Plan Check (PLANCK) 5,/-5,U jr s, 0
Bldg: r ��
Plumb: Z
/ Z
Mech:
j �Sw90 -0q.3 3 Sewer Connection (SWUSA)
j Sewer Inspection p (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R) _LSU /
Mass Transit TIF (TIF-MT) -P _ /
Commercial TIF (TIF-C)
Industrial TIF
(TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) ' G"0
I
1 Erosion Planck/COT (EROSN)
TOTALS: ��- ' ./ 7 j�5.� 71 / �•
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