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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour lnspdction Line:6394175 Business Phonc: 6394171 I
Date Requested: �' 7 A.M. 1'M. DIST:
Tenant. Suite: Bldg: MFC:_ 1
Contractor: 1 r--� j� �.n ►�—�e�iy."� -Phone: C �1 Z�' _ PLM:
Owner: Phone: I:LC:
---- —__ _ _h' --- - ELR:L7 e>Z.5_-7
_ SIT. _
BUILDING BLi;C tcon'tI� PLUMBING MECHANICALL_ ECTRIIC SITE
Site Post/Beam Poed/Heam PosYBeam ervice Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In 110 Sprinkler
Foundation insulation Sewer Hood/Duct, Reconnect VauP
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C �� UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Ik Hent Pump w a
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
—1Y n n 1v E 1� o M C _
4 - a4 - �
XCail for reinspec' C7 Reinspoction fee of S required before next inspection O linable to inspect
Inspector: Date: _09— 1:2' / Page of
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CITU OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phonc: 639-4171
Date Requested: --q-::` U – 9 7 A. _ P.M. MST:
Localism � ,,� t-(• _— $UR
Tenant. MEC:
_ i�
Contractor: j Phone: �; PLM: Q �
( mer: Phone: ELC
. -- �� ELR: 91
SIT:
BUILDING BLDG(can't) PLUM ]BING MECHANICAL � SITE
Site PostM. in os Post/Beam over,ervrce Sewer/Storm
Footing Roof UndFi/Stab Rough-In Ceiling Water Line
Slab Framing Top Out (Jas Line Rough-In 110 Sprinkler
Foundation Insulation Sewer F`ood/Duct Reconnect Vault
Bsmt Vamp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C 1JG i l
Shear/Sheath Fire Spklr/Alm Crawl/Found Ih Heat Pump
Approved �NA
Approved Approved A-4oved
ApprIS&Ik Not Approved Not Approved _Nl oved Not Approved
FINAL FINAL FLN FINAL
40 61
� -
17 Call for reinspection Cl Reinspc-ction fea of Sreyirai b fore next inspection M I Inable to inspect
Inspector: ,/ —– �^ Date: � Page--_ of
40
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CITY OF TIGARD
,.
DEVELOPMENT SERVICES ELECTRICAL VERMIT -
13125 SW Hp,':.":;(a, P! ard,OR 97223 (503)639-4171 RESTRICTED F'NERGY
PERMIT #: ELR97-0257
DATE ISSUED: 09/05/97
i
PARCEL: 1 S 134BD-06`500
SIZE ADIrRESS. . . : 11545 SCJ SPRINGWOOD DR
SUBD I V I E I ON. . . . ..ENGLEWOOD NO. r-_ l ON I NG:R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 153, JURIEDICTN: TIG
Project Description: Aid landscape irrigation control to existing single family
dwelling.
A. RESIDENTIAL---------- B. COMMERCIAL-----------------------------------------
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : X
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . • MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : DATP/TELE COMM. . : NURSE CALLS. . . . . . . . :
VACUUM SYSTEM. . . . : Fi?E ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: : : HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . : • •
TOTAL # OF SYSTEMS: 1
Owner : ------------------------------------------------------ FEES ------------------
MR & MRS RAHM type amount by date recpt
11545 SW SPRINGWOOD DR PRMT $ 40. O0 GEO 09/05/97 97--298971
TIGARD OR 97223 SPCT f 2. 09, GEP 09/05/97 97-298871
Phone #: �
ContTact or: --------------------------------------- --------------------- ------•-------•----
PRO LANDSCAPE t 42. 00 TOTAL
F'0 BOX 5952
------ REQUIRED INSPECTIONS --------
BEAVERTON OR 97007 Low Voltage Insp r
Phone #- 642-5696 Elect' 1 Final
Reg #- . : 000059
This p?rmit is issued subject to the regulations contained in the Tigard Nlmicipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be -.;one in acevdance with apprived plans. This permit will expire if work is not started within 18A
days of issuance, or if war?( is suspended for more than 189 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rubs are set forth in OAA 952-01-019 through ON 952-N1-9989. You may obtain copies of
ihese rules or direct que i # to W at (593.246-1987.
Issued by Permittee Si natUV-e_
-------------- --- ---OWNER INSTALL TION ONLY ------------------------------
The installation is being made on property I ow.r which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: N_ DATE:
-------------------------- ..CONTRACTOR INSTALLATION ONLY------ -------- ----_.________
SIGNATURE OF SUPR. ELEC' N: _ DATE:
LICENSE NO:
Call 639-4175 by 6:00 P. M. for an inspection needed the next business dAy
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CITY OF TIGAHU RESTRICTED ENERGY ELECTRICAL APPLICATION Ruc'd by-.--
13 125
y:--_1.317,5 SW HALL BI VIS Date R6c'd:
TIGARD OR 97223 PRINT OR TYPE Q
V• 503 171 X304 Permit-t
F 303-6134-1297 INCOMPLETE OR ILLEGIBLE APPLICATIONS CustCaI1'd:_ ___
WILL NOT BE ACCEPTED
Na",of I velpprnen; TYPE OF WORK NONE)-RESIDENTIAL
ar east►cte:f An.ryyTr�
........................._�.:`s�►o
(FOR ALL S YS T F MS)
JOB 5tnrhf vamoss Shrill Chact*Type of Wont Invnived
ADDRESS ` '�q 'i SW *121fv6vvtao 13Q ,
s 10 ne Aud;u eno Stereo, atoms a
f Name 3xgbr Alam,
M l�►� 1 PAW
1� OWNER a ng dress 0 Garage Door Opener•
s4Wr te>QO lona �] Hosting.Ventilation and Air Condac.ang Sysbrm•
-- �" .5r- 24-sl p
Nor) VaoUUm Systeh+s'
CONTRACTOR al Ildd s
��. C TYPE OF WORK INVOLVED•COMMERCIAL
Irrror to rssuanoe Or %tots p done A Poo atem............. ....•........................��O.11'lt
copy o1 all I canses 'flvalT 1 ,' , 7 5676 (SEE OAR 916 260-260)
are required it Oregon Conir, rd Lk A.—. O z xp •
expired in C.O T �` � ;( q j Check I yye of Work(nvoh d:
data base) Electrical Conk Llc.A Ex ,D614
Audio and Stereo Systems
C UT or me olis s
^ Boiler controls
nors
NameOWNER . Malting Aigroar Q Clod*systema
APPLICANT Data relecommunicaiion Installation `
Fire Alarm inotallatlon
This pem+ is issued un r OA is app iesfn ages to
make only resWr:ted energy,Instalist ons(Mil voll amp►or hu)andaf the ❑ HVAC
permit and to do the foitm>iing.
Instrur**entat�on
f Only use electrical lioensed persons to do instol'ations where required
Certain n►sidential and other lrantootlons are exempt Porn li*unnslnq I rtercvm and Paging Systems
' rhese have asteriake(') ,41r others need licensing,
Iw
2. Cat is Inspections when installation under this tMrmll one too*to,
Irrigation Control'rea ► 7"�
aisoeot,.r+at 605419.4176; F]] Mear:el
5 Purchase-eparets pannrls for ail tnetalinlions that ate red*early fur an rr--�� Nurse Call-.Inspection whe•r the inspector is ow to inanact under this permit; LJ
u
4 Assume responsibilitymi i 8esuring that all corrections required by t•.a ❑ Outdoor Upiriscape Lighting'
inspector are done,ar*ct
Proleclive Slgnal;gg
5. Assume responSibility Nrr calling far a final e•spectm whey all of the
corractkns are compkiod. (_j Qthr, _--
Permits are non-hanstera 0e and non-refundable and expire irwork is not
started within 180 days of tasuanoe or it work is suspended for ileo days _- Number of Systems
}inn person signing kr tits oarmd must be(tie applicant or a person He srenser are roor.rM i tornset are roww"for sit other rnilitstlons
autho' t0 Ind the Opp inn
- FEES:
Sign tUtE _ ENTIM FEES ti 40. '
5%9URCIfARGE 05 X TOTAL ABOVE) : 7
uuthor)tp It nthlrr thin Applicant TOTAL 6� 2 ,----
,res.i,ex*arse
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RECEIVED
SEP 0 5 1997
COMMUNITY DEYELOPMEN►
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OF TIGARD
CITY F''LUM.3ING REFtMIT
DEVELOPMENT SERVICES PERMIT 0. . . . . . . : PL.M97-0187
13125 SW Hall Blvd., Tigard,OR 97223 (503)b,1°-4171 DATE ISSUED: 05/23/97
PA1,CEL: IS134BD-06500
SITE ADDRESS. . . : 11545 SW SPRINGWOOD UR ZONING: R-4. 5 •
SUBDIVISION. . . ., : ENGL.EWOOD NO. X153 JURISDICTION: TI(;
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .
_ ____ __ _ _____ __ _---_-
CL._ASS`OF------ --------------------------------
` __^-WORK. . :NEWGARBAGE-DISPOSALS. :-- Q1 _ MOBILE HOME SPACES. : 0
TYPE OF USF. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :H2 FLOOR DRA.NS. . . . 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BA[rNS. . . . . . . : Q�
FIXT,IRES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUR/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS . . . : 0 RAIN DRAIN (ft) . . . : 0
Remarks: IN3TL 1 BACK FLOW PREVENTION DEVICE/ANTI-POLUTION DEl'iCE
_ ____ FEES -------_-------
owner: -•-------__ .__________.._..____-__
MR & MRS-RAHM--_--_______.__.___ type amount by date recpt
11545 SW SPRINGWOOD DR RRMT $ 15. 0' TAT 05/23/97 97-295053
TIGARD OR 97223 5PCT $ 0. 75 TAT 0;/23/97 97-29505:
Phvne #:
Contractor-----------------------_.-_-------- i
PRO LANDSCAPE
PD BOX 595:
BEAVERTON OR 97007 _--_-_--
Phone #: 642-5452 15. 75 TOTAL_
Reg #. . : 000059
REQUIRED INSPECTIONS
--•_---._ .
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other RP/Backflow Prev
applicable laws. All Nark will be done in accordance with Final Inspection
approved plans. This permit will Pxpire if work is not started
within 180 pays of issuance, or if work is suspended for more — --
34 than 188 days,
Persittee Signature:
Issued By:
Call for inspection - 634-4175
i;w4
City of-Tigard PLUMBING PFRNIIT APPLICATION Planck/Rec. #
i 13125 SW Hall Blvd. Permit # 1Yl "/777T7
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
Nov Slnale Family Residenc PC Only
Ad&-* O 1 BATH HOUSE $140.00 0 2 PATH HOUSE.$195.00 _
Job � ,��L > � _ I � ❑ 3 itATH HOUSE$225.(i) '
Address craw. a► Fee includes all plumbing Ibctures in the dwelling and the Arst 100 feet
I r { ) '� of water service, sanitary sewer and stone sewer. See fees below-
,..�.r.�....s FIXTURES QTY FRICE AMT
�'t ► ) Sint: 9.00
w+o rrrw r lavatory 9.00
Owner 11 � )V '(� ' �, Tub or Tub/Shower Comb. 9.00
war. VA Sh,,wer Only 9.00
l l Visitor Closet 9.00
w.r a Dishwasher 9.00
Garbage Disposal 9.00
Occupant Washing Machine 9.00
Floor Drain 9.00
m+aw. ae Water Heater 9.00
Laundry Room Tray 9.00
...
Urinal 9.01'
Other Fixtures (Specify) 9.00
wa,v Aft.. 9.00
Contractor �� ^,^� ,.-•-� 9.00
zr 9.(`L'
Sewer 1st 100' 30.0!1
C"M rd"° Sewer-ea. Addtt 100' 25.51
i
Water Service 1st 100' I - 3000
I hereby ackrtowled.je that I ha4e read this application, that the Water Service on. Addle. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm R Rafn Drain Addif. 100' 25.00
number given is correct (If exempt from State registration, please -•-
give reason below.) Mobile Horne Space 25.00
track Flow Prevention
D*vrce or Anti-Pollution Gevice 9.00
sly. .....�..r ow. Any Trap or Waste Not
Connected to a Facture 9.00
Describe work new Q addition Q alteration repair Q Catch Basin ' 9.00
to be done residential Q non-residential Q Hsp. of Exist. Plumbing 46.00/hr
Specialty Requested Inspections 40.001hr
Existing use of -V� Rain Drain, single family dwelling_ 30.00
building or property
Residential backflow prevention
devices 15.00
Proposed use of
building or property
"(Fxeept res/denUal backflow
pr+evenUon devlces)
NOTICE 'Minimums Fee S2S.00 SUBTOTAL
PERMITS BECCME VOID IF WORK OR CONSTRUCTION
.',UTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE
Ck.)NSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTt'WORK IS
j COMMENCED. PLAN REVIF.:' 25%OF SUBTOTA!.
-' TOiAL ' >
Special Conditions:
_ Date Issued by11110 _
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RECEIVED
MAY 2 3 1997
CI�M"NITY D[VELOPMERT