14189 SW STARDUST LANE • II I+ �
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CITY 0"F T!GARD
COMMUNITY PEVELOPMENT!DEPARTMENT
13111 6W MW TWO.71owd,Or*W 07911 wee (w3l o39.4171 Cr RT I F I CAT•E OF
OCCUPANCV
X x),x PERMIT M. . . . . . . : MST,03••-009 +
6.39-4171
DATE ISSUED: 06/11/93
SITE ADDRESS. . ., a 14189 SW STAROI_! T LN PARCEL: aLi1040b---O6b@g6 I �
tyUBDIVISION. . . . : CASTLE HILL ZONING: �
BLQC1.. . . . . . . . . . a LOT. . . . . . . . . . . . . n 1
rlt',;,.:,`OF~WORK. sNEW—_—_---�—...—___._..__._.—_._—__�._.___..._�._._.__._------------.,...._—_________—_ r •
TYPE OF USE. . . 03F
oC cUPAN;Y Cal?P. :R3
P17J)PANCY LOAD:225 4
1'CNFINT NAME. . . :
)�emaArkt~ : PATH I
Uwnwr:
F:PULE 'T'I LLEY
t,497 SW OLD SCHOLLfS FERRY RG
i
imt?TLAND OF? 97223
Phone M: 292-•4433
Contractor i --- •---__—_ _._.._._ _.. ._ ._.. _..__ . _.._._ _..._..._ I
BRUCE: 11 LLEY
649 SW GILD SCHOLLS FERRY RD
� 1
G,ORTLAND OR 97223
Phony M: 292-44.35)
81924
i
(lc ^trFtancy of the iRbOve rPfevenced building is het^!ui yive1t, and rertifi
the compliance with the State Of Oregon Specialty Coc'es fnr the group,
00vLApancy, and use under, which the r'efet-e!nn -:ed peraai•c war ) %sued.
FIRE DEPARTMENT
t L . ! ' INS TOR
BUILT? NIT OFF .T ;IAL — —
POST 1N CONSPICUOUS PLACE
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...0_o .ts....y•1►^+Mni ,�+a� �. .. ,�...,w.,,; ..,.fir' .'.w .,,, ..y� �.,r�;.� ... ,'.x-.a+rr`r,�^►'.w.'ry S.
City of Tigard Building Depatlassst .•
13125 Im &:11 Blvd. Tigard• Oc�xi 97{2
j�2�
Inspection Line (R--a-Phones 639-4175 Bnainese 639-4171
•—"—
rooting Plbg. Underala`_ Mach. Rough-!n Apyr/Sdwlk
round. Plbg. Top Cut Gas Line tIVALs
Post/Beam strum. Ban Bower Framing -Bldg. 1
-�1
Post/Beam Mw-,h. Rain Drain Insulation ` -Plumb
Plbg. Underfloor Mater Line Gyp. Bd. -Hoch• a.
Date Requeateds G _,_Timer AM PM
Address Z:/ Permit Er„
Builders,. c �� „ ;y.
Tqx FOLLM MG OORREC 16N8 ARE REQUIRED:
Dalai Inspectors '� �. �i r ��
�trc 1j5;1 a -APPROVED DTBAPPRAVED APaROVED BUB.!`*'T TO ABOVE
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Call For Reinsp.
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1�' DEPARTMENT OF LAND USE la TRANSPORTATION
VI"AS�..� NGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,ON 97124
COUNTY, INSPECTION REOUESTS: 8U3/640-3561/693-4415
PHONE: 503/646-6761
OREGON Page 1 of I �
Date 05/03/93
'lime 1U : 22
Permit Type Residential Electrical Permit Permit # : 05040043
Ise-rmit Status APPROVED Applied 05/03/93
a,itus Address: 14189 SW S' I-IRDUST LN 'TI Issued I 05/03/93 �
Permit 'Title t 6FR - ELEC/NEW HOUSE & L.V. Completed :
WI► hermit Descr . I '1'o Expire 10/30/93
Project 'Title SN'R - ELEC/NEW HUUgE & L.V. Project M P0030884
l'ro jest Descr . + EROSION
i,arcel Number I 2S1TI - Land Use District :
Valuation U
Legal Uescr.
Owner INSPECTION - '1.'IGAkD Construction UTH
Applicant Name REACHER JIM EI,IrC'VRIC Classification 900
Applicant Addr. : PCU BOX 2 Occupancy R3
GASTON, UR 9711 ' Validated by KE'
Applicant Phone: 9115-'/'/J4 Inspector Area I
me descrirtion Units E'ee/Unit Ext fee Data
----------------------------------------------------------- -- -------------
5t_, nr.a Footage [Enter Sq. N't , ] 1800 115 . 00
Limited Enerqy 1 20 . 00 20 . 00
5ubtota., Electrical Fees : U 135 , 00
State Surcharge of 51, 0 6 . 75
Total Electrical F'ees : U 141 . 75
*** Fees Required *** *** Fees Collecl—PH & Credits ***
---------------------------- --------------------------- ----------------
Receipt. No. Date Payment
(itt/0:i/9J 149 .75
'''UTAL THIS DATE 141 . 75
Fees : 141 . 75
Adjustments : . 00 'Total Credits : . 00
Total Fees : 141 . 75 'Total Payments : 141 . 75
Balance Due: . 00
NOTICE: This permit becomes null and Vold It the work or constru loo for whlch It Is Wound Is rnof commenced within 180 days. Once construction tins started,
Ife permit becomes null and void II construction Is Inlarrupied for a period of 180 days. I certify that the Informaticn presented by the applicant and
his agarrt or agents In suPe 41 of this permit Is Ince and confect to the best of our knowledge. I acknowledge that the Building Department's reliance
upon fake and misleading Information may invalidate this permit. All provisions of applicable laws and ordlnerces governing the construction and une
of this ta:llding or structure will be compiled with whether or not specified on the plans or noted on the plans correction sheets. 1 acknowledge that
the granting of a permit does not grant authority to access privet-Nropetty at I0 use easements. 1 further acknowledge that the use or of cupancy of
the structure or building permitted depends upon my calling foT inspeolons at various times during the process of construction and Ihu building
Inspectlon staff radfying compliance with the various codes. Use of occupancy of the building or structure pefmitted prior to apprc-tem by the
Bulldlnti Department is safety at the riuk of the applicant and such use or occupancy Is revocable until all Inspeclion requirements are satisfied and
approval Is given by the Building OffIclal. I furihsr acknowledge that a Ilan may be placed on the title of the property upon which the permit is Issued
specifying that the use or occupt.icy of the building or structure Is provisional and revocable until the satisfaction of all InspectloRrequlrements.
APPLICANT'S SIGN ATU E
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( DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #1350-12
155 NORTH CIRST, HILLSBORO, OR 97124
COUNTY, PHONE: SC3/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit # U5040043 Piroject # P0030884 Status APPROVED Page 1 of 1 b
A3plied 05/03/93 issued 05/03/93 Expires 10/10/93 05/06/93 47. 36
RESELEC
j Permit T3 t_.l e SFR - ELEC/NEW HOUSE & Ia . V OTH
Description
Job Address 14189 SW STARDUST LN TI
Ower Name 114SPECTION - TIGARD Req_ ion
Applicant Name BEACHER JIM ELECTRIC
Phone nuriiber 985-7734 Valuation . 0 Approved
Inspector Comments . Rejected
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Inspected by Dat,
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Inspection Requested
+� Cover & Serv.i i.e
05/06/93 RI liA
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WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
Inspection ction
A55 Nrorth ical First Avenue Il350-12 APPLICATION
Hillsboro, Oregon 97124 �
IMormation: (W3)640.3470Fax: (503) 693-4412 Project/Permit ��1 -'
PLEASE Number _ Date
PRINT
• • 4. Complete Fee Schedule below
1. Location of Instan Number of Inspe-tions par permit allowed
Address Stt1 ��uj- Lr��s>✓- Service Included: Items Cost(sa.) Sum_
Building A. Residential-per unit u►
City r d —�_Suite No. ,(�� /
Tenant- a r 1000 sq.ff.or less , •-- $C35.00 _ 4
' (if cornmorclaD — Eac i additional 500 sq n
or pot don thereof $15.00
Tax Lot Map No. Umited Energy --� , $20.00 -- 1
---� ► — Each Manufd Home or Modular
Dwelling Service or Feoder _ $40.00 ----
Thomas Map Book: Page: Section:
Direu is _ _ B. Services or Fba4ars
Installation,alterations or relocation
— — -- 200 amps or less --- $50.00 —_ 2
Commercial Reslder.ft.�' 201 amps to 40"amps -- 660.00 --- _ 2
401 amps to 60''a npe _ ;1 00.00 —_ 2
601 amps to 1 WO a,rips $17x.00 —— 2
2a. Contractor Installation only: Over 1000 amps or volts 6:100.00
.--- _—_ _�
Electrical Con ractor Tim L e,,AeJ.eY- i o-t Reconnect only !i40.0U 2
Address _ A¢Y Ott- 1-117 C. Temporary Services or Feeders
Date_ Job Number i installation,alteration or rolocation
Pr�nP f -�e y 4A ir1L� 200 amps or less !I40.00 �_---- 2
201 amps to 400 amps —e !M5.00 —_ 2
Contractor's License No. —_— 401 amps to 600 amps !W0.0 ____ 2
Contractor's Board Reg. Nn Over 600 amps to 1000 volts see'B'above —
Signature of Supr. Elec'nD. Branc`I Circuits
?rI� y �� New,Oteratior or extension F:r panel
Lict.Ise No. � one No. — al The foe'or branch circuity,with
purchase of service or feeder tea.
2b. For owner Installations: Each branch circuit Si 00 2
b) The fee for branch circuits withot-t
purchase of service or lireder tee.
nt Owners ►ons _ Phone No First branch circuit $35.00 2
-- — _.— Erich wW'nl branch cimult -- $2.00 — _ 2
E. Miscellaneous (Sen , )r Fender not included)
Each pump or irrigation circle__ 140.00 — 2
Each sign or outline lighting —_ 940.00 — 2
Signal circult(s)or a IirAed
The installation is t Bing made ot, property I own energy panel,alteration
which is not intend�d for sale, least' or rent. or extension $40.00 —+ 2
Owner's Signature —__— —__ F. Each additional Inspection over the allowable
In any of the above, per Insp ec►fon -
3. Plan Review section (if required) � $35.00
5. Fees
A. Enter total of above fees $
5% Surcharge (.05 X total fees) $ _
Subtotal $
B. Enter 25% of line h for
For In;so�cticns call Plan Revie%r 0 required (Section 3) $ .
G40-3561 or 693-'4415 Subtotal $ _
Less Bulk Label ,-ee $
V.-hour recorder,
one workirg day In advance of need idalanee Due t
This permit becomes null and void"the work authorized by the permit Is not commenced within 189 days from date of Isedsntce
of such permit or k the work authorized Is suspendcd or sbandonsd a1 any time afler work Is commenced for a period cif 180 days.
Electrical Permits are non-refundable and non-transferable. 11/92
0j,
,IIY,*" F 110.414RD (- ,k
fryor.rkl;4R
D MASTER FERMII
COMMUNnIf DEV''.. -OPMEVT DEPARTMENT � onm+wee PERMIT #. . . . . . . : P1yT9 3
13126&W PA 16Wd V0.Sm 2ZW,TiVA,Onvwi 97'x21(6O9)639-4176
—:1�-.:i•W�+�-1-; 1 ` .
SITE AD'JRESS. . . : 14189 SW STARDUST LN PARCEL: 2S104BB-06600
SUBU?VISION. . . . : CASTLE HILL 7.ONINGs
BLOCK. . . . . . . . . . s LOT. . o . . . . . . . . . . s i •
____-----_—.._..-_.._-_-.._---------------- BUILDING
REISSUES DWELLING UNITS: 1 BASENEPtT. . . . . . . . 20mfr
CLASS OF WORK. iNEW BEDRMS13 BATHS:3 GARAGE. . . . . . . . . . 1638 sf
TYPE OF USI:. . . s SF FLOOR ARE(15--— ------- REQUIRED SETBACKS--_--r— •
TYPE OF COAST. s 5hl FIRST. . . . o 899 s f LEFT. . : 10 ft RIGHT. :5 ft
OCCUPANCY GRP. s R3 SE:C.140. . . -,892 s f FRONT. 120 ft REAR. . s 25 ft
STORIES. . . . . . , e2 THIRD. . . . :0 5f REWJ I RED----------------------
HEIGHT. . . . . . . .
----r__._._.____r__—_HEIGHT. . . . . . . . s25 ft TUTAL--•-----: .1791 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . 0 ps f VA!Ui . .. . . . X3387'0 PARKING SPACES. . : 1
Remarks PATH I ".
--- ------------___ -- ------------- PLUMBING —•----------------------------------------
GINKS. . . . . . . . . . 81 FLOOR BRAINS. . . :0 BACKFLOW PREVNTRS. . s0
I_AVATORIES. . , . . s4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUN/SHOWERS. . . . :2 LAUNDR`+ TRAYS. . . :0 CATCH BASINS. . . . . . . .0
WATER CLOSETS. . :3 SEWER LINE (ft) . i@ GREASE TRAPS. . . . . . . :0
DISHWASHERS—— : 1 Ww_(ER LINE (ft ) . : 100 OTHER FIXTURES. . . . . s0
GARBAGE DISP. . . sl RAIN DRAIN ( Ft) sO
WASHING MACH. . .. r l SF RAIN I'tiRAINS. . s 1
MECHANjrALFEES __--_—
FUEL TYPES--_--_,.----- UNIT FITRS. . :0 type aMOIAnt by date rcpt I
/GAS/ / / VV-N S . . . . . :0 TIF $ 1460. 00 .JH 03/1111 /93 —
W )X INPIJI :0 STU VENC FANG. . :4 BPRT $ 41`:,. 0 .1 JH 0:3/01/93 —
TURN ( 100-K . . : 1 HUODC•. . . . . . : 1 BPLC $ 269. 75 JLH 02/09/93 93-236487 " 1
FURN ) =100K . . :0 WOODSTOVES. s 0 B5PC $ 20. 75 JH 03/01/93 —
FLOUR FURN. . . . s0 CLO DRYERS. s 1 SSDC: $ 280. 00 JH 03/01/93 — tS}
BOIL/LMR ( ,'SHR:O OT'FIER UNITS: 1 PARK $ 500. 00 JI; 0:3/01/93 — I
GAS OUTLETS: 1 MPRT s 43. 50 JH 03/01/93 —
Owner: ----_______.____.____.-----____.____.____-----hIPLC $ 10. 88 JH 03/01/93 —
BRUCE TILLEY MEPC 9• 2. 18 JH 043/01/93 —
6497 SW OLD SCH01_LS FERRY RD PPRT b t40. 00 JH 03/01/93 — Y
PSPC s 7 . 00 JH V13/01/93 — s.
PORTLAND OR 97223
Phone #: 292-4435
Contractors --------------------------------
BRUCE
---------_----_—_--_---_.----.—_BRUCE TILLEY
6,497 SW OLD SCHOLLS F'RRY RD
PORTLAND OF 972 :3
Phone #: 21jL:-443`.4
R&C, #. . . 81924
-__�--,-3149. 06 TOTAL
This permit is issued subject to the regulations contained in the -- REUUlRED INSPECTIONS -------
Tigard Municipal Code, State of Ore. Specialty Codes and all ocher Foot/faund Insp cir•eplace Insp
applicable laws. All work will be done in accordance with approved Post/Beiim Struct Gas; Line Insp
plane. This permit will expire if work is not started within 188 Post/Bean Ihechan Insc.lation Insp
days of issu-ince, or if work is suspended for more than log s. PIM/1_indslab lnsp Gyp Board Insp
�'�� FLM/l.lnder•floot- Rain drain Insp
Per mi.ttee 5i1411at1.iMechani.caI Insp Welter L.ine Insp
Plumb Top Out Appr/Sdwlk Insp
Is_.ieci BV . _ Fr-aming Insp Mechanical Final
Call for• inspection — 639-4175
... .. _...r +w'CMn�W.NMeAMIrMar441fiM.1 ••
1312s sw"81,31 At PLNCV/RECT /
CITY OF TIGARDPERMIT 1
COMMUNnY DEYELOT M NT DEPARTMINT
(S°°)M'"" DATE ISSUED
JOB ADDRESS: ���' / _S(y �.Z.:L' - � --- TAX. MAP/LOT .�5�' C'� �='��� •
SUB: %���� T! �1� LOT: _ LAND USE:
VALUATION: __r U •
jg �;PFCIAL NOTES
—� REISSUE SSUF. OF: .__.
NAME:
aeLe-p i C _
ADDRESS! �41� ��-�� lb ` `���` LAST REISSUE:
z1-5 FLOOD PLAIN/
PHONE: 9e- SENSITIVE LAND:
CONTRACTOR / APPROVALS REQUIRED 40 -Oee�
NAME: �1U(� L, , . PLANNING: EX .-1�'��r
3 1L ENGINEERING:
ADDRESS-
FIRE DEPT:
PHONE: _ �� �*� -j�� OTHER:
CONTR. BOARD : �� �Z�� EXP DATE: �� 3
ITEMS RE VIREO
SUBCONTRACTORS: PLUMB: T ^ll/Minf4 LIST/SUBCONTRACTORS:
MECH: 1lnL nU BUS TAX-
ARCH/ENGINEER
AX:RCH ENGINEER CALCULATIONS:
NAME: �i Q/ G TRUSS DETAILS:
ADDRESS: _ OTHER: ^
PHONE: _
PROPOSED BLDG. USE:
COMMENTS: ��ze
__ f
APPLICANT SIGNA
Received By: _ Date Received:
spill
:Yae4 x�N;.' tA r.:Mo. G?rji
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PERMIT # ACCT I' DESCRIPTION AMOUNT AMOUNT P0. BAL. DUr"
Aha ,L°e'9L 10-432 00 Building Permit Fees
eI,uv ,�,�+ •
_ 10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees 3•Su ,i �3. ,-�
10-230 01 State Building Tax (5%) .�_ �4. 3 •
Building
Plumbing
Mechanical ,
I 10-433 00 Plans Check fee
Building
Plumbing _
Mechanical
10-230 06 Fire
5weo Pu 30-202 00 Sewer Connectio,i U o j CQ u✓
30-444 00 Sewer Inspf;ction _ `�.�_ 3�^
25-448-02 Commercial 1IF Fees
2.5-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TTF Fees
25-448-01 keb,,iential Traffic Fees135 ,
21;-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) OU !
31-450 00 Sturm Drainage Syst Dev Chrg `
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
26-445-02 Water Quantity (Fee in lieu of)
TOTAL ,5�.??� dG r3Sd lU3y,uG
nmj3587P.WPF
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CITY OF TIW"'A"RDi
cffya m4 SEWER CONNEf. 1101U
COMMUNCTY DEVELOPMENT DEPARTMEW ommm PERMIT
11�126auHWi8W. ?.0.Ba23307,TOW.Orippon 97223(SM)6304175 PERMIT 4#. . . . . . . : SWR93-0086
639-4171 DATE ISSUED: 03/01/93
SJTE ADDRESS. . . s 14189 SW STARDUST LN PARCELS E5104HH-06604
SUBDIVISION. . . . s CASTLE HILL ZONINGS �I
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . s 1
-NAME. . . . . s__- _ _ ..
_.-._------,-_---__- .-_.__.-_-_---__-_----_.- ,-_._...--_ _-_____--_-_-__
TENANT
USA NO. . . . . . . . . . .. FIXTURE UNITS. . . a
CLASS OF WORK. . . aNEW DWELLING UNITS. . s 1
TYPE OF USF:. . . . . :SF NO. OF BU I LD I NUS e i
INSTI HLL T' PE. . . . :BUSWR 101PERV SURFACE. . a : S f
Remarks a PATH I
Owners -----------__,-----_-______________________---____-_-_,_ FEES ___--------_.---
BRUCE TILLEY type amount by date rerpt
6491 SW OLD SCHOLLS F=ERRY RD PRMT $ 2100. 00 JH 03/01/93 -
INSP f 35. 00 JH 03/01/93 -
PORTLAND JR 97223 V
Phone #: 292-4435
Contract oe s --------------------------._.—__.
CONTRACTOR NOT ON FILE
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Phone #, 21.33. 00 TOTAL
Reg #. . .
REQUIRED INSPECTIONS -This Applicant agrees to comply with I the rules and regu',tions Seopr Inspection
of the LInitied Sewage Agency. The perl.rt expires 160 days or
the date issued. The total amount n,-,id will he forfeited if the _
permit expires. The Agency does not guarantee the icru- w of the _ _ -
side sewer laterals. If the sewer is not located ""ement
given, the installer shall prospect 3 feet in all from
the distance given. if not so located, the instal, .rchase
a "Tap and Side Sewer" permit and -.he Age„cy will in eras.
F:'a r"m i t t e e S i g n a i;'_1 r e :
I s S o-red 1?y :
tion - 6:39-4175
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