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10250 SW LADY MARION DRIVE g �r L r _ q4 C, —o l 970 a� t ✓, 1 U)Fir l { '^ LZ 01 00 IN, 014 qO �•�'� v7 - - - Le G — I IN A tx 4(0 0 0 • . as 11111 N O If this notice avj)ear•s clearer than the document, the document is of marginal quality. MAY 1 91997 _ 1� I � I { ILIII { I � I I { IlIII1111111 1111111 IIIII I ' I I ` I ! i 1 1 ! 1 1 1 1 i � l l l ' i l � ! ` i � � I I ls , � lll ill 11 Ilfillllllllllllliilillllllll INCH MADE tRCHINA i II � ) II Iillil IIIIIIIi � IIIIIIIIIIII � IIIII � iI ( III I III II III IIIiIIIiI . TF �� ,�I( �IIIIII! 1111111lIIIIIIIIII{Illllllll,ilillll! Iflilfclllllillllllllllillllllllllllllllllllilll�lllllllti�llllliflllilliii II�ilii{ilili =! iii! i ! +T. ��(M�^T 111rn'T t '1c , fid.. • � •%'� �.!'.��1/'".�vf'y'1j1�'� �....i':. .'.�1�4u�: r,r. -�1�Yn ,■ "77,,. CITY OF TIGARD BUILDING INSPECTION NOT CE Inspection Line (Rec-O-Phone): 639-41-75 Business Phone: 63. N 71 / InsF fiction: Footing Susp. Ceiiing Sprink. Rough-in Appr/Sdwlk Foundation Plbg, Underslab Mech. Rough-in Fireplace aw Post/Ream Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line Bldg. Plbg. Underfloor Rain Drain Framing Alarm Water Line Insulation ."Ilcw Jnderflr. Insul. Shear Wall Gyp. Bd. -PI&Ct• Da'e Requested �- 7-e Time:_AM PM f Jdress: _ ` Builder: c�a S � _'E} P mit ri: / THE FOLLOWING CORPAR RE(]Ulr r v; IiIns ector: - _ Date:Z-1 PPROVED —_DISAPPROVED —APPROVED SUBJECT TO ABOVE —Call For Reiiisp. 1 F w171 t CITE' OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OV � 13125 SW H411 Blvd.Tigard,Orogon 97223.8199 (503)839-4171 OCCUPANCY PERMIT AFI. . . . . . . x MST95--00'59 DATE ISSUCDI 02/26/96 PARCEL a 2 S1 1 .(C:D--051?00 MITE ADDRESS. . . a 10250 SW LADY MARION DR SLIP-DIVISION. . . . I MARION ESTATES ZUNINGaR--3. 5 PL.00:K. . . . . . I LOT. . . . . . . . . . . . I+t) :3 CLASS OF WORK. INEW I'YPE_ OF UGE. . . 9 SE= OCCUPANCY GRP. I�rila► f:3 OCCUPANCY LOAD 12 ■ Remarks PATH I Owners I+IARJ'OR I E~ JOHNSON 14749 SW 109TH #2 I-IGARD OR 97224 9 ilione #v 966--8064 d Gonty actor: & J HEATING ')1685 Fi DARNARDS RD I:ANBY OR 97013 Phcme #s 651-2702 Rep #. . t 96972 7"hi!I CF.? •tificat e .jr-ant9s ocaupanc.•y or the abovia referenced building or portion thareof and confirms that the be.lilding has been inspected for compliance with i the State of Orepon Specialty Coders for the gromp, ccupan 4y, and use under wriir-, lFllr i,oferenr_ed parmit was issued. POST IN CONSP I LLIOUS PLACE i' 1 CITY C F TIGARD BUILDING INSPECTION NOTICE / ■ 1.1spection Line (11fic-0-Phone): 639-4175 Business Phone: 639-41 1' Inspection: I Fooling Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top L)u; E'.- Rough-in Po st/Beam Mech. San, Sewer Gas Line - Id9 Plbg. Underfloor Rain Drain Fr.ming -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect Z_3I5Time: AM PM Date Requested: , Address: Builder. Permit#: 17 r H� THE FOLLOWING CORRE;TIONS ARE REQUIRED: -- , X2 _?Z941. Insctor:__ Date APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVc Call For Reinsp. L� a I CITY OF TIGARD BUILDING INSPECTION NOTICE • Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171Inspection: ' "�' C � Footing Susp. iling Sprink. Ropigh-in Appr/ d Ik Founc, tion Plbg. Underslab IAech. Rough-in Firepl Post/Be 3m Struct. Plbg. Top Out Elec, Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing Alarm Water Lint Insulation -Meth. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: Time: AM _ PM Address: 1 L) —`-S L' -'���' C'�`� rr at,ALL ^I 0- t," 7,C 5 ' Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: I Inspector:__ Data 2 LAF<ROVED ,DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. e . r r CITY OF'rIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171 ✓ I Inspection: �- Footing Susp. Coiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: -� �� G Time:_.—AM P d •.. Address: Builder: _Permit #: _��' THE FOLLOWING CORRECTIONS ARE REQUIRED: ' ! Z•).--�''e---r-=-�('-c J "�� IDR-o Q-EGT ��N�t t+ k z�. t' Inspector:� _ Date: _APPROVED _DISAPPROVED t\APPROVED SUBJECT TO ACOV _Call For Reinsp. } i -qty lr'A} raw� � },S viN IL a { Xa 'r 1 CRY OF TIGARD BUILDING INSPECTION NOTICE / Inspection Line (Rec-O-Phone): 639-4175 Business Phoiie: 639-4171 \ Inspection. `:-->i c)F— �-0141,Yi Footing Susp, Ceiling Sprink. Rough-in Cppr/Sdwlk Foundation Plby. Underslab Mach. Rough-in Fireplace Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL: A Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing Alarm Water Line Insulation -Mech. Undertlr. Insul. Shear Wall Gyp. Bd. Elect. .F rvtt{t'�trf J r n.�h Date Requested: Time: AM PM Address: If T C c builder: ____Permit #:�7 C THE FOLLOWING CORRECTIONS ARE REQUIRED: r:i r� f �.) Fzl� PIT �t_�5 J.�� .�;5 �,-1J Cvc2�► LIO ZLI�ec�J l�Nt�e r..lT �a� c�Px.�r _Z;2 L5 CJI 1 r, rJ 611 C%LL Tc�C Inspector: ` "mP1Date: I-x 1L�_ —APPROVED —DISAPPROVED 7--APPROVED SUBJECT TO ABOVE i _Call For Reinsp. 1 u, a CITY OF TIGARD BUILDING INSPECTION NOTICE I 1 Inspection Line (Rec-O-PI' )ne): 639-4175 Business Phone. 639 Inspection: _ Footing Susp. Ceiling Sprirk. Rough-in Apprrodwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace 1 Posi/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Niech. San. bower Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumh. Alarm Water Line Insulation -Mech. Underflr. Insul, Shear Wall yp. BB -Elect. Date Requested: C' Time: AM PM Address: t_' Builder:_ Permit #: S THE FOLLOWING CORRECTIONS ARE REQUIRED: 1 Insp torr — Date: PPROVEn DISAPPROVED APPROVED SUBJECT TO ABOVE Call "or Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec O Phonal f339-4175 Business Phone: 639-4171 ■ Inspection: TP� �c1 h ,� t✓ r Footing Susp. Coiling S rink. Rough-in A NSdwlk 4 -in Fireplace Foundation Plbg. Underslab Mech. Rough ar Post/Beam Strutt. Plbg. Top Out Elec. Rough-in FINAL: Post/beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line CInsulatio0 -Mech. Underflr. Insul. Shear W-11 Gyp. Bd. -Elect. Date Requested: z 5 Time: AM PM Builder. Permit #: THE FOLJ.O ORR�C IONS/ARE R UI ED: (� (.� w InsP/ft/tor. Date: "\/—APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. I � I i e J 1 i CITY OF TIGARD BUILDING INSPECTION NOTICE I Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/ �14k k Foundation PIbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top OutElec.Rou .' FINAL: PostrBeam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain �_Fr - -Plumb. i Alarm Water Line ,�{E��f� lation -Mech. Underflr. Insul, ear Wal Gyp. Bd. �1 Date Requested: 5- rTime:.--AM PM Address:— Euilder ( Permit#: THE F94LOWING C RRECTIONSA_REQUIRED: Inspector: Date: `> Z-A PROVED DISAPPROVED APPROVED SUBJEC TO ABOVE __Call For Reinsp. Alw ARD PR _ CITY OF TIG ESTRCTED ENERGY COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR95-0197 13126 SW 1.411 Blvd.Tigard,Oregon 97223.8190 (503)839-4171 DATF_. ISSUED: 11/08/95 PARCEL: 26 t 1 1 CB--05000 SITE ADDRE13S. . . 10,::,`.50 5W LADY MARION DR . . , : MARION ESTATES ZONING:R-3. 5 SUP.L` IVISIOIV, LOT. . . . . . . . . . . . . :0; BLOCK. . . . . . . , . . . F-4,o.iect Descr•iptirl Bl_rrglar- alarm A. RES IDENT IAL..____....__•._._....___.. B, C',OMMEPCiAI_ GAUD I O & STE REO, , . : AUDIO & STEREO. , T NTE RWM & PAGING. . BURGLAR ALARM. , , . : X B01LE- R. . . , . , . , , , : I-ANDSCAPE/IRRIGAT.. GARAGE OV'ENE:R. . . . . CL0CF. . . . . . . . . . . , MEDICAL. . . . . . . . . . . . . HVAC. , . . . .. . . . . . . . . DATA/TELE: COMW. , : NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . FIRE ALARM. . . . . . : OUTDOOR L.ANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : � INE3-TRL.IME:NTOTION. : OTHER. . : , , TOTAL. # OF SYSTEMS. 0 FEES ADT type amor_tnt by date recpt 703 N1= HANCOCK PRMT $ 40. VIZI CJ a 11 /08/9 95-272649 5r'CT s 00 CJS 11/08/95 95--,272649 PORTLAND OR 97,':21 Phone #: i Cont r,act or,: CUNTRACTCIR NOT ON FILE 4 47'. 00 TOTAL_ -- -- - REQUIRED I NSr'F'CT I ONS -_-_-__ Cover Inspection E=lect.,ical Ser-vi PhOne #; Wall Cover- Electric"al final R #. . . This oersit is issued subject to the regulations contained in the _.••-_,._•-,_.____ _•-___�_."-.._ ___ __ r.._._____ ._ . Tigard Municipal Code, State of Ore. Specialty Codes and all other Pler^m i t ee Si gnat l.lr^e applicable laws, All work will be done in accordance with approved plans. This persit will expire if work is not started within 180 days of issuance, or if work is suspended fir sore than 180 days. ISSlled By .-___-_._ _._..._..CIWNEC2 INSTAI.J.-ATION UNLY- ____.__._-.•--.._.__--_--..____.____.__..__.._. The installation is being made on property I own which is not intended for sale, lease, or- rent. OWNER' S SIGNA•T•URE:: DATE INSTALLATION SIGNATURE: OF '_-_,UPR. EL.EC' N: 51 ._. ._ DATE: LICENSE 1\10: Call for inspection - 639-4175 at+, Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 PFklvtl t # 0197 ------_.___ Phone(503)639-4171 FAX(503)684-/297 DATE ISSUED // — R 97- TDD TDD No. (503)684-2;"2 CITY OF TIOARD Inspection (503)639-417.5 ISa(II D RY PLEASE COMPLETE ALL SECTIONS 1. LOCAT ''N OF INSTA LATION 4. TYPE OF WORK Addr RESIDENTIAL—Restricted Ene rg�yy Fee. . . JMM ' (FOR ALL SYSI EMS) City Stale zip .Check Type of Work Involved: PERMITS ARE NON•TRANSFI:P,1BLE AND NON-REFUNDABLE AND EXPIRE IF WORK _ � IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR ❑ Aucliqand Stereo Systems' 180 DAYS. urglar Alarm ❑ Garage Door Opener" 2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System* Contractor / Ty e� j�.� � ❑ Vacuum Systems' ❑ Other Address Date_ ---- ---- _ COMMERCIAL—Fee for each system . . . . . . . , , S40.00 a a (SEE OAR 918-260-260) Property Owner W -- Check Typ"f Work Involved: r Contractor's Board Reg. No. _ ❑ Audio and Stereo Systems" (�_ ❑ Boiler Controls Phone# — =z��-�—�- --- - ❑ Clock Systems ElData Telecommunication Installations 3. OWNER APPLICATION /� ��j ❑ Fire Alarm Installation �� o ❑ HVAC j ry ,' Print Owner's Name Phone No C Instrumentation I e. Address ❑ Intercom and Paging Systems w ❑ Landscape Irrigation Control' City State Zip ❑ Medical ! This permit is Issued under OAR 918.320-370.This applicant agrees to 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 13 Protective Signaling residential and other transactions are exempt from licensing.These have ❑ Other asterisks(•).All others need Licensing). — 1` 2. Call for an Inspection when all w +•,stallations under this permit are ready for inspection at 503-639-417x. 3. Purchase separate permits for al.;nstaliatfons that are not wady for Inspection ❑ Number of Systvms when the inspector is out to inspect under this permit. •No license•are required. Licenses are required.or all other installations. 4. Assume responsibility for assuring that ali corrections required by the inspector are done,and 5. Assume responsibility for calling for a final Inspection when all of the corrections 5. FES are completed. The person signing this ermit must be the applicant or a person a. Enter Fees $ authorize bin 1c', plirant. b. 5% Surcharge(.05 x total above) $ a Q� Sig re V - TOTAI $ -4cajo� Authority if other than applicant t'pA is ENERGAP.CHP 77 i , h. 'r a,,lty 1G, tY 5 j tN a+4kpf M�tr�S _ t tail" F r M t y� 1 1 i ; III f 1 „ {,f 11 1,11 Iv I P1 Il- 1111 NI►, 7 51':1—,=;'x''649 �t •F 1.;IF I J." I.0101.IN 1 s 4,�. ONA ,I-I`'i11 VIM(i!IN 1 r 0. 0116 ilj.3 Nk:. bil�►v( (Jt i'. 1 11':Y f''Ii N I I i i 1 F e 1 1 I'Iit11I O ID IJR 1 i F�'1lF�f='!)l�+l: i1F f'1(�hIF fel f 4•ihli.h Ipd I I'f�1 I.U 1'l II;I 't I'•Ih Ili i 'I i r I'II hl f {..1Ph 11 li I I 1-'{t 1.II �i0. 00 I . P`•II1I I1 ' k 1. I I.Gaf)Y MF1F11 Ohi rQ►ill.. 00101JN I f='(11 f) ? 4 i CITY CF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 635-4 1, ) f Inspection: r Footing Susp. Ceiling Sprink Ror -in Appr/Sdwlk Foundation Plbg. Underslab e1. . 9iFireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer `� -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line L ' Insulation -Me^,h. Underfrr. Insul. ear Gyp. Bd. -Elect. Date Requested Time: AM PM Address: Build — —..._.... Pe it a: U S c I E FOLLOWING CO RECTIONS ARE REQUIRED: Le I Spector: - -- Date:—z/-z6 ZLE APPROVED —DISAPPROVED _APPROVED SUBJECT TO ABOVE all For Reinsp. J I CITY OFTIGARD BUILDING INSPECTION NOTICE Inspection Line (Hec-O-Phone): 639-4175 Business Phone: 639 41 1 / r: �t • Inspection: - Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk I Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Cf g. Ttfi p Ou 0 Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer ��) Gas Line Bldg. Plbg. Undarfloor Rain Drain Framing -Plumb. Alarm ate jit Insulation -Mach. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: l J Time: AM PM k�• Address-- 6) 5-3�CYC) 0 aA , 2c T ermit THE FOLL WING CORRFCT S A E REQUIHc D. CCJJ r . s Inspector: / Date L-APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE 'r _Call For Reinsp. i d K� It I i i ;r �$ q,',�I/p•YJ. .. d N.0 „ 39.1 yp. ;;r yn, 7��•:�, it I' CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Bug ness Phone: 639-4171 Inspection: Footing IV Susp. Ceiling Sprink. Ro,g in Appr/Sdwlk Foundation Plbg. Undersjala, Mech. Rough-in Fireplace Post/Beam Strucl. !_Plbg. Tup O Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul, Shear Will Gyp. Bd. -Elect. Date Requested: 1�/ I CJ S Time: AM PM Address: Permit #ffia �1 0 -•s� THE FOLLOWING CORRECTIONS ARE REQUIRED: i P #v y± I W I r r' t .� Inspector. 16V Date: f> _APPROVED vDISAPPROVED _APPROVED SUBJECT TO ABOVE -Call For Reinsp. a I I k' ... .. I v1L 1 I .V i i •:i #a ,...,. +Mir►•• 't1rilr�n sc!:i•yF.�i:'h•�iA7�r+•:-... . . .. Community Development ELECTRICAL PERMIT APPLICATIO14 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # L L C Phone (503) 639-4171 Date Issued�10 - � •7 FAX (503) 684-7297 Issued b O `^ CITY OF TIDARD TDD No. (503) 684-2772 y Inspection (503) 639-4175 1. Job Address: /►I gf?jur.r 014,P-5ct 4. Complete Fee Schedule Below: f Name of Development Num'er of Inspections per permit allowed <i v Address /D y D !� f✓r Mf1PLPN P_ v,6So-vice incl lded: Items Cost(ea) Sum i City/State/Zip_Z / y D R EA c v ?7 z 7 4a. Pesidential-pec unit 1000 sq 0 or Ices $110.00 �Pr P n Namei f b or name of MAR�kRit Tv Nsonl Each a.l'«LonaI500eq II or 1 ( ) ��r V a portion thereof $2600 Commercial❑ Residential►� Each Energy $2600 � _ Each Menul'd Nome a Modular 2 Dwelling Service or Feeder -� $66 00 2a. Contractor installation only: 4b.Services or Feeders Installation,alteration,or relocation 2 Electrical Contractor Y-A; - !P t.N TyE-kt-f TR h ,Tr "_ 200 amps ar leas $W 00 2 Address folV, 6 *-q 201 amps to 400 amps $60.00 2 401 amps to 600 amps $120 DO 2 City State & Zip Zo s-_C- 601 amps to 1000 am]a S118000 2 Phone N (.!�v.3-Lli N' "-0- __ Over 1000 amps or vcIts 1140.00 2 Contractor's License No._3�/ - C- Reconnect only $50.00 Contractor's Board Reg. N0.1� 4c.Temporary Servinse or Feeders n fi Imtallation,alteration,or relceation 2 Signature of Supr. Elec'n�� n• �.n� � � , 200 amps nr less $5000 2 License No. 3 Z 7_�- S Phone No.,/,/,,f-_s-n/G 201 amps to 400 r.npaam,is 100$7500 401 amps to 600 r.npe $100 00 Over bon amps to 1000 v As 2b. For owner Installations: see•b•above 4d.Branch Circuits Print Owner's Name New,alteration or extension per panel Addressa)The lea for branch circuits with CityState Zip — purchase of sarvka or Apedw Ase. 2 Each branch circuit $500 Phone No. _ b)The too for branch circuits without The installation is being made on property I own which is purchase of somko or Anda Apo. 2 First branch circuit $3500 2 not intended for sale, lease or rent. Each additional branch circuit $500 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circle $4000 2 Each sign or outline lighting $4000 Signal cirrud(s)or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel,alteration or extension $4000 t 4 or more residential units in one structure Minor Labels(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 41. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above es described in N.E.C. Chapter 5 Per inspection $3500 Per hour $5500 In Plant $5500 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5, Fees: NOTICE So. Enter total of above fees $ 2/17r DO 5%Surcharge(.05 X total fees) $ /PIS D PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ z Z 01 S� AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR Ii: 5b. Enter 35%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if require('(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ Or v COMMENCED. ❑ Trust Account k $ Balance Due $ ;Z?r, a L_ lrarroanMNW6Crm�W ,...«...,,,,,.wr,N�4'iA,Yg',YAl�iid'3355AklY.i'i"..t�x4fit14W�L :..,. . .. .:cu,.,.is,y,'•Y.rr.�'.h^ .. Ya „w i r i MEL ,1 CITY OF' 'T Wf•IRD - REC;E IPP (Of F'/-IYMI:.NT' R (";F:IF''T NCI. I4ts t:"71Y51 hlfaMt o JIJHW-30N, MAR JUR I F C OSIS WMI_��IN) (a. Ord kDDFCESS I r.';'i SW I....OVY f•i�•N']0N DR f'WMt•.NT' R 10i' 1719 � l'10ARD 01.1 'til DD 11)1 S ICJ14 e ' PUf7PIC16k. Cif P(4YMVNT (011)I Il•l l Pil I.t? l'Uld'U;d- III PI-1 i'Mi N I W HJ IN I t:, ll"TRICK. PF•RMI T rl.►ei. 00 10. )W i Vlc"51x1 liW LADY MOR I CIN DR. f.l .i_ )'i--0461 I U T At_ AM UN T PO 1V f CITY OF TIGARD BUILDING INSPECTION NOTICE c • - <<,. ° 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 Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Ibg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall r. Gyp, Bd. -Elect. X% Date Requested: ` Time:-----AM PM ( Address: T \G" — E3ui d)er:C1 to - n 4—� Permit #: S_— THE THE FOLLOWING CORRECTIONS ARE REQUIRED: a�1 V if • F w. 1 .. } t i Inspector: Date: } APPROVED DISAPPROVED iAP' PROVED SUBJECT TO ABOVE " —Call For Reinsp. 4 � J ry CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone)• 639-4175 Business Phone: 639-4171 Inspection: r' 1 Footing Susp. Ceiling Sprink. Rough-in ApprlSdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace P ea tm 5 Plbg. Top Out Elec. Rough-in FINAL: eam Mech., San. Sewer Gas Line -Bldg. Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mach. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. I f Date Requested: C' Time: AM PM�� Address: �/' �- `� �� c 1�iZ�Lt.-�1 "L� ■ Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: __ /-1i�Ss1 L 1�dSU�� .Xi'CS'Sr-� I-�Z�K'TlOiy - i Inspector: ' Date: f® APPROVED DISAPPROVED 4- PROVED SUBJECT i O ABOVE 'l Call For Reinsp. g. e+ 1 ;l r i Y 1 I CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 i Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Unders;.b `Nec` h.--Rough-R) Fireplace sham Stru Plbg. Top Out Elec. Roug inh FINAL: FO, -7i San. Sewer Gas Line -Bldg. or Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. PH -Elect. Date Requested: k _Time: AM PM Address: "ir: 6 .3 l 5 3 u (h) Permit tt: THE FOLL111\1VOjiAFFIQS ARE REQUIRED: _. 14-1 ��.[.1. t Inspector. L/ ^. Date: _APPROVED _LIiSH?PROV _APPROVED SUBJ`_CT TO ABOVE C Call For Reinsp. 1 .a µt a• '1 CITY OF TIGARD BUILDING INSPECTION NOTIUE Inspection Line (Rec-n-Phone): 639-4175 Business Phone: 639-4171 h Inspection: _ Footing Susp. Ceiling Sprink. Rough in App r/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• (.PIbg�, Undedloor..l Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. 4 Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: 5 _Time: AM PM _ Address: U cam' U Builder:_(i '��� Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: .L ;, Inspector. 6 Date:_ ' APPROVED `DISAPPRCVED _APPROVEG SUBJECT TO ABOVE Call For Reinsp. r �J 4 CIT`! OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Busjrkess Phone: F39-4171 .� i S c°cam" (1/? I Inspection.C /C.�'L /� Footing Susp, Ceiling Sprink. Rough-in toplace dwlk Foundation Plbg. Underslab Mech. Rough-in Post/Beam Struct. Plbg. Top Out Elec. Rough-in Post/Beam Mech. e�wer�— Gas Line -Bldg. Plbg. Underfloor n Drai Framing Plumn. Alarm •mer Cine) Insulation -Mach. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: Time: AM _ PM Address: C57� SLG ed: `I 753�C ��l Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: 1 InspectorDate: S i PROVED —DISAPPROV _APPROVED SUBJECT TO ABOVE —Call For Reinsp. CITY OF TIGAPD BUILDING INSPECTION NOTICE Inspection Line (Rec-v-Phone): 639-4175 /Business Phone: 639-417 Inspection: / "0 otin Susp. Ceiling Sprink. Rough-in Appr/Sdwlk ounda' Plbg. Underslab Mech Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: �31� L5— Time: AM PM to Address: ( c :5Z, <, Builder: Permit #: ( � U � ME FOLLOWING CORRECTIONS ARE REQUIRED: 1 I I I l I — I Ins ector: Date: CJ APPROVED DISAPPr'OVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. j: L� � � IT MASTER PERMIT ;TITY OF TIOARP PERMIT I It SUED. . . . . . . . 3/95 0 59 1 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: ��7/Q�3i Ci 13126 SW Hall Blvd.Tigard,Oregon 97223.9199 (603)639-4171 PARCEL: CS 1 1 1 C 13--05000 ;I'1"E ADDRESS. . . : 10"'0 CW LADY MAP I ON DR SUBDIVISION. . . . : MARION ESTATES ZONING: R--3. 5 1'! JCl:. . LOT. . . . . . . . . . . . . :023 BUILDING REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf CLASS OF WORK. aNEW SEDRMS:4 BATHSa3 GARAGE. . . . . . . . . . .593 sf TYPE OF USE. . . :SF FLOOR AREAS------ (EQU I RED SETBACKS----------- TYPE OF CONST. :5N FIRST. . . . -. 170i s f LEFT. . : 15 ft RIGHT. :S ft OCCUPANCY GRP. :R3 SECOND. . . :OJ i s f FRONT. :20 ft REAR. . :30 ft STORIES. . . . . . . ..2: FINPSMENT:O sf REQUIRED--------_.-____-____ • HEIGHT. . . . . . . . .27 ft TOTAL-•"- :2522 SF SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 1727Zi PARKING IPACES. . a 1 Remarks : PATH I PLUMBING SINKS. . . . . . . . . . : 1 1'"LOOR DRAINS. . . . ;0 BACKFLOW PREVNTRS. . : 1 LAVATORIES. . . . . :4 WA'T'ER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. — . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1. WATER LINE (ft) . : 100 OTHER FIXTURES. . . . . ,.iii GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0 WOSH I NG MACH. . . : 1 SF RAIN DRAINS. . : 1 MECHANICAL ___-__...---____________-_-..- FEES FUEL TYPEa---------------- UNIT HTRS. . :0 type arount by date r,ecpt /GAS/ / / VENTS . . . . . :0 TIF- $ 1550. 00 JD 07/03/95 95-267552 MAX INFUT:O BTU VENT FANS. . t4 5WM 11 10i). 00 JD 07/03/95 95-2-67558 FURN ( 100K . . :0 HOODS. . . . . . : 1 aWM 1110. 00 JD 07/03/95 95-267552 FURN ) =100K . . : I WOODSTOVES. :0 8PRT .t 61.J. 50 JD 07/03/95 95-;_'67552 FLOOR FURN. . . . .-0 CLO DRYERS. : 1 BPLC $ 400. 08 SW 06/28/95 95-267329 BOIL/CMP ( 3HP-.O OTHER UNITS: 1 135PC $ 30. 8 JD 07/"213/95 95--EG755 GAS OUTLETS: 1 PARK $ 500. 00 JD 07/03/95 95--267552 Ownev— ___._.___---____---.__._.___.__._.____._._._..._......_ IhF'RT $ 45. 00 JD 07/03/95 95--2675523 MARJORIE JOHNSON MPLC $ 11. 25 JD 07/03/95 95-267552 14749 GW 109TH #2 m5PC 4, 2. 25 JD 07/03/95 95--267552: 3STH $ 225. 00 JD 07/03/95 95-267552 IGARD OR ')7224 P7PC 1, 11. 25 JD 07!03/95 95-2:67552 ;-lhone #: 968-.8064` ---______.__'--��- _._- EROS $ 64. 00 JD 07/03/95 95-267552: ont'i^actor FsRF'C $ 20. 80 Jl) 07/03/95 95--2:67552 TIMBER VALLEY PLUMBING ERPC $ 20. 80 JD 07/03/95 95-267552 0. 0. BOX 34 a L:ANBY OR 97013 ; "I'-1 o n e #: 653-121771 42031 en 3776. 71 TOTAL This perrit is issued subject to the regulations contained in the - - ---- REQUIRED INSPECTIONS ----- Tigard Municipal Code, State of Ch-e. Specialty Codes and all other Footing Insp P 1 i.I m b Top Out applicable laws. All work will be done in accordance with approved FoLindation Insp Framing Insp , plans. This permit will expire if work is not started within 180 F"'C,st/DPdm Struct Fireplar_e Insp days of issuance, or if work is suspended for more than 188 days. Last/Beam Mechan Gas tine Insp % 9 Crawl Drain Inst.:lation Insp c, miLtE�e 4>i �r e : *Cxe4 �� ,� _ r='1m/�.inci� lab Insp Gyp Board Insp Q PLM/Under^floor Rain dr-ain Insp j :sued t} _- `. Mechanir_al Insp Water, Line Insp (-a11 f(.r inspection - 6,39•-•4175 I v � . ,.,�;», � �. ..,,,. ..,r.,.wr,�6MYY+jM4r#i'•dsw,y,,re.,...:,. .._ .,.;w.,.,��? 77 CITY OF TIGARD SEWEF? CONNCCTION PERMIT COMMUNITY DEVELOPMENT DEPARTMENT r=>rRMIT , , , , . , , ; SWR95-�� �,� 13125 SW Hall Blvd.Tigard,Orpon 97223.8199, (602)839.4171 DATE T,SSUED: 1117/1113/95 PARCEL : 2S 1 1 1 C13_X15000 `.-:11 VE ADDRE("S. :. . IQ)"15 el '"SW LADY M(=lRI0N DR a:::• SUBDIVISION. . . . . MARION ESTATES ZONING: R--3. 0 TENANT IVAi E. . . . . USA NC?. . . . . . . . . . . FIXTURi= UNITS. . . . CLASS OF WORF;. . . :NEW DWELLING UNIT:;. TYPE OF USE. . . . . SF NO. Or-- BUIL.DINGS: 1 „. INriTALL T'Yf.-JE'. IMPERV SURFACE=_. . f Rernar^ks: P,(--irH I MARJORIE JOI.INSGN •t ype amol.mt by ljwte i,ec_Eo�, is 14749 SW 109TH i,2 PRMT $ 2200. 00 JD 07/03/95 9EP-267552 'f I6ARU OR 97.::C:4 INSP $ 35. 00 JD 07/03/05 95-2267 7352 ='l-)one #: 968--BIZ64 If•, Contractor,: CONTRACTOR NOT ON FIL.E :'hone #: $ 12235. 1110 TOTI`lL Rt? RCC3U I RFD INSPECTIONS This Applicant agrees to cospiy with all the rules and regulations Gewer Inspection { of the Unified Sewage Agency, The permit expires 180 days free _ _ - • the date issued. The total aeount paid will be forfeited if the pereit 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 tlle distance g;ven. if not so iocated, the installer shall purchase 1 a "Tap and Side Sewer" Pereit and the Agency will instal! a lateral. 1 e r at i L t e e :`i i f _ t "'r"..Ll..A Call for :inspection - 639-4175 E Ilii , i �r 7,_5.5 .#, fer'k4!�!r�'�eu,�.a{rirut�at#rhj�a .�vlpzus�.a!�wx�M1��{�,::'&tau+o�trarwht�ra�tr:;usy ;<.t':�ax> ;:•r�k:�wlae�,r`,Y��>�i $..1�(lf�� a C-' I tial Ruildin Permit A plication_ a c�`�� Resides 4 L City bf Tigard 13125 SW Hall Blood. 77gard, OR 97223 1(503) 639-4171 �j 3 Jobsite Address: Lo[ti 2 5 SAtt f f -'Subdivision: Valuation: 1 -,Ia,l dim Is +y�;x QRnll�-� k � • Corner Lot? Y ,41 < E r is• „ x Flap Lot? Y ON ;i G OwnerM,4�'Ju/' �' J�SNSG A� Wats P.111 6ct, Address: 1474 5 60 / / I lartt►irx� � . �_ � �?� Phorm: Contractor: Address: Phone: Contradar"s License IF w A- 0 (a=ch copy of current Oregon license) Contad Name & Phore: d - Subcontractors: Architect/Engineer: S 136c, Plumbing: c L'^<<< i - Jr"' i','r, k�- Address: _ �) 3 3 3 F T-10 2k_ Mechanical: - (attado copy of current OR Contractor's License) -2- Phone: ' JOB DESCRIPTION: S/ G L E i Applicant Signature & Phone numbOr Received by: Date Received: �,�I Lw I r 1 ci N WKKISICAMOEVIiIESAPV r i i Permit d Account Description Amount Amt. Pd. 8a1. Due40 F F, n17r9� b),5%lldg. Permit (BUILD) V i�— "° Plumb. Permit (PLUMB) 1S Mech. Permit (MECH) k State Tax (TAX/) ZY(. Bldg: j Plumb: / / ✓ Meth: •a 'L� � j f ed j Plan Check (PLANCK) j j J L n' Bldg: Plumb: Mech: 5 Sewer Connection (SWUSA) E Sewer Inspection (SWINSP) Parka Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) d — ' Commercial TIF (TIF-C) Industrial 71F (TIF-I) — Institutional TIF MF4S) Office TIF MF-0) _ Water Quality (WOUAL) / Water Quantity (W©UAIM q Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) �'� _ . i Erosion Planck/USA (ERPLAN) 22, Z� ' i Erosion Planck/COT (EROSN) �Z� � i TOTALS: (i; Permit#: Address: 3 Issued by Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: OrPgrni Law, ORS 701.05.5(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a huilding permit can he issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), t need not submit this statement. This statement will he filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 313: Ef1. I own, reside in, or will reside in the completed structure. I 1 2. I understand that I roust register as a construction contractor if the structure is sold or offered for sale before or upon completion. i 3A. My general contractor is j (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who K on the structure must be registered with the Construction Contractors Board. j OR r 13/3B. I will be my own general contractor. It I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors ` Board. If I change my mina and hire a general contractor, I will contract with a contractor who is Y registered with the CCB and will immediately rotify the office issuing this building permit of the name of the contractor. ' I hereby certify that the above information is correct and that 1 have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) il, M Icj ,.... ..... M........ �' Information Notice to Property Owners About Construction Responsibilities ^ Note: This 1�}fornicrtiun Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5). If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. ;f EMPLOYER RESPONSIBILITIES: � if You hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting n the construction or improvement.of a residential structure•you will,►n most ins;ances,be ruled to be an employer and the people . you hire will be employees. As the employer,yt.a must comply with the following; � 1 Oregon's withholding tax law: As an employer,you must withhold income taxes from employee wages at the time employees are paid You will be liable for the tax payments even if you don't actually withhold the tax from yoiJr employees. For more information,call the Oregon Dept.of Revenue at 945-8091. Unemployment insurance tax: As an employer,you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information,call the Oregon Employment Division at the Department of Human Resources at 378-3.524. Workers'compensation insurance: As an employer, you are subject to the Oregon Workers'Compensation L w„and must obtain worke-s compensation insurance for your employees. If you fail to obtain workers'compensation insurac.,you may be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers'Compensation Division at the Department of Consumer and Business Services at 945-7888. f U.S.internal Revenue Service: As an employer,you must withhold federal income tax from employees'wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For more information,call the Internal Revenue Service at 1-800-829-1040. + OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holder for this project,you are responsible for resolving any failure to meet code rr.4uirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if you have adequ►ite iw urance coverage for accidents and omissions such as falling tools,paint overspray, water rage from pipe punctures, tire,o:work that must be re-done. P Time to supervise employees: Make sure you have sufficient time to supervise your employees. f Expertise: Make sure you have the expertise to act as your own general contractor,to coordinate the work of rough-in and finish trades,and to notify building officials at the appropriate times so they can perform the required inspections. +: t If you have additional questions,write or call the Construction Contractors Board(PO Box 14140,Salem,OR 97309-5052, 503/378-4621). The Board is located at 700 Summer St. NE Suite 3t10, in Salem. i prop-own.pm4 1/94 9, h ndae ^il r CITY OF T I GARD - RECEIPT' OF PAYM! NT REi:E:I PT NO. 1CHECK AMOUNT a 5761. 71 NAME: a JOHNSON, MAR TOR I E SASH AMOUNT a 0. 00 ADDRESS a PAYMENT DATE a 07/03/9:, �. 10250 LADY MARION SUBDIVISION T I GARD OR 13-720:4- PURPOSE OF PAYMENT AMOUNT PAII) PURPOSE Or PAYME=NT AMOUNT PAID M l NU I I_D I NLS FiERM MCiT9:; 0c?°39 E 1.5. 50 r,L.UMP.I NCFSE RM 225. 00 MEi:HON I CAL PE 45. 00 ST. BUILD PER 44. 28 E ! I PLAN CHECK FE: 1.61. ,-:3 E+EWER USA SWR95-0265 2200. 170 SEWER INSPECT ;35. 0 ► PARKS SDr 500. 00 �. RESIDENTIAL TRAFFIC FEES 14,,30. ON MASS TRANSIT TIF FE=ES d Hi_O QUAL.I TY FACILITY FEE 180. 00 H2O QUANTITY FACILITY FEE: 100. 00 r � EROSION CONTROL V+RMITFE'E Ei�►. �1afh EROSION CONTROL., PLAN CK E'0. L10 EROSION CONTROL 10250 SW LADY MARION OR � " I TOTAL AMOUNT PA T D - - -> 5761.. 71 n I, M } n CITY f'rF' "f I t;ARD RECEIPT OF PAYMENT RECEIPT NO. i95-2673P9 CHECK AMOUNT a r11-50. ON NAME JOHN!=iON, MARJORIF.. CASH AMOUNT 0. 01A Y I ADDRESS a 1 0i?50 SW LADY MARION DR F)AYM17NT• DATE= a 06/::'6/95 TIGARD, OR SUnDIVISION a ,r ri/824- ,p" I PuRPosEE or PAYMENT AMOUNT PA I V) PURPOSE"' OF PAYMENT AMOUNT PAID I PLAN C;HFCK FF 6-85C �:50. vI0 1 . I i 102,30 SW I.ADY MAR ION DR Tn'fAL AMOUNT PA I D 2t5o. 00 . 1 } ,r. „ i