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CITY OF TIGA,RD BUILDING INSPECTION NOTICE ]
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
f, Footing Susp. Ceiling Sprink. Hough-in Appr/Sdwllc
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. 1 op Out Elec. Rough in FINAL:
Post/Beam Mech, San. Sewer Gas Line 61dg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation o -Mech.
Q 1�Underflr. Insul. Shear Wall Gyp. Bd. h;� -Elect.
Date Requested__ i _Time: ,AM PM
Address:
■
Budder: �, '7c,.. -r -� x .� c �l Permit #
THE FOLLOWING CORRECT IONS ARE REQUIRED:
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Inspector: _ Dale:��3
—gr'PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
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Page ho. 1 CASE HISTORY FOR CASE NO.: BUP94-0265
.k, JACK AND BARBARA WOOLARD G/ V I /`(•
11675 SW LYNN ST
AN 01/22/56 7�
Action Description Req/ Schd/ End/ Action Nates / llisp By Updatf Vpd {
Code Sent Done Done (/ Date By
-
R .
•. -- ---- --------------------------------
-------- -------- -------- ------------ (/AJ�'l —-- —- -- ----- --- 4
F
DIIPA007 Application received / / / / 09/12/94 �(ffj� ^//'�G��� PASS KS 09/13/94 BLT
SUPA010 Plan check deposit paid / / / / 09/12/94 ��: / / PASS KS 09/13/94 BLT
BUPA020 Plan check by 09/13/94 / / 09/13/94 C Y� PASS RT 09/13/94 BLT y
BUPA030 Check for prcl. restrict. / / 09/13/94 09/13/94 PASS JLG 09/13/94 BLT
BUPA090 (F) Issue building permit / / / / 09/13/94 09/13/94 JF
SUPA705 Foot/found Insp / / / / 09/28/94 PASS TLP 09/29/94 TLP
BUPA705 Foot/found Insp / / / / 10/10/94 DEVIATION FROM PLANS- NO WING WALL AT PASS RB 10/11/94 RB
FRONT OF GARAGE- PROVIDE FIX AT POINT OF
PROPOSED CRANGF. FOR HEADER/uPENING.
BUPA725 Framing Insp / / / / 12/28/94 N-1-rough electrical approved ( need KS 12/28/94 KBS k
verification)
#-2- fireblock stud walls at ten .:t
intervals
#-3-king post each side of glu lam
ff-4- positive connection glu lam to
platen
11-5-copper tubing carr ying natural gas
needs to ne labled at five ft
Interval with approved laL:ling
#-6- exterior deck and stairb not
constructed at this time and not
included in this inspecticn
SUPA726 Framing <REINSP> / / / / 12/30/94 H-1- eIrtrical approved by ken Payne on A/N KS 01/03/95 KBS
12/23/94
#-2- call for gypsum inspection
#-3- this inspection does not include
exterior stairs or
deck not constructed at this time
i
RUPA745 Gyp Board Insp / / / / 01/17/95 PASS RB 07./7.7/95 RS
BUPA755 Rain drain Insp / / / / 10/19/94 PASS MS 10/19/94 MRS 'd
SUPA-765 Appr/Sdwlk Insp 01/04/95 / / 12/29/94 1) STRAIGHTEN OUT WINGS. PEND LT 01/04/95 SW
2) HOT MIX PAVEMENT RRPLACEMENT REQURIED
ALONG APPROACH.
31 DE PREPARED TO PROTECT FINISH.
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Page No. 2 CASE HISTORY FOk CASE NO.: BUP94-0265
JACK AND BAFBARA WOOLARD
r 11675 3W LYNN ST
01/22/96
Die H Update Upd
Action Description Req/ Srhd/ Ends Action Notes p y p
,,..'.{ Code Sent Done Done Date By
C' ------- ---------------------- -------- -------- -------- -------- ------------------------------
. _� BUPA770 Misc. Inspection / / / / 11/28/94 #-1- 3000 psi concrete required ( slab A/N KS 11/2R/94 KB::
on grade 1 .
garage floor s '
4 2- provide control joints not tc .
exceeds thirty ft intervals, sly
floor to main entrance
BUPA716 Misc. Inspection / / / / 08/01/95 EFA M�" itnr y� 6wR
09/13/94 BLT 'S
BUPA799 Final Inspection
n�e�
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceilinq 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 -Me,.11.
Underflr. Insul, Shear%Jail Gyp. Bd. _17-31—�,
Date Requested:
iime: AM PM
iAddress: _7 5 .1 L K1__
Permit #:
THE F LOWING CORRECTIONS ARE REQUIRED: C) 0's ciT r04
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/�(APPROVED _DISAPPROVED
Call For Reinsp.
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CITY CSF TIGARD
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COMMUNITY DEVELOPMENT DEPARTMENT o-
13125 SW Hall Blvd.Tigard,Oregon 07223.8100 (503)839-4171
PLUMBING PERMIT ;y
1=LRMIT #. . . . . . . : PLM95 11.1,015
639-4171 �(J DATE I S5UEL)a 01/24/95
2S 103BA•-001._0
SITE ADDRESS. . . : 11675 SW LYNN ST
SUBDIVISION. . . . : LERON HEIGHTS NO. 2 ZONING: R-4. 5
BLOCK. . . . . , . . . . . LOT. . . . .. . . . . . . . . :35
y_ ,—C — — — -- — —_______ ,
CLASS OF WORK. . :ADD GARBAGE D I S(�OSAL_S. . : MON A.Lr-� HOME SPACES.
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . a
v, OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . .
STORIES. . . . . . . . t1 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
F I X IFURES--- -- - - - -- - LAUNDRY "'RAYS. . . . . . : SF= RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . : GREASE TRAPS. . . . . . . :
LAVATORIES. . . . . : OTHER FIXTURES. . . . . : �
TUN/SHOWERS. . . . : SEWER LINE (ft > . . . . :
WATER CLOSETS. . : WATER LINE (ft ) . . . . : 100
DISH'IWASHERS. . . . RAIN DRAIN (ft) . . . . v
Remarks: 100 FEET OF WATER LINE
r
Owner.: -___.._______________-.___.__._________-__.__ _.________-- FEES _w____.__..._____.
JACK AND BARBARA WOOLARD type ,amui_int Iiy date r•e!cpt
11675 SW LYNN 51 PRMT $ 25. 00 JF 01/24,195
5PCT $ 1. 25 IF 01/24/95 -
T I GiARD OR 97r 23
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L:ontractor^: _. ..__.__.___._.._.._ .....---_.__- ,_.__-------•_-_
MODERN PLUMBING ¢
11120 SW INDUSTRIAL WAY
TUALAT I N OR 97062 _.-_—_-- _--__-__.—____—_--__----__—______
Phone #c 691-6166 $ 26. 25 TOTAL
Real #. . : 87906
--------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Water Line Insp
Tigard Municipal Code, State of Eyre, Specialty Codes and all other Final 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 is,uance, or if work is suspended for more
than 180 days.
Per^mit+:ee :iyn,at .tr-e :
T a s 1_t e d 8 y
Call for inspection - 639--4175
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City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
1.3125 SW Hall Blvd. Permit #
TiL_A, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. S:11RCHARGE
N_ 5-i p,,,,,,, HMMN Single Family Residences Only
,,,,d.,„ _ ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Job ❑ 3 BATH HOUSE$225.00
Address cn mN. n, Fee Includes all plumbing fixtures in the dwelling and the first 100 test S
` G r i) of water service, sanitary sewer and storm sewer. See fees below.
„• , °,„,',,/. ...� t FIXTURES CITY PRICE AMT
/
/ (GL✓k Sink 9.00
M,rd Ph� Lavatory 9.00
Owner - - Tub or Tub/Rhuwer Comb. 9.00
za Shower Only 9.00
Water Closet 9.00
N. la n.m..1 bu,• ) Dishwasher 9.00 ■
Garbage Disposal 9.00
Occupant M..., -` �«• Washing Machine -9.00
Floor Drain 9.00
no Water Heater 9.00
Laundry Room Tray 9.00
Urinal _ 9•00
/%�pCE't°G'l l �/t �2•' r �(�. Other Fixtures (Specify) -_ 9.00
Mel"Add- fTm. 9.00
Contractor S`Q 9.00
„• �„ 9.00
Sewer 1 st 100' 30.00
lLc<<<a r` L i Z -
dn.a.p.°.,w ra. a fl-,, 'r+*w Sewer-ea. AddR. 100' 25.00
cl , _ 1Z Water Servic n 1st 100' 30.00 1 )
1 hereby acknowledge that I have read this aoplieation, that the Water Service ea. Addit. 200' - 25.00
Iniormatlon given Is correct, that I am the owner or authorized ngeni of Storm &Rain Drain 1st 100' 30.00
the owner, that plans submitted art, in compliance with State laws, that
i am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given Is correct. (If exempt from State registration, please Mobile Home Space 25.00
give reason below.)
Back Flow Prevention
Device or,Anti-Pollution Device 9.00
„pii1m W a i -' �•�• _ Any Trap or Waste Not
Connected to a Fixture 9.00
A. i,;;dltio alteration Q repair Catch Basin 9.00
to be don �Pgldenlial Q non-residential 0 � Insp. of Exist. Plumbing - 40 001hr
Specially Requested Inspections 40.00/hr
Existing use of Rain Drain, single family dwelling 30.00
building or property _J _
Residential backflow prevention
devices 15.00
Proposed use of
building or property *(Except residential backtluw
` prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL.
C C '
PERMITS BECOME VOID IF WORK OR CONSTRUCTION ( f
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5°/, SURCHARGE '� )
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
1 FOR A PERIOD OF 18n DAYS AT ANY TIME AFTER WO.^.K IS -
COMMENCED. PLAT: REVIEW 25%OF SUBTOTAL f
TOTAL
Special Conditions
Date issued �__^ by_ __
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GI TY OF T I PARD — RECEIPT OF PAYMENT RECEIPT NO. a 95—R60896
CHECK AMOUNT : P6. 25 �
NAME MODERN PLUMBING CASH AMOUNT a 0. 00
ADDRESS PAYMENT DATE a 01/24/95
SUODIVISION n
't
PURPOSE OF PAYtAE<NT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
PLUMBT.NG PERM _ 25. 00 ?3T.— B1111-1) PER 1. 25
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1�.. PLM95--0015
1 11675 SW LYNN ST 1
TOTAL. AMOUNT PAID -- — _ —> P6. 25
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (RBC-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 Stiuct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewe. Gas Line -Bldg.
Plbg. Underfloor Ra;.i Drain Framing -Plumb. �
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall yp. Bd. -Eiect.
■
Date Requested: ( Time: AM _—PM
Address:
Builder: c� _7.� ' 5 c� Permit
THE FOLLOWING CORRECTIONS ARE REOUIRED:
Inspector:_�, _— Date:
---APPROVED _UISAPPROVE:D _APPROVED SUBJ CT TO ABOVE
all For Reinsp.
— ='—--
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DNSPECTION NOTICE
City of Tigard Building Department
13125 Sp Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-
Inspection:—
Footing
39-Inspection:Footing Plbg. Underelab Mech. Rough-in `
4 Appr/Sdwlk
Found. Plbg. Top out Cas Line
FINAL: .
Post/Beam Struct. San. Sewer Dramin
-Bldg. '
Poet/Beam Mech. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
-Mach. Y,4k;,� 7
'Date MHY114,G t@d:__
J Rtes<MrMr
Address: i +Q
Permit
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Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
-------- ----r��— Date:l �
ROVED �
----APPDISAPPROVED ! APPROVED SUBJECT TO ABOVE
__,Call For Raineg.
INSPECTION NOTICE
City of Tigard Building Departicent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-phone): 639--4175 Business Phone: 639-4171
I
Inspection:
Footing Pl.bg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out
Gas Line LrINALe
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Ream Mech. Rain Drain Insulation _Ply. I
Plbq. Underfloor Water Lina Gyp. Bd. _lleOh. ,
Date Requeatedt
.v Time: AM PN �. .
AddrAse: Y✓ Permit
Sr N
Builder:•
THE FOLLOWING 00RRECTI6N4 ARE REQUIRED:
��'� 1L*t} 7 �ly7/
y
Inspector•.— �5 _ , /
-_ APPROVED _ DISAPPROVED PPROM sUB.BCT TO ABpI)�
call For Reirap`'—' ��
9
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DEPARTMENT OF LANA USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 �
155 NORTH FIRST, HILLSBr -0, OR 97124
���■^ COUNTY, I PHONE: 50.1/640-3470
__
OREGOTO C1 INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit # : 0506j.945 Pro jpct # : P0043391 Status hPP'dOVET. flag& 1 of I
Applied - 12/16/94 Issued 12/1.6/94 Expires 06/14/95 1. 2/23/94 05 : 21
RESELEC q
Permit T. ...1e SFR - 2 CIR :UTT ; OTH
Description 83 ?gun 08/26/94
Job Address 11675 SW LYNN ST TI
'Owner Name IW;PELT ION - T I GARD kC9l.On D 6
Applicant Name WOOLARD, JACK
Phone number 590 -5595 Valuation : cCApproved `
1+ Inspec.toCommelits R je-.tedw�—.__
0IR- RESULTS Gs.
REQUEST ERROR !
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General
j Inspected b _ Date :
Inspection Requo-st-ed
ti * Cover & Service 0403 S AP DN TVR
12/23/94 RI BW
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PA.62-01-1995 0811 WASH. OR.LUT/BLDG 1 503 661 3993 F.31
DEPAT"11WENT OFLANO USE A TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 0350-12 '
�OY1N�Y, 155 NORM FIRST, HILLSBORO,OR 9'7124
OREGON PHONE. 503440.3470
INSPECTION REQUESTS (24 hours): 50640..3gdl c
Permit # : 0506194S Project 4 : P0043391 Statua APPROVED
Applied 12/16/94 Issued 12/16/94 Expires 06/14/95 Page 1 0 ;
08/01/95 0
1 ( Permit Title SFR - 2 CIRCUITS 1ESILEC
j Description
0TH
Job Address 11675 SW LYNN ST; TI Bequn:08/2
Owner Nam4 .INSPECTION - TIGARD
Applicant Ram* WOOLARD, 1ACK Region D 4
j Phone number 590-5595
Valuation: 0 Approved� �.
Inmp4rctor Comments : APprovwi>t : APFR
Rejected__
--� IVR-RESULT:
j
PSQUEST ED;
Plumbing
1 i Mechanical ^T`
Electrical
Structrual : -
9*neral
� 1 Inspected by .—..-
Inspection Requ+sted- !
Final Ela,-trical 0499DN
E
09/0! /95 RI KAC A� IL'
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DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION '
155 NORTH FIRST,HILLSBORO,OR 97124
i COUNTY, INSPECTION REOUESTS: 503/640-3581/693-4415
OREGON XXXXXXXXX--> 640-3470 i
Page 1 of 1 a9
p
Date 12/16/94
Time 11 : 15
Permit 'Type Residential Electrical Permit Permit # 05061.945
Permit. Status APPRUVEll Applied 12/16,194
;., Situs Address : 11675 SW LYNN S1' TI Issued 12/16/94
Permit Title SF'R - 2 CIRCUITS Completed '
Permit Descr . To Expire 06/14/95
Project Title SF'R - BURGLAR ALAPM Project # P0043391
Project Descr . JUb 667113 * EROSION * 40
Parcel Number 2S1TI - Land Use District
Valuation U ��
f Legal Descr.
Owner INSPECTION - 'TIGARD Construction OTH
Applicant Name WOOLARD, JACK Classification 900
Applicant Addr. : 116'/5 SW LYNN Occupancy
TIGARD, OR 97223 Validated by PH 4
Applicant Phone: 59U-5595 inspector Area
Fee description Units Fee/Unit Ext fee Data
------------------------------------------------------------------------------
1st Branch W/out Feeder (Enter #) 1 35 . 00 35 . 00
Addl. branch W/out Feeder (Enter #) 1 5 . OU 5 . 00
Subtotal Electrical Fees : 40 , 00
State Surcharge of 5% 2 . 00
Total Electrical Fees : 42 . 00
R*k Fees Required *** * ** Fees Collected & Credits
Method Check # Receipt. No. Date Payment
CK 3639 12/16/94 42 . 00 k
TO'T'AL THIS DA'L'E k**+:***** 4Z . 00
Fees : 42 , UU
Adiustment.s : . UO Total Credits : . 00
Total tees : 42 . 0J 'Total Payments : 42 . UU
Balance Due: . 00
w
Y NOTICE: This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 180 days. Once construction has started, -�
the permit becomes null and void If construction Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and r
his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this pormil All provisions of applicable laws and ordinances governing the construcl'on and use
of this bullding or structure will be compiled with whether or not apecl0ed on the piano or noted on the plans correction"hoots. I acknowledge that
the grentlig of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of !
the structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the building
Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department Is solely at the risk of the applicant and such use ar occupancy Is revocable uitll all Inspection requirements are satisfied and
approval Is given by the Building Official. I further acknowledge that a Ilan may be placed on the title of the property upon which the permit Is Issued
specifying that the use or occupancy of the building or structure Is provisional and revo:able until the satisfaction of all Inspection requirements.
APPIICANT'S SI E
t`
YrT. .. . �Tt�rl.•��{ii�a ,ial�.►MJ/I%MYY4.J+,m.rxrn.. .-..,:f'.-„ ,
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
Electrical Inspection Section
155 North First Avenue, 11350-12 APPLICATION
Hillsboro, Oregon 97124
Information: (503)640-3470 Fax: (503) 693-4412 /
Permit}
Number -�--I6rDate�� ��-
PLEASE PRWT
i
Please complete all pections, 1 through S. 4. Complete Fee Schedule below
1. location of Inf#allation Number of Inspections per permit allowed .
Address ZIto 7S [.r 4 Y/ i Service included: Items Cort(ea.) Sum
`uildin 1 A. Residential-per unit
City /amu :quite No.
1000 sq.ft,or less $110.00 4
Tenant Name Each additional 500 sq.ft
(if commercial) _ or portion thereof $25.00
Limited Energy $25.00 1
Map No. —Tax Lot Each Manuf'd Horne or Modular
Dwelling Service or Feeder $68.00 2 ■
Thomas Map Book: Page: Section:
Directions_ B. Services or Feeders
Installation,alterations or relocation
200 amps or less $60.00 — __ 2
Commercial Residential 201 amps to 400 amps $80.00 2
401 amps to 600 amps $120.00 _— 2
2a. Contractor Installation onl : 601 amps to 1000 amps $180.00 2
Y Over 100 amps or volts $340.00 _ _ 2
Electrical Contractor Reconnect only $50.00 2
Address _
Date— _ Job Number C. Temporary Services or Feeders
Property Owner _ Installation,alteration or relocation
Contractor's License No. 200 amps or less $50.00 _ 2
Contractor's Board Reg. N0. 201 amps to 400 amps __ $75.00 __ 2
401 amps to 600 Amps $100.00 __ 2
Signature :,f Supr. Elee'rI
Over 600 amps to 1000 volts see W above
_-
License No. Phone No. D. Branch Circuits
Now,alteration or extension per panel
2 a For owner installations: Q a) The tee for branch circuits with
r 1..7 t]b LA-i�p _ purchase of service or feeder fee.
PrintOwner's–Name Phone No. Each branch circuit $5.00 2
A►LO b) The tee for branch circuits without
rens purchase of service or/seder lee. 3�� '
'rI i.�kQ,D Ql� �_.�Z7 First branch circuit _ $35.00 2
City State Zip Each add'nl branch circuit_ $5.00 —s—a fra 2
E. Miscellaneous (Service or Feeder not included)
The installation is being made on property I own Each pump or irrigation circle $40.0) _ 2
which is not i end d r sale, 1 Se or rent. Each sign or outline lighting $40.00 2
Signal circuits)or a limited
Owner's Signatureenergy panel,alteration 14
or extension _ $40.00 _ 2
F. Each additional inspection over the allowable
In any of the above
3. Plan Review section (if required) Per inspection $35.00 _
Please check appropriate Item and enter fee in section 5B. Per hour $55.00
In Plant $55.00
_4 or more residential units in one structure
`__Service and feeder, 800 amps or inore 5, Fees
`System over 600 volts nomina'l A. Enter total of above fees $ � Cn
_Classified area or structure containing special 5% Surcharge (.05 X total fees) $ _�Q
occupancy as described in N.E.C. Chapter 5 St ')total $
B. Enter 25% of line A for
Submit 2 sets of plans with application where a.Iy of the Plan Review if required (Section 3) $ —
above apply. Not required for temporary construction Subtotal $ _ 4a ,a U
services.
Less Bulk Label Fee $ __
Balance Due $
For inspections call This permit becomes null and vold N the work authorized by the permit Is not commenced
640-3551 or 693-4415 within 180 days from date of Issuance of such permit or 11 the work authorized Is
suspended or abandoned at any time after work Is commenced for a period of 180 days.
24-hour recorder, one working day in advance of need Electrical Permits are nonrefundable and non-transferable.
4/94
L
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AL
INSPECTION NOTICE
city
OT CCity of Tigard Building Department
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: r --
looting Plbg. Undirslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Une FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg. I
Post/Beam Hoch. Rein Drain Insulation -Plumb. �
Plbg. Underfloor Water Line Gyp. Sd. -Hoch.
Date Requested s /Z -Times _AM _PM e
Address: Permit t -�•'1�';
Builder: 42 c) - `-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
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Inspector: Date:��-��
APPROVED DISAPPROVED 4:: APPROVED SUBJECT TO ABOVE
Call For Reinep.
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INSPECTION NO'aICE
city of Tigard Building Department
13125 till Ball Blvd. Tigard, Oregon 97223 •
inspection Line (Rec-O-Phons)t 639-4175 Business Phone: 1.9-4171 ab
Inspection: —
rooting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
r
round. Plbg. Top Out Gas Lina P�WAlri—
Post/Beam Struct. San. Sewer Framing -Bldg.
,,�� Vy')�j}.�,,.j,•s, gip,.
Pont/Beam Hoch. Rain Drain Insulation -Plumb. !"` d4,'
t� h yrs .
Pl.rg. Underfloor Water Lina Gyp. Bd. �-
/ 1
Date Requestedt ! 3 Times L�_AN PMC
Addresst111r,' w Permit C�-_Ly —�j� 1^
iY { �..
S
Builders — --
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1
OC
Inspectort , - — Data _
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinap.
S
71
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CITY CSF TIGARD
CAL
y
COMMUNITY DEVELOPMENT DEPARTMENT ME:CHAN I V
13126 SW Hall Blvd.Tigard,Oregon 07223.6100 (603)630-4171 E=E I?C�]. T
1 FERMI•1 #. . . . . . . : MEC94--0.:35
DATE 15,3UI=D: 11 /,',:/94
F'ARC•EL: 25103BA--00130
SITE ADDRESS. . . : 11675 SW LYNN 51'
SUBDIVISION. . . . : LERON HEIGHTS NO. c ZONING: R--4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :35 ■
CLASS OF WORT',. . :ADD FLOOR TURN. . . . : EVAP, COOLERS:
TYVE Of- USE. . . . :SF UNIT HEATERS. . : VENT FANS— :
OCCUPANCY GRP'. . . R 3 VFNTS W/O AF-'F'L-: VENT 5YSTC_lyl6: t
tSTORIE:f.S. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . :
0-,:S HF'. . . . : DOMI=5. INCIN:
/CAWS/ i / :3-15 HP,. . . . : COMML. INCIN:
MAX I NF'U 1-: B1 U 15-••30 HP'. . . . REr'A I R UNITS: �
4
FI RE DAMFDERS'11. . : 30-50 HF'. . . . WOODSTOVES. . :
GAS F)RES,SURF. . : 50+ 1.14'. . . . : CLO DRYERS. .
NO. Of: UNITci- - -- - - AIR HANDLING UNITS OTHER UNITS.
I-URN ! 100K BTU: 1 <= 10000 c f m : GA5
F U RN > =100K B-f U: > .l 0000 c--,fm :
Remarks : AL-DING A NEW 1'-URNf4N(*E
Owner. ____.___.___---____.__________ .________.________...----.___ FEES -
JACK Ar,l) BARBARA WOOLARD type amor.rnt by date recpt
11bZb 5W LYNN ST V,R111 $ 25. 00 BLT J. 1/22/94
1
5F-ICT $ 1. :=:5 BLT 1 1/,:2/O4
TIGARD OR 97'23
F'horre #:
Contractor:
COLUMBIA HEAT I NG
890N SW BURNHAM
:SF'ACF, E-110 0
TIGARD OR 9722
V'I•ione #: G24--2704 $ 26. 2'5 TOTAL
Reg #. . : 76:359
-------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the f-final Insper_t i on ___ _ ___. __� _•-__._..,,-._.
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done ir1 accordance with _ ___�____ __._._.,. _ ^•_,.___�__ _
approved plans. This perm will expire work is not started
within 180 days of issuance, or if wor is uspended for more ___•�_ —_.,__ _ _- _ _ __than 180 days.
5
Permittee S i g n A t r_r r e:
G
Iss+_ier: By :
Call for, inspect ion - 639-4175
.r '
City of Tigard MECHANICAL PERMIT Pianc
k/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # MeC 1t1'-
a33
Tigard, OR 97223
(503) 639-4171
i a ipuon
I Table 3A Mechanical Code QTY PRICE AMT
I Job � _[�� �jr V A) 1) Permit Fee -0- -0- 10.00
Address 3.00
No"RVAM. q 722-3 2) Supplemental Permit
urnace o
c�i ek 1) incl.ducts 6 vents 6.00
malvv !!'i e� - Furnace +
S L �) 2) incl. ducts&vents 7.50 ■
Owner '
Floor urnance
"7Z Z3 3) incl. vent 6.00
1 �
.,.
suspended star,w eater
4A�®r mounted heater 6.00 r
o Inc.. in
Occupant 5) appliance permit 3.00
o
Repair o heating,re ng.
6) cooling,absorption unit 6.00
`I-
Boiler or comp, ea pump,air cond.
_&aLn 7) to 3 HP;absorp unit to P, BTU 6.00
i er or comp, ea pump,air con .
8) 3.15 HP;absorp unit to 500K BTU 11.00
Contractor / t3oiler or comp,heat pump,air Cond.
9) 15-30 HP;absorp unit .5.1 mil BTU 15.00
.. .. i er or comp, ea pump,air con .
, ). 10) 30.50 HP;absorp unit 1.1.75 mil BTU 22.50
_7&
hereby 3c ow ge a ave res is app ice ren, a e Boiler or comp, ea pump,air cond.
iniormatioi.riven Is correct,that I am the owner or authorized agent 11) >r absorp unit 1.75 mil BTU 37.50
dl
of the owner,that plans submitted are in compliance with State a an ing and to 4.50
laws,that I am registered with the Construction Contractor's Hoard, 12) 10,000 CFM
that the number given is correct. (If exempt from State registration, Air handling unit
plaase give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) evaporate cooler 4.50
i� Vent tan connected
15) to a single duct 3.00
anti anon system not
16) included in appliance permit 4.50
UAW Hoodserved y —
17) mechanical exhaust 4.50
Commercial or industrial
iii escn wo new addition a ere on repair30.00
to be done residential O non-residential O 18) type incinerator
---
Existing use o Other i.e.,woodstove,water
building or property `7 I 19) heater, solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00 2• o-U
building or property __
) 21) More than 4-per outlet
Type of fuel -oil O natural gas LPG O electric O
NOTICE
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUC rION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions
Date Issued by
k.MECHPMT
1
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L; 1 Y t.11 1'1014kl.r PH J: I P I 11J P(WvO I'J I 1,1 t .f. I P I hill.
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II, .II r•1 a ,L�Ml3[I1 FIF;FIT NI;1 I;(13i11 "MIll)1141 a V.I. IAW
I-'flYhlh.IJ I 1.1111 F: t 1 1 /ei" 'l94
:ril 11:3U 1.U i':i I Lll'J �
UV F,44YMF:NI Hill HJIUI 1,'1.111- 1'1Jk14,1, 111 1-'flYhll.Id1 aahlUlINI Pfik1.)
H-.i�}IC►Nll;(11. fah. 00
Ow L_YPIIV
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APPLICATION - STREET IMPROVEMENT/EXCAVATION COPY TO:
ORDINANCE NO. 74.14 J� 91 (WHITE)-FILE
® (YELLOW) INSP.
(INSTRUCTIONS ON SEPARATE SHEET) F�� 1 ® (PINK) -OTHER AGENC��(Jg.
- � (F3LUE)-APPLICANT
I
APPROVED 1 I APPLICATION NO.: 4.93
I NOT APPROVED Ll C'ITY O I IGARD, OREGON FEC AMT.: S34.00 _
PENDING FEE. PMT. [] CITY 11ALL RECEIPT NC„:
PENDING SECURITY (] PUBLIC WORKS DEPARTMENT BY _ / DA1_ l2'IiLQ�'-
PENDING AGENCY "OK” ❑ Application and Progress Record
MAINTENANCE BOND
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED
ANNUAL E
PENDING VARIANCE EXPIRATI N DATE:
PERMIT NO.: _� _ =` '`E"_.____, DATE ISSUED: LL�t'- , BY: 4W T VE
■
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTAL1J_MQQ _YAQX p" '
APPROACH AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. '
CAP
■
1 NAME ADDRESS CITY
CONTRACTOR_ _ �Gr�aen Constructioii 1336 NE 73Cd Ave Portland OR 97213
NAME --
ADDRESS CITY PHONE
PLANS BY__ " per City Standards & Specifications -
NAME ADDRESS _--- CITY PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S 850.UO
DOLLARS
FOR OFFIC SEI
(2) EXCAVATION DATA: 0.04 X s : �—= S_14.00 _
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT N �TERIAI INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM 0• QUANTITY
-- STREET
_—_ OPENED
Lyra► St. ;iew ttach "1 INSPEC-
R TION
E
Q
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ESTIMATED STREET OPENING DATE: E/ / —_ g
ESTIMATED STREET CLOSING DATE: / / E
D
STREET
(3) SECURITY NO. --- SECURITY AMT: $ $.zQ..�-- CLOSED
SURETY CO.: / _ FINAL
��q,
`SiCHECK CASH ❑ BOND INSPEC,
(4) PLOT PLAN INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS /CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT.
1 - see attached - ----
11 i SITE: 11675 SW l,ynu St I �• I N __
work area I
r'
-r--S.W. LYNN STREET
r ISI
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(5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK vvHERE
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STA','E OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
APPLICANTS SIGNATURE
� DATE
1
J
R /
NI SPECTION NOTICE
city of Tigard Building Departsaent
13125 gW Ball nlvd. Tigard, Oregon 97223
Inapection Line (Rec-O-Phone): 639•-4175 Business Phones 639-4171
Inepection:�
Footing Plt:g. Underalab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer jllt _ raming --Bldg.
Insulation -Plumb.
Post/Beam Hoch. /` Rain Drain
Plbg. Underfloor l Water Line 1 Gyp. Bd. -Mach.
Date Requesteds ! -/! -- Time' _ AN _X-PH
-PN
Address, )/6, 7,5'
ddresssu ' 7.5 Permit /4
Builders I? SL
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspecf.or: �___�_ ��7���'_� Date: 0
APPROVED DISAPPROVED / \ APPROVED SUBJECT TO ABOVE
_Call For Reinap.
I
L� r
ii
MPECTION NOTICE
city of Tigard Building DepartMMt
13125 aw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection• Rough-i'nApprISdw1k Footing . Plby. Underslab Nech.
Plbg. Top Out Can Line FINAL: .
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/
Beam Hoch. Rain Drain insulation -Plumb-
Plbg. Underfloor Water Lina Gyp. Bd. -Hoch. •
Date Requested: U —TiO�: —1 PH1
zyy ' i
Address: 1 (� I L YL'YtJ Permit I:
Builder:,?
THE FOLLOWING OORRECTIONS ARE REQUIRED: i
A
I
Inspector:_/ �L'_—`�——� Dated-Q
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Cell
For Reinap.
L_____ I
INSPECTION NOTICE Q
.p of Tigard Building Department
15SM Ball Blvd. Tigard, Oregon 97223.a (Roc-O-Phone): 639-4175 Business Phu -4171
l
Plbg. Underel Mech. Rough-in Appr/Sdwlk
und. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Ream Mach. Rain Drain Insulati- n -Plumb. 1
Plbg. Underfloor dater Line Gyp. Bd. -Moch.
Date Requested=
1 Time: AM PM
Address= Permit 1=� <<%•��� �� �' •
Builder=
■
TILE FOLLOWING CORRECTION3 ARE REQUIREDs
_.- —.-------------- -.. ,.. is
i
Inspector: ---- Dater
_ � PROVED -_— DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinep.
a I
1 �--1
CITY OF TIGARD
. COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT e
13126 SW Hall BIve.Tlgud,Oregon 07223.810 (503)830.1171 PE RM I T #. . . . . . .
DATE ISSUED: 09/1.3/94
6;39-4171
E-`ARCH._: 2S 103HA••-00:l.:�0
SITE ADURE:SS. . . : 11675 SW LYNN 5T
I
SUBDIVISION. . . . .- LERON HEIGHTS NO. 2 ZONING: R-4. 5
BLOCK. . . . . . . . . . . I-.C)T. . . . . . . . . . . . . :35
REISSUE: FLOOR AE2EfaS- --- -______ EXTERIOR WALT_ CONSTRUCTION-
CL.ASS OF' WORK. ;ADD F:IRST. . . . : sf N: S: E; W: I
TYPE OF USE. . . :SF SECOND. . . : sf PROTECT'
TYPE OF CONST. :°;N 'THIRD. . . . : sf N: S: E: W:
OCCUPANCY GRID. :133 T OTAI_ -- - - : 0 s f ROOF CONST: F1 RF RET?
OCCUPANCY LOAD: BASEMErNT. : sf AREA SEP. RATED:
STOR. : 1 HT. :20 ft GARAGE— :640 sf OCCU SEP. RATED:
F1SMT": MEZZ?: RECD SETF)AI,N,a- _..._.__._..__.._._ REflUIRED -__________.__.._____._-.. ■
FL0JR I-OAD. . . . :50 psf LE-F'T :5 ft RUI-IT :5 ft FIR SI-1KL; SlyIOK DET. . ;
DWL:LLIN:y UNITS: FRNT':1_0 ft REAR: 15 ft FIR AL.RIrI: FINDICP ACC:
BE DRI`1y: BATHS: IMI7I SURFACE:: f••'RO CORR: E'ARKING:
VALUE. $ : 10413
Remarks : ADDING A NEW GARAGE
OWTIer: FEES
JACK AND BARBARA WOOL_ARD type amoa_rnt by date recpt �
11675 SW LYNN ST PRMT $ 86. 50 JF 09/13/94 - ;.
PLCK $ 56. 2,3 K'w, (1.19/12/94 94•--'56627
TIBARD OR 97223 5PC:T $ 4. 33 JF 09/13/94 -
kltlune #: EROS $ c`6. 00 JE- 09/13/94
ERPC: $ (.:1. 45 JF 09/1.3/94 �'-
iContract or: - -____..___ti__.__..._.________..___..___ERF'C $ B. 45 JF 09/1.3/94
BRYAN R GRE=EN CONST i
1336 NE 73
PORTI ANI) OR 9721.3
f::'hnne #: 2,53--25-,1 '6 1(33. 96 TOTAL
Req #. c 706E1
REOUIRE D INSPECTIONS
This perait is issued subject to the regulations contained in the Foot/fol.lnd Insp _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Framing I n s p ~�-
applicable laws. All work will be done in accordance with Rain rart-a.i n I n s p ^�
approved plans. This perait will expire if work is not started Fina 1 Inspection —
within 180 days of issuance, or if work is suspended for more ~�-
than 180 days.
Permittee S' atl.Tre •
1 C r I 1 1
Call for inspection - 639-4175 %
A
4
1:
M10@M1 t.Arm4`Yir'
r
Residential Buildin permit A.gplication
coy of tigard �
13125 SW Hall 61vd.
Tigard, OR 97223
(503) 639-4971 -
Jobsite Address.. . �O ( SIIJ L-�lN
. Office Use OnI+V ' t ' `" ■
Subdivision: 4 AC ruLot#
_ — Planck/Rec# `
Valuation: - � � r,.. ■
Permit#6LO !11
corner Lot? N
Reissue of
Flag Lot? Y N ■
Mal) & TL03 b4 00 J.
Owner: J kms- Jlprovais Required
Address: (D�✓ SV �'\1N(` Planning
7A C1 Engineering
Phone: gA O �_f5 Other
,(Z 4Vr, 1�, . R-CGr•J C c U.). .�
�onfractor: 1 -� - Items Required
Address: Subcontractors
CXL-Mry J-, Truss Details
Phone: Z�3 L. .2( 7Q <� 1(� Other
Contractor's License #
(attach copy of current Oregon license)
Contact Name & Phone:
Subcontractors: Architect/Engineer: _
Plumbing: Address:
Mechanical:
(attach copy of current OR Contractor's License)
Phone:
JOB DESCRIPTION:
Applicant Sig ature & Phone number
Received b Y�/�LL Date Received: t//'` 12 - q4)
N MORMCOMOE RESAPP
.&!. ...-. ... -. ...t.l..MM19M1:..aryegp;gae r'tll'W ....., _.. ...........•M+ra.•..=r «n.p.uaY.wY./dNwu..... .,.. a.. r.��—
I ,
Permit 0 Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mach. Permit (MECH)
State Tax (TAX)
Bldg: =
•
Plumb: _
Mech:
7
Plan Check (PLANCK) S� � L} � ¢ 57 .7 Z a►
Bldg: (. 3
Plurnb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) —
Parks Dev Charge (PKSDC) _
1
Storm Drainage Chg (SDSDC) _
�f
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1) M
i
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) _
Water Quantity (WQUANT) _
Fire District (FIRE)
Erosk,n Cntrl Permit (ERPRMT)
Erosion PlanckivSA (ERPLAN)
Erosion Planck/COT (EROSN) 4 '
TOTALS: �� �' 13.
V
4.444._..._...».._ _4444 _._ Y..—___ -- ... .._..._ �w..{..:..bla u!u^.:h'r��M.YY,N.h.'S_L•__. ._. ___4444....__ 4444._ ___...__. ____.....� �.��__
Y hI'
h�
L:*l I 'f of i i,NFdU P1 :1. 1P1 (J; Pf—lelvllN1 10 t 1P1' 1140.
AMOUNT
P'1AME s 13RF:E'N, BRYAN (',0W',1'0(.1(:;7lfJN I,i XPi 0Mr)(.INT a 0. 010 �
fiDDRUSS' 1;3:36 NE 73RD PNYMEN1 1)(17F s 09 13,,' ,
al.111171 V J S 1(11
POR7"L_ANU, T.1REUUN 97x1::3--
. ■
1 1,(JFtPC7W (W Pf-WMEM W ILION"I PAID V'I1FtP(BE": OF PWf Ml'N I MMI.'UN r r�Fl J fi
-........r.�«.w..w.«..w..u..r+.r-..i.......w..r«_w..n.. wrrru...._w�.....«..w............. _...._.....................w..........................................._.. s...._...w.-....... ..
It(.III..[1JN6 F�E'FtM Hlir„ 4�0;-'6 HIS. -4Vt (1:0 1•111It. D F'F k 4. 3.,
a
f lI..AN CHECK FEE oto
L.ttf' 'S31 CIN 1:ONT 141111_ ;11 411\1 1.1• I1rJ (:ctN I FS I.U
,
11675 EM 1..YNItil '.,I
t
T07141- AMOUNT PAID 76. 1-`1
G I I Y OF' T 1 t)I:IRD PE L:L;J NT (JF PlAYMI N( RF-C:F.I p r NO, s 94•--2566P'l
CHLU''K MOUNTs 11;3. 75
1 11-4Mr: s BRYAN R. UREF=:INI 0.31\31- GASH F)M(:)I.JN 1 7 0. 00
G 11.)URF:3�3 s
1,336 NF: 73RD I-'AYML•_N'F DA I F= s 09/12/94
LJHI)I V I 1,3'l ON c
POR'TL_.ANU, l'JRF::GON TIPM3 i
PURr-'CJI;E OF F,AYMFNT' F)MLION I PAI1'r F'URPLISF. OF PAYMk N1 WC)UNI P141 1)
1141
•• __..__..._......_..�..._...._ __ ._._...._.._.__.�_....._._._.. ..._.._....___...._.._..._...____..__._ _.._. ___._._ _4444._.
PLAN CHFCK FF 9-23R 113. 75
i.
y
SW LYNN
t i I i d AMULJN I I>(-1 U) - ) 113. 75
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DEPARTMENT OF LAND USE 6 TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY,N'�' INSPECTION REOUESTS: 503!640-3561/693-4415
V
PHONE: 53/ 71 640--34'/U
OREGON Page : 1 of 1 I
Date 08/29/94
Time 09 : 00
Permit 'Type Residential Electrical Permit Permit # 05057595
Permit Status APPROVEU Applied : 08/26/94
Situs Address 11675 SW LYNN S'T Ti Issued 68/26/94
Permit 'Title SFR - BURGLAR ALARM Completed
Permit Uescr . JOB 667113 To Expire : 02/22/95
Project Title SF'R - BURGLAR ALARM Project # P0043391
Project Uescr. JOB 667113 * EROSION
Parcel Number 2 i1'1'l - Land Use District t
Valuation 0
Legal Uescr. 1q
Owner INSPECTION - TIGARU Construction O'1'II
Applicant Name : WOOLARD, JACK Classification. '.JOU
Applicant Addr . : 11675 SW LYNN Occupancy -
TIGARD, OR 97223 Validated by PH
Applicant Phone: 639-7844 Inspector Area
r
CUNTRACTUR : BRINKS HOME SECURITY Lic, C' 34•-1660 641-0196
Fee description units Fee/Unit Ext fee Data
--------------------------------------------------------------------------------
Limited Energy/Alter./Extension 1 40 , 00 40 . 00
Subtotal Electrical Fees : 40 . 00
State Surcharge of 5% 2 . 00
Total Electrical Fees : 42 . 00
*** Fees Req.tired **k *** Fees Collected & Credits
----------------------------
Method Check # Receipt. No , Date Payment
CK 3509 08/26/94 42 . 00
Fees : 42 . 00
Adjustments : . 00 'Total Credits : . 00
Total Fees : 42 . 00 'Total Paymentst 42 . 00
Balance Due : . 00
NOTICE: This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 1110 days. Once construction hes started,
It's permit becomes null and void If construction Is Interrupted for a period of 190 days. I certify that the Information presented by the applicant and
his agent or agents In support of this permit Is true and correct to the best of our knowledge. 1 acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be compiled with whether or not specified on the plana or noted on the plana correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. 1 further acknowledge that the use or occupancy of
the struct—j or building permitted depends upon my calling for Inspections at various times during the process of construction and the building
Inspei tion staff verifying compliance with the various codes. Use or occupancy of the building or structure perrill prior to approval by the
III ig Department Is solely at the risk of the applicant and such use or occupancy In revocable until all Inspection requirements are satisfied and
apprc+al Is giver by the Building Official. further acknowledge that a Ilan may be placed on the title of the property upon which the permit Is Issued
spec'Iying that the use or occupancy of the building or slniclure Is provisional and revocable until the satisfaction of all Inspection requirements.
APPUCANT'S SIGNATURE
_, ,
i
I
WASHINGTON COUNTY RESTRICTED
Department of Land Use 11 Transportation E
Electrical Inspection Section ELECTRICAL ENERGY ■
0155 North First Avenue, #350-12 t
I
Hillsboro, Oregon 97124 APPLICATION
Information: (503)640-:3470 Fax: (503) 693-4412
completePLEASE PRINT
Please sections, through Permit No.
1. Location of Installation Date — a I
Address 11( S Sw L�n n
i ICity i`Q 4 — zip code 9111Z) 4. Type of work: f
Map No. Tax Lot _ - RESIDENTIAL Restricted Energy Fee $40.00 ' 4
Thomas Map Book: Page 65 5 Section C.�_ !for all systems)
r
Gneck type of work i evolved:
Directions
Audi a-A Siereo Systems"
Commercial [] Residential Burglar Alarm
Tenant Name Telephone Systems'
(if commercial) — Garage Door Opener"
This permit becomes null and void If the wcrk authorized by the Fire Alarm
permit Is not commenced within 180 days from date of Issuance Heating,Ventilation and Air Conditioning Systems" `
of such permit or If the work authorized Is suspended or abandoned Vacuum Systeme"
at any time after work Is commenced for a period of 180 days.
Electrical Permits are non-refundable and non-transferable. Other
2. Contractor application: COMMERCIAL Fee for each system $40.00
Electrical Contractor Zr�,rix-Z o",&_ ecu Wil— (see OAR 918-260-260)
Address ESOS9 _%W Li rr^1LS Dr. Check type of work Involved:
Date - 25-01'A_ Job Number �y,�7113
Property Owner .�r_1L WOOLIAcRM
Contractor's License No. �''+ 16b C.L-e Bluer controls
Contractor's Board Re No. 4` Lt-2.1 _ Clock Systems
Phone No. ��'1"�J-1�"'`' Data Telecommunications Installations
Fire Alarm Installation
3. Owner application: HVAC
i-ocnaki'Dn -AlEgo- 5595 Instrumentation
Intercom and Paging System
Print Owner's Name Phone No. Landscape Irrigation Control"
Medical
AddressMedical
Calls
-- tate Outdoor Landscape Lighting"
This permit Is Issued under OAR 918-320-370. The applicant agrees Protective Signaling
to melee only restricted energy Installations(100 volt amps or less) J Other
unddr this permit and to do the following:
1. Only use electrical licensed persons to do Installations where j
required. (Certain residential and other transactions ars exempt Number of Systems
from Ilcensing. These have asterisks(`). All others need licens-
Ing') *No licenses are required. Licenses are required/or all other Installations.
2. Call for an Inspection when all the Installations under this permit `qidi �
are ready for Inspection.
3. Purchase separate permits for all installations that are not ready 5. Fees _
for Inspection when the Inspector Is out to Inspect under thO Enter fees $ _�_
permit.
4. Assume responsibility for assuming that all corrections required
by the Inspector are done.and 5% Surcharge (.05 X total above) $ 2
5. Assume responsibility for co fling for a final Inspection when all of the corrections ere completed. 0
The person signing this permit must be the applicant or a person
Total $ ���„r.
,j
authorized to bind the applicant.
Signature _ Space below reserved for validation.
Authority if other than applicant
For inspections call
640-3561 or 693-4415 i
24-hour recorder, one working day in advance of need 4194
I
S
1
F7:
i
INSPECTION NOTICE
City of Tigard Building Department I
13125 8W Ball Blvd. Ti.gardo Oregon 97223
Inspection Line (Rec-O-Phons): 639-4175 Business Phones 639-4171
t �
Inspection: is
Footing Plbg. Underelab Mech. R gh-in Appr/Sdwlk k
Found. Plbg. Top Out Gag Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
�! Plbg. Underfloor Water Lin Gyp. Bd. ?4j-Mech.
Date Regsses/teds /Z-/-9 - Times �_ANn PM
Address: / u� ~/ �/- ' Permit #: —02�c7' •
Builder:_
THE FOLLOWING CORRECTIONN ARE REQUIRED:
- _2 FFs-
r
r
Ins,�ector: pate:
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
I� 1:
C
Y
c 'r
C17YOFTIFARDMND BUILDING F'E RIY1 I T
C(TYOFiI m
COMMUNITY DEVELOPMENT DEPARTMENToenwou PERMIT #. . . . . . . : PUP'92-0282
(3126 BW H@11 BMd P.O.Ba 2331x7,T*M,Oapon 07223(603)X176 _
b IT n77279P
SITE ADDRESS. . . : 11675 SW LYNN ST PARCEL: 2S 1O3BA--00130
SUBDIVISION. . . . : LERON HE:IUHTS NO. 2 ZONING: R--•4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :35
-----__-_._ _____•_---.._-__.._._._-.---•---.--------__--______.______.__...______....___.__.__.--_-.
REISSUE: FLOOR AREAS------•------- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. :ALT F I R TT'. . . . : s f N: S: E: W:
T'YP'E OF USE— :SF SECOND. . . : sf P'ROTECI
TYPE OF C0NS1 . :5N THIRD. . . . : sf N. S: E: W:
OCCUPANCY GRP'. :P3 TOT0!_._....__..__.._._: 0 9f ROOF CONST: FIRE RET'? :
OCCUP'AN(: Y LOAD: PASEMEIVT'. : sf AREA SELF'. RATED:
STOR. : 1 HT. : ft GARAGE. . . : sf OCCU SEP. RATED:
BSMT?: NIEZZ':): REDD c;ETBACKS--- -- _ -- REGIUI RED- ------ -_----______ „. ■
FLOOR LOFiO. . . . : p s f I_LF'T : f t RGHI'": f t FIR SPKL: 511OK DET. .
UWFLL1Nli UN115: FRIV1 : ft REAR: ft FIR ALRM: H14DICP ACC:
NEDRMS: DATHS: I IYIP SURFACE: PRO CORR: PARK I NG
VALUE::. $ : 1850
Remar^ks : II115TALLING 2 NEW P'AT'IO DOURS
Uwnera - - --__.____._---_____----••------____._.__- ._._______ ___-------...__---.----___.- FEES
JACK AND BARBARA WOOLARD type an1ol-►nt by :date recpt
11675 SW LYNN ST P'RI+'IT $ 31. 00 JLH 09/18/92 2314820
P'LC'K $ 20. 15 JLH 09/18/92 2314820
TIGARD OR 97::2:3 5P'CT $ 1. 55 JLH 09/18/92 23t4820
Phone #1 :
Contractor:
NEIL KELLY DESIGNERS/REIYIODELR
81114 N ALBE=RTA S1
PORTLAND OR 97217 ______.______.______.__.__.__-•---__.______._..
Phone #: 12,88- 7461 $ 5c:. 711 'f 0TAL
Rey #. . : 1663
--- --- REQUIRF_D INSPECTIONS
This permit is issued subject to the regulations contained in the Fr•a m i n g I n s F'
Tigard Municipal Code, State of Ore. Specialty Codes and all other I n s 0.11 at i on I n s F' _..
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This prrmit will expire if work is not started Final Inspection
within 198 days of issuance, or if work is suspended for more
than 198 days.
Permittee Sign at L1 r e!a ------- —-- _ --_ W
I s s i_1 e d Bye
Call for- inspection - 639-4175
r
..ems._ .yFm,eNM:n... 'r•vnu....♦.{4d�117MiR�1J1iW)MN.n. .a.n. ,.,. .....n01iiYAIIM JIMiYWM:0tl4t'nw+.... ...•Mw410N7'�
13125 SW Iia0liNa. PLNCK/RECT # •
CITY OF TIGARD 110fki25397 PERMIT # 6u1192- v,zK
COMMUNITY DEVELOPMENT DEPARTMENT Tig(503)6e9L4171gon 2J
(503)639L4171 DATE ISSUED
JOB ADDRESS: IL-7 S TAX MAP LOT 0.3 134
SUB: LOT:
3�� LAND USE:
VALUATION: SU I
OW(�ER SPECIAL NOTES •
NAME: �.I�C1L �► P�14Q f�� VIAA-D REISSUE OF: _—
ADDRESS: 6TH Sit� LAST REISSUE:
FLOOD PLAIN/
PHONE: __ SENSITIVE LAND:
11_ �
CONTRACTOR APPROVALS REQUIRED
NAME: r�C� PLANNING:
ADDRESS: qT)0 ENGINEERING:
q7Z 1-7 FIRE DEPT:
PHONE: C`A`E.' 7L(r,E__ OTHER:
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: _ __ LIST/SUBCONTRACTORS:
MECH: BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: _ TRUSS DETAILS:
ADDRESS: _ _ OTHER: _
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
APPLICANT SIGNATURE `
Received By: � Date Received:
..,...xwuMMYVtl 4,!Ol0.mree+..• ,,•+P�W:IYMM+a1U'itSM'+ivi,r.r.., ...,1.w.::_..
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PERMIT k ACCT # DESCRIPTION AMOUNT AMOUNT PP. BAL. DUE '
2,10-432 00 Building Permit Fees 3�, _ _� _ ■
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees _
10-230 01 State Building Tax (5%)
Building
■
Plumbing
Mechanical
r)
1'J-433 00 Plans Check Fee � �_—�U ��
Building _
Plumbing
Mechanical
10.230 06 Fire `
30-2G2 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees _
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
a
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445--01 Water Quality (Fee in lieu of)
24--445-02 Water Quantity (Fee in lieu of)
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TOTAL
i
nm/3587P.WPF
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OF T I GARD RECEIPT CIF PAYMIHN'f RECF 1 F'1 NCI. r,',,Io
CHECK AMOUNT" io
NAME s NEIL K(.1-I...Y C AMi AMOUNT a 0. oh.
ODDRUSS c PAYMENT DATE t 09/18/9P
SUBDIVISION e
ol.114POSE: OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT' r�M(IIJIJr Eats I[i
C�1I1L I1INC3wPEI-M ___...__.�_...0.y1. Nei PLAN CHECK µM M 20. 1105
BUILD PER 1. 55
1 1. 1675 SW 1._YNNJ
7
o f F11.,.. AMOUNT PA I I} _ .... ...? 8. '70
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Sneclal Conditions/Provisions:
1. All work shall conform to City of Tigard, Oregon, Standards and Specifications.
Note the attached Detail Drawings.
■
2. , Notify City Inspector Letha Thomas(#639-4171) 24 hours before starting any work.
3. Access-to and egress-from parcels of land adjacent to the work area shall be
maintained at all times. Traffic and Pedestrian safety shall be provided for by the
contractor at all times.
4. Removal/replacement work and damage repair work shall be promptly initiated and
completed to the City's satisfaction. No work shall be considered complete uniii
It is accepted by the City. The City reserves the right to cause testing and
certification of work or repairs to be performed, to the City's satisfaction, at '
permittee's expense.
5. Erosion control shall be provided for by the contractor.
6. ORS 757.541-571 applies (pre-natification for locatlon of underground facilities,
etc.).
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EXISTING DRIVEWAY
VARIES WID1N VARIES MATCH GRADE ;
- (SE:: TABLES)
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EXPANSION
JOINTS
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CURB
A FACE OF CURB
5'-0' MIN. 5'-0' MIN.
3'-0- 15'-0' MAX: 15'-0- MAX 3'-0-
PLAN
USE EXISTING EXPANSION JOINT
OR SAWCUT AND PLACE COLD 1-1/2- EXPOSURE
JOINT.
ELEVATION B-B - r
60
W
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! STREET ♦ `• ♦ -'
2. OF COMPACTED 3/4'-0- AGGREGATE
SECTION A-A
1. CONCRETE SHALL BE COMMERCIAL MIX.
2. CURB JOINT SHALL BE A TROWELED JOINT `"TH A MINIMUM 1/2- RADIUS
ALONG BACK OF CURB_
3. EXPANSION JOINTS SHALL BE 1[2- PREMC ASPHALT IMPREGNATED
MATERIAL OR EQUAL, EXTENDING• FROM SUb6RADE TO FINISH GRADE.
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RESIDENTIAL DRIVEWAY
REFFMCE APPROVED BY WOW BY
CITY OF 11GARD WASK M ''VQ�'.D%C GAB
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TRAVERSE EXPANSION JOINTS:
z 1. TO BE PROVIDED AT EACH POINT OF
TANGENCY—OF THE CURB do AT OTHER
LOCATIONS AS REQUIRED TO LIMIT THE
SPACING TO A MAXIMUM OF 20 FT.
1
2. MATERIAL TO BE PRE—MOLDED NON—
EXTRUDED MATERIAL WITH A MINIMUM
THICKNESS OF 1/20.
TRAVERSE CONTRACTION JOINTS:
1. SPACING TO BE NOT MORE THAN 10 FT.
2. DEPTH OF THE JOINT SHALL BE AT
LEAST ONE FOURTH OF THE CROSS—
SECTIONAL AREA.
CONCRETE BREAKING STRENGTH:
I
{ 1. TO BE 3000 P.S.I. AFTER 28 DAYS. p
STANDARD CURB
FOM"CE APPROMM BY DRAW BY
A4-il CITY OF '�1G�RD ,�Ag+. CD. �'-� (MOD.) �
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GENERAL NOTES
1. TRAFFIC SIGNS TO BE 48" X 48"
BLACK VH ORANGE.
loo, 2. NO COLLECTOR STREET LANE CLOSURES
N
MIN. OR LOCAL STREET CLOSURES DURING w
THE FOLLOWING TIME PERIODS:
09 Um
14 wo-4p
I 7:30 - 8:30 A.M.
100' I 4:30 - 5:30 P.M.
MIN.
THE are's STANDARD SPECIFICATION 4
o A/A0 p I ;. FOR TRAFFIC CONTROL IS "MANUAL
ON UNIFORM TRAFFIC CONTROL
vi MIN. ( DEVICES FOR STREETS AND HIGHWAYS',
U.S. DEPT. OF THAN$PORTATION,
FLAGGER FHUA. 1988 EDITION,
100' 4. ACTUAL SIGN PLACEMENT TO BE
o MIN. • ADJUSTED IN FIELD. DO NOT REDUCE
z 50 MIN. BELOW MINIMUMS WITHOUT CITY
14 -- -�- —1 APPROVAL.
11 _
`
MIN.
I■ 5. THE CITY RESERVES THE RIGHT TO ADI] TO
OR MODIFY TRAFFIC CONTROL REQUIREMENTS
• MIN" AS MAY BE NECESSARY TO EFFECTIVELY
• in CONTROL TRAFFIC AND TO ENSURE PUBLIC
FLAGGER v SAFETY.
6. NO LANE CLOSURES WITHIN 200 FEET OF '
I100' A TRAFFIC SIGNAL WITHOUT PRIOR CITY
4 I Mf�m
z APPROVAL
4 I pit"100'
MIN. LEGEND
me Um
'7 p am*via
�+ 0 TRAFFIC SIGN
100' {a
MIN. ® CONSTRUCTION ZONE
4Ip - o TRAFFIC CONES JR
mcm APPROPRIATE JEIJNEATION
DEVICE
TRAFFIC CONTROL
TYPICAL DETAIL
REF1 E APPROVM BY DRAW BY
f CITY OF TIGARD CAA CABF
OREGON K 7-9-93 .roEr o/rnAroNa