13863 SW LIDEN DRIVE i
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13863 SW LIDEN OR
CITY' CSF T I GARD
COMMUNITY DEVELOPMENT DEPARTMENT M 0!;I ER r-,F-I'
1312,,SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 -'---'2.P.M 1 T #, .
DATE ISSUEDc
r384v
A.OWNG: R..,
LOT.
1JNTT7,: 1 BAGEMCNT. . . . . . . . ;0
11f), - GARAGE. . . . . . . . . . :4S'0
.3 OF
Nr.W BE`DRW�.
r r;
E OF -..0N5*r. :5N F I R I s f LEFT— c5 ft R' ,•. 0�',
5 E C:'')1,10. 1 7Z�`) s f r-POt4T. -.i20 ft, Pr
S. F 1 INIBME NT 0 s f REOU 7 Rr-:.L)-
fL TOTAL- 3046 S�MOI�.r- !H'TECTORS. ;7
4s
0 pf IVALUFI', $ P,APKING Sr,ACES.
P'LLIMS I NG
S1'-4C*.Kr1-q')W PREVNT1";.
A712-P If-r'ITERS. I T RAr".. . . . . . . . .
1-J(1LA',11)P1 TPAYS. 1, CATCh SAE�TJNS. . . . . .
ft
40 GRFr)S[' TRAP'S.
WA P "Ir-,'. (f ; 100 OT1417 P i x,rurtrs.
RAIN DRAIN f t .0
SUM t I r.,0 171171 11*11 Q)5/00
I V rl
SwIll $ 100. 00 B 0
14 0 10 DS. . . . . . I OV"!T t 605. 50 D 1215/'
4.5,- 03"1
3' r4 W 0 4/1217
C L 0 D F?Y 'A SSPIC 1; 75 4. 7 6 P 05/1719
-Tim-r F10r,I" t S 1;-10- T 0 ILI 0�7,/01�'
A S, 0('t' .0"r">: 1 MPRT $ 00 S 0 25 0 1)
MPI-
M"S P;C 1;
SBT 14 11 011) P Z" 1)
p3P,c $ 11.
0
r RN7 60
I-C t 3171. 00 rej!:,,
-4 4
CITY OF T I CARD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT r-*1rNMIT
13121,SW Hall Blv:..Tigard,Oregon 97223*8199 (503)839-4171 PERMIT #. . . . . . . .. SWR9 5-
D(,TE ISSUED:
PPR- CEL. 2SI04BA-08900
I DI ki I C G ZONING: R-25 PI)
FIXTURES UNITS.
3 5. . ,-, l
DWELLING UNIT
IJ,`�E NO. Or BUIi-DINGS. 1
r.. . IMF'CRV 93URFACC.
-,ATH
FEE03
JP
IGISETTE type amal.1rit by (J.A t L.
PD FIRMT tt 2200. 00 B 05/09/"I-
INGP 1 35. 0141, P 0�' V10
irlce U6WE6U UR )70.,!,r-j
PE(.-4UTRFD 1NOW"ECTTON,
AP;,'4;CVt ayi-PPS to C01ply With 411 the -Uleg and rejU16tiC77
tl,e Unified 'sewage Agency. The pet-sit expires 180 days fvc;
date issued. The total asount paid will be forfeited if the
4:.! FxPires. The Agency does not guarantee the accuracy of the
4 Fmr laterals. If the sewer it not located at th; mov —ce".
7er., the ostaller shall orotpect 3 feet in all dirt.-tio-
W' '!&'
-Le J10TI. If
anv Side SOWC.' rT 77
ow
Residential 11gilding Permit_Application
City of Tigard
13125 SW Hall Blvd. C 5 4-()Tigard, OR 97223 'l
(503) 639-4171
Jobsite Address:
! 6*4WSubdivision: ���� 1 l Z Lot# a Only
Valuation: cYf��, �7Gi
Permit# zzyI 5
Corner Lot? Y N
Flag Lot? Y N Reissue of
ITL# 2-S ��AA A- U�900
--towner: 'Do t j 1''101-I Sr Approvals Riguired
Address: onnotm_MPJ D• I 151 Planning _ LA �L r -
1...1QfKE Qr . tK C12!2215- Engineering - ---
Phone: C�2�y �"�'J�J� _ _ Otter /
Contractor. Items Require
Address: — Subcontractors
---- Truss Details �r
Phone: Other 1!'v"4
Contractor's License # X55 -33 P-YP.
(attach copy of current Oregon liconse)
�►:'. •I SM– 1� (.P.-- 38 ,�� 5� I0' c)�c, c. zC
Contact Name & Phone:� L6
5 t ul.e. 5
Subcontractors: Arch itect/Engineer: �-�._
/ Plumbing: V�i P1rK.E�2•_ - UI-t 1 1j C, Address:)QzZt:�N M8°ir�N`7 i IC I
'Mechanical: (ZVi`i'T4--4 -M!�tP• LSE �(,a(�Cr< T-0�
(attach copy of current OR Contractors License)
Phon9:
JOB DESCRIPTION:
a
Applicant Signature & Phone number
Received by: , ;l,U /�' Date Received.
N 1%WRMC0Mr)EVIRE9"P
Permit aunt Description Amount Amt. Pd. Bal. Duel
_U!6( Bldg. Permit (BUILD) L�� � t��U'�
Plumb. Pe.rnit (PLUMB) 9 1 '
i
Meeh. Permit (MECH)
State Tax (TAX)
BId,,, .
Plumb: z
Mech: �� 2
o�
Plan Check (PLANCK)
Bldg: �..��
Plumb: _
rvlech:
Sewer Connection (SWUSA)
Siwer Inspection (SWINSP) 3 �^
Park:: Dev Charge (PKSD(.)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) --- •__. ..-�f ��- -ti
Mass Transit TIF (TIF-MT)
;t
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) .► -~- �r,�
Institutional TIF (TIF-IS) �—
Office TIF MF-O)
Water Quality (W(]UAL)
Water Quantity (WQUANT)
Fire District (FIRE) _
p Erosion Cntri Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: 7 r l
.__�_
FFi_0 1 c F I F^hT AMER I GAJ TR,1=G RN Tl::� 1'x•0-1- 08%17 9556 R..02/03
k�:: 5•r. '��::: .;1,r�.�. r PC�; .Sr/��� t 1 i 'G,i.�. r. ;,ar• i "•.�f1 t' .•.
�� •iti;,? •;'• '% sali. •i ;�'r,\,; ., ti !'�� �Jt91f' .� 'd �;rt
�. a !;• t ,\'1 9bt, !t;I II t
Nttr, \ „�% ,I 1 YZ .� \\ii.�I%I % aa 1„j b • !+.i t, I�� ���I ,i\.•,..�� .r, �l%i. 1 N��.
d, •:.1�. �.� �4 r��i ,i!. \ 7...,',:•r .N.
Cre'dit No:
"� Data /ss;:ec':� ���_.S� •;titi :��
TRAFFIC IMAAC7 FEE `f z:
- C r-'51:9 with th-v Tr3fftc Irlpact Fes Crdir,8.^,c9, •
's" fs er;tlt/ed to$1.5 5 0 Matr/x De�e/oFrn.nt Co,perafJcn ; ��ib'
in i rsl;",C;mpect=ea Cred,ts that cen be ap pled to ;IF ch$r ss
cr ict(s)68-131— 01 tre :astla M,l No. 2 0#vsfoprr•ent, rhe use of",F
� . a are subject to the rules are lirftatiprs of the 71,t~Oretii-ancs. VI'Ahh'ING:
Thfs voucher must be cresanted at the tfmQ of issuance of the 3ulldirrr,�t/t, or if dsfar;a/
x ted l^ ca oA
aa�s ren .,soar, cfan :c�'�'cncy Per,7'rft. '�•�,;
MA 7'R'X D EVEL CFME1%'7 CORFOF•A ii0N hereb v '
tide and intar#s;In Lid ro h Y sssi9rs Ar.its- ht
t at cor'a., T'r&f`ic lmpactFee Cridit t:+ aanted ,`•'
upon the/ssuFnce of a b r
,•i:3 u�ici'ng perrJ:'t for Lot
CAS7LE HILL N0.p SI/bd/viSion, Wasttinrton
aunty Or
C sflar,, to the or;e, of.•
q; ! DON MORTSSETTL HQMES
5000 S.W. %IMC 'S ROAD
SUITE 151
LAKE OSWEGO, OR 97035
L`�" ;hla assicnr&nt of i 4r �c/,„pact Fie CrBCft is ma .'
c�•'•` Ca} aJ ^ 1 Cs and given t,°iis�- ...w
95,
111A•,'RIX GEV,LCF,VFNT CCRPCFA TION,
"r &r Crey;n Corporeflon. t
^c�` Title or
�� ►i'.7 :�
wit
t... kl-lil
�, : ;,'i.,i. .1•a /;.'!(tri:.
�'>�;; ; '�{s •:f..a;� , �.ai,,;,,. ,, .t:: :r4 f {t���� Jl•it�•� ���k ��� �• fi:i�.';J�;
.. "C.�• Z 544. 't.\\ \ • . ( �i:,,
,, <. sire' •,.. �r`: .�.., ,t'
1 1
6000 S.W.Meadows Rd.,Ste. 161
Lake Oswego,OR 57036
Phone:(603'620-7638
FAX:(603)620-7486
VLs1
I FFru�;ETmav ruvy �
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LCT 5121 11\
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z E QGtiy 10F� Cv6YT rW%-- 114'. Z S
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT#
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDO No. (503)684-2772 —�
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Addr RESIDENTIAL—Restricted Energy Fee. . . . . . . . . $40.00
(FOR ALL SYSTEMS)
City UState Zip Check Tyne of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Aud' nd Stereo Systems*
IS NOT STARTED WITHIN 18o DAYS Or ISSUANCE OR IF WORK IS SUSPENDED FOR Y
180 DAYS. Urglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
�" ❑ Heating,Ventilation and Air Conditioning System"
Contractor / Type , j_ ❑ Vacuum Systems'
Address '704- ��'��CY'>��. ❑ Other
Dale_ _k —, !� COMMERCIAL—Fee for each system . . . . . . . . . S40.00
��, � � // -- (SEE OAR 918-260-260)
Property Owner� _Lf •��- Check Tyne of Work(nvolled;
Contractor's Board Reg. No. T ! ❑ Audio and Stereo Systems'
� � ❑ Boiler Controls
Phone # 41 _ _ ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
--- --- ❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
Address — — ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control`
City State Zip ❑ Medical
This permit Is slued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls
restricted enol gy Installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape lighting'
following:
1. Only use t lectrical licensed persons to do Installations where required.(Certain ❑ Protective Signaling
residential and other transactions are exempt from tic,+Wring.These have ❑ Other
asterisks(•).All others need licensing).
2. Call for an lospection when all of;tie Instillations under this permit are ready
for Inspectioo at 503-639.4175.
❑
3. Purchase sepa•ate hermits for all installations that are not wNumber of Systems
wady for inspection ----
when the inspr.-tor is out to inspect under this r milt. •No licenses are required. Licenses are required for all other Installations.
4 Assum.•responsh.ility for assuring that all corn ctions required by the inspector
are done,and
5. A,stnne responsihility,.'or calling for a final inspection when all of the corrections 5. FEES
are completed.
The person signing for this pt-mil must bi:the ipplicant or a person a. Enter Fees
authorized to hind the ,.;,u..:, , /'2
b. 5% Surcharge(.05 x total above) $ -&^1-U�
Sig ature
TOTAL $
Authority if other than applicant
ENERGAP.CHP
3
PERMITPERMIT #. . . . . . .ITY OF Yi�ARDuILDING DATE ISSUED.
COMMUNITY DEVELOPMFENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Or6gon 0223e6t 99 (503)639-4171 PARCEL. J'-31LA40A- ( 3141.'
"ONING: R-- 1i-z Pr)
'JL'D I V 10 T r1N. . HILL 1\10. 3
LOT. . . . . . . . .
j"0 WOPI�. -N M-00P AREA",- EXTrPTOP WALL CONSTRUCT'
ww F # e (';.RST. . . . . 0 5f N. C. C
01(- Unc'. C CO Nn— 12, S f PROTECT OPENIN7
"IrT
— Or CONST— 3N 0 5f N.- S.- E.- W.:
.:,'CUPANCY CRIB'. : Q3 TOTAL---- - - IL 5 f ROOF CONST; riPE rkm-1
XUPANCY LOAD. 0 SASEMENT. : 0 4 f AREA 'CEP.
IIT: 0. fl
C P(--;r-7. . . : G s.f OCCU SEP.
,MT" ; MEZZI. REED SETBACKS PrOW I RED-
.00rz 11.0 A D. 0 P!;f L1q--FT-., 41 ft P014T. 0 ft rin !7,PVI-.: ^Mr)V. OCT. . .
,JELLING UNITS: 110 rRNT.- 0 ft PEAR: 0 ft FIR ALRM: ��NDICP ACC,;
7 D R m';j: 0 BATHS c 0 IMP, '3uprACE: 0 PRO CORP. PAPRIN"3: '0
ILUE. $ : 2000
'InAlr'ks : feTILP 011 top Of
M,e 1*1 1 1-r-C.0
M,-U n t by date e p L
N T U R,CC PR 0 P 1:RI'I E-:'S 1 N C type E
11,10 OW Mr-nDOW'S #J -,1 r-nMT t 7"-'- '--0 CJS 0'1'4 6 6 -16 7
PLC V t, 1.11. 13 C.T 1113 121--
/C'161196 96--47;
11%r OSWEGO OR 9707,5 r7l C 63 C.17 (A
503-
t
-!WN & COUNTRY F'ENC'E CO OF
OM-CjON
DOX 443
atie !�S. T
9 0 3 LZ'2 27
Pmuinu
i PfrIllit is issued subject to the :'elulations contained in the r-c)ut i Tig T ri s p
hard Municipal Code, State of Ore. Specialty Codas and all other --k I I T J:)e(-A i C,
:)cable 'JahS. All wc-lk „ill be done ir accordance with
,roved plans. This permit will expire if woo is not sta>-tea
',in 186 days of issuance, or if work is suspended for more
IN day--,
i t t 73 i g
all fai, inspecti'u'-1
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: -'� I �� 1 � \i �IL� ✓1
Subdivision:0A-0L t-d; d Lot# Office Use Only
Conts;t Date / I Initials _
Valuation: Result
New Construction Only: (Square Footage) Planck/Rec # `//�•
Nouse: *� n C E Permit #_
-- — Reissue of
Lott Y N Map & TL# +"/C>Vlt'4-CS 51.4
Corner Lot? Y N Flag Zone
(�E/1 "`,� F SE �_�____. Plat #
Owner: +U_6E I.
—
Address ei ow J # il'S 1 ��vals Required
NE
C/, 5CLI�o (f)p -70 Planning Setbacks Solar
EngineeringPhone ( 1565 61zo
Other
C) E�'Y� Items Required
Contractor: I��_� O(Ar,
Address: ?UoX 4 3 Subcontractors _—
II -- Truss Details
C�h FICt.S Other
Notes I �
Phone. i Sos �'S—�s� _—
Contractor's License #
attach copy of current Oregon he -7se)
Contact Name: _lam �_?s-vq�
Contact Phone: L':5 -9;Z' 1 Q
Subcontractors: Architect/Engineer: C_ ►`l —
Plumbing: — Y) `n _ _ — Address: T o:b, 06 —5Y S?_00 SW/7Ar�7cf4r7;
Mechanical:
(attach copy of current OR Contractor's Lir -nse)
'hone: LL633 ) Z ZL _ 12-8,S—
JOB DESCRIPTION:
--
Applicant Signature Applicant Phroe number
Received by' _-- — _ Date Received: —t
r•t,�d.nan.no
Permit x Account Description Amount Amt, Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Meeh. Permit (MECN)
State Tax (TAX)
5
Bldg:
Piumb:
Mach:
t
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSPI
Parks Dev Charge (PKSOC)
Residential TIF Fl F;)
Mass Transit TIF MF ,MT)
Commercial TIF MF-C)
Industrial TIF (TIF4)
Institutional TIF (—MF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Firfl Life Safety (FLS)
Erosion Cntr1 Peririt (ERFRMT)
^resion Planck/USA (ERPLAN)
•csicn Plan.kJCOT (EROSN)
TOTALS:
' t ..'..' ti:-:;ol - _4it{�':Ar.'�R�kSC-...'...c.:�.r�i1i.�t`.:..�. �'.ut.::rr f "{�-+��'i..�,�.h�'ST;�fN.+.•. �#t'�1.�4iF'�'i��:3,'�� ,,.i•;..�i � ..+ tt �.,
0.1 19, 96 rlE 11:23 FAX 5113 226 1670 C1 DA oo1
93/19/1996 11:15 6246165 D114 REaLr F'4GE of
03106.94 FRI 17:40 FAX 403 !24 1#70 CIDA m 002
1
r I
C o Z R
I ; lop-
da ,
I
I
f
f
I
,4'i�IlUV, ►� c 11014 MAW kd®,zr wBc-ep-se
PF , J - (A Lade
TO: NEW PROPERTY OWNER
FROM: DAVID SCOTT. BUILDING OFFICIAL
Attached is a memo we received tiom our Engineering Department. Although no inspection was requested prior to
the placement of concrete in your sid.walk and driveway approach,or a reinspection was not requested after an
initial dissapproved inspection, the Engineering Department indicates that the construction appears satisfactory by
observation.
The Engineering Department recommended that we notify you of this. Please refer to the attached memo for more
detail.
Please call Jeanne Flaig at 639-4171 ext. 310 if you have any questions.
R
CITY OF TIGARD
OREGON
MEMORANDUM
CITY OF' TIGARD, OREGON
TO: David Scott, Building Official
FROM: Mic_iael Anderson, Engineering Department
SUBJECT: Sidewalk Inspections
Letha Thomas, Inspector, has informed me that the sidewalk and
approach at the address of the attached file, was not inspected
prior to pour.
Inasmuch as the future maintenance of th? sidewalk and approach is
the responsibility of the adjoining property owner, it is our
recommendation that the Building Department notify the property
owner that no inspection for this item was done and that any
problems within one year of the Certificate of Occupany should be
referred back to their builder. The construction appears
satisfactory by observation and ::o further work is recommended at
this time.
rYl 5 7. 9 S.-o 4-1
13125 SW Hall Blvd„ ?lgard, OR 97223 (503) 639-4171 TDD (503) 684-2772
CITY OF TIGARD ELECTRICAL#: ELCR6I0510
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/02/96
13125 SW Hall Blvd.Tigard,Oregon 97223.9100 (503)630.4171
PARCEL: 2'S104SA--08900
;)J.1 L. NTJD1tL55. . . : 1:3863 SW L.IDEN Ula
(SUBDIVISION. . . . : CASTLE HILL #2 ZONING:R-25 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1,24
Project Description: Installing one branch circuit.
_.___RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS-----
1000 SF OR LESS. . . . a 0 0 -- 200 amp. . . . . . . 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . a 0 21il1 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMI'TE.D ENERGY. . . . . o 0 401 --- 600 amp. . . . . . . : 0 SIGNAL/P'ANEL. . . . . . . .. lh
MANF. HM/ SVC/'F'DR. . : 0 601+amps-1000 volts . : 0 MINOR LABEL ( 10) . . . : 0
— —SF_RV I CE/FE=EDER_---.— ------BRANCH CIRCUIT,---- -----ADD' I_ INSPECTIONS——
0
NSPECTIONS_.-.-
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
.:'01 - 1st W/O SRVC OR FDR. : i PER !-JOUR. . . . . . . . . . . : 0
400 amp. . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 — 1.000 amp. . . . . : 0 --------------------PLAN REVIEW SECTION—____.__._______ - ._..
1000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . ; ) 600 VOLT NOMINAL. . ;
Reconnect only. . . . . 0 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ----------------------------------------------------------- FEES _-_.___—_—_—____...__
DANNY LEUNG type amol_int by date recpt
13863 SW LI .IEN DR PRMT $ 35. 00 CJS 08/02/96 96-282450
5PCT t 1. 75 CJS 08/02/96 96-282450
TICCARD 0I3 97.=:23
Phone #a
Contractor:
GRF ELECTRIC 36. 75 TOTAL
15460 SE PARADISE LN
---------- REQUIRED INSPECTIONS
MULINO OR 97042 Wall Cover Elect' l Final
Phone #: 50:3-829-.4146 Elect' 1 Set-vice
Reg #. . : 101543
This permit is issued sub)ert to the regulations contained in the __� _•.,
Tigard Municipal Code, State of Oro, Specialty Codes and ali other Permittee Signat�_ire
applicable laws. All work will bt done in accordance with
approved plans. This permit will eh?ire if rrork is not started
within 180 days of issuance, or if work is stspended for more �.1C.(c_�.r��_.__.Xd)[alr `
than 188 days. I s s U e d By
.-OWrdl-fl INSTALLATION ONLY-------._.___...._.____--- __._______ ___ __.
The installation is being made on property I own wr.ich is not intended for
sale, lease, or rent.
OWNER' S S I CSNATURE: DATE:
.10,R INSTALLATION
i CSNATURE OF SUP'R. ELEC' nJ: jY1Ccl lEdDA-1 E �:.�^ ...___.�._._.._..
I CENSL NO:
Call for- inspection 639--4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. _
Tigard, OR 97223 Permit # XLC( Sy) ^_ _
Date Issued q6 _
Phone (503) 639-4171
CITY OF TIOARD FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. ..lob Address: � 4. Complete Fee Schedule Below:
Name of-DaY44pment _ r L e 1h Number of Inspections per permit allowed
Addressr L Service included Items Cost(ea) Sum
____ _ � t'
City/State/Zip__---+� /i A]!,-- ` �_ 4a. Residential -per unit —
_l - - 1000 sq ft or less $11000 4
Name (or name of business)_ _ Each additional Soo Sy n or $25 u0 _
rr Portion Thereof
Commercial I__� Residential Limned Energy E2500 1
` Each Manufd Hrme or Modular
Dwelling Service or Feeder $6800 _ 2
2a. Contractor installation only:
4b. Services or Feeders
f Installation,alteration,cr relocation
Electrical Contractor �.— / C= 200 amps or less $6000 2
1 ��t it .7 Y 201 amps to 400 amps __ 120 00 Z
Address � �+(' �,, + /d I A $tz000
City__ State_ Zi _ 401 amps to Eno amps
P—� $teo 00 2
�_����_ - -- 601 amps l0 1000 amps
Phone No _ _____ Over 1000 amps or volts $34000
.lob NO 2
—J ' 4 LA Y Reconnect only $5000 2
� _ -- --
contractor's license NO._, ( — k kc 4c. Temporary Services or Feeders
Contractor's Board Reg No. 0jInstallation,alteration,or relocation z
Signature of Supr Elec'n / 200 amps or less
201 amps to 400 amps $5000 2
License No_ � _ hone N ��_ 401 amps to 600 amps $7500 2
Over 600 amps In 1000 volts $10000 —
2b. For owner installations: see"b"above
4d. Branch Circuits
Print Owner's Name _T_—__ New alleration or extension per pane
Ado ress _� _ a)The fee for branch circuits with
-----------"� purchase of service or feeder fee. 2
City _ StateZIP_—_--_ Each branch circuit $500
Phone No. __ b)The fee for branch circuits without
purchase of service or feeder fee 2
1"hs Ins'allation Is being made on property I own which is S 2
E
rot intended for sale, lease or rent aadditional branch
$3500
—J -_�
Each additional branch cLcuB $500
Ownar's Sigr,ature ____� _._ 4e. Miscellaneous
(Service or feeder not included) a
3. Flan Review section (if required): I Each pump or tlinetion circle --- $4000 —
Each sign or outline lighting $4000
Signal circult(s)or a Iimhed energy 2
Please check appropriate item and enter fee In section 5B. panel,alteration or extension $4000
4 or more residential units in one struct Ire Minor I abets(101 $10000
^_ Service and feeder 225 amps or more
4f. Each additional inspection over
System Over 600 volts nominal
Classified area of structure containirg special occupancy ti,t allowable In any of the above
Chapter 5 Per Inspection _T $3500
as described in N E C Cha _
P Per hour __ S55 00 _
In Plant _ $55 oo
Submit 2 sets of plans with application where any of the above —
apply. Not n. -fired for temporary construction services. 5. Fees; �
NOTICE 5a. Enter total of abvre fees $
5%Surcharge (05 X total fees) $ —Z /
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOI COMMENCED WITHIN 180 DAYS, OR IF gib. toter 25%of line A for
Plan Review if required (Sec 3) g
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal
A PERIOD OF 180 DAYS AT ANY TIME AFTFR WORK IS $
COMMENCED ,,,,,. U Trust Account #
Balance Due $ �f7
PLUMBING PERMI1
CITY OF TIGARD PERMIT #. . . . . .F.
. PLM950381
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 12/29/95
13126 SIN Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PARCEL: 25104BA08900
2_1tJ
I T L ii ;.,I,L.., � . . I�� I -
3USDIVISION. . . . : CASTLE HILL #C'-' ZONING: R-25 PD
13LOCF. . . . . . . . . . : LOT. . . . . . . . . . . . . 124
!'LASS OF WORK. . :ALT GARBAGE DISP05ALS. 0 MOBILE llfllyir r-,POC'E'S. : 0
TYPE OF USE. . . . :SV WASHING MACH. . . . . . s 0 BACKFLOW PREVNTRS. . - I
OCCLJT'-,(ANCY GRP. . - 1-13 I.-I'LOOR ERAINS. . . . . . 0 TRAP S. . . . . . . . . . . . . . .
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH 0
F I X TlJRES3--------- LAUNDRY TRAYS. . . . . 0 GIF RAII,,i DRAINS. . . . . s 0
SINKS. . . . . . . . . . : 17, URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . . : 0 OTHF-.-R rIXTUREG. . . . 0
TUR/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . 0
WATER CLOSETS. . : 0 WATER LINE (ft ) . . . 0
'119HWACHERSe . . . : 0 RAIN DRAIN (ft ) . . . : 121
i,eirat-ks : Installinq bac_P.f1(j1,y prevention device
()wrier-: FEES
LEUNI-37 NIKI t V ne a in 1.tn t by date t,ecot
13663 SW LIDFN DR PRMT $ 15. 00 A IL2/29/95 95--J*74419
;PCT $ 0. 79 B 12/29/95 99-1:_-741i 19
TIGARD OR 172,23
,"hone #:
!.'0ntV-aC,tor-.-
Fipo I-ANDSCAPE
1:1 0 BOX 594;,-7,
DEAVERION OR 97006
'hone (,42 545.". A 15. 75 TOTOL
Rea 5903
REQUIRED INSPECTIONS
This Derait is issued subiect to the regulations contained in the Final Inspection
Tigard Municipal Code. State of Drp. SoeciAltv Codes and all other
avalicable 1-ws. All work will be done in accardaneq with
auoroved plans. This Derct will exvire if work is not started
within 180 days of issuance, or if work is susoended for more
than 180 days.
l-'ermittev Sitinif-iii,,p , Cc
I-SSI.Aed By . (vlj a L__1
1-ill. for insr)vction -- 639--4175
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit M .1,
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHA!'GE
r�rwoM.nw.r New Single Family Residences Only
Lty-
Ad*M D 1 BATH HOUSE:140.00 ❑ 2 BATH HOUSE$195.00
Job ,SLS j ' �t,t I k-• ❑ 3 BATH HOUSE$225.00
AddreSB wrr. nr Fee includes all plumbing fixtures in the dwelling and the first 100 feet
I, C of wa' •rvic e, sanitary sewer and storm sewer. See fees below.
�»x r1X_TUMa QTY PRICE AMT
Sink 9.00
MW"Ad*M Mrr Lavatory 9.00
Owner Tub or Tub/Shower Comb. 9.00
eaveau am Shower Only 9.00
972 Water Closet 9.00
Mrs rr w tA.n�r Dishwasher 9.00
Garbage Disposal 9.00
Occupant #As"A,,,r Washing Machine 9.00
Floor Drain 9.00
erh+ww Water Heater 9.00
Laundry Room Tray 9.00
rw.. (Oq - Urinal 9.00
Lcj , rct_ _Q._. Other Fixtures (Specify) 9.00
�r«. �•• 9.00
Contractoi
9.00
n,.e.. as 9.00
Sewer 1st 100' 30.00
roe rt.a.rI" w. ur VAL To No. Sewer-ea. Addit 100' 25.00
/) Water Service 1st 100' 30.00
I hereby acknowledge thea I have read this application. that the Water Service ea. Addit 200' 25.00
information given is correct, that I am the owner or authorized agent of
the ov+ner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm b Rain Drain Addit. 100' 25.00
numter given is correx-t (If exempt kom State registration, please
Mobile Home Space 25.00
give rea:o below.)
Back Flow Prevention
�� �� Z -Z-q -15 Device or Anti-Pollution Device 9.00
Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new Q addition O alteration 0 repair O Catch Basin 9.00
to be done residential Q non-residential 0 Insp. of Exist. Plumbing 40.00/hr
Specialty Requested Inspections 40.00/hr
Existing use of Rain Drain, single family dwelling 30.00
building or property _ Residentlal backflow prevention
devices 15.00
P,noosed use of
building or property _
'(Except residential backflow
�- prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL n
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5% SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
PLAN REVIEW 25% OF SUBTOTAL
COMMENCE[).
TOTAL
Srecial Conditions Q
Date issued ' by 1✓ ,I'_Q�nhlt A �-
MECHANICAL
CITY OF TIGARD PERMIT #. PE Rlyl I T MEC96-0242
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/25/96
13126 SW Hall Blvd.Tlyerd,Oregon 97223*8199 (603)839-4171
PARCEL: 2SI04BA---08900
SITE ADDRESS. . . : 13863 73W LIOEH DP
SUBDIVISION. . . . : CASTLE HILL # ZONING: R-25 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . : 124
CLASS OF' WORK. . :ALT FLOOR FURN. 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF* UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . : R3 VENTS WIO APPI—: 0 VENT SYSTEIYIS- JZI
STORIES. . . . . . . . : 0 BOILERS/COMPRESEE30RS HOODS. . . . . . . : 0
FUEL 0-3 HP. . . . : 0 DOMES. INCIN: it)
3--15 HP. . . . : 'a COMML. TNCIN: 0
MAX INPUT: 0 BTU 15-30 Fly'. . . . : 0 PEIDAIR UNITS: 0
FIRE DAMPERS?. 30-50 HF'. . . . : 0 WOOD5TOVES. . : it
GAS PRESSURE. . . 50+ HPI. . . . - 0 CLO DRYERS— : 0
NO. OF' AIR HANDLING UNITS OTHER UNITS. : CA
TURN i 100IJ STU: 0 1.0000 c.-Fni : I GAS OUTLETS. : 01
FURN ) --::100K BTU.- 0 > 10000 C,fm: lb
Remarks : Install iny a 4 ton A/C 1.tnit to 10, 000 (-F71Y
Owner,: FEES
DANNY LEUNG type ilmol-tnt by (JiAt e r-ecpt
13863 SW LIDEN DR PRMT $ 25. 00 CJ5 07/25/96 96—e 8 2 11212
15PCT $ 1. 2:5 CJS 07/215/96 96-2(3 1174;
TIGARD OR 974'23
Phone #:
Contv-,autor-:
SUN GLOW, INC.
24213 SE 105TH AVE
PORTLAND OR 97216
Phone #.- 775-4164 6. 2S TOTAL
Req #. . .- 48131
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Met:tianiL'Al Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc,. Inspect ion
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
1 ,pt,mittee Sir4iiati-ire : mc,
lss,.ted By : CL r Je .......
Call for inspection 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # L ion
13125 sw Hall Blvd. APPLICATION Permit # IY1 -Dai
Tigard, OR 97223
(503) 639-4171
"55.m.o
\ escnpian
Table 3A Mechanical Code
QTY PRICEAMT
.Y v
Jab i j O ( S w i r 1) Permit Fee -0- -0- 10.00
Address
2) Supplemental Permit 3.00
f-� Furnace to 100.000 BiU
1 r A ck 1) incl. ducts &vents 6.00
° ...
/ � _ .� � � Furnace +
Owner F 2) incl. ducts &vents 7.50
JFloor urnance
3) incl. vent 8.00
«
Su3pended heater, wall heeafew
Ad1b4) or floor mounted heater 6.00
° �� Vent no incl, in
Occupant 5) appliance permit
3.00
Repair of heating, re ig.
6) cooling, absorption unit 6.00
C Jjo-er or comp, heat pump, ,.ir cond. 1
` •-�U �� 1 U 7T vt 7) to 3 HP; absorp unit to 100K BTU 6.00
° ... Boiler or comp, ea �----
-=1.� pump, air con .
Contractor �5j 77 8) 3-15 HP; absorp unit to 500K BTU 11.00
or er or comp, heat pump, air co-n--7
d &A I 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
Boiler or comp, heat pump, air cond-.—
1{ ) p 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50
-1 herebTaCKnowledge t at I nave reat�t is app nation,-that the Boiler or comp, heat pump, air con
information given is correct, that I am the owner or authorized 1 1) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are it compliance with Air hardling uni to
State laws, that I am registered with 'he Construction Contractor's 12) 10,000 CFM �N 4.50
Board, that the number given is correct. (If exempt from State it an ing unit registration, please give reason below.) 13) 10,000 CTM + 7.50
{ on portable
14) evaporate cooler
_ 4.50
( � Vent fan connected
i r OIG(t -V-_ ia 15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 4.50
Hood seN y
17) mechanical exhaust 4.50
Describe work new (D addition a terationrepair Commercial or in ustna
to be done residential Q non-residential Q 18) type incinerator 30.00
Existing use ot'— _ ter i.e., wo stove, water
building or property �� 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
budding or property
Type of fuel -nil Q natural gas Q LPG Q electric Q
�5
PERMITS PECOME VOID IF WORK OR CONSTRUCTION Minimum Fee $25.00 SUBTOTAL ,co
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR -7
5"/°SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AF-TER WORK IS COMMENCED oe
Special Conditions TOTAL 2�_ - —�- ----._
— ----- ---�-- Date issued by C.�r
1L0n1M03T51M1Fcr,aMT
CITY OF TIGARD BUILDING INSPECTION DIVISION �
24-Hour Inspects in Line-. 639-4175 Business Line: 639-4171 MST
All BUP
Date Requested //L�h% AM /�X PM _
BLD
AIN
Location- /"__1�3 �_ . 1C.) /-�C�G tv �>` Suite Ci
Contact Person / ZZU Ki _ Ph PLM
Contract�,I,— Ph SWR
(BUILDING Tenant/Owner (ELC-'
Retaining Wall ELR
Footing Access:
Foundation FPS
f'7 Drain
craw'Drain Inspection Notes: , SGN
Slab ! _ 116v ' SIT
Post& Beam
Ext Sheath/Shear Y� ��cL�zLJ //JS l�"fjoyc
Int Sheath/Shear —
Framing
Insulation ^— --
Drywall Nailing
Firewall -- ----
Fire Sprinkler
Fire Alarm — -
Susp'd Ceiling — —_
Roof --------
Misc
Final � —
PASS PART FA!!
PLUMBING --- �n J
Post& Beam — k
Under Slab
Top Out --- ----- --- -- ---- _
Water Service
Sanitary Sewer ----^-- ---_—_ — —�_ — - --
Rain Drains
Final — -------- — —_--— ---- -- --- -- —---
PASS__ PART FAIL
MECHANICAL' �� _ --_---_ --------- — ---- -- ------- --�
Post 8 eam ---- ----- ------ - — — -- --------- ——
Rough In
Gas Line —- —---- ---- - —- ----- -- - ----- -
5ke Dampers
Fi nal ------—----------__--------- --- -- ------ ------ -
eM PART FAIL
Services*----
Rough In
UG/Slab
Low Voltage ------ -__------------ - ----- --___.---
.-iLe arrn --- --- - - ---------
Fina ---. .---.__—.------------- --
S PART FAIL _--
SITE
Barkfill/Grading _ — __------- —_ ----- — ----
Sanitary Sewer
Stone Drain ( ] Reinspection fee of$ _ _ _required before next inspection. Pay at City Hall, 19125 SW Hall Blvd
Gatch Basin
Fire Supply Line [ ) Please call for reinspection RE — ( J Unable to inspect-no access
ADA
Approach/Sidewalk
Other _-- Date {_ _Inspector �" Ext
Final
PASS PART FAIL__ DO NOT REMOVE this Inspection record from the job site.
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use &"transportation
Electrical Inspection Section APPLICATION
155 North First Avenue,11350-12
Hillsboro,Oregon 97124
Information: 503 640-3470 Fax: 503 693-441?
PLEASE PRINT Permit
• Number �`��_< < Date & 7 _ 455
1. Location of installation 4. Complete Fee Schedule below
Address Number of Inspections per permit allowed
/,j Suite
ding Service included: Items Cost ea. Sum
City� Suite No. Cost(ea.)
Tenant ame A. Residential-per unit
(if commercial) _-_ _ ----- 1000 sq.ft.or less $1 10.00 4
Map No. Tax Lot _ Fach additional 500 sq.ft
�. - or portion thereof $25.00 -&I:pl-- —
r / Limited Energy $25,00 1
Th Map Book: Page: Section:;a Each Manuf'd Home or Modular
nlractioCtlOeS Dwelling Service or Feeder __ $68.00 _ 2
r B. Services or Feeders
Commercial l Residentialx Installation,alterations or relocation
200 amps or less $60.00 2
2a. Contractor installation only: 201 amps to 400 amps $60.00 2
I ��r _ 401 amps to 600 amps _ $120.00 __ _ 2
FIHCtrICal Contractor�..�L I ry--t 601 amps to 1000 amps $160.00 2
Address ;,�� �— Over 1000 amps or volts $340.00 2
City r!�.tya.t(L State_ ZIPS .7c� � Reconnect only
------ $5000 2
Date Job Number
Property Owner �74 'S C. temporary Services or Feeders
Contractor's License No. - Installation,alteration or relocation
Contractor's Board Reg. No. _ e �_ 200 amps ur less $50.00 _..
201 amps to 400 amps _ $75.00
_ --y--;� -, 401 amps to 600 amps $100.00
Licensure of Supr. Elec l -_--�,c - Over 600 amps to 1000 volts see^B"above
License No.--? 11� Phone No. ,a
D. Branch Circuits
2b. For owner installations: New,alteration or extension per panel
al The fee for branch circuits with
-- —
Print Owner's--N Namee Phone-X30---- purchase of service or seeder lee.
Each branch circuit _- _ $__ oo
Address bi The fee for branch circuits without
purchase of service or feeder lee.
t-,te lip First branch circuit $35.00
Each add'nl branch circuit $5.00
The installation is being made on property 1 own E. Miscellaneous(Service or Feeder not included)
which is not intended for sale, lease or rent. Each pump or irrigation circle $40.00
Each signor outline lighting $40.00
r+n,•i Signature Signal circuit(s)or a limited
energy panel,alteration
3. Plan Review section (if required) or extension $40.00 2
Please check appropriate Item and enter fee In section 59. F. Each additional inspection over the allowable
4 or more residential units in one structure in any of the above
Service and feeder, 800 am Per inspection $35.00
-- amps or more Per hour _— $55.00
_ System over 600 volts nominal In Plant $55.00
__._. Classified area or structure containing special e�
occupancy as descril—d in N.E.0 Chapter 5 5. Fees
Subrnit 2 sets of plans wit,, application where any of the A. Enter total of above fees $
above apply. Not required for ternpornry construction 5% Surcharge (.05 X total fees) $
services. Subtotal _
This permit becomes null and void If the work authorized by the permit is B. Enter 25% of line A for
not commenced within 180 devs from date of Issuance of such permit or Plan Review if required (Section 3) $
if the work authorized Is suspended or abandoned at any time after work Subtotal $
is commenced for a period of 180 days. Electrical permits are non. $ -
ref ndable and nomtransfershle. �� Trust Account
For Inspections call Balance Due
681-3699 or 681-3698 $ v`
24-hour recorder, one working day In advance of need
BL28 - .3/95
i
(,U RT I F I CATE: OF
CITY OF TIGARD ' aCrl.IF'ANCY
F'E::frMIl #. , . . . , . Mfir1'95- 016
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/21/9!5
13125 SW Hall Blvd.Tiger i,Oregon 97223.8199 (503)830-4171
PAftCE:L.: 2S104F1N..08900
I T C_ ADDRESS. . . : 1366 3 3W L I EDEN DR
SURD I V 19 I ON. . . . : CASTLE HILL. #L ZONING t R-25 Ply
BLOCK, . . . . . . . . . : LOT. . . . . . . . . . . . . s 124
CLASS OF WORK. %NEW
TYPE: OF USF. . . iGF
OCCUPANCY GRP. :5N
0r,CUt 0NCY LOAD:c-_
u arks: I 'tTTIA I
V MOF I.GGETTE
"100 SW MEADOWS RI)
11 TE 151
rKE 0SWEL1O OR 97035
tone #- 620-7538
iN 1+1ORISSETTE. HOMES
o00 1bW MEADOWS RD
IIIT'E 151
rKE (K-U GO OR 97035
iclne #t G2'0--75;38
.3S533
is LertificAt.e grants Occupancy of the abct,e r-eferenced building or portion
i,er^eof and conf i rm9 that the k)ui lding h:4s been inspected for- roMpl ianre wl
Grp State of Orman. Specialty Cocles fur^ the group occupancy, and r..tse t_rndet
rich tha ref6re1ir. .d permit was issued.
lIl_I)INf3 1NiPECT0R BUILDING OFFICTAL
f'OC3T IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION NOTICE
,_---fispection Line (Rec-O-Phone): 639-4175 '13usiness 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 LineId
Plbg. Underfloor Rain Drain Framing -
Alarm Water Line Insulation ec
Underflr. Insul. Shear Wall Gyp. Bd. -Elect 9�z40
Date Requested: _ G _Time: AM PM
Address: ��
B,.iider:. 61 I. '2i Permit !1:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Insector: l • /
1 `� _ ate:
APPROVED _DISAPPROVED _APPROVED SUBJECT IO ABOVE
Call For Reinsp.