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CITY OF TIGARD BUILDING INSPECTION :dOTICE
15specuon Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I /
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwll<
Foundation F'Ibg. Underslab Meeh. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in _FINA_-' �/
Post/Bearn Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underilr. Insul, Shear Wall Gyp. Bd. -Elect.
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'_late Requested: _ Time:--AM ,_PM
Address: 1 –.z,',----7 d.{J
Builder: Permit 9- I
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:
�JED —_DISAPPROVED —APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
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CERTIF=ICATE OF
CITY OF TIGARD i;'F:RMI T OCCUPANCY#. . . . . . . I MST94-0464
COMMUNITY DEVEWPMENT I&)kRI'MENT DPTE I SSUEn I 07/31/95
f 13125 SW Hall Blvd.Tigard,Oregon 97223.0199 (503)530-4171
E ADDRESS. 13871u W L Ii�l td C)FZ PARCEL,.: 2S104bA--07' 00
_'iLIVIDIVISION. . . . I CASTLE HILL. #c 7.ONING:F;- 1r PD
E:►LOCKr . . . . . . . . . I LOT. . . . . . . . . . . . . : 114
CLASSOF WORK. INEW.-.�._.__.._________..,...„_..__.__.__.__...____.___....._.__.._.._._.._..__.._.___�__.______..__ .......__,
TYPL OF USE. . . I SF
OCCUPANCY ORP. I R.3 �
OCCUPANCY L.OADI2c'*3 4
TENANT 14111E. . . : j
F2em•ar_tc5 : F'ATFi I
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Owner I
DON MORISSET'TF_
5000 SW MEADOW' RD
SUITE. 13].
LAKE OSWEGO OR 97035
Phone 111 620-7538
DON MORISSETTE HOMES
5000 SW MEADOWS RD
SUITE. 151
L.AKI~ OSWEGO OR 97035
Phone #I 620-7538
Reg #. . I 35533
Th Q
t Cer•t: ific,ate certifies that tt•1r, above r^nfel^Hnvpci building at, par••tian
thereof hale been inspected fur" romPl ianC9 with thO Tigard Bf_li ldinp Code
for the g►-oUp And divtsicn of ac�cftpanry and f.l? !a
referenced poi-mit was iasjled, fpr which the zbevp
a : cy sreby
granted.
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POST IN l-099 aF'1 C.'U0l a pt,
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CITY OF 71GARD BUILDING IN,PECTIADN NOTICE
Inspection Line (Rec-O-Phone): 629-4175 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 - Id�'
Plbg. Underfloor gain Drain Framinglumb. ✓
Alarm Water Line Insulation ech j
Underflr. Insul. Shear Wall yp. Bd. Elect/ .+
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� Date Requested: / 5 Time: AM PM ••.. Y My .`
Address: -3 ,Y '?
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Builder; Permit k:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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ROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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� CRY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
I Inspection:
/ Footing Susp. Ceiling Sprink. Rough-in AppNSdwlk
Foundation Plbg. Undersiah Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in INAL�I
Post/Beam Mech. San. Sewer Gas Line Id .
Plbg. Underfloor Rain Drain Framing um •,�
Alarm Water Line Insulation ech 1
Underflr. Insul. Shear Wall Gyp. 6d. -Elect.
Date Requestod: �_.� S TimE: AM PM
Address:��
Builder: 12LvN 2-7`(' 522 3 Permit #:MST
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: pate: 2 'Z q
_APPROVED ASAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp. �
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phore): 639-4175 Business Phone: 639-4171
7 Inspection:
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
j Foundation Plbg, Underslab Mech, Rough-in Fireplace
I Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Posi/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
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Alarm Water Line Insulation -Mech. I
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address:
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Builder:_ —Permit 4: (A � 01 A
THE FOLLOWING CORRECTIONS ARE REQUIRED: Z ""Y —2
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j Inspector: Date:Z Z ,
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_APPROVED ISAPPROVED _APPROVED SUBJECT TO ABOVE
For Reinsp.
CRY OF TIGARD BUILDING INSPECTION NOTICE
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Inspection Line (Rec-O-Phone): 639 4175 Business Phone: 639-4171
Inspection:
—
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
f Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct, Plbg. Top Out Elec. Rough in FINAL:
Post/Beam Mech. San. Sewer Gas Line -i Idg.
Plbg. Underfloor Rain Drain Framing <7--pI�I ,
I,
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
I
Date Requested: I j Time: AM PM
1` ^
Address:
Builder: Permit#: ���• � � �(' �• °� 'I ,,;"
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ``S�`
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Inspection:
Footina Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
tri r
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
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Underflr. Insul. Shear Wall Gyp. Bd. ;71
Date Requested:
q Time: AM PM
Address:
Builder: ,'r� ) Permit #:THE FOLLOWING CORRECTIONS ARE REQUIRED: c f��� t
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_AP''ROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE a TR
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone); 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in �Appr/Sdwlk
Foundation Plbg. Undersl•ib Mech. Rough-in Firepla
Post/Beam Struct, Plbg, Top OutElec. Rough in FINAL
Post/Beam Mech. :
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San. Sewer Gas Line
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Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
-Mech.
Underflr. Insul, Shear WallG
yp. Bd. ect^
Date Requested:
( �^ Time: AM PM tr' i
Address:
Builder: y
/ Permit aY: ZS.Ll� ''�; y "
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
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APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
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_Call For Reinsp.
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j CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phono. G39 4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in /Qr Sdv�k
Foundation Plbg, Undetslab Mech. Rough-in Fireplace
Post/Beare Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Bearn Mach. 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: Time:_ AM PM
Address: _� -v
Builder: Permit #:_C/
THE FOLLOWING CORRECTIONS ARE REQUIRED: /
� �22� '�� V�r�S ��y 6L/ /lam► �}�
Inspector: Date:
_APPROVED __DISAPPROVED_ PROVED SUBJECT TO VE
—Call F'®rTTeinsp
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CRY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Pibg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg. 1
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. .e' -Elect.
Date Requested: C� �`` Time: AM PM
/ 1
Address:
Builder:_ Permit#: 2!q —4),THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Inspector: 00,
ate: I
_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/S
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in yFINAL: a
Post/Beam Mach. San. Sewer Gas Line {C—C Bldg. ( i
Pibg Underfloor Rein Drain raming ` Plumb. t
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: a r
eq [e - �-� 1J'� Time: AM PM
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Address: / c)e f 1 �r- ',}k' ;'�.
Builder:00YI 5e //�/ 1«4'w{tsdi Y�tt# �11t4e.al�.
1 Mor; _Permit #rI1912c/-O y(y
THE FOLLOWING CORRECTION'S ARE REQUIRED: 9.2-
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° CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing SusP• Coiling APPr/SdwlkS nnk. Rou h in
Foundation Plbg. Underslab ��Vic ough-in -ireplace k ,
Post/Beam Struct Plbg, Top Out Elec. Rough-in FINAL:
P`a
Post/Beam Meeh. San. Sewer GLs Line -Bldg.
Plbg. Underfloor Rain Drain gamin -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul, Shear Wall
Gyp. Bd. -Elect.
Date Requestod: 9 Time: AM PMr�r� :
r _ y Address:
Builder: Permit :
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
Date: S — �• �$' fn, ',;`
_APPROVED l-'TISAPPROVEDAPPROVED SUBJECT TO ABOVE
/A,- ail-4r Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Insoec tion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
IFooting Susp. ailing Sprink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace I i
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech, San. Sewer
as LineD�-,S -Bldg, tlrr
Plbg. Underfloor Rain Drain amfn -Plumb. I
Alarm Water Line Insulation
-Mech.
Underflr. Insul. "'hear Wali Gyp. Bd. -Elect.
Date Requested: S —�I c7 S— _Time: AM It—pm
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Builder: Permit
THF FOLLOWING CORRECTIONS ARE REQUIRED: F
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Inspector: 11 Date:
`APPROVED vCISAPPROV APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
' Foundation Plb Underslab
g Qugh-in Fireplace
Post/Beam Struct. 'Pbl g. Top ut0 EleNough in FINAL:
Post/Beam Mech. San. Sewer qs Line IES '" -Bldg.
Plbg. Underfloor Rain Drain
Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �z s/ Time: AMx PM
Address: _��,�.��j c.-��
Builder: permit #: J y- cam' C
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: �
Date:��
V---APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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DEPARTMENT OF LAND USE & TRANSPORTATION +'
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY PHONE: 503/640-3470
r OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit 0 .. (15(1667 E,3 Prc,ae t. iti . A00493'36 :status
Applied 04/20/9.1 IsIrurd 04/20/95 Expires 101/17/95
RESELEC
Permit Ti t.1 e :' k ALL EWOMPA£;.,IN� OTH
Deaiacript i c.1) Begun 04/20/9S
Job Addr,rrF 1 : 876 1 LIDEN TiR TI �
Owner Name INSPECTION - r.11GARD Region 0
Applicfant. Name SHIAM, RI'_HARD
Phone number 264-8729 valuation . 0 Approved
Ing-.pe,-tor Cozi=ents Reje,--t*d�
IVR-RESULTA
RE(;,UE3T ERROR
F I.umh i n g
h i e c tr i c a i
3t,ructrual _ y
G e n e r
Inrpected ky Late :
Inspect.ian Requested : _
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L.nw volt.ar4e cover 0409 I: +r_, N t: I
05/23/45 R1 EES
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DEPARTMENT OF LAND USE & TRANSPORTATION
WASI3INGTON LAND DEVELOPMENT SERVICES DIVISION V350-12
" 155 NOR rH FIRST, HILLSBORO, OR 97124
PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
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Permit # : 050608(12 FAr, ,e -t # P0049?36 Status APPROVED page 1 of 1
Applied . 04/2 /'.a1FE,ILI l 04/21/95+ Expires 10/18/95 05/19/95 05 : 01
RESELEC 1
Permit T.i t l e 4 T4& • NEW UTII
1 NPcript..t-ri I;6qur, : 04/10/95
J .k> Address 13876 :,W LIDEN LIR TI
:)wr,er. Name
INSPECTION - T I GARD Region 0
ApplirArit Narne CITY ELEC:TIIIC & SUPPLY CC) ?'
r-,-;•-,re numbr,r• 292-9664 Valuation . 0 Approvrd. _ i
r.e~per_t c:r rnn,� r,t Re jtcteil,,,_
IVR-RESULTS
REQUEST ERROP !
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Invpectian Requert.ed :
* CovFr & Service 04x3 E AP ON 1V
U5/19/95 RI RIIVx 26- 2890 C
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 417
Inspection: /
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f 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 -Blog.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr Insul. a it - ,1-� Gyp. Bd. -Elect.
Date Requested:_ — 1�� /f/1� Time: AM PM
Address:
Builder: _Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
At
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Inspector: Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVt�
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection s
paction Li
ne
(Re
c-O-Pho
ne): 639-41
75
Business Phone: 639-417
Inspection:
Footing Sus Ceiling --
P• 9 Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. POT T6P Out .> Elec. Rough-in FINAL:
Post/Beam Mech. San. SewerYY Gas Line
-Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alvrm Water Line Insulation
-Mech.
Underflr. Insul, Shear Wall
Gyp. Bd. -Elect,
Date Requested: S /
�__� __Time: AM PM
Address: �j �f' 7(�.���
Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Date:>
PROVED DI3APPROVE r— AppROVED SUBJECT TO ABOVE
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-Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
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.
Flbg. Underfloor Rain Drain Framing -Plumb
Alarm Water Line Insulation -Mech.
Undertlr. Insul. q-eeaar WI) '/
yLGyp. Bd. -Elect.
Date Requested: _�
� — Time: AM PM
Address:
Builder:_ Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
a' 1' lw Q,CII
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Date:
__APPROVED ,.z iS&PPROVED APPROVED SUBJECT TO ABOVE
l Call For Reinsp.
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- DgPARTMENT OF LAND USE 6 TRANSPORTATION
- LAND DEVELOPMENT SERVICES DIVISION
WASHINGTON ON
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/840-3561/693-4415
OREGON XXXXXXXXX--> 640-34'/0
Page 1 of 1
Date (14/24/95
'rime 10 : 15 f
Permit 'Type Residential Electrical Permit hermit # 05066802
Permit. Status t APPHUVEU Applied : 04/21/95
Situs Address a 1:38'/6 SW LIDEN UR 'T1 Issued 04/21/95
Permit. Title : SLH -- NEW completed 6
Permit Uescr . a '.1'o Expire t 10/18/95
Proje��t 'Title : SLH - ALL ENCOMPASSING Project # : P0049336
Project Uescr. * EROSION
Parcel Number a 2S1'1'1 - Land Use District
Valuation U
Legal Uescr.
Owner : 1NSPE: '1'lUN - '1'l(3AHU C'onstructirfn U'1H
Applicant Name : CITY ELEC'i'H1C & SUPPLY CO Claosification a 900
Applicant Ailf.lr . : 1JU14 SW CANYON HU Occupancy R3
PORTLAND, UH 9'/225 Validated by LG
Applicant. Phone : �,42-9664 Inspector Area
Lee description Units Fee/Unit Ext fee Data
------------------------------------------ --------------------------------------
Square Footage [ Enter Sq. Lt . ] 3U00 21.0 . 00
:subtotal Electricai Fees -
210 . 00
State Surcharge of b% 10 , b0
Total. Electrical Fees : 220 . 90
** tees Required * * *** Fees Collected & Credits ***
------------------------------ --------.-_-_----.----._-----__---_--
Method Check # Receipt No Date Payment --- -
i CK 7071 04/21/95 22U , 50
Fees : 220 . 50
Adjustments : , 00 1'otal Credits : . 00
Total Lees : 220 , bU 'Total Payments : 220 . 50
Balance Due : . 00
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NOTICE: This permit becomes null and void If the work or construction for which It L•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 end
his agent or agents in support of this permit Is true and co-rect to the best of our knowledge. I 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 f
of this building or structure will be compiled with whether or not specified on the pians or noted on the plans correction sheets. I acknowledge that
the granting 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 or occupancy Is revocable until all Inspection requirements are satisfied and
approval Is given by the Building Official. I further acknowledge that a lien 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 revocable until the satisfaction,of all Inspection requirements.
A.IPLICANT'S SIGNATURE
1
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Us,-.'
&Transportation
Electrical Inspection cion APPLICATION
155 North First Avenuee,,#350-12
Hillsboro,Oregon 97124
Information: (503)640-3470 Fax: 503 693-4412PLEASE / f
PRINT Number ��" , Date
Please
• sections, • • _. _
1. Location of installatlo 4. Complete Fee Schedule below
Sh)
Address�.,3 2� , _�-rZ� Number of inspections per permit allowed
Building Service Included: Items Cost(ea.) Sum
City _ Suite No.
Tenant Name A. Residential-per unit
(if commercial) --_...__--- -._-.._� �.—_- �d V�
1000 sq.ft.or less _ $110.00 _ - 4 �
Ma No._ Each additional 500 sq.h L
p — T8X i_Ot --- - _ - or portion thereof $25.00
Limited Energy __-- $25.00 1 1
Thomas Map Book: Page: c,-> - Section:-_� ! Each Manuf'd Home or Modular
Dir.nctions____ ____
-- -------------�---- --- Dwelling Service or Feeder ___--_. $66.00 _._. 2
B. Services or Feeders
Com;nercial❑ Residential Installation,alterations or relocation
200 amps or less -__ $60.00 _-_-__ _..__.,__ 2.
2a. Contractor installation only: 201 amps to 400 amps $80.00 __ 2
401 amps to 600 amps ___ $120.00 —__ _ _ 2
Electrical Contractor_(� _.-�t�C1 601 amps to 1000 amps $180.00 2
Address /A2T iy n C' 1__ Over 1000 amps or volts $34000 -___-----__ 2
City :f t'%•+� _----_ Oldie IV- ZIP_ T_, _'� =ieronnert only -_-_-_ $50.00 __- -- - 2
Date _�L�_1,2--. Job Number
Property Owner �o.,_� srn�� C. Temporary Services or Feeders
Contractor's License No, --,,d G .2_.�'1
r!'� Installation,alteration or relocation
- _ _
Contractor's Board Reg. No. a N1.Z __.___.._ 200 amps or less $50.00 -- ___ z
201 amps to 400 amps _- $75.00 2
Si nature of Su r, Elect 401 amps to soo amps _____ $100.00 _.___��___._ z i
9 P Over 600 amps to 1000 volts see"B"above
i License No, Phone No.
D. Branch Circuits
2b. For owner installations: New,alteration or extension per panel
a) The fee"or branch circuits with
Print�wne�'s FlamePhone N-0-7 purchase or service or feeder fee.
Each branch circuit $5.00 __ 2
teas b) rhe fee for branch circuits without
_ purchase of service nr feeder fee.
Matep First branch circuit $35.00 2 f
Each add'nl branch circuit_ -_ $5.00 2 j
The installation is being made on property I own E. Miscellaneous (Service or Feeder not included)
which is not intended for sale, lease or rent. Each pump or irrigation circle __ $4000 -_-_ -_ 2
Owner's Signature _ — Each sign or outline lighting $40.00 _ _-_—_-- 2
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 5B. F. Each additional Inspection over the allowable
T_4 or more residential units in one structure In any of the above
Per inspection _ $3500 -
Service and feeder, 800 amps or more Per hour $5500
System over 600 volts nominal In Plant
---- $55.00 ----- ---
___..Classified area or structure containing special
occupancy as described in N.E.C. Chapter 5 5. Fees
Submit 2 sets of plans with application where aly of the A. Enter total of above fees $ _ '
above apply. Not required for temporary construction 5% Surcharge (.05 X total fees) $16 Sw
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 days from date of Issuance of such permit or Plan Review if required (Section 3) $ --
11 the work authorized Is suspended or abandoned at any time after work $ >
I e commenced for a period of 180 days. Electrical Permits are non- Subtotal $
refundable and non-transferable. FA Trust Account i
For Inspections call }
681-3699 or 681-3698 Balance Due $`) ;
24-hour recorder, one working day In advance of need
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WASHINGTON - KPARTMENT OF LAND USE 6 TRANSPORTATION
1111�ASHINGTON LAND DEVELOPMENT SERVICES DIVISION
-�/ 155 NORTH FIRST,HILLSBORO,OR 97124
COCOON1 i INSPECTION REQUESTS: 503/640-3561/693-4415
UN
xxxxxxxxx--> 640--347U
Mage 1 of 1
Date 04/20/9b
'1'ime3 1 38
Permit 'Type : Residential Electrical Permit hermit # : 05U66'/63
Permit 5t.atus APPROVED Applied U4/2U/95
:situs Address 138/6 SW L.Ll)fN UH '.l'1 Issued 04/20/9b
Permit 'Title SFR - ALL EN(.'UMPAaS1NG Completed R
Permit Descr . To Expire 10/17/9b
Project L'itle 5t'lt - ALL EN�-'UMPASSIN(.G Project POU49336
Project Descr. * EROSION
■
PaLcel Number 1T - Land Use District
Valuation 0
Legal Ueocr.
owner 1N.IPECTWN - TIGARD Construct ion O'1'H
Applicant Name SH1AM, RICHARD Classification s 900
i, Applicant Addr . : 138'/b SW L1DEN DR Occupancy R3
TIGARD, UR 97123 Validated by : LV
Applicant Phone : 164-8'/29 Inspector Area
F'ee description Units Fee/Unit Ext: fee Data
-Limited Energy/Alter ./Extensior: 1 40 . UC 4U , 0U
Subtotal. Electrical Fees : 40 . 00
State Surcharge of 5% 1 . 00
Total Electrical Fees : 41 . 00
F'ees- Required
- --***-- --***------'Fees WCollected-&-Credits
_----- ***
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Method Check # Receipt No . Date Payment
CK 3'/69 04/20/95 42 , 00
TOTAL THIS DATE * ******** 42 . 00
Fees : 42 . 0U
A(, justmen: s : 0U 'Total Credits : . 06
6 Total Fees : 41 , 00 'Total Payments : 4.1 . 00
; . valance Due : U0
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NOTICE: This permit becomes null and vold 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
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 permit. All provisions of applicable laws and ordinances governing the construction and rise
of this building or structure will be compiled with whether or not specified on the pians or noted on the plane correction sheets. I acknowledge that
the granting 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 constriction 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 or occupancy Is revocable until all Inspection requirements are satisfied and
approval Is given by the Building Official. I further acknowledge that a lien 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•evocable until the satisfaction of all Inspectlo requirements.
PPUCANT'S SIGNATURE
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�. WASHINGTON COUNTY RESTRICTED
Department of Land Use&Transportation
155NElectrlrt First
venSectlon ELECTRICAL ENERGY
155 North First Avenue, #350.12
Hillsboro Oregon 97124
Information: (503)640-3470 Fax: (503)6931412 APPLICATION
' PLEASEPRINT
Please cot77pleter r • Permit No. VD
— _
1. Location of Installation Date
Address__1..', 7 C, Li DF'ill 012-
Zip
/ZZip Code_ 7 2' 13 4. Type of work:
Map No. ZSI Ti Tax Lot _ /1 RESIDENTIAL R39tricted Energy Fee $40.00 I
Thomas Map Book; Page Section (for all systems)
— Check type of work Involved:
Directions
v Audio and Stereo Systems•
Commercial ❑ Residential Q v Burglar Alarm j
Telephone Systems"
Tenant Name • Garage Door Opener"
(if commercial) �. _v _ _7 Fire Alarm
Heating,Ventilation and Air Conditioning Systems*
2. Contractor application: Vacuum Systerns•
Other
Electrical Contractor —� �—
Address — COMMERCIAL Fee for each system $40.00
City_ _— --- - _ StateZip (see OAR 9116-260-260)
Date Job Number Check type of work Involved:
Property Owner t
Contractor's License No.
Contractor's Board Reg. No. _ —_` Boiler Controls
Phone No.
Clock Systems
—" "-� ---- Data Telecommunications Installations
Fire Alarm Installation
3. Owner application: ,� 4 HVAC
Instrumentation
Print Owner's Name Phone No. Intercom and Paging System
2'•y 7F' !til Lr LiL_ l _� Landscape Irrigation Control*
f Address —
r C, 1/' C /, 7" 1 -- Medical
-1----�/— � Nurse Calls
city State Zip Outdoor Landscape Llghting"
This permit Is Issued under OAR 818-320-970. The applicant agrees Protective Signaling
to make only restricted energy Installations(100 volt amps or less) Other
under this permit and to do the following: ----- -
1. Only use electrical licensed persons to do Installations where
rrrquired. (Certain residential and other transactions are exempt Number of Systems
from licensing. These have asterisks('q. All others need licens-
ing.) i
2. Call for an Inspection when all the Installations under this permit "No licenses are required. Licenses are required for all other installations.
are ready for Inspection.
3. Pu.rchsss separate permits for all Installations that are not ready 5• Fees
for Inspection when the Inspector is out to Inspect under this
pe ' I
permit. Enter fees $ ` 0-
4. Assume responsibility for assuming that all corrections required
by the Inspector are done,and
S. Arsume responsibility for calling for a final Inspection when all of 5% Surcharge (.05 X total above) $
the corrections are completed. i
The person signing this permit must be the applicant or a person Trust Account $
author.17ed te-bind the applicant.
Signature ��K.`t� �jt.�ft c.+_ Total $
Authority if other than applican+ This permit becomes null and void If the work authorized by the
permit Is not commenced within 1 So days from date of Issuance
For Inspections call of such permit or If the work authorized is suspended or abandoned
640-3561 or 693-4415 at any time after work is commenced for a period of 160 days.
Electrical Permits are non-refundable and non-transf Mable.
24-hour recorder, one working day In advance of need BL24.114
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CITY OF TIGARD BUILDING INSPECTION NOTICE ""
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 �...
Inspection:
Footing Susp. Ceiling ",prink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach, Rough-in Fireplace
0st/Beam_Siwct.' Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. I
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect,
q Date Requested: y�/. `j S Time: AM PM
Address:
Builder:_ Permit #:_`�' �� L( (s (4
THF FOLLOWING CORRECTIONS ARE REQUIRED:
Us
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Inspector: Date: Y
_APPROVED _DISAPPROVED _'APPROVED SUBJECT TO ABOVE
._Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63941,`
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.
Plbq. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
j Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: `' `' G Time: AM PM
Address: �� `�.�� l�,.0 V,
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L
"I'te ,
t
Inspector_f ��
Date:,_
APPROVED _DISAPPROVED 'APPROVED SUBJECT TO A OVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTIC■"----;-?----
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
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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.Sower Gas Line -Bldg. ■
Plbg. Underfloor Rairl-Drain Framing -Plumb.
i Alarm ;9VateJ4
iqe Insulation Mach.
Undurflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ �> �Z (`j Time:�'iM PM
Address: ( _.� (� _e-j-
Builder: Perrii! #: c? Ll 7
THE FOLLOWING CORRECTIONS ARE REQUIRED
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Inspector:�. �," Date:
I APPROVED _DISAPPROVED ,APPROVED SUBJ CE T TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE I
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: . _-� v
Footi� Susp. Ceiling Sprink. Rough in Appr/Sdwlk
undatiorl Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Eley.. Rough-in FINAL: i
Post/Beam Mech. San. Sewer Gas Line -Bldg. II
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Undertlr. Insul, Shear Wall Gyp. Bd. E{ec{,
Date Requested: 6j _Time: V_AM' PM
Address: /..j � �, f e J4 \
Builder: Permit #: �/
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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lInspector: --�-- Date:
_APPROVED DISAPPROVED PROVED SU
CT TO ABOVE
!� _Call For Reinsp.
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CI1Y OF TIGARD PPLUM
ERMIBTN#. FERMI. .. MST94-0464
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/10/95,
13126 8W Hall Blvd.Tigard,Orpon 97223.6109 (503)639-4171
PARCEL- :?s 11714 SA--07900
f SITE ADDRESS. . . : 1:38"76 SW LIDEN DR
SUBDIVISION. . . . : CASTLE HILL #2 -ZONING: R-12 PD
-LUC-. LOT
-___-__.-_---.-__._--_-_ _ s 114
__________, _ _--__..-_.._-___________________________
k,
CLASS OF WORK. . :NLW GARBAGE D I SF'OSALS. . : 1
I'YNE Of- USE. . . . :SF WASHING MACH. . . . . . . 11 BACKFLOW PREVNTRS. . : 1
ra
OCCUPANCY GRP. . sR:. FLOOR DRAIi,,:S. . . . . . . s0 TRAPS. . . . . . . . . . . . . . :0 �
ST'ORIES. . . . . . . :2 WATER HEATERS CA
TCH BASINS. . . . . . . s 0
,, . . FIXTURES; - - ------ LAUNDRY TRAYS. . . . . . .0 SF" RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . 1 1 GREASE TRAPS. . . . . . . s 0
LAVATORIES. . . . . :3 U rHER F I X T URLS. . . . . .0 �
r UIQ/:yHUWEFl;3. . . . s SEWER LINE (ft) . . . . :0
WATER r LOSETS. . c 3 WATER LINE (ft) . . . . : 10V,
, r DISHWASHERS. . . . sl RAIN DRAIN (ft) . . . . :N
Y
Remarks : PATH I
a+
OWNER:
JON MQRI3UE'T TE T IH•_ $--1550. 00 JD 03/10/'3.7 95-262761
X000 SW MEADOWS RD SWM f 180. 00 JD 03/10/95 95-262761
SUITE 151 swil $ 1120. 00 JD 03/10/95 95-262761
NKk U!3WE:GO OR 9717135 BPR'I $ 6,;8. 110 JD 03/10/95 95--'262761
F.-.'hone #1 620-7538 BPLC $ 414. .70 KAP 12/15/94 94-259690
Mr,(.,; 1 31. 90 JD 03/10/95 95-262761
Plumbing ContrdCtgr:'.-__._..__. _..____. _.____.__.._ PARK $ 500. 00 JD 03/10/95 95--262,761
MPRT E 45. 00 JD 03/1(d/95 95-26E:761
Name: /1�L� � �P1'y�, L�7�1./.. .. 11PLL $ 11. :''_5 Ji) 03/10/95 95-262161
Hddre ,
_. . , _---- _.._ M5P 'G `. c"� JU 1113/1111/9 9b-GES.:161
►-_._ 3B I H i 225- 00 JD 111,3/ 10/99 9`.5-c6i..161
" Done#: , 'a r r
_ _ ..
��C2�
...����.��_�� F�F�C $ 1 1. 25 JD 0;.3/10/9a 95-�.6c76 1 ,
it
9 Addit'iona'l fees not shown here. . . . . . . . .
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REUU I RED INSPECTIONS ------_-
� Phis permit is issued subject to the reg-- �
mations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
I i ,:udg, State of Or"e. Specialty Godes and Ali I-'ust /i:Aeam Strutt Water !_ine Insp
j tither applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp
in accordance with approved plans. T1-lie h'lm/undslab .Insp Mechanical rin
permit will expire if work is not started PLM/Underfloor plumb Final
within 180 days of issuance, or if work is Mechanical. Insp Building Fina.i. ,Y
suspended for more than 180 days. Plumb Top Out Lrosion C:ontroi
_ Framing Insp Wtv Proofing Hsm `
Fireplace Insp Crawl Drain
Gas Line Insp f tg D.-ain B,,m' t
Insulation Insp
. L�iyp Poard Insp
,au lorizerJ f`'lu F�1ng ntractor^
Gal l fol' i rl:i!::,;?::t ion - 639.. 4175 a
Contractor �Jotes:
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CITY OF TIGARD `
MASTER PERMIT I
PERMIT #. . . . . . . MST94••-0404
C13125 BW Hall Blvd.Tigard.OrOMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 0;s/10/95 !
e-Jon 97223.6109 (506)'x.,19.4171
PARCEL: 2S 104BA--07900
TE ADDRE=SS. . . e 138/6 5W L I DEN DR
bUBDIV1SION. . . . : CASTLE' HILL #2 ZONING: R-•12 PD
i3LOLK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 114
________--_ 8UILDING
REISSUES DWELLIIUG UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:4 BATHS%3 GARAGE. . . . . . . . . . :609 s f
HYPE OF USE. . . :SF (FLOOR AREAS— ----. _— -- REQUIRED SET BACKS---
FYPE GF LONG f. :5N FIRST. . . . : 1435 s f LEFT. . 314 ft RIGHT. j5 f't
C:CCUPANCY GRP. :R3 SECOND. . . : 1215 sf F RONT. :20 ft REAR. . :2:4 ft
:a1URIL5. . . . . . . :2 FINBSMENT:O S REQUIRED----------------------
HEIGHT.. . . . . . . . :23 ft TOTAL-- .�-_.__:20:50 S f SrvIUK L'L l'E.CT'ORS. :Y u
I I-:LUUR LOAD. . . . :40 ps f VALUE. . . . . $1 181257 PARKING SPACES. . : i
Remarks: PATIA I
---------- __.___— PLUMBING
�INKS. . . . . . . . . . : 1 FLOUR DRAING. . . . :0 BACKFLOW PREVNTR�3. . : 1
1 i_AVATURIES. . . . . :3 WATER HEATERS. . . : 1 TRAP'S. . . . . . . . . . . . . . .0
IUB/SHOWERS. . . . :4 LAUNDRY TRAYS. . . :0 CATCH BASING. . . . . . „ :111
WA f Ek CLUSL T s. . :3 SEWER LINE (ft) . :(Z1 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXT'URES. . . . . :111
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . :0
WASHING MACH. . . : 1 SF RAIN DRA I NS. . a 1
IMECHANICAL _.______._._---.__.__.__.__....__....__._.___.__..._.-- FLL5 ________._........ .
FUEL 'TYPES------------.-- UNIT H'TR5. . :0 type amo'-tnt by date recpt: �
/GAS/ / / VENTS . . . . . :0 TIF $ 1550. 00 JD 0.3/10/95 95-26,:761
MAX INPUT:O BTU VEN1 PANS. . 14 SWm $ 1.8ip. 0ij.► JD O;L/ 10/95 95--262"/61
f='URN ( 1010K . . :0 HOODS. . . . . . : 1 SWM $ 100. 00 :J'D 03/10/95 95--262761 t
E
FFURN )=100K . . : 1 WOODSTOVES. :0 BPRl' $ E.,,'38. 00 JD 03/10/95 95-•262761
LCJOR FURN. . . . .0 CLO DRYERG. : 1 BPLC $ 414. 70 KAR 12/15/94 94•-•259690
13OIL/C:MP ( 31-IF':0 OTHER UNITS: 1 85PL' $ 31. 901 .JD' 0:3/10/95 95-•26c16J
GAS OUTLETS: 1 PARK $ 500. 00 JD 03/10/95 95-2627E1
Jwner: —___.___—_.__..__...._ .—.....-_._.__...._._.__._.. __.—•-_--•MF'RT $ 45. 00 JD 03/10/95 95262-76.1.
DON MURISEiEfTL MVILC: $ 11. 25 JI) 03/10/95 95-262761
5000.1 SW MEADOWS RD M5PL $ 2. a5 JD 03/10/90 95-26276J
SUITE 151 3B'f'H $ 225. 00 JD 03/10/95 95-262761
LAKE= OSWE'GO OR 97035 F-15PC' $ 1. 1. d:) JD 03/10/95 95--•2E.2761.
Phone #: 62:0-7538 EROS $ 64. 0(A JD 0:3/10/95 95-2:621761
l..untractora —_.___.___—._______.__._.__._.__._._.._. ._._ F_RF'G $ E0. 601 JD 11:3 10/95 95-26a 76:1.
UUN MURISSETTE: HUMES ERPC $ 20. 80 Jf) 03/10/95 95-262:76
:5000 SW MEADOWS RV
SUITE 151
L.AKF JSWE:G0 OR 97035
1='honr #: 62:0•.-7538
$ 3814. 95 TOTAL
nis perr:t is lsyued sub)ect to the regulations contained in the --- - — - REQUIRED INSPEL1 IUNS -----••-------
?igard Municipal Code, State of Etre. Specialty Codes and all er Foot/found Insp F=ir^eplace Insp
appli^;,hle laws. All work will b± done in accordance prove Post/Beam Struct Fads Line Insp
dans. This l;arm,*. will expire if work is not s ed in ' Post/Beam Mec,han Insulation Insp
mays of issuance, or if work is suspend 01' ore 1 ays. F'lm/undslab Insp Gyp Botar^d Insp
PLM/UnderfIoclo Rain drain ii-�p
I'er mit LE? G
;iicJm �..+re : _. llv, :hanical Insp Weter Eine Insp
PItimb Top Uut Appy/2dw1k Insp
S'.Aed' y.• ... _._ ` F-'r'am:i.ny Insp Mer_hanical Final
LaII for• inspectior, — 639--4175
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7 SEWER CUNNEL'T IUN
CITY MJF TIGARD l Y
,i A�ERI+ITfi #. . . .. . . . : SWR94--0417"'
I COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 01,/ 10/91.j a
13126 BW Hall Blvd.Tigard,Oregon 07223.0109 (603)539.4171
PARCEL: 2S 1.04HA-07900
U I TE' ADIJRE.SS. . . 13876 SW L I DEN DR
SUBDIVISION. . . , : cAs'TLE HILL #,R ZONINU: R-12 PD
BLOCK. . . . . . . . . . LOT'. . . . . . . . . . . . . : 114
TE NAN T NNML. . . . . :
USA NO. . . . . . . . . . . FIXTURE:, UNI iii. . . .
CLASS OF WORK. . . :NEM'1 1)141: LL i NG UN I T l-�. . : 1
TYPE= OF USE. . . . . :SF NO. OF BU I LD T NGS: 1 �
INSTALL TYpIM. . . . :LAUSWR IMVERV SURFACE. : sf =�
'�emarr^ks : P,ArH 1.
Uwner, ____.__..._______.______ww._______._.__.___.___.__.___,__» _______ FEES
I;ON MORISSE T T'E. L ype Amol.rnt by dat e r-er_pt
R clWWO fiw MEADOWS Ftl) PRMT s 2200. 00 JD 03/10/95 95--0:62761
SUITE 151. IN5P $ Q1Qh .J0 03/10/95 95-26216 r.
LOKE: OSWE GO OR 970.35
khone #: 62.0•-•'�538
,s
LOntr^a<r_tor:
i—ON'TRAC:T OR NOT ON F= ILL.
F irr�ne #r;.
223;S. 00 `EUT"L
keg it. . .
— ---- REUU T RE U I NSPE.0-r i ON:i
This Applicant agrees to comply with all the rules and regulations GVwer' 1115FJF'Ct ion
of the Unified Sewage Agency. The permit expires 180 days from
tre date issued. 'he total aec.,t paid will be forfeited .if the _ �—
perm:t expires. the Agency does not guarantee the accurac, of the
side sewer lateral_. If the sewer is not located at t
given, the installer shall p-ospect + feet :n a rr ions rr:n
the aistance given. if not so locat the i .alie shall p. :r
a Tap and Side Sewer` Permit and a Agen , mill nsta e a1.
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La I fore inspect ion — 639-4175
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Residential Building Permit Application
City of Tigard � , � I
13125 SW Hall Blvd. u
11
I�\\
Tigard, OR 97223 l� V
(503) 639-4171
Jobsite Address:
Office Use Only
Subdivision: 01 ' }��Lot# �, 1
Valuation:
Permit#
Corner Lot? N
Reissue of
Flag Lot? Y ( N
Map & TL#
Owner: �„^(� �� "'n� =11c.:�C.��� Approvals Non4fred
Address L (� OGIC ti"ti `c �� I�+: Planning i" '-: ` f
Engineering
Phone: Other
Contractor: ,)I L i -LC-. LC� `l 1 -�(�11+' '- Items Required
Address: Subcontractors
Truss Details
Phone: Other
Contractor's License #
(attach copy of current Oregon license)
Contact Name & Phone:
Subcontractors: ArchitectlEngineer: j 1 {�
lJ° Plumamg: `� ](;' 4" f lL �'�jI kJ I Y)�7}� Address:
04/Mechanical:
(attach copy of current OR Co6tractor's License) t `
Phone:
i
JOB DESCRIPTION:
1
Applicant Signature & Phone number
Received by: 1 _ Date Received:
N MORMCOMMARESAPP
L_
Permit* Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) &3� ' —
G 3y.
_ Plumb. Permit (PLUMB)
Mech. Permit (MECH) y s
State Tax (TAX) 5,14 4, ✓ 4 5 v
Bldg: .:?/- 9 o V/
Plumb: 1 I. L S
✓ ,
Mech: .�• z �r
Plan Check (PLANCK) ZS yS V
Bldg: ��I�J. 7 c► ,y
Plumb.
Mech: i I• z S'
&,f4 -o Y i Sewer Connection (SWUSA) °0 .22 „v
Sewer Inspection (SWINSP) 35^
Parks Dev Charge (PKSDC) Su u ✓
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) -2.`i
I
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
1
I Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS) _
I
Office TIF (TIF-O) _
Water Quality (WQUAL)
Water Quantity (WQUANT) /O
Fire District (FIRE) / )
Erosion Cntrl Permit (ERPRMT) !✓ _ Gy `�
Erosion Planck/USA (ERPLAN) �y ✓ _ ;2u,�-u
Erosion Planck/COT (EROSN) ;�c�6y V _ �✓ {'
TOTALS:
y�
--- ---- - - ---- -- .-- --- .- - -----------..---- ---- --- -F, 1t
.
FROM :FIRST PMEPICNt! TPtIPEPPH TO 5J3 6�� •07=-10 ]4: 12 4140 P.0 ,0s
` y
.•aces %r/rl�ii r,�i'
y I = as +.�gg ( .�.6 r..�ll it �h7 • i .,!y. aa trjt, ,r,+,iw: 4'{rJ L•r�••
$'..
��'"•. ,;. + , . ,, •,., . •,y, j• t , t:t ,Ser,.,,,,, :.Zi+'
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Cradit IVC:�
+'trf, Geta Issued: _ �
1? -1! 1 RAFr-IC IMPACT FE—
Cn^EDIT VOUCNSR
Na
%r In accordance with the i rGt`ic!r;pact Fes OrCire„cs, Ma.t,, Devsloornent Corporation
:•�•:•'
�•�`„ -' act ^ "at cFn be 2pplfed to TIF charges
tfrr;• is entitled to $1,550 in Traffic Imp res Ore.its til
—' �he Lisa of TiF creditS
on lot(5)
63-'131 of the Castle 1111 No, 2 Oeve/opm rt. rff
are subject to the rules and flmnitations of t;"e Til=C%rdinance. W,�.RNING: ;
Permit or if d
�►., ,.� eferr�!
V�~" This voucher must be Frese, tad at the t;:r'e of issuance of the 3ulldl+gig ,=,;u�t
Was granted issuanca of an Cccupancy Farmit.
f{ ': 11 Its rl Thr
.ri Ev7'cORPO" j
tiIAT,�I.X DE'/_:OFM � r,;�i!ON hereby Fssi,�ns a S r
title and Interest in and to that cart.-In Traff!a Impact Fee Cradlt to be granted G •f;,
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` '��: upon thA Issuance of a bullc�;r^per,;,!t fcr Lcf
CASTLE HILL NO. 2 subdivision, U✓ashingtor Gaunty, Oregon, to the order of. T
s•%`: INC. ``' :
DON MORI55ETTE HOMES,
7000 BW riEADOWS ROAD
off:" SUITE 151 ;•!:,:._
a LAKE OSWEGO, OR 97035
>;, j f ra,`,'Ic/r F C,�adlt is +,oda and g n his
T, 's asst&rrm$r,+ c, T , pact Fee �...:;
CORPORATIONtiL.:;?�'
f:Z. ar Ora;on Corporation
or Pcsiticr,
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. .���.,:�.'. �•i•i. Z/,. '•afl. �•. .iI%i �� '•lt.rSi ii+�i•.tr,1.•�,•.�1•• .."
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t 6000 S.W.Meadows Rd.,Ste.151
Lake Oeweg.y OR 97085
Phone:(608)620-7688
PAX:(609)620-7486
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20 '
X70 � 3�rt. fi I
F,FE
IJ x 10
Po-tc �
f LCT LCT S!7rii �
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zt CITY OF' 'E I CARD RF-CE I PT nF x IAYME�NT RECEIPT NO. a"1�—r^-.60:'761
CFI ECK AMOUN'r s 4249. '
NAME a D014 MORISSETTE HOME CASH AMOUNT a 4U. 4'10
,A1717REi�afa : 5000 SW MEADOWS RC) PAYMENT DATE= : 03/10/95 ( �
l L
LJ TE 1`i
SUBDIVISION
8 a Y
LAKE OSWE GO OR 97035--
PURPOSE
7035-PURPOSE OF PAYMENT AMOUNT PAID PURPOSE; OF PAYMENT AMOUNT PAID
i a
__ A
BUI1_..f}IN(.3-PERM -MST94-04646 38. 00 PLUMBING PERM._,_ .01
25. 00
MECHANICAL PE: 45. 00 ST. BUILD PER 45. 40 �
PI-AN CWf--C.:K FE 17 95 c;E.:WE R U A SWR94--0417 00 t �
SEWER INSPECT :3.5. 0121 PARKS REW, 500. 010
H2O QUALITY FACILITY FFV.-. 180. 00 He O QUANTITY F AC I L I TY FEE too. 00 !
ROSION CONTROL. PE:'RMITFCE. 64. 00 EROSION CONTROL VL.AN 1301 o. C-10 4
EROSION CONTROL +'0• am
4
CASTLE, HII..L #2 LOT 11.4
1387f, 5W L TDFN DR I
TOTAL AMOUNT RAIL) - - .-> 4:''49. 9`;
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