13917 SW LEAH TERRACE I"
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CITY OF TIGARD BUILDING INSPECTION MOON MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
_ Date Requested., AM, PM BLD
Location/„�f/'l :/i ,1,��> /1 %f'i rpt��,_ Suite MEC
Contact Person Ph PLM
Contractor //// Ph _ SWR
BUILDING TenanUOvvner �/o'1 f�u<,� ' ya- �yys- ELC
Retaining Wall ELR
Footing �---
Foundation A NOT REQUESTED �'.,$Fyo PPS
Fig Drain FOUND DURING RESEARCH SIGN
Crawl Drain Ir --• ,
Slab NO INSPECTION(S) IN FILE SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation -
Drywall Nailing
Firewall
Fire Sprinkler 01
7ZN
Fire Alarm "
Susp'd Ceiling '
Roof
Mlcr• ..�
Final y
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
FipaV
PA PART FAIL
NECHANICAL
Post&Beam --- -
Rough In
Gas Line
Smoke Dampers
Final —
PASS PART FAIL
ELECTRICAL
Service _
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL ..,�. _._._..-w ...__..y _-•..,
131TE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspectinn RE: [ ]Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date J '� _Inspector Ext
Final
PASS PART __FAIL DO NOT REMOVE this Inspection record from the job site.
BING 1111
a r( ®F T I GARD PERMITPLUM#. . . . . PILR. . : PLM96- 0171
COMMU14ITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/25/96
13125 SW hall 31vd.Tigard,Orr gon ir7223*8199 (503)539-4171
PARLEL: 2S109BA-HS00!'-"J
SITE ADDRESS. . . . 13917 SW LEAH TERR
SUBDIVISION. . . . : HILLSHIRE SUMMIT ZONING: R-7 (.,I)
BLOCK.. . . . . . . . . . . 1_101.. . . . . . . . .
------------- - ------------------------------------------------------------------------- -
CLASS OF WORK. . :ADD GARBAGE DIFFPOSALS. IzI MOBILE HOME SPACES. 1 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 B(4CKFLOW PREVNTRS. . I I
OCCUPANCY GRr-,. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . .. III
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . 0 CATCH BASINS. . . . . . . : 0
LAUNDRY TRAY'S. . . . . e 0 SF RAIN DRAINS. . . . . : IA
SINKS. 0 URINALS. . . . . . . . . . . 0 GREPSE TRAPS. . . . . . . : 0
LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . 11 0
TUB/SHOWERS....: 0 SEWER LINE (ft) . . . : 0
WATER CLOSETS. . : 0 WPTER LINE (ft ) . . . : 111
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
i ,marks : Installing ba(..kflow prevention device
Owner-,: FEES
MICHAEL HAGEL type amount by date rpcpt
13917 SW LEAH TERR PRMT y 15. 00 B 06/25/96 96-280990
5PC1 a 0. 75 B 0(-,/l_,5/1)6 96--1_130990
11GARD OR 97224
Phone #: 590-0845
t,onfractor,-
1-11-ione #: $ TOTAL
Reg
REQUIRED INSPECTIONS
This pervit is issued subject to the regulations contained i, the V?PIB,, kf low Prev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All wink will he done in accordance with
approved plans. This pe,-iit will expire if work is not sykted
within 180 days of issuance, or if work is suspended f �r vo e
than 180 days.
f 'o
.............
let-in i t t P e b�nat t.kre
ssi-ted BY :
Call for, inspection 639-4175
Address:
Issued by: Date:
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon L'rw, URS 701.055(1), requires residential construction permit appli-
,.•nnts who are n)t registered ivith the Construction Contractors Board to sign the
f.►/lowing statement before a building permit can he issued. This statement is required
liar residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt.from registration under URS 7(,1.011)(7),
need not.submit this statement, This statement will befiled with the permit.
Fill
,�t�,the appropriate blanks and initial boxes 1 and 2, and either box 3A or 313:
I,/ 'A, 1. 1 own, reside in,or will reside to the completed structure.
UI 2. i understand that I must register as a construction contractor il'the structure is sold or offered for sale
u before or upon comp/ -tion.
E] 3A. Nly general contractor is
(Name) Contractor regis. #
1 will instruct my general contfactor that all :subcontractors who work on the structure must be
registered with the Construction Contractors Beard.
OR
C313. 1 will be my own general contractor.
if 1 hire subcontractors. I will hire only subcontractors registered with the Construction Contractors
Hoard. if I change my mind a-,d hire a general cortractor. I will contract with a contractor who is
registered with the CC13 and will immediately notify the office issuing this building permit of the
name of the contractor.
h,�rehs cer•tik that the abov in o nrrtir► A correct and that I have read:11111 do understand the Information
Nolire to Proper (N ners : hu t onst ction Responsibilities on the re%er-se si(it of this fori .
it-n,i are crnii applicant)
(White cohv to issuing agenc.v permit file,
pink copy to,applic•ant)
Information Notice to Property Owners
About Construction Responsibilities
rota Ihi.\ ht/ornlrltiolr ri, I r,l,,-r'll (hI r :11,vr; r lnsiruc•tion Responsihililw
wav CIevehio ed ht'the ll.+,! cor(;1ance Ivith i M -,01.05.5(5).
Ifyou are acting as youl.own ce+ntractot'to construct a ne\1 honk or inake:a substantial imprtwt,mcn11 !()all cNisling Articturt...
yon Lail PIO erlt man) plublenls by bung a\\art;o(the f dl(m im?ltc .nsihilitlt, 111d alcas('fCUncc't'll.
EMPLOYER RESPONSIBILITIES:
1 'ou hire person, not rel,istcred \\Ith the C'01'Isu•101011 Coni actors Board to du labor in constructing OI• ass,stllll' ill ill;:
construction or unl rovemenl ofo residential ;iructure,%,(,u will, in rilost instances.he ruled to bean employer and tt.c people
you hire%N Ill he employees. At;the c:mpim,er.you Ill list cot,lply\k lilt the followille.
Oregon's wit Ithold Ing toIlit w: Asancnlplover.\uulit l.istwithhuIli incunleta•.etifrurnel +ployeewages ill thetinlcentplu.ec,
:u'e paid 1'uu v ill he liable for the tax payments even It\uu don't actually\\ithhuld(he lax from yclt►r enipluycu, I'ur more
Iitformation.call the(lregolt Dept.(4Iteveil Ile tit 445-8091.
i!nemphl�mrnt insurance tr1x: As an emplo\cr, )(ul an'reyulrc(I to pad .1 ta\ for uncrllplr,ynlcnt insurance purposes on the
\t•agcs of all clnplu\cc,,. Vor more ill furnlation.gall the(.)rut;,ut I:n,plu)rrlcnt Department at 37R X24.
Workers'compensation insurance: .1s au employer.\uu are st.ihjerl ti the I)reg(m\1'(,rkcrs'(',nllpen atlon I_.a\v,;Incl nul•1
obtain\\orkcrs'cnrnpensati,nl in;ulancc lnC\I,flrClllplu\CC`. It\(,II 1;1111,'„hinlrl\\CH'leel'ti e'(,Illpe'nSatlr,Il I lstirance..\oil In I\
he Slit)ect to penaltic,and\\ill he liable furalI clarn cutis it tilt, ,t (.ilrcnlp((+kr.cti is ittlurciJ(111 the juh. I ,,r more lilt(,rnlntI('n.
call the Winicerr;1'r,nlpensatinn Divisiol-I at the Department (If'Constuller and Flusiness Services n045-7411,9.
V.S.Internal Revrnne Sere ice: A, an cnlpl.,\er,y'ou must\\ilhh(+ILI federal income ta\fr(,n1 cnlpl,+vcc.' \ahes. Y(11\�ill he
liable furthe tar p;+\111th:even ifyou didn't;1l Itlal Iv w ithhuld the to\ I'I+r•more infunna0ri,cull the I nt rn;ll Revenue Service
at I-801)-8.19.l o lo,
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Codecompliance.,As[lie pemilth'+l( el't-4.rthi I,i I�.I•\(,uan I ,p,ulsihlcf,n're<,,Ivinganyfailuretanl(.lr\+c(rrreluiren,ent.
that ma) he hr(vILh1 to v(+ur attenti(m tnrrnlgh in;pec n+s.
t (_)III; r 1 \ollr;IIsnr;un'e iwcnt t,'see il•voil Ila•;c ildettIll te 111s111a11cc Co\CUM-.
l.islhilih and propel-t-, damage insurance: '
acci,lents and onwo iow,5Il has falling+,turL,. paint \\;Itrr denlage trout pipe punencc',. fire.(,r\\ork that nill"I
re-do.:e.
Timr In s,iirer�ice t nrrloyces: Make circ\Clot ha\r`All•fii icttt brie to ,,prry isc\(,ur emplo. ces
Expertise: %1tku ,III_' i111mvtheerperllsl:t(1;I(.1;1' kout(m,11(enclAI.(Illtractor.lit c(,t,l(III".. •Ihe'\\Iilk I 4t(,ll;!h Imillilflnis
trndet,and to notifv buil(lirltt(,ftiC.iAls 1111 the approrrinlc time�;':n thev can ncrtilrltl the reyu...•d Inspections.
It v',1.111.11be';tl.I!h(I,�Ilal 1plCAIt( I", V,Ill,:,,I .;111 th�'1 (,I I'.IIIItIIt�III (�IitI;Icl„r•, Hoard IPo 11l v I't1ll,l ti;11�'nl tilt Til)(/.
5611.178-4021 ). I'he Ponrd is ;it "110 '-11111111t:1 tit '�I tini(\ ;(lU. in ti:11tn1.
City of Tigaid PLUMBING PERMIT APPLICATION Planck/Rec. # _
13125 SW Hall Blvd. Permit # ��la 'DI
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
New Sin Is Family Residences Only
a+b«. ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Job 3 y, 7 5 cA-) ❑ 3 BATH ROUSE $225.00
Address CII r&.I. Zip Fee includes all plumbing fixtures in the dwelling and the first 100 feet
77E,1V0 R . 74���/ of water service, sanitary sewer and storm sewer. See fees below.
Nam.ra ram.0 Bam FIXTURES AlY PRICE AMT
Sink 9.00
'"'�'"0 Wb•.. °hone Lavatory 9.00
O Nner 131
' rrel-4Cf Tub or Tub/Shower Comb .14.00
"" ,/ Shower Only 9.00
&1Z <� J-`2 7`1 - Water Closet 9.00
- N.m.ra n.m.W Mwin.«I Dishwasher - 9.00
Garbage Disposal 9.00
Occupant M.Mr;Adb J - �.n. tNu;l;ing Machine 9.00
Floor Drain 9.00
'g'^'• zip Water Heater 9.00
Laundry Room Tray 9.00
".m. Urinal 9.00
Other Fixtures (Specify) 9.00
M.Wq MM... i'hnn. 9.00
Contractor _.
9.00
rylsla. ZM --- 9.00
Sewer I st 100' 3000
'"'°R.°"hamn N^ y"v""' '"'"^ Sewer-ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
I !:areby acknowledge that I hava read this application, that the Water Service ea. Addft. 200' 2500
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &R.,n Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, chat the Storm &Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please
give reason below.) Mobile Hone Space 25.00
-'� Back Flow Prevention
/ Device or Anti-Polluticn Device 9.00
mss'°'• ^^^^'^'•�^' c"'° Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work newj addition 0alte�(_) repair Catch Basin 9.00
to be done residential Q non-residential Insp. of Ex;st. Plumbing 40.00/hr
Specially Requested Inspections 40 00/hr
Existing use of
building or property - zk��
Rain Drain, single family dwellinn - 30.00
Residential backilovi prevention
devices 15.00 1
Proposed use of
building or property r UY v`��- --
'(Except residential bacMow
prevention devices)
NOTICE 'M4, turn roe $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5°/.SURCHARGE 7�
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 I:
COMMENCED PLAN REVIEW 25% OF SUBTOTAL j<
TOTAL
Special Conditions
__^__ Dati issued ____ by
7.RIIFICAIL OF'
OCCUPANCY
CITY OF T I GARD PERMITCE #. . . . . . . s' MST94-0453
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUEDv 01/02/96
13125 SW Hall Blvd.Tlgwd,Oregon 97223*8199 (503)639.4171
PARGELi i:S109AA-HL5005
I TE ADDREGG. . . 1 13917' SW LEAH TERR
,UBDIVIS)ION. . . .-i HILLSHIRE 1-3UMMIT 70NING: R- 7 PL)
LAI-OCK. . . . . . o . 00c LOT. . . . . . . . . . . . . a 005
CLA13S OF WORK. i NEW
TYPE OF USE. . . ISF
OCCUPANCY GRP. 15N
UCCUPANCY LOAD 12
Remarksi PATH I
"Owners
J 8 & BN G'ONSTRUCTION, INC
P CJ BOX 1704
LAKE 03WE00
Phone i#
Cont Tact ov:
jB & a coi\is-'rRUrTION INC
P 0 BOY 1784
LAKE 01SWEGO OR 97035-0582
Phone O 635--9446
Reg 0. . : 51175
!pis ("ev--tificate Ut-ant:k occupancy of the above referenced building or- pot-ti
iieveof and confirms that the building has been inspected fat- compliance W0.1,
he State of Oregon ";pevifklty Cndes for the qv-omp, 'CU pMnCy, 8"C" k'16P kLinrlpi,
'llich the reforepneed pe�,mit isiaijed.
ITLVING INSPECTOR BUILDING OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF P BARD PLUMBiN6 f-,LRMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MS'Triki
13125 SW Hall Blvd.Tigard,Oregon 97223*8`199 (503)830.4171 DATF ISSUED: 12/30/94
PARCEL. 2S109fAA--HG005)
I TE' ADDRESS. 1391 7 SW LEAH TERR
SUBDIVISION. . . . a HILLSHIRE summi"r ZONING: R-7 PD
L4LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
LLASS OF WORK. . :NEW GARBAGE DISPOSALS— : 1
I'YPE OF USE. . . . ISF WASHING MACH. . . . . . . . I BACKFLOW PREVN"rRS. . I
OCCUPANCY GPP. . :R3 FLOOR DRAINS. . . . . . . .. 0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
1-- 1 X 1"LJRV_S------ LAUNDRY TRAYS. . . SF RAIN DRAINE. . . . . : 1
SINKS. . . . . . . . . . 11GREASE TRAPS. . . . . . . ..0
LAVATORAES. . . . . :6 OTHF_.R FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE. (ft) . . . . :0
WATER GLU21ET5. . 94 WHTER LINE (ft ) . , - - 3100
DISHWASHERS. . . . 11 RAIN DRAIN (ft) . . . . :0
Remai-ki., - PATH I
OWNERC
J B 9 BN CONST RUCTION, INC TIF $ 1`;`0. 0 0 JF 1.2/30/94
U BOX 1 784 IS W M $ 10101. Q101 JF" 12/30/94
51411 11 180. 0111 jr- 12/30/94
LAKL O'z3WEG0 L PR I" s 7;30. 50 JF 12/130/94
Phone #: BPLC $ 474. 83 JF 11/26/94 94--259001
B5PC 1- 36. 53 JF 1i--_`/30/94 --
Plumbing Contractors_..-_-_..___ _.. ._---.. _._...- PARK 4, 00 JF 12/30/94
MPRT s 48. 1710 JF 12/30/94
Name - Ch CC') MPLC $ 112. 1110 if- 12/30/94
Ad dr,e s s li MbPL 1, 2. 40 JF 12/30/94
City:._ t at e F1 RT * 249. 00 JF 12/30/94
p rip# P5PU $ 12. 45 JF 12/30/94
Add i t i o n-A] -ees
not shown I
Req #:
REQUIRED INSPECTIONS
This per-mit is issued subject to the t,eg
ulations contained in the Tigard Muniripal Foot/found lnsp Rair, drain Insp
Code, State of Oi.-(s -i L
.. Specialty Codes and All F-*,Ost /Bpam Stv Act Watev Line Insp
othet, applicable laws. Al ) vov•k will be done Post/Beam Mechan Appr,/E;dwlk Insp
in acca),danvp with approved Plat"i- fhl �: Insp Mechanical F irlial
pet-mit will expire if wor-,k ., s not stat-ted FILM/Underfloor Plumb Final
within 180 days of issuance, or if W004 is Mechanical Insp Building Final
for more than 180 days. Plumb Top Out Erasion Control
Insp Wti_- Pv-oofinq Bsm
Uit-eplarp Insp c>-awl Dr-ain
(-:-,s Line Insp Ftg Drain [AsmIt
ITISUI.ItiOn Insp
Gyp oav,d Illsp
Call f'ot inspection D
-
6394175
v
,ontr,Actoy, Not Los i
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard.Oregon 97223*8199 (503)839.4171 MASTER PERM -
PERMIT 4 . . . . . . .
yy- 4171 DATE IS�,UED: 12/30/94
PARCEL: 2S109BA -11c,30015
SITE ADDRESS. . . : 13917 SW TERR
SUBDIVISION. . . . : HILLSHIRE: SUMMIT ZONING: R-7 PD
BLOCK. . . . . . . . . . : I-OT. . . . . . . . . . . . . .005
BUILDING
Fl I IS 5 U E- DWELL ING UNITS: 1 BASEMENT" s
CLASS OF WORK. :NLW BEDRMS:3 BAT'HS:4 GP4RAGE. . . s f
TYPE OF USE, -St FLOOR nREAS— REQUIRED
TYPE OF CONST. :5N F'I RST. . . . :2569 s f LEFT. 10 -ft RICiHT. .20 ft
OCCUPANCY GRP. :R3 SECOND. . . :61.34 sf FR 0 N 1 26 ft R E A R. 10 ft
SI'UkIE.S. — . . . . -.2 F1 NSSMENT:CA S f REOU I
I IF I C4111.. . . . . . . . :C-1 ft TOT AL—--i 325.3 S aMOKL DETECTORS. -'Y
1--L.UOH L,OHL,. . . . 240 psf VALUE:. . . . . f s 218930 MARKING SPACES. I
[Remar-ks : PATH I
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAIN'.*�. . . . :0 BACKFLOW PRE-VN 1"RS. . : l
LHVAIORIES. . . . . ..6 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . 14 LAUNDRY TRAYS. . . : 1. CATCH BASINS. . :0
WR I E H LLUSLI S. . *4 SC.WER LINE (ft ) . 0 GREASE i RAPS. . . . . . . :0
DISHWASHERS. .: . . : 1 WATER LINE ( ft ) . : 100 OTHER FIXTURE'.1. . . . . .V)
GPRBP5E DISP. . . : 1 RA11\1 DRAIN (ft ) . :0
WAST i I NG MACH. . . - I SF RAIN DRAINS. . : 1
MECHANICAL FEES
I`UEL UNIT HTRS. . :0 type amol-.Int by date r,e C.pt
/VAS/ VENTS . . . . . :0 -CIF s 1550. 00 JF 1e'/30/94
MAX INi..,UT .0 LA I U V11NT FANS. . -5 SWM $ 100. 00 JF 12/:30/`34
t-UHN ( 100K . :0 HOODS. . . . . . . I GWM f 180. 00 JF 12/30/94
F-',..IRN ) =10011 . - I WOODc33TOVES. .(A BPRT $ 730. 50 JF 12/30/ 34
F'L.00R FURN. . . . :0 CLO DRYERS.: I SPLC $ 474. 03 JF 11/28/94 -)4-25901211
OTHER UNITS: 1 B 15,r-I C $ 36. 53 JF 1"/30/94
UPS OUTLETS tl PARK $ 500. 00 JF 1,i:/30/94
$ 48. 00 JF 12/30/94
J 8 & BN CONSTRUCTION, INC MPLC $ 1 00 JF 12/30/94
0 BOX 1784 M5PC $ i Q71 JF J.2/350/94
PPRT $ 249. 00 JF 12/30/94
L nKE OSWEGO P5PC $ 1 43 JF 1c:/:TO/'34
Phone #: EROS 4 88. 0@ JF 12/30/94
Cont r-act ot,: ---ERPC $ 28. 60 JF 12/30/94
JS & B CONSTRUCTION INC ERVIC $ 28. 60 JF 12/30/94
1-' 0 BOX 1784
L.HKE US3WEG0 OR 97035-0582
1'110TIe #.- 63',-5-9446
R Lm y 51175
t 4040. 11 i,nTAL
This perm;: is issued subject to the regulations contained in the REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Ccdqs and all other Foot/foLind Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/fieam Stv,+-lct Gas Line Insp
plans. This permit will expire if work is nql..startpd ohliri 180 r"ost/Beam Mechan insulation Insp
nays of issuance, o,- 'f work is suspe for ore s. Plm/imdslab Insp Gy Bar-odInsp
PL -f I orit- Rain drain
Insip
Mec-l-ianic:al LW;P Watpt, Lint, lricip
Pll.imb Top Out Appt-./Sdwlk Insp
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNEL) ION
13126 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171 f'-,E RM 11
PERMIT #. . . . . . . : SWR94040'i
9 DATE I5SUED: 12/30/014
PARCEL: 2SI09BA—.HS005
SITE ADDRESS. . . : 13917 SW LEAH Ti:Rn
SUBDIVISION. . . . : HILLSHIRE SUMMIT ZONING: R-7 PI)
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .005
TENANT NAME- - :
USA NO. . . . . . . . . . : F'IXTURE UNITS. . .
CLASS OF WO ?I-,. . . eNEW DWELL I NG UN I TS. .
TYPE OF USE. . . . . ..SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMP(7.RV ," RFACI-7. . Mf
Remarks : PATH I
Uwner,: FEES
J 13 & 13N CONSTRUCTION, INC type _kmot.tnt by date r•ecpt
P U BOX 1784 PRMT $ L.L00. 00 JF 4
INSP $ 35. 00 JF 141130 4
LAKE OSWEGO
Phone Aii
Lantrector: --------
CONTRACTOR NOV ON FILE
Phone #: 2,2,35. 00 TOTAL
Req
REUUIRED INSPILCTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The pet-sit expires 190 days from
the date issues. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not locatem, at the measurement
given, the installer shall prospect 3 feet in ail directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the ill lateral,
P""'t lateral.
Permittee '3ignat .i -
I s s 1-te(i By -
t iA.1 J. -)spection 639--41'75
" lj for Inspeetic
»>u sw 11au nf�d, PL CK/RECT #CITY OF TICARD O V5 j�
COMMUNITY DEVELOPMENT DEPARTMENT Tigard.Orcgon97al PERMIT # ,/rl5f >y�
(303)639- 171 DATE ISSUED
JD89PDDR6%1S:kankxTmjrxaae 13917 SW Leah Terrace TAX MAP/LOT 2-510 f 64 - d 2c us"
SUB: Hillshire Summit LOT: 5 LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: JB & B Construction, Inc. REISSUE OF:
ADDRESS: POB 1784 LAST REISSUE:
Lake Oswego, Oren 97035-0582 — FLOOD PLAIN/
PHONE: 503-6:s5-9446 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
JIRED
NAME: same PLANNING:
ADDRESS: _ ENGINEERING-,,-
FIRE DEPT:
PHONE: OTHER:
CONT'R. BOARD #: 5.1175 EXP DATE. 8-16-97
ITEMS REQUIRED
SUBCONTRACTORSL�PLUMB: ACI Mechanical _._ LIST/SUBCONTRACTORS: —
(JLMECH: _ Complete HeatingBUS TAX: _
ARCH ENGINEER CALCULATIONS:
NAME: :1.E. Krause TRUSS DETAILS:
ADDRESS• 15645 SE .11.4th Suite 202 OTHER:
Clackamas _Oregon 97015
PHONE: 503-656-4111
PROPOSED BLDG. USE:
COM01,N!S
APPLICANT SIGNAIURF
Received By � Date Received:
PfFMIT # ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL-. DUE,
h7'f�� 10-432 00 Building Permit Fees '730 --iZ —_ w.sZ -/-
10-431
/10--431 00 plumbing Permit Fees _-:�Y-L1' " -- i/
10-431 01 Mechanical Permit Fees -2111-ILI. — 4Y.
10-230 01 State Building Tax (5%)
Building _�a5-3 ,/
Plumbing /2 ,q ;
Mechanical %2 .q o
10-433 00 Plans Check Fee � �� �
Building
Plumbing
Mechanical ^/?
10-230 06 Fire — --
c
1,ti_oCyq_�7 30-202 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) J-v`
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) _----- --
2.4-4^.r Gi Water Quality (Fee in lieu of) % rU
24-445-02 Water Quantity (fee in lieu of) / �� ___ �o✓
C'y asp P/
* TOTAL
nm/3587P.WP1
DEPARTMENT OF LAND USE 3 TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/640.3561/693-4415
OREGON
XXXXXXXXX--> 640•-34 /i_I
Page 1 of 1
Date 05/U;,/9`,
Time 07 : 06
ilr:it: 1,y1.',c : Resitiential Electrical hermit Permit # s 05067311
;:status : APPROVED Applied t Ub/04/95
+.uti Address 1:391" 5W LEAH TE T1 Issued I o5/04/95
I tr+:t t• ".1'i.t le : `3NH - NEW HUIJSE Completed I
. '(ilt. Ue!>cr . I To Expire 10/31/lib
_t.. 'Tit1w SVP - NLW HOUSk; Project # 11OU49698
:: 0 ject Uescr ,, EROSION +r
c:el. Nt.ut.t�r?r L51'1'1 Land Use District.
:atirata U
tI Descr .
.'r 1N-)PECT'lUN - TiUARD Construction OTH
, �,I iceant Name : BEAR ELEC'PR1C Classification I 90o
icatit Addy . : P. U. BOX 389 Occupancy :
DONALD, (.)K 9'/0ev Validated by PH
E t :tceant PI-tor►et Inspector Area
Fee description Units Nee/Unit.. Ext fee Data
;,quare Footage ( Enter b(4 , Ft . J 4090 2150 . ou
::)ubt.otal Electrical Fees : 260 . 00
:;tate Surcharge of 5`3> 13 . 00
-tal Liect.rical Fees : 2'/3 . Ub
k * * Fetes Required Fees Collected Credits k * *
Method Check Receipt No. Date Payment
L'K 1183)8 Uy/04/95 273 . 00
k'ee'l Z-13 , 00
�� r jttavtittr,t'tt:; : UU 'Total C'redit% : U0
,,(,tel Fees : Total Payments : 2 /3 , 00
Balance Duce : . 00
NOTICE: This permit becomes null and vold If the work or construction for which it Is Issued Is not commenced within 160 days. Once construction has started,
the permit becomes null and vold If construction is Interrupted for a period of 160 days. I certify that the Information presented by the applicant and
his agent or agants 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 end 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 plans 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 thnes during the process of construction and the building
Inspection staff verifying compllance with the various codes. Use or occupancy of the building or strvcture permitted pAor 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 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 revocable until the satisfaction of all Inspection requirements.
APP[1CANT'S SIONATURt
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
Electrical Inspection Section APPLICATION
155 North First Avenue, X350-12
Hillsboro, Oregon 97124
Information: (503) 640-3470 Fax: (50 3) 693-4412 _
Permit �,,,m� �
PLEASE PRINT NumberPlease Date
complete 4. Complete Fee Schedule below
1. Location of installation Number of Inspections per permit allowed
Address_/-�1�__�_l __�K��oe _-6.. _-__ Service included: Items Cost(ea.) Sum
Building A. Residential-per unit
city Suite No.
- --- loon sq.ft.or lass � $110.00 4
Tenant Name Each additional 500 sq.ft
(if commercial) _ _ or portion thereof _ $25.00
Limited Energy $25.00 --— i
Map No. Tax Lot Each Manuf'd Home or Modular
,�� Dwelling Service or Feeder -- $68.00 —__-�-- 2
Thoma;Map Book: Page:. _ Section:�,C?__.
DirecUans_ _ -------- B. Services or Feeders
,J O� � 06W _�X_' Installation,alterations or relocation
200 amps or less -- $60.00 - 2
Commercial - Residential FC7 201 amps to 400 amps $80.00 2
401 amps to 600 amps ____ $120.00 _.— 2
2a. Contractor installation only: 601 amps l 1000 amps $18000 - -- 2
a
Y Over 1000 amps or volts $340.00 __ 2
Electrical Contractor 1",r2 //V_G. Reconnect only -- $50.00 -- -- 2
Address to,a. Qox 313 )
City0 State-01— 7,o ZIP-IYC. Temporary Services or Feeders
DateJob Number _ Instalintion,alteration or relocation
Property Owner_�$�6__Can�f���t�,�/��r 200 amps or less ___.. $5000 2
201 amps to 400 amps ____.__. $75,00 —__._-_._.—._._ 2
Contractor's LIC@rase NO. �� 401 amps l0 600 amps _ $100.00 2
Contractor's Board Reg. No. —__�Q 9/9 Over 600 amps to 1000 volts see'e•above
Signature of Supr. Elec'n .6eQ D. Branch Circuits
License No. _ Phone No. _��'?� 13SS NOW,alteration or extension per panel
a) The fee for branch circuits with
2b. For owner installations: purchase of service or feeder fee.
Each branch circuit _.__., $5,00 — 2
Print Owner's Naryle Phone No. --- h) The fee for branch circuits without
purchase of service or feeder fee.
Aa reser — — First branch circuit --_ $35.00 2
Each add'nl branch circuit $5.00 2
yCR---- tate Zip E. Miscellaneous (Service or Feeder not included)
Each pump or irrigation circle_ $40.00 —____ — 2
The Installatiot; is being made on property, I own Each sign or outline lighting ___-_— $40.00 2
which is not intended for sale, lease or rent. signal circult(s)or a limited
energy panel,alteration
Owner's Signature _.- or extension —� $40.00 _ 2
F. Each additional inspection over the allowable
---- �-- in any of the above
Per Inspection $35.00
3. flan Review section (if required)
Per hour _ __ $55.00
i"iease check appropriate item end enter fee In section 5B. In Plant --___ $55.00
_4 or more residential units in one ;structure 5. Fees
--Service and feeder, 800 amps or more
_ _System over 600 volts nominal A. Enter total of above fees $ (,�1�•_Do
__Classified area or structure containing special 5% Surcharge (.05 X total fe :s) $ _.1_ o0
occupancy as described in N.E.C. Chapter 5 Subtotal $ X73• oo_
a. Enter 25% of line A for
Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $
above apply. Not required for temporary construction Subtotal $
services. ❑ Tn I t Account $ X
Balance Due $ V3 .0v
For Inspections call
Inspections This Permit becomes null and void"the worts authorized by ohe permit Is not commenced
640-3561 or 603-4415 within 180 days from date of Issuance of such Permit or I1 the work outhnrited Is
suspended or abandoned a1 anytime atter work is rcmmenced for a perind d 190 day*.
24-hour recorder, one working day in advance of need Electrical Permits are nonrefundable■nd non transferable.
ais4
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HP-LSBORO, OR 97124
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION PC-QUESTS (24 hours): 503/640-3561 or 693-4415
Permit #: 05067312 Proje,-t ft P0049698 Status APPROVED rage I of I
Applied 175/04/94) Issued 05/04/95 Lxpires 10/111/95 05/10/95 05 () 1
RESELEC
P'trmit- Title SFA - NEW HOUSE OTH
Description
Jab Addrc3s - 13917 SW LEAH TE TI
Owner Name: INSPECTION - T IGARD Region D
Applicant Name BEAR ELECT?IC
Phone number 678-1355 Valuation 0 Approvoa-,�
? nsper,tar Comments . Repcte .._.
IVR-RE41ILTr;
t
REQUEST EPROv
PIumbi ng
Mechanical
Electrical
S t ruc trual
% pneral
►nrpec.t ed by __. Date : Cs
i rispectian Requert.ed
• Cover 0403 EAtJ I)N
05/10/973 u! RIIVR 24-107C E
r
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
6A01155 NORTH FIRST,HILLSBORO,OR 97124
%at
COUNTY, INSPECTION REQUESTS: 503/640-3581/893-4415
OREGON XXXXXXXXX--> 64U -.,4 /0
Rage 1 of 1
Date 03/2'//9,)
Time 16 : 1b
t l;�it 'Type : Residential Electrical Permit hermit # U5Ubb412
ceimlt Statua APV1WVEU Applied : 03/23/9b
;:,lt.uo Address : 1391'/ SW LEAH TE T.I. Issued 03/23/9b
r ermlt 'Title SFR -- ALL ENWMPASSIN(-; LV Completed
��rmit Descr . : 'Vo Expire ; 09/19/9b
'Title : bFIt - ALL ENCUMPASbING LV Project # N0048bb4
o )ect Uescr .. * EROSION
t ..i cel Number : 251'1'1 - Land Use District
Vdll.iatlon ()
Legal Ower. :
.)wrier . INSPECTION - TIjAR0 Construction OTH
J ppiicant Name GAVY ' S VAC:UFLU Classification 9uu
Applicant Addr, : 9015 SE E'LAVEL Occupancy
PORTLAND, OR 9'/2f+6 Validated by PH
At_,t.,iicant Phone : 7'/6-2042 Inspector Area
e'ee clescripti.on Units Fee/Unit Ext fee Data
-- ---------------------------------------------
Limited Energy/Alter . /Extension -�1 --- --40 . 00 `_-- --40 . 00
:>ubtotal Eiectrical Fees : 4U , 00
btate Surcharye of 9�h 2 . UU
total L•'lectrical Fees :
42 . 00
fees Required ** +t *** tees Collected & Credits
-----------------------
Method check tt Receipt No . Date Payment
'DEP ' 03/23/9 42 . 00
Fee , : 42 . t)(J
,1,.1 J1AStmcar1ts : . 00 'notal credits . 0U
iotdl Fees : 42 . tJ0 Total Payments : 42 . 00
Balance DLIe: . 00
NOTICE: This permit becomes null and void It the work of construction for which It Is Issued Is not commenced within 180 days. Once constriction 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 use
of this building or structure will be complied with whether or not specified on the plans or noted on the plane correction sheets. I acknowledge that
the granting of a permit does not grant authority to access privets 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 bulldinq
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 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 revocable until the satisfaction of all Inspection requirements.
APPLICANT'S SIGNATURE
WASHINGTON COUNTY RESTRICTED
Department of Land Use &Transportation
Electrical Inspection Section ELECTRICAL ENERGY
155 North First Avenue, #350-12
Hillsboro, Oregon 97124 APPLICATION
Information: (503}503)640-3470 Fax: (503)693-4412
PRINTPLEASE
completePlease • through Permit No.
1. Location of Installation Date
Address_
city9 zip Code7.�� 4. Type of work:
Ma No. � -- -�� Tax Lot
PRESIDENTIAL Restricted Energy Fee $40.00
Thomas Map Book: Page _ Section f _ (for all systems)
-
Directions _ Check type of work Involve :
-- -. _��� --
A io and Stereo Systems'
Commercial ❑ Residential ' — at Alarm
e ephone Systems.
Tenant Name age Door Opener'
;if commercial) _-_ -- --_---_-----_------.. .._ ire Alarm
ting,Ventilation end Air Conditioning Systems*
,2. Contractor application: acuum tvstemsl*•'rD
Electrical Contractor
COMMERCIAL Fee for each system $40.00
GAkY ' S VACUVIt.! . C . IS-201G (see OAR 91 8-26G-260)
)015 sr-, FT "Fli D. 011 9726(,
Check type of work Involved:
joq'
Boiler Controls! ! 2G72ii , JLI�. lFiri . CA'tf: 600,17
Phone No, Clock Systeris
- -- --- --- ----- Data Telecc.mmunicatrons Installations
Fire
3. Owner application: HVACarrn Installation
Instrumentation
Print Owner's Name Phone No. Intercom and Paging System
Landscape Irrigation Control*
Address Medical
_ _ _ __ _ Nurse Calls
City State 7_ip _ Outdoor Landscape Lighting'
This permit Is issued under OAR 918-320-970. 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: -------
i. Only use electrical licensed persons to do Installations where
required. (Certain residential and other transactions are exempt Number of Systems
from licensing. These have asterisks("1 All others need licens- ---
ing.)
Call for an inspection when all the installations under this permit 'No 6rensec a e rern,eed La en.zrs are required for all other rnsiallahons
are ready for Inspectlon.
3. Purchase separate permits for all Installations that are not ready 5. Fees
for inspection when the Inspector Is out to Inspect under this
permit Enter fees $
4. Assume responsibility for assuming that all corrections required
by fhr, inspector are done,and o
5. Assume responsibility for calling for a final Inspection when all or
5 ro Surcharge (.05 X total above) $
the corrections are completed.
The person signing this permit must be the appllcr nt or a person Trust Account L�' ��� $ —
authorized to bind the applicant.
signature rV Total $
t�if other than applicant -____ _ This permit beromes null and void If the work authorized by the
permit Is not commenced within I So days from date of Issuance
For Inspections call of such permit or if the work authorized Is suspended or abandoned
a time after work Is commenced for a period of days.
640-3561 or 693-4415 Electrical
ical Permits are non-refundable and Hort-transferaata ble.
24-hou, riworder, one working day in advance of need n[ 4 114