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13974 SW LIDEN DRIVE /f lie+w w'wlpM y - MMrM�MMMW°Ni'� y,, gp�'�"MMMMM•4.1�I�MI'�M �'v��,: A �''. �'V � �°, >� ,Y!�"�:�`i 4�.,YCks�,� �jMt 'ii�'"Ii� i''�9i ti " �''�,. r'�'7•�� Y1�. -+bR°q,�. �; 8"iA�l�":. ,.,�� ` '+�'� ,�fn "�,; `�nh i� � .r .w n i x. S A u • • • • • • doc i' 'y I+I4 S Sm?, G yl�f�F� f L t .. � r ,i r ur a t , ,r� iia• # . 'I:F it 1 tea---7 "apt �i CITY OF TIGARD BUILDING INSPECTION NOTICE inspection Line: 639-4175 Business Phone: 639 4171 Footing Rain Drain Cover;Service FINAL: Foundation Water Line Ceiling f Post/Bearr Mech. Shear;Sheath Framing -Mach. r PIbg.Und!Fir/Slab Plbg.Top Out Insulation Elect. x Post/Beam Struct, Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. h ^• Oth4r.f Date: �'j A,M. _P.M.—._ Entry: d� Nddress: _ Tenant: 4 _ Ste:___.. MST f` BUP: — y1.t,� d (t MEC: Con/Own: , 49 PLM 1 THE FOLLOWING CORRECtTONS ARE REQUIRED: E R: In f(a 006 A �� i I r fir fi-Gry f r � r t s. w < • 1. Insp ctor: -------- -- --__--- Date: _ APPRGv:D —DISAPPROVED/CALL FOR REINSP. CF CO _r �i11�k`}�r� � �i��•t�' Prcit F' , h ,F,l Y'I i S, ,JSP f 4r r5y, I•, t' l f -CITY OF TIGARD PLUMPING P'ERMI'T I 1=l: RMIT #. . . . . . . FLM96--0061 COMMUNITY DEVELOPMENT DEPARTMENT UA TE ISSUED: 04/05/96 1 1125 SW Hall Blvd.Tigard,Oregon 97223.9100 (503)639.4171 9PARCEL: ;:1S.1 X41_;A--07':.;:A0 ■ SIADD RE5.`.:i. . . : 13974 G W I_1.DEN DR SUBDIVISION. . . . : CASTLE HILL #.=' ZONING: R--12 PD R BLOCI... . LOT. . . . . . . . . . . . . .. 110 CLASS OF WORI!. . :ADD GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE'.. . . . :SF' WASHING MACH. . . . . . . 0 BACKFLOW PREVNTRS. . : 1 f OCCUPANCY GRP. . : R3 FLOOR DRAIMS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 ■ STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES L_.AUNDRY Tf1AYS. . . : : 0SF' RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . 0 GREASE: TRAPS. . . . . . . . 0 LAVATORIES. . . . . : 0 OTHER FIXTI.JRL-'5. . . . : 0 � TUB/SHOWERS. . . . .. 0 SEWER LINE. (ft ) . . . : 0 WATER CLOSETS. . : 0 WATER LINE (ft ) . . . 0 DISHWASHER;. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks: BACKFLOW DEVICE (RP) IRRIGATION SYS'T'EM, HOMEOWNER INSTALLATION Owner: - - -..____._____.______________.______.____..____.____.._..__.__.__._._...___ FOES MICHAEL (�L.ASS type amol.uit by date recrit 3974 '.iW LIDEN LANE PRMT 8 'S. 00 .TIhM +/05/96 96--271882, 5PCT $ 1. 25 JMI-I 04/05/96 96—c:77882 TIGARD OR 97, 23 Phone #: 579 -1095 OWNS R i� I i Ph on #: f ;=:6. 25 TOTAL � Rey #. . : JTI .L i __._.__._._._.. REQUIRED INSPECTIONS --- - -- This permit is issued subject to the regulations contained in the Water Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other RF'/Bacic f 1 aw F're V applicable laws. All work will be done in accordance with F i.n a 1 Inspection v_ apl,roved 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, Permittee Signati.lre : 1.s s Li e d By : f W►�- .l Yw� Call for inspection - 639-4175 4 Ci of Tigard PLUMBING PERMIT APPLICATION City g � ON Planck/Rec. # 13125 SW Hall Blvd. Permit # Tigard, (;R 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE New Single Family Residences Only C t � ^d&- ) -j . BATH HOUSE$140.00 0 2 BATH HOUSE$195.00 Job `� 61kzu) _ O 3 BATH HOUSE$225.00 Address ar+swn ' a Fee includes all plumbing fixtures in the dwelling and the first 100 feet �Z76 �� h` of water service, sanitary sower and storm sewer. See fees below. FIXTURES QTY PRICE AMT Sink G.00 1.q.... °"'" / / Lavatory I _ 9.00 Owner 1 �/ 2 �� e- Tub or Tub/Shower Comb. , 9.00 Shower Only 9,00 Water Closet 9.00 "`'"''C`N°i"'••' / Dishwasher 9.00 Occupant "" Ad*-- Garbage Disposal 9.00 � ""^• Washing Machine 9,00 Floor Drain 9,00 Gj°"" Wafer Heater 9.00 Laundry Room Tray 9.00 i Urinal 9.00 I Other Fixtures (Specify) 9.00 N•ip Mew Conhnctor 9.00 9.00 9.00 _ Sewer 1st 100' 30.00 .to"'O Sm No. w ub '.W Sewer-ea. Addit. 100' 25.00 Water Service 1st 100' 30.00 I hereby acknowledge that 1 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 owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00 I am rL.Aistered with the Construction Contractors Board, that the Storm 8 Rain Drain AddR, 100' 2�1 00 number given is correct (If exempt from State registration, please give reason below.) Mobile Home Space 25.00 Back Flow Prevention Device or Anti-Pollution Oevicr 9.00 " '°`•'° ""0"' °•'• Any Trap or Waste Not _ Connected to a Fixture 9.00 Dea^ribe work ne addition O alterabor. Q repair Q Catch Basin 9.00 to be done residential.4--non-residential Q Invp. of Exist. Plumbing 40.00/hr EystSpecially Requested Inspections 40.00/hr building use of Rain Drain, single family dwelling 30.00 building or property - 9 y 9 Residential backflow prevention devices 15.00 Proposed use of building or property - ` '(Ercepf residential backflow prevention devices) NOTICE *Minimum Fee S25.00 SUGTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK If' COMMENCED. PI-4N REVIEW 25% OF SUBTOTAL % Special Conditions -- TOTAL - Date issued by I i i i I u X i y �TFN!i nF .wkw:...i.Y.sr.. r.. .1.:..,.,. .� .' -i.. .1'.x..'�...i�.i.%...M.Wti.u11,iV+W.•.r+...,.w.,».J.._.... :.Ci Permit#• c{Addre,,.s: Issued by: Date: _ 4 .1 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are riot registered with the Construction Contractors Board to sign the following statement before a building, -rmit can be issued. Tbis statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Pill in the appropriate blanks and initial boxes 1 Mrd 2, and either box 3A or 3B: K 1 I own, reside in,or wi!1 reside in the completed structure. r 2. I understa.d that I must register as a construct ion contractor if the structure is sold or offered for sale before or ups,; compietion. ❑ 3A. My general contractor is —---——— (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. s OR 3B. I will be my own general contractor. If I hire subcontractors, I will hire 3nly subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. (Signature o ermit applicant) (D te) (White copy to issuing agency permit file, pink copy +o applicant) ''.i 4911 A,1J + '� :}) � � ,.i i•, .=mz. ,tiY; .i +,,g.� x0. S vS .d �.ni u9 a information Notice to property Owrlei's About Construction Responsibilities Rote: This h ormaon Notice to Property Owners bout Construction Responsibill ie.% was developed by the Construction Contractors Board in accordance with OHS 701.055(5). If you are acting as your own contractor to construct a new home or make a substantial imprc vernent to an existing structure, you can prevent many problems by being aware of the fallowing responsibilities and areas a'concer- EMPLOYER RESPONSIBILITIES: if you hire porsons not registered with the Construction Conuacturs Board to do labor in constructing or assisting in the construction or improvement of a resident nal structure,you will, in most.instances,be n.iled to be an employer and the people you hire will h,;employees. As the employer,you must comply with the following: 1 Oregon's withholding tax law: As an employer,you must withhold income taxer:from employee wages at the time employees are paid. Yrni vill be liable for the tax payments even if you don't actually withhold the tax from your employees. For more y information,call the Oregon Dept.of Revenue at 945-8091. Unemployment ituurance tax: As an employer,you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information,call the Oregon Employment Division at the Department of Human Resources it 378-3524. Workers'compensation insurance: Asan employer,you are subject to the Oregon Workers'Compensation Law,and must t obtain workers'compensation insurance for your employees. If you fail to obtain workers'compensation insuraoce,you may be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information, call the.Workers'Compensation Division at the Department of Consumer and Business Services at 945-7888. U.S.Internal Reveni!: iervice: As an employer,you must withhold federal income tax from employees'wages. You will be b}. liable for the tax payment even if you didn't actually withhold the tax. i.., more information, .all the Internal Revenue Service at 1-800-829-1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holder for th iN lvojeci,you are responsible for resol\ung any failure to meet code requirements that may be brought to your attention through inspections. > Liability and property damage insurance: Contact your insurance agent to sce if you have adequate insurance coverage for t, accidents and omissions such a% fatting tools, paint overspray, water damage from pipe punctures, fire,or work that must be lR re-done. +cif Time to supervise employees: Make sure you have sufficient time to sni,ervise your employees. Expertise: Make sure you have the expertise to act as your own ger,pral contractor,to coordinate the work of rough-in and finish trades,and to notify building officials at the appropriate times so they can perform the required inspections. 4 if you have additional questions, write or call the Construction Contractors Board(PO Box 14140,Salem,OR 97309-5052, 503/378-4621). The Board is located at 7(X)Summer St. NE Suite 300. in Salem. prop-ownpn4 1/94 �i 4 I{ I f II i t i 4m DiS n U. i w' 111 11(.f11a? kl 1.1 .i1 I I I•'0 Iv NI itt;I I' JI'I Yfl►. tC+ 1.;111.1.K Hl"11.AIN I PJfaMl a IA 1.1, 11111: 1.. ►;las-sl► 1+1+IIJlIt�11 a '��., '�'�1 1-►t►�!tt( acs, i •;',) /�+ t••1-J I l 111:I'd flf�' F!t:r"1�1 1 I 1►f•t l h t 411 i 4.'f':;i✓ '•>'r:• I �1.1i+f)t.U l.:�111,•1 IIF Pt lit H I f�X11 Il IPl i 1`1 1 11 1-11!KI-I i if I'f lY tell' W i 111 14 It IhJ I 1'!1 1 11 I'I 1MylII Ni { I tPI �,.. ,n/ 1 . 1.1111 f► I!1:I� I �,�, 1 I t �1 Cifll:;Ftt 1.1114 Ol V I1:1 i I'f. , I PHI 1 I HCAMf:LIW O k 1 NS It I F1I 111x, I 1:)i'Al.. Whtl'IUN r FIf-t 11► ..� t �T Y y , tJ }' .. I .rofaNlahYMa+.r .., ...w+..+,,.^,w..,...w.w.•,.«...r. -...,.d;e„wcaw. trNragrcN'YA',S�tJS;Yter.: _ CERTIFICATE or CITY OF TIGARDOCCU. . . ' . F7EiEtMIT � . . . . : risT95--rll�:t3i COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 1. 1/22/95 13125,W Hall Blvd.Tigard,Oregon 97223.6199 (503)039-4171 PARI;EL a 2S 1 rB4DA--•07ar410 � GiITE fiw. RES'..,. . . 13974 SW LIDFN DFS "IUBDIVIbION. . . . : CASTLE:: MILL 4 " ZONINGaR--lex FAD BLOCK. . . . . . . . . . : 4.OT. . . . . . . . . . . . . x110 ,"LASS OF WORK. a NE:W GYNE Or- USE:. . . �a " OCCUPANCY C3E'tP :5N OCCUPANCY LOAVI I I ■ IremaNrkw : F1AT1-i 1 ■ Owner". ..___._.......__..__.. _......_. .__._.......... _._..__._....._....__....._. I..,nN MOR I SSE:.TTr 5Q10?I W MEADOWS DR QUITE 151 I-AKL Ot5WEGU OR 970,35 r;:'hori #a 620-75,38 " Untr^@tl"t fir p -..---..__._ .. ...._ ...._._._......._._.._.._._.__..._. .....__. DON MORI53ETTEw' HOMr '.�12100 1;W MCADOW0 RD 151 t !._AKE= (Y-IWE(30 OR 97035 '-'hone 620-7538 1'hi % E:ert i f Pte Ut-CR.rnt s aeCLIE)Ancy of the above r-ef er encpd building or portion f rereof andAtonfirms that the building has been inspected fa • compliance with 01e State J ,hegon Spec.islty Code -. for the grol.lpr o ..q ipatnc land use under^ • tch the r�`erlel`l :Rd permit tans is e(J. i 4tJIE.-DING INSPECTOR BUILDING OFr'1C'IAL POE )'T IN CONSPICUOUS PI-ACE: I 1 i CITY OF TIGARD BUILDING INSPECTION NOTICE / Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639- 1 Inspection: ___.—._---= I L i Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk M Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL: Post/Beam Mach. San. Sewer Gas Line Plbg. Underfloor Rain Drain Framing -Plurr,5. Alarm Water Line Insulation <-Mec Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Z Date Requested: 7 S Time: AM PM Address: Builder: Permit#: THE FOLLOWING CORRECTIONS ARE REQUIRED: II � i I i Inspector: hPPROVED __DI5APPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. i r� l• �`" CITY OF TIGARD BUILDING INSPECTION NOTICE � � � Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 n�a Inspection: \� \ x Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk IqS0 Foundation Plbg. Underslab Mech. Hough-in Fireplace T Post/Beam Struct. Plbg. Top Out Elec. Rough-in Post/Beam Mech. San. Sewer Gas Line Idg. Plbg. Underfloor Rain Drain Framing -Plumb. 11 I L� Alarm Water Line Insulation Mach. Underflr. Insul, Shear Wall Gyp. Bd. -Elect. 11'1 w Date Requested: 2 �� Time: AM PM Address: �� %��/ ��✓ ��/ Builder: Permit : THE FOLLOWING CORRECTIONS ARE REQUIRED: Z; A,(.kc.� -tEms' �-� ✓Z L�i � C,0_ r1 40 Inspector: `� _._--, Date: _APPROVED DISAPPROVED __APPROVED SUBJECT TO ABOVE y ,Call For Reinsp. a t �I r CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639 4171 { Inspection: huuting Susp. Ceiling Sprint Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mich. 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 lumli: Alarm Water Line Insulation -Mech. Undeft. Insui. Shear Wall Gyp. Bd. -Elect. PM Date Requested: 71.. Time: AM ( ;t ;7y is Address:_ 7f' — `� Builder: Permit #: 1i!E FOLLOWING CORRECTIONS ARE REQUIRED: kr�1lka J ..z I Inspector: 42f tPP OVED `DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. F f �qrJ",'fit'. i t J I r CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line 4FIec-O-Phone): 639-4175 Business Phone: 639-4171 f d 1 IInspection: Footing Susp. CeilingSprink. Rough-in Appr/Sdwlk Foundation Plbg, Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: i Post/Beam Mech, San. Sewer Gas Line -Bldg. • Plbg. Under!,00r Rain Drain Framing -Plumb. Alarm Water Line Insulation -Much. Undertlr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: o eq 5 Time: AM PM t � u Address: c Builder:..,L.' v �_(p _Permit #: THE FOLLOWING COQCTIO S REQUIRED: /$ o ytir� rp 1. sis r'S �y 41_�1l yyyi i� r- Ia — I 3 ,V. VA I � � qA rAr� Inspector. XPPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE ��' +t Call For Reinsp. --� ■ 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 PlNg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough 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. lect. Date Requested: ��_ — — Time: AM PM Address: - 1 Builder:-(==`= � Permit >x: ZC THE FOLLOWING CORRECTIONS ARE REQUIRED: ,I r Inspector.WL�1 Date:�J— —/!�✓ S- NPPROVED _—DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. 1 t, �r ` r i ClT" OF TIGARD BUILDING INSPECTION NOTICE L Insper no (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ Footing Susp. Ceiling Sprink. Rough-in _r/Sdwlk � Foundation Plbg. Underslab Mcch. Rough-in Firep� 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 -Meeh. Underflr. Insul, Shear Wall Gyp. Bd. -Elect. Date Requested: '" Q --` J Time: AM _PM Address:_1 Builder: Permit #: 1 THE FOLLOWING CORRECTIONS ARE REQUIRED: y Inspector: �lL /yfi Date: _APPROVED _DISAPPROVED PPROVED SUBJECT TO BOVE _Call For Reinsp.��---�� k, 41 I.S. J. T . .A {ryyyJ,(�.} ' My,1 'i ry^' Y•. II rV, , f"' r_V. MR �• CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-417/1 r Inspection: Pouting 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. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul, Shear Wall � -Elect. Date Requester+: / C` ( Time: AM �PM Address:�,3 Builder. Permit 9: Oat g' THE FOS.' OWING CORRECTIONS ARE PEQUIRED: 1 Inspector: te: � � ►�S —APPROVED __DISAPPROVED APPROVED SUBJECT TO ABOVE c-r _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 6339-4175 Business Phone: 639-4171 ,Inspection:C/L Footing Susp. Ceiling Sprink. Rough-in Aopr/Sdwlk I Fourdatioi Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: r Post/Beam Mech. San. Sews �as Lrne j / Bldg. Plbg. Underfloor Rain Drai,i Framing -Plumb, Alarm Water Line Insulation e�' Underflr. Insul. Shear Wal Gyp. Bd. le Date Requested: l L� Time AM PM Address: 122C Builder: Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: I J i I Inspe Date: AP OVFD DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. _ Kc., i � F r I CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171 p Ins action: ` I 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. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mach. Un&11r. Insul. Shear Wall Gyp. Bd. -Elect. ■ Date Requested: 7 L� l . l < Time: AM PM Address:_ Builder f n( "_L ,.je 3 C, ) 5-4 Permit #: THE FOLLOWING CORRECTION . ARE REQUIRED: cz — i Inspector: Date: APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE 4– --Call For Reinsp. _5S � I e d rix u s `UHd' 11Y1'.IS#,341. 41 U•'. ..FMiM+ x,.n.r:.r.enfMYeW.".1*��!7'kWwt�IMYAY4MM44+!RM+WL''ir1�N.VfMY'"�AMi�� 0Y1f.. .^r�df..& l KY Mlk4W \ / V Community Development RESTRICTED ENERGY CA APPLICATION 13125 SW Hall Blvd. PFRMIf # ....... { �� Tigard,OR 97223 ----- - Phone(503)639-4171 c � FAX(503)684-7297 DATE ISSUED - TDD TDD No. (503)684-2772 CITY OF TICARD Inspection (503)639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK Addresls,�A �j RESIDENTIAL—Restricted Ener},ry Fee. . . . . . . . . $40.00 --LZ. �'� t tR ALI SYS 77,S) City �_ State Zip ick Type of Work Involved: ■ PERMITS APF NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK Audio and Stereo SysterriO IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. iitlrgIar Alarm .,®�c',arage Door Opener* 2. CONTRACTOR APPLICATION 1,,/ ,.._ .Heating,Ventilation and Air Conditioning System* Contractor / /r1'�!^-'—Type �CCvQ ---.. , Vacuum Systems* El other 9 Address COMMERCIAL—Fee for each system . . . . . . . . (SEE OAR 918-200-260) i � -_� Property Owner �N/ /'YS[%w7G �l� Check Type of Work Involved: — i ❑ Audio s ' Contractor's Board Reg. No. �0��..._ Adiand Stereo Systems* ❑ Boiler Controls Phone# ❑ Clock Systems U Data Telecommunication Installations 3. OWNER APPLICATION ❑ Fire Alarm Installation A)7� ❑ HVAC Print Owner' Name Phone No ❑ Instrumentation Print Owner' �re�v� Address _ ❑ Intercom and Paging Systems �-� UyJ �� 3 ❑ Landscape Irrigation Control* City State Zip ❑ Medical This lwrmit is Issued under OAR 918-320-370.This appilcant agrees to make only El Nurse Calls restricted energy installations(100 volt amps or less)under this hermit and to do the ❑ Outdoor Landscape Lighting* following: '1 1:1 Protective Signaling 1. Only use electrical licensed persons to do installations where required.(Certain residential and other transactions are exempt from licensing.These have ❑ Other y asterisks(').All others need licensing). 2. Call for an inspection when all of the installations under this permit are ready for inspection at 503-639.4175. ❑ Number of Systems 3. Purchase separate permits for all installations that are not ready for Inspection when the inspector Is out to Inspect under this permit. •No licenses are required. Licenses are required for ah other InswItatlons. r 4. Assume responsibility for assuring that all corrections required by the Inspector are done,and 5. Assume responsibility for calling for it final inspection when all of the corrections s• FEES are completed. The person signing for this permit must he the applicant or a person a. Enter Pees $ (� authorized to hind the applicant. b. 5% Surcharge(.05 x total above) $ Sie�;allt �� TOTAL $ Authority if other than applicant 'r �i ENERGAP.CHP t .,.+�� Yi �t L•Sn o-i '7.4 a a I I i rr • , it 4 t (WI ! (1► ! i �.�,II;I� - I'I I.a I(' I t.11- i '�1',�1'4F.IJ{ I , ! I � 1!I h•IIJ. b. 7l.; y�Y - � !I � I . t►Ihl llll•I t a W, NY1 Ir.r'1 i'n ! ,Hl FLI I a 1 t,1d1.NJt�l1 a �51.J1. � all'I�1•'t '+:i':i ! '! ' I',Ix 995 1'11YPIE N1 1.4.11 L ! 1h1% l.r'✓�!k°i ► • i ! .I:Ial)1`•1 C31�t ',••1!C{1�[t1 1.::51.1.►N a i'1 I1 1' !.•! ,1 k!E1V'hll I !I t If�ll.11_II`J I 1'I I 1 I! 1'I II'I 'I I; r 111 I 'H1r I�! !N I f It.)) II 1N I I'wl 1) Fill!111 {'F k • klli'I i 13974 E-M [ADEN DR 1 CI'11�1_. {�1hI111.1N 1' F•'1•J.[[) _. _ _. ....! 4r..'. V.14'1 hfr Md , a i �. . CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in pr/Sdwlk I Foundation Plbg. Underslab ech. Rough-i Fireplace Post/Beam Struct. Plbg. Top Out 141 Elec. Rough-in 101 S' FINAL: Post/Beam Mech. San. Sewer as Line 3 '! -Bldg. Plbg. Underfloor Rain Drain Framin �q -Plumb. Alarm Water Line -Mech. T}►r�n Shear Wall ��til Gyp. Bd. El,ct, �� PM Date Requested: Time: AM/' 3i : . Address:_, Builder: _Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: U77 7T. c" V Com- ..w�� . Inspector: �� Date: !G I `",L S _APPROVED J�44ra_APPR0VED !APPROVED SUBJECT TO ABOVE —'—� For Reinsp. • � I CITY OF TIGARD BUILDING INSPECTION NOTICE li'spection Line (Re(-.-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. lop Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Lino -Bldg. Plbg Underfloor Rain Drain Framing -Plumb. 4 Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Dale Requested: Time: AM PM Address: _ Builder:_ Permit tt: THE FOLLOWING CORRECTIONS ARE REQUIRED: 2 �� U � IQ ri- Inspector: Date: _APFF?OVED OQISAPPROVED _APPROVED St'IBJECT TO ABOVE 2tt-ail For Reinsp. �,q — ►JOT � �-y, ri�--ems,{f .�.�► I * I ■ 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 I Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. i-)p Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sew it Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. 4 Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Dat- Requested: Time: AM PM Address: C.� -a�- �( Builder: Permit tl: I THE FOLLOWING CORRECTIONS Plc REQUIRED: Inspector: � �" Date: t _APPROVED _oGQISAPPROVED _APPROVED SUBJECT TO ABOVE i� f—Call For Reinsp. U I CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line ,Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: (aJ _.� — Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk I Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Pibg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Pibg. Underfloor Rain Drain c-`-Frarn rMj) -Plumb. Alarm 'Nater Line Insulation -Mech. Underflr. Insul. Shur Wall Gyp, Bd. -Elect. Date Requested: l c '( c f J � Time. _AM PM Address: c �� Permit q: Builuer:THE FOLLOWING CORRECTIONS ARE REQUIRED: I i i I77 � 1?y. - Inspector: // Date: 4 APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. c t �i CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: L(9_ (lam—L Or p -er_i\- Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out lac ough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mach. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested:_ lJ `a �y 5 Time: AM PM Address: f 3 <� `tQ-r� 7 Build@ 7 �''V F6 Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: / f C`t<�-t' �..LLI� Date:_, PPROVED _DISAPPROVED __APPROVED SUBJECT TO ABOVE. _Call For Reinsp. � J CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ I Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg, Unndderrsslaab Mech. Ro:! in Fireplace x Post/Beam Struct. g. Top O � Else. Rough in FINAL: Post/Beam Mech, San. Sewer Gas Line -Bldg. . Plbg. Underfloor Rain Drain Fiaming -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: ' /7 Time: AM _ PM Address: Builder: Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: wmqf—lk,2 Inspector: � Date: ZL�� PROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE �� ? S __Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417, Inspection: I Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech, Rough-in Fireplace Post/Beam Struct. ` g. Top Oyi-}�n' Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul, Shear Wall Gyp. Bd. Elect. Date Requested: 7l ' �e�`!5� Time: AM PM Address:_ I —52 7 f J I.Nf 1�iF t41 ,i Kt'ts', 1 1 Builder: Permit # THE FOLLOWING CORRECTIONS ARE REQUIRED: zn s ' t`f a r fY;t h r inspector: Date: APPROVED DISAPPROVED APPROVED SU T TO OVE — — + — Call For Reinsp. r �t 1 ,y4 w� �r CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171 InsInspection: p 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: f Post/Beam Mech. San. Sewer Gas LineBldg, Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underilr. Insul. ear W"a - Gyp, Bd. -Elect. Date Requested: Time: AM PM Address: Builder: Permit #: 1 S 0 2 THE FOLLOWING CORRECTIONS ARE REQUIRED: 17-1 c� d Inspector. �..-----""� Date: �ru,r — APPROVED DISAPPROVED PROVED SUBJECT TO ABOVE , e _Call For Reinsp. �triyaib�Ej H yj�y"ylkt ,��w°4 'ufS rr I•�+��9,c, t J e r ,yy yy f 4 iM ?'+5" q Ir j r CITY OF TIGARD BUILDING INSPECTION NOTICE y Inspection Line (Rec-O-Phonn): 639-4175 Business Phone: 639-4171 r , Inspection: I Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Unde-rjLala Mach. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out _ Elec. Rough-in FINAL: Post/Beam Mach. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mach, Underllr. Insul. Shqar Wall Gyp. Bd. -Elect. Date Requested: J f y S Time: AM PM Address: l3 1 4 Builder: Permit N: CJ14 d THE FOLLOWING CORRECTIONS ARE REQUIRED: Ze??v( Inspector:_�� /, —Dt5rA-P = Date: PR0VED _APPROVED SUBJECT TO ABOVE Call For Reinsp. PIP— CITY OF TIGARD BUILDING INSPECTION NOTICE (IJ Inspeciion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 11 { Inspection: Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plhg, t;nderslab Mech. Rough-in Fireplace Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL: ■ Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line /. Insulation -Mech. ■ Underflr. Insul. W) Gyp. Bd. -Elect. Date Requested: // /�f SJ Time:_4\AM PM l Address:' Builder: Permit #: S c). THE FOLLOWING CORRECTIONS ARE REQUIRED: yN t2 Cb f _ Inspector: �/`� �� F r' f _ Dater/ I _APPROVED DISAPPROVED �PPROVE'D/SUBJECT TO ABpV,,E —Call For Reinsp. ov. 4z e7 Cic r I CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: I Footing Susp. Ceiling Sprink. Rough-in A Foundation Plbg. Underslab Mech. Rough-in Firep e P / e S Plbg. Top Out Elec. Roug FINAL: dost Beam P� San, Sewer Gas Line -Bldg. LP16f- de�Tbat, Rain Drain Framing -Plumb. Alarm Water Line Insulation ech i Underflr. Insul. Shear Wall Gyp. Bd. -E ct. ■ Date Requested: /cam l �J `� Time: A �LPM Address: Builder: Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: �L - I r Inspector: Date: 2- LAP'r11OVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. I I Community De,,,?lopment ELECTRICAL PERMIT APPLICATION 13125 SW Hall Ellvd. Tigard, OR 97223 Planck/Rec. # 9's-Ayt,,-�-3 Permit # F[L9c-- c c > S` Z ■ Phone (503) 639-4171 Date Issued _y- r1s CITY Of TIGARD FAX (503)684-7297 Issued by TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete !-ee Schedule Below: Name of Develorp�mentt C1�� (_ Number of Inspections per permit allowed l.•�1 ■ Address 39 / 50 a rx lJ Service included: Items Cost(ea) Sum CI /State/ZI 4a. Residential-par unit ^ti 4 City/State/Zip p 1 v�wr �e ��• � v 1001)sq II or less _ 5'1000 Name (or name of business)_ Each additional 500 sq It or 1 portion thereof—825 00 Commercial 0Residential Limited Energy $2600 Each Manufd Home or Modular 2 Dwelling Service or Feeder $88 00 2a. Contractor Installation only: 4b.Services or Feeders Electrical Contractor C1 �/ L" �� o J Inslallelw p or letion,or relocation 2 I 200 amps or lase $60 00 2 Address )?) .�) N,r„I,"5 ► ' 201 amps to 400 amps -- $8000 2 City L7t«yE�1f 1 aYl State Zip y,GU' 401 amps to 800 amps f12000 2 601 amps to 1000 amps $18000 2 Phone No. i� 1 Over 1000 amps or volts 534000 2 i Contractor's License No. Reconnect only $5000 Contractor's Board Reg No. 4/,-J --2— 4c. Temporary Services or Feeders ••�� Installalion,alteration,or relocation 2 Signature of Supr. Elec,'rf ��.__ ,� —� _ 200 amps or less $5000 2 License No. _3!c�y_ _ Phone No. �,y/- 1 201 amps to 400 amps 175 00 2 401 amps to 800 amps $100 00 Over 600 amps to 1000 eons 2b. For owner Installations: see•b•above 4d. Branch Circuits Print Owner's Name New,nlleration or extension per panel Address a)The lee for b•anch circuits with i cityCi State ZI purchase of servke or Apder Ase. 2 P Each branch circus Phone No. b) he lee for branch circuits without f5 00 T 14 The installation is being made on property I own which is purchase of service or Wider W. 2 not intended for sale, lease or rent. First branch circuit $3500 2Each addn'onn'brands circuit $500 Owner's Signature its. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circle 54000 2 Each sign or oulline lighting $4000 Signal amud(s)or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel alteration or extension $4000 4 or more residential units in one structure Minor labels(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each addle -)nal Inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 per inspection $3500 _ r'nr how $5500 Submit 2 sets of plans with application where any of the above In Plant $5500 r apply. Not required for temporary construction services. S. Fees: 5a. Enter total of above fees $ NOTICE 5%Surcharge(.05 X total fees) $ _ y L PERMITS BECOME VOID IF WORK OFI CONSTRUCTION Subtotal $5bEnter 25%of line A for AUTHORIZED!S NOT COMMENCED WITHIN 180 DAYS, OR IF . Review if required(Sec 3) $ R CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Plan Rel $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED Trust Account 1M $ Balance Due $ .arrmmd.ww.'prm.r4 Ow )4 h .q r . I ' 11 I•i ' ...��.�._..�........n„�_�..��..�—..._..�.�_...A..�_-..,r...._.._..._._ .._._._.�.....r�._.._.�_._...... �.._........_.ra-._._....__.._..._..:�_.__...._.-�...-..._ ....�_ _._�.. .�.... _......rte...... _. __.__..._ ... _.............__ _ _._ _ w •.) r.• I r Of I J t•;r-1RT) IAF 1'.1..1 P I 11 141YME NJ 1 HV1..1•: l k-'I N4 166. OVI MIFaMw: s 1:1 T Y (-i_k.l:1 ht L 1,1-NIA NMI II.JN I I VJ. k>kl A'DDRLSH VNYNKNI DATE, 13E=.h1VN1414)N1.1R, 2.0-JbDIV(EiI(IN n F'l1TtF!fJiIF: OV F'r•1'YIIE:'MT AM011N 1 1'111 r1 F'l lltl-'I I'll 01 H1YhIF N I F1Mt1(JI IT F''R1 t.) T l_.F.;f 1F2]CAL F'1'F IhT l' 1(30, MN 4,I ,. )0111 1,1 1; f1� V1K� �1 1 1 1 �1 03� i �l 6w I. TT441 JM I 1 rrl r)I aaMl 111N r I r�1 J� •. . .� �t,r{„ v��: � 1 l p to a t +i�kiu•1 v .pq, r+.��i 'lw, ,.mW;>d �''•. .ay ��, CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 633 4175 Business Phone: 639-4171 Iispection: Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk I Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Str�ct. Plbg Top Out Elec. Rough-in FINAL: Post/Beam Mei i. < Sewe�) Gas Line -Bldg. Flbg. UnderfloorRain Drajn� Framing -Plumb Alarm QyTter Lipa"" Insulation -Mech. Underflr. Insu!. Shear Wall Gyp. Bd. Elect. Date RequestPc+:_ �} '11csf I S Tin e: Al PM a Address. Duih;er: _Permit #: HE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:_ Date:_ APPROVED DISAPPROVED _APPROVED SUBJECI TO ABOVE _Call For Reinsp. 4 _ i CITY OF TIGARD BUILDING INSPECTION NOTICE / Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection. Sprink. Rough-in Appr/Sdwlk Foo Susp. Ceiling F�oundatip Plbg. Underslab Mech Rough-in Fireplace Post/Beam Stiuct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Time: AM PM a Date Requested:_ A 1 --- i - � Builder: � 0 —_Permit t: THE FOLLOWING CORRECTIONS ARE REQUIRED: IS- Inspector: X — Uate. —APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE rCall For Rainsp. I e - CITY OF TIGARD f=�CF'�MMIT # PERMIT . #.... . . . . . : M5T95-•Qt,.:::<::i. COMMUNITY DEVELnPMENT DEPARTMENT DATE ISSUED: 08/16/95 3 13125 BW Hall Blvd.Tigard,Orrgm 07223.8190 (503)839-071 PARCEL: 2S 1 04PA-0 7500 aIT1:' ADDRESS. . . : 13')'74 5W I-.r.iji-.N DR i SUEIDIVIS10N. . , . : CASTLE HILL #2 ZONING: R-•12 PD BLOC:K. . . . . . . . . . : ;_G'T. . . . . . . . . . . . . 1. 110 BUILDING ' RE I SLUE: DWELL I NG UN I T'-,. l 13(iGE:IIENT. . . . . . . . .0 C:LcaSS OF WORK. :NEW BEDRMl :3 BATHS:L GARAGE:. . . . . . . . . . 1506 s f TYPE OF USE. . . .SF FLOOR AREAS _..__ __.._.._._.._.. REQUIRED GETBACKS•_.__....._.____- j T YF'E OF CONST. :5N F1 RST'. . . . : 1548 sr LEFT. . :S ft RIGHT. a 5 ft � OCCUPANCY C-RPP. :R3 SECOND. . . :0 S f FRONT'. 20 -Ft: 111-010. . 127 ft � 5TOR I ES. . . . . . . : 1 F I NBSMENT:0 S f REQU I RED HEIGI IT. . . . . . . . : 16 'Ft TOTAL- --- : 1548 s r SjMQKE. D':.TLCTOR5. :Y FLOOR, LOnD. . . . :40 psf VALUE.. . . . . $: 10833? PARKING SPACES. . : 1 � Remar°kis : F'fATH I PLUMBING INKS. . . . . . . . .. . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PR17VIWTRG. . - I OVATORIUS. . . . . :2 WATER HF'ATERCE. . . . 1 TRAPS. . . . . . . . . . . . . . 10 TUB/;:,HOWERrS. . . . :c'' LAUNDRY TRAYS. IS S. . . :0 CA DAING. :0 , , . . . . WATER CLOSETS. . SEWER LINE (ft) . ;0 GREASE TRAPG. . . . . . . :0 I)1 SHWASHERS. . . . . 1 WOTE ' L.IHE ( ft) . : 100 OTHER rI X TURES. . . . . .0 GARBAGE DISP. . . : .1 RAIN DRAIN (ft ) . :0 WASHING MACH. . . c 1 F ITAIN DRAINS. : 1 _-_..._...__...___.__._.__. MECHANICAL _...,_.....-__..---.-._-_____._.._...._._..._.._.__.__....._-___ FEES ._._._...__ ____. _._...._..._ FUE.I.. TYF'La __..____..__ ._... ... UNIT I TR5. . -0 t/Re _,m0I-mt lay dote r'ecpt /GAS/ / / VENT`:. . . . . . ;0 SWM 180. 00 JSD 08/16/95 95-269411= MAX IIdF'UT c 0 13TU VENT FANG. . :3 GWlh x 100- 00 JOD 08/1(:)/'-,)5 95-•26 r34 12 FURN � 100K . . : 1 HOODS. . . . . . .. 1 B P R T $ 455. 50 JC,D i?18./16/9 5 95--26941'1 FURN ;Vj WOODSTOVES. :0 0171I_f:. .')6- lb13 8(]'4 07!24 '`)5 ')5- 2634 ': FLOOR FURN. . . . :0 CLU DRYERS. : 1 B5PC $ 22. 78 JS,) 08/16/95 95---i2694 1, OTHER UNITS. 1 111711-L:; It ":'O- 0,0 ,JGD 08116/75 ")5 -2Gr34+:..- UA5 OUT'LET10: 1 E='r;RrG $ t'.00. 00 JSD 08/16/95 95-869-41"-' C7wner: ......hlE='RT 1; 40. 50 !3D Vital lGi 9 `)5C `:i i I DON MORISSETTE MPL.0 $ 10. 13 JSD 0E5/16/95 95--26941- 5002- SW MEADOWS DR I15F'C 1, Q13 TC I? IZI8/ 16%',1Fj ')'S- 6 9 4 1 L". SUITE 151 EDTH 195- 00 JSD 08/16/95 95-269412 LAKi- 05WE:GO OR 97035 F=r r'C: f SEWER CONNECTION CITY OF TIGARD PERMIT #PERM... . . . . . . . SWR95-..0294 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED- 0e/1er/95 13125 8W Hall Blvd.Tigard,Oregon 07223.6100 (503)630-1171 1"'Af?CE'L: 215104AF1--07500 ■ 3IT1:7 ADDRESS. . . : 1,:,974 5W LIDCN DR SUBDIVISION- -- CASTLE' HILL #1.:: ZONING: R-12 PD 13LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 110 "E:NANT NAME. . . . . : USA NO. . . . . . . . . . FIXTURE" UNITS. . . . CLASS OF WORK. . . :NEW DWELLIPJG UNITS. . : 1 TYPE: OF' USF. . . . . :SF NO. OF SU I LU I NGS: 1 INSTALL TYPE. . . . :BUGWR IMFERY "-+URF-tICE. . rSf Remar^ks : �'A-rH I ■ F-EES DON MORISSETTE type amolm-rt by date r rcpt J000 SW MEADOWS DR PRMT $ 2200. 00 JSD 08/16/95 95-269412' i ;i1I FE 131. 11,4. :-, ' $ .:55. 00 JSD 08/1G,/9 95-2G'?41 ._AKE OSWEGO OR 97135 i I } :::�ntr^attar^: --•----•---__.____..._._._.__..___.._..___._._._._._ ,]ONTRAC:TOR NOT 1:1N FIL.F_:.' f'I1r.,ne t#; t 2235. 00 TOTAL Re!� REUL11 REI) I NSPEc'CT I ONa ._._. _.. ._._... This Applicant agrees to carply with all the rules and regulations :`;ewer- Inspection J the Unified Sewage Agency, The pet-sit expires 180 da}s from the date issued. The total asount paid will be fo:•feite'A if the pet-nit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is nut ionated at the aea5,,reeent given, the instaiier shall prospect 3 feet in all dir r e !:'Ie distance oiven. If not so located the ins' e' li chase a 'Tap and Side Sewer" Perrit and th Agen wi n lateral. e}r m i t t v e S i g n a t ur,e : �''__.-.__ CGlll far inspection 639-4175 1 f OL i - *� i, ,. .. 1+4r/+tarw,+rw+�•y..a..nK.wwrid v"M�7!�W4;�,1.1tMAtAa•�•.ew.,, ... «, . ..... i Rtrsidential Building Permit AnWication City of Tigard 13925*SW Nal! Blvd. Tigard, OR 97223 7 (503) 639-4971 Jobsite Address: �jr) Oy- ` I Office Use Only Subdivision: -�"k�, 4-t'1 ► I Lot # _. Valuation: ?T 3.26, "! Planck/Rec Corner Lot? Y N Permit # M 5 6)v2-�'ff 1 Reissue of s Flag Lot? Y N - - Map & TL# a t5 c2 73 &o 'lwner: 1�,pt�l M 01 �, ''(i� 4-�pl�ljI i�l� , Approvals Required Address: �5V�1 M�d�invV`� `�I �j( Planning CSM Ott - AG4 CX or L-,,9 Engineering Phone: Other - i Q : Contractor: �Prtlr= P�r-, 'PACS Items Required Address: Subcontractors P Truss Details ,K Phone: Other a Contractor's License * 5155 3� e:P. (attach copy of current Oregon license) Contact Name & Phone: tNVL - 38 Subcontractors: Architect/Engineer:'�Q[�y frta "� Plumbing:Jk001PcKE2.!E!3 }7k.:UH i Q(a Address:6ay) Ay\N "OhE Wj IS Mechanical [cui`Ry -$-Ap. OtVE1.� (attach copy of current OR Contractor's License) Phone: LQO6 - j 3[n , JOB DESCRIPTION: Applicant Signature & Phone number f Received by: 1 '►,1 v1 t( �" I ! � � i Date Received: N:1WOR01COMDE"ESAPP 4 ' I Permit Account Description Amount Amt. Pd. Bai. Due r has t C1k1 Bldg. Permit (BUILD) S5.Sd y55 Su Plumb. Permit (PLUMB) • f Mech. Permit (MECH) 4 u s� c(u'w F: 1' State Tax (TAX) - -3q,S LIS Bldg: Z• 7 Plumb: Cf7� Mech: i Plan Check (PLANCK) Bldg: (r.uY t 5 v /2 Plumb: Mech: 0.1 ' 5w o z- Sewer Connection (SWUSA) a Sewer Inspection (SWINSP) 3 3S Parks Dev Charge (PKSOC) sva Storm Drainage Chg (SDSDC) Resllential TIF (TIF-R) jMass Transit TIF (TIF-MT) Commercial TIF (TIF-C) J Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) _ Water Quality (WOUAL) k_ I ky Water Quantity (VIQUANT) Fire District (FIRE) Erosion Cntd Permit (ERPRMT) Erosion Planck/USA (ERPLAN) ;IV 41' -_ Erosion Planck/COT (EROSN) Py I -' TOTALS: ZIZUZ, 3 -5 a S2. 3 q r' r i '••iriZ ' i ,�.��•t$. '.S'i�•i7rj �•.`t' 'irSi•I r FF=it' 'tirrIIII �.t S;::II n•'. t sf.,t' I ., s::' S• t, ;•.,,,.' •:::i� ,:'.,? �;:::; •r a ,7:?,?.:;....s�'r�r, ; ��l�r.i�,:; .S�,j;, ,�= I:.L{ 3�� 1 ��ir:;;•;. �.r, }1r ! j•tti. •SSS % ;.. .�., i�tr.,.��SS3� � ''i%i I S•, a •rr S�. .;.1 j 1 S S {��' .�� ' OW11!Igo �ffj �''' .;�.at rt;is; ti� %;'• „t��t ,�,,;s I , ,;t# ;% ;:;,,•;.. �`;��tri,, t ;,',�' ,�tb. ,,... �.ti+�' s.: Credit No: `', .;h;. Date Issued: 8/16/95 t+� TRAFFIC IMPACT FEE j ~•"• CREDIT VOUCHER ;.J; rfdr�/ In accordance with the Traffic Impact Fee Ordinance, Matrix Development Corporation ` is entitled to1 550 in Traffic In9- pact Fee Credits that can be applied to TIF charges on lot(s) 68-131 of the Castle hill No. 2 Cevelcpment, The use of TIF cr_dits ti�•�•z� are subject to the rules and limitations of the TIF Ordinance. WARNING: .,;..;• This voucher must be presented at the time of issuance of the Building Permit, or it deferral was granted issuance of an Occupancy Permit. {fir'f�• � •f tiWN": -i ci c tifATr~!X Cc,/.__CFM_NT CORPORA TION hereby assigns all its right, title and interest in and to that certain Traffic Impact Fee Credit to begranted r: ' upon the Issuance of a builc;'ng permit for Lot 110 ==�N CASTLE h'lLL NO. 2 subdivision WashingtonyOrego , Count , n to the order of: s DON MORISSETTE HOMES, INC. 5000 S.W. MEADOWS ROAD ' SUITE 151 LAKE OSWEGO, OR 97035 y This assicnrrent of Tr,`;'c lmcact Fee Credit is made and given this 16th '"•% day of August 1995. ILEA i RIX DEVELOPMENT CORPORATION, ofs,; as eycn Corporation 4,- Title or Position ,i:' •1•;�:•;y',I�•;C;;;;•;r C i•.;;1;;t::;: •- :;;;;:54•,';,,;;i:;;�;i• 'i 'r,•r �,r•�a iii:;;;;:"i`�. r % •':, .��:��1 •;��%1 r,!!..t?i:aj:�•y`•. '.;�jiri%,. .?5:=�'•••�:,' i•'•'':S;S!•..•.:':_�•• �•�,' •'i•; '. ;s..:�.:C'i ��'r;. :��'41 rrn..,�S�=�,,•��, •�.�•�,/i'i�r. i==' 'iti�iSYi•''; ^'tii��{=�' 't'i�'ri�iiy'?cCii�ii��• '•�.�r.rr;!' `tiii��i�� i�3iSY�; ;iii��` 't�iOiYi•l' ?�t�ti��:' ',':�i5ii::•S •�,,,,�,�/•�.• ��IIIrS.r!. •;,.�.��. r;i'�•gi'i%� '�..�.�;��'• '••i�ii!1' �.�,��j. .•I err err,• ,..��::�:�•' r IIIIri„� �.�::i��.' •••�Iiri,:%� ` I! V i I, 6000 S.W.Meadows Rd.,Ste. 161 Lake Oswego,OR 97036 Phone:(603)620-7638 FAX:(603)620-7486 PtAu uo.4�P• oA�c kr 4 67cs r-1¢r--PLAW'5 I moor : 1 (x>r ft 110 I ■ i 4 � 1 z4a C��.W' z4a � g �N `t a o-z I b J f v r.. Z a _M I 4„ I �;i. FATIO LC'r — V �3� lo`j I'D It I ',� Coa• na �; L f 'r •,; .,•.,r �I�Nvawa�rwr.YiliWa.4ri � i i C I Ty OF 'r 1 GARD fZVIX I VIT OF' PAYMENT RECEIPT NO. :95 2 6 9 4 1 f . CHECK AMOUNT a 3952. 37 } NPM-- DON MORIA' 99TTE HOMES, INC CASH AMOUNT 0. 00 ADDRESS t 5000 SW MEADOWS RD GTE: 151 PAYMF'NT DATE a 08/16/95 LAKE 09WESO OR SI.IRD T V IS I ON a 97035-- i PURPOSE OF PAYMENT AMOUNT PA 11) PUPPORE: OF PAYMENT AN(ILINT PAIS? BUILD►NCw �PE.RM M3'T95-0�.A1 4`i . Ci0 PI_.IJMDIPERM 195. 00 ' Mf-CHAN I CAI._ PE 40. 30 ST. BI 'ILD PER :34. '36 l PLAN CHECK FE: 106. +='1 5E-WF-:R 08A GWR955--02,3 4 2200. 00 SEWER INSPECT 35. 00 PARK GDC 500. 00 H-20 QUALITY FACw I L I TY FEE 180. 00 H2O QUANT I TY FACILITY FE F-.'. 100. 00 7 EROSION CONTROL t-'ERMITEFE b4. 015 EROSION CONTROL PLAN CK P.O. so l EROSION CONTROL. 0 r .I f 1 � CASTLE HILL !02 LOT IJO 13974 SW LIDEN DR TOTAL. AMOUNT PAID > 3952. .-,;7 I C I',,y OF' 'T I GARD - RECEIPT Of- PAYMFN'r RE:Cr. I t'T NO. s95-268414 }, CHECK AMOUNT • 500» 00 NAME a DON MOR I,Sf7 T'rrr.. IJOME^, 'f NC CASH AMOIJN I' a 0. 00 t i-IDDRIFSC, a 1,:5000 Sw MEADOWS RD. PAYMENT DATE' t 07/24/115 0BWr:pC1, OR OUBD T V T S I ON a 97039- PURVIOSP OF PAYMENT AMOf INT PAID PURPOSE OF PAYMrNT N mot.Irl-r r*ca T E► Cir. FE 21`30 00 PLAN CHECK Ft--'* ! 1'3E 18 fp 14 1?R.a. . 1;3974 r3W L.IDE:N UR. 7-•-49R 7 Tt l I dIL AMOUNT PAID - -% 700. 00 i 7 :r ;low.-"N �17M