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14104 SW LIDEN DRIVE I � p�p I I 1, I -- 14i.04 SW LIDEN DRIVE -- �� CITY CSF TIGARD COMMUNITYDEVELOPMENT DEPARTMENT 13126 9W Mall Plvd Tigard,Oregon 97f!23•8199 (503)530-41 11 I I1 INSPEC=11 NOTICE Cit-- of Tigard Building Deportment 13125 SR Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-V-Phone): 639-4175 Aaoiness Phone: 639-4171 Inupection: Footing Plbg. Underalab Mech. Rough-in Ap'p�rt�/�Sdwlk Pound. Plbg. Top out Gas Lino Vl +� Poet/Beam Struct. San. Sewer Framing =-Sldq.�) Pnat./Beam Mech. Rain Drain Insulation -Plumb. Plhq. Underfloor Naar 7Ln* Gyp. Bd. -NaCh. Date Requested: ` —_--- Timm PH Addresaf q (D/ Permit 1i_/ Z Buildec:__ _ .2 `f` 74ii-,j THE FOLLOWING CORRF.CI'IONS ARE REQUIRED: / Eq Cj ) L�tom'✓__.-.rte-!�j �^Tr't/��- -- I /J) I Inspector: _��=•.1-- ——— Date: y APPROVED DISAPP'AOVED APPROVPD SUBJECT To ABOVE Call For Reinsp. 1 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 6394171 Date Requested: A.M. P.M. MST: Location: 4 1!Up: Tenant: Suite: Bldg: Contractor: Qrr___ __ Phone: V PLAN Owner: _i �� _ �P`i^one: ELC: ALL, 4),a y- C.��L_ 4e ELR: R - e _ ---e rr: BIJILDING BLDG(coni) PLU LNG MECHANICAL, ELECTRICAL SITE Site Post/Ream Post/Beam Post/f3eian T8va'/ServtM_ Sewer/Stortn 1700ting Roof UndFll,lab Rough-In Ceiling Water Lim ab Framing Top Gut Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hr d/Duct Reconnect Vault Bsmt Damp Drywall Storm 1• mace Temp Service MISC. Masonry in Rain Shear/Sheath FireS klr/Alm Crawl/Found h Heat Punp ow Volt Approved Approved Approved Approve Approved Appr/Sdwlk Not Approved Not Approved Not Approved ved Not Approved FIMAL FINAL FINAL FINAL FINAL Cl Call for reinspection inspection fee of S_ f�Cyu'/ed/b`eefore icxt spcction O Unable to inspect Inspa:tor�_� _ Date: U ` v Page_____ ___ of_ CITY OF T11GARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line, 639-4171 --- BUP — Date Requested Requested -AM--___PMBLD Location_ i` X-117 'Sal) _ —� Suite — ---� MEC Contact Person _ Ph _ PLM Contractor_ ��C'�if. ( Ph SWR - BUILDING Tenant/Owner _ nf �r y�y� ��.� - �3// ELI; Retaining Wall fELR Footing Foundation f NOT REQUESTEF) � /G FPS Ftg Drain FOUND DURING REI EHRCH SGN Crawl Drain ---- --- Slab NL INSPECTION(S) IN HLE _ SIT Post&Beam --- Ext Sheath/Shear Int Sheath/Shear q Framing Insulation _ Drywall Nailingo- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — -- ------ ------- �.— Roof Misc: ---- -- — --- - Final Do "s PART FAIL C" --- PLUMBING Post ti, Peam -- --- --- ---- - Under Slat, Top Out Water Service _ Sanitary Sewer Rain Drains Final PA RT FAIL - -------------------- --------------------- �ANIC L Pos eam --- Rough In Gas Line I - - - - - -- --- - ------- - - Smoke Dampers ASS► PART NAIL Erl5CTRICAL ------------- - --- - --- - --- — Service RoughIn --- ----------------- --------- ----- UG/Slab Low Voltage Fire Alarm - ------- ------- ------— — - Final PASS PART FAIL 31TF _r. Backfill/Grading - - - -_----� �-------------- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I ]Please call for reinspection RE:�.-_. — `— [ ]Unable to inspect-no access Fire Supply Line ADA � Approach/SidewalkZ Other nate L Z Inspector L Ext - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line C;:uing -Plumb. Post/Beam Mach. Shear/sheath Framirtz -Mach. Plbg.Und/Flr/Slab Plbg. Top Out Insulation - ec Post/Beam Struct, Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: _. + ._ M. M. Entry- _ Address: _. U Tenant: —_ Ste:__ _ MST: Con/Own: BLIP: ' nn MEC: PLM: _ -- ELC: _ THE F(,LLOWING CORRECTI NS AR[ REQUIRED: ELR f4- Inspectoi, APPROVED _DISAPPROVED/CALL FOR REINSP. F � CO CITE' OF TMARD A DEVELOPMENT OPMENT SERVICES ELECTRTCAL PERMIT -- 13125 SW Hall 8W, Tigard, OR 97223 (503)639.4171 RESTRICTED ENERGY PERMIT #: EL.R97--1.712'03 DATE ISSUED: 07/18/97 �jITE ADDRESS. . . : 1.4 1.04 sw L..mr.-i\i DR PORCEL. 2S-l0/,-BB--03700 GUBDIVisinN. . . . :CASTLE HILL ZONTNG: R--12 PD BL OCK. . . . . . . 1_.01.. . . . . . :030 JURISDICTN: TIG r:,r,oject Descr,iption : instl I burglar alarm n- RES'I D17 NT T AL B. CCMMERrint AUDIO 8. STEREO. . . : ALDIO It S`TE_k[:O. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . r BC,f LER. . . . . . . . . . •. LANDSCAPE/I RR I GAT. . GARAGE OPENER. . . , : CLOCK. . . . . . . . . . . S MEDICAL. . HVAr. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . . . VACUUM ElYrTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : 11V IC. . . . . . . . . . . : PROTECTIVE SIGNAL.-. INSTRUMENTATION. : OTHER. . : "LJ11er-: TOTAL # OF SYSTEMS: v 17EES ROBERT BRYAN type amol.tnt by date.. atP r-ecpt 1.4104 SW 1.-TDEN DR FIRMT T 40. 00 TAT 07/1,8/9-7 97--2-97313 S, ,rTGARD OR 97223 5PCT $ Ott TAT 91-7118197 97-29731 Phone #: Cont Tactor: APT SErURITY ALARMS $ 42. 00 TOTOL 70,3 NE HANCOCK REDUIRED INSPECTIONS J71ORT1.._AND OR 9721t7.' Ceiling rover- Elect" I Service Phone #: 284-3265 Wall Cover- Elect' ] Final Rey #. . : 000599 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon Jaw requires you to follow rule adopted by the Ore,, , Utility Notification. enter. Those ry Ps are set forth in OAR 952-.001-0010 through OAR 952-001-0080. You may ou'cain copies of these rules or direct pes,t ons to QUNC-a . 312.4b .987. T s i.t e d b y Permittee Si anat rkr-e ...... --nwmr i R INSTALLATION ONLY---__..___.____._._..____._._.__..____.. ._..-... The NLY----- 'T'he installation is being made on pr,opety I own which is not intencied for, sale, lease, or rent . OWNER' G) SIGNATURE: DOTE INSTALLATION (-,Ir-_3NATUrE Or SUPP. ELECIN- DATE: I-ICENSE NO: V+++4-44.........4-+++++++-f+++44-4-+ , ++-+++++++++-r-+•+++++++++++-+++++4 ;-++-+++++4-++4-44-t Call G-3 9 4175 by (-,:00 P. M. for- an inspection needed the next bi.tsiness cip., +++++++++++++++++4.++ ++-f4-++++4-1-+4-++++4--V-1--+++4-4-++-++++-L...4 ++++++4....4-++++4+++++4- b � . CITY OF TIGARD RESTRICTED ENEF,aY ELECTRICAL APPLICATION Recd by:_ TI 13125 SW HALL BLVD Date Rec'd: ._ ) J _ TIGARD OR 97223 fIf /~//Dj� PR'NT OR TYPE — V-503-6394171 X304 Permit#: F-50 P..604-7297 INCOMPLETE OR ILLEGIBLE APPLICAT IONS Cust.Call'd: 7 7��I –/_�C WILL NOT BE ACCEPTED _ -- e , -- Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIA L. Restrictea Energy Fee........................................ $40.00 �— (FOR,ALL SYSTEMS) JOB Street Address , Ste# ADDRESS Check Type of Work Involved: City/ La aPho e# E] Audio and Stereo Systems N e urglar Alarm OWNER Mailing AddressE] Garage Door opener' City/State Lip Pho # ❑ Heating,Ventilation and Air Conditioning Syste!n' � Name 2y-��ZL. ❑ Vacuum Systems' AN KCW1y". S1Et M, M3 ai"If ❑ plawl Other CONTRACTOR Meiling Address �,� � – TYPE OF WORK INVOLVED -COMMERCIAL (Prior to Issuance a City/State Zip Phonc Fee for each system.............................................. 340.00 copy of all licenses _ (SEE OAR 918-260.260) are required if Oregon Contr.Bird Lic.# Exp Da expired in C.O.T. y <- _ q Check Type of W,.rk Involved: data base). Electrical C ntr.Lic.# Exp.Date ❑ Audio and Stereo Systems C.O.T.or Metro Lic.# Exp. Date __ ❑ Boiler Controls Owner's Name OWNER - Mailing Address ❑ Clock Systems APPLICANT ❑ Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit is issued under OAE 918-320-370.This applicant agrees to make only restricted energy installations(100 volt amps or less)under this ❑ HVAC permit and to tic the following: ❑j 1 Only use electrical licensed persons to do installations where required. Instrumentation Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterisks('). All others need licensing; 2. Cell for inspections when installation,Inder this permit are ready for ❑ Landscape Irrigation Control* Inspection at 503-639 4179; ❑ Medical 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls Inspection%hen the inspector is out to insoect under this permit; 4. Assume respo,,:Ibility for assuring that al,corrections required by the ❑ Outdo.r Landscape Lighting* Inspector cre dere,and; ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all r"Ina corrections are comrieted ❑ Other_ Permits are non-t.rnsferable and n-refu le and expire if work is not started within 180 days of I!suan or If k is suspended for 180 days. —Number of Systems The person signing for is p it m b>the applicant or a person No licenses are required Licenses are required for all other Installations at.Lthorlzed to bind ppf an FUS: Signature -- 2N TER FEES $ , 5%SU 3CHARGE(.05 X TOTAL ABOVE) $ A{J Authority if other than Applicant TO'"_L. $ I Vesele doc 12/98 ,SIM�HiEU! tM 1kX1,1�MM 0.p! tmR p0 OMS s1w01 �lKL MS tKk�1 RECEIVE.. .JOL 18 1997 ,ummumIr OEVE!OPMEMT MECHAN I G'PL CITY OF TIGARD HERMIT #. . . . . . . : MEC96--0215 PE R M I I COMMUNITY DEVELOPMENT DEPARTMENT DA'rE ISSUED: 07/05/96 13125 SW Hall Blvd.Tigard,Oregon 97223e8196 (503)839-4171 PARCELli 2S104b.LA--012'P700 I IE ADDRESS. . . : 14104 SW 1_11)EN Wq SUBDIVISION. . . . ' (,AS'U,'_L HILL ZONING: R-12 PD OLUCK. . . . . . . . . . LOT. . . . . . . . . . . . . :1,1130 (:;LASS OF: WORK. . :ADL FLOOR. TURN. . . . : V, EVAP (.',OOL.ERS: 0 IYPE OF USL. . . . .-SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 L)UL,UPANC,Y GRP. . : R,3 VENT''33 W/O ADPL: 11) VENT SYSTEMS: Vl STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL 0-3 HP. . . . : 0 DOMES. INCIN: 0 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX TNPIUF: 0 BTU 15--130 HP. . . . : 0 RF'..PAIR UNITS. 0 t I RE DAMPE RS 30--50 HP. . . . : 0 WOODSTOVES. . : 0 ,-)AS PRESSURL. . . 50+- IAP. . . . : 0 CLO DRYERS— : VA 1\10. OF AIR HANDLING UN 1 I-S O1 HER UNITS. : 0 1 URN ( 100K BTU: 0 111111100 C-f M : 1. GAb OUILE'rs. : vi F=URN ) = w City of Tigard MECHANICAL PERMIT Planck/Rec. # 96-aS13 5 5" 13125 sw Han Blvd. APPLICA T ICON Permit # 011C<96-O;t/.S Tigard, OR 97223 (503) 639-4171 _ ."7T..r.«. Jesarpson 1 Table 3A Mechanical Coda QTY PRICE AMT Job Ll )I Gy c �s` L k di 'C fl a r 1) Permit Fee _ -0- •0 10.00 Address -r [ — ! 1-\a Cl r`,j � r- Ck2) Supplemental Pemut 3.00 Furnace to 160,000 1 rrN 1) incl.dills d vents 6.00 umac. 100.000 BTU+ IC;� Owner `I 1 C7t-{ Sr �iz.f y k, roll.duds 3 vents 7.50 ,p. oor FumancR t (:57Q. Ck 3) incl. vent 6.00 Suspended heater.Wall heatw 4) or floor mounted heater _ 6.00 1. Repau of heating.rotrg 6) cooling.absorption unit 6.00 -- boiler or comp, at pump•au rano. Co t 7) to 3 HP absrxp unit to 100K BTU 6.00 ,o a,,.,. Soder or comp heat pr.mp,—0-3-13 \ L;r N L L11 -33 It 8) 3-15 HP absorp unit to 500K BTU 11.00 COntfBCtOf .,. Boiler or comp, at pump,air oro U 'lot 9) 15-30 HP absorp trot.5.1 mil BTU 15.1.00 N., cA.49 Boiler or comp,heat pump,air coed. 1 10) 30-50 HP absonp unit 1-1.75 ml BTU 2250 re y acknowledge that I have read is tip icatton, t e i er or commat pump,air cond. information given is COITect,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50 of the owner,that plans submitted are in complimice vft State Air handling unit to laws,that I am registered with the Construction ContracWs Bo•ird, 12) 10,000 CFM I 4.50 y that the number given is correct. (If exempt from State registration, r handling unit please give reason below.) 13) 10,000 CYM+ _ 7.50 - Non portable 141 evaporate'ooler 4.50 vent an ro,nected 15) to a single C id 3.00 Ventilation system not 1G) included in appLvice permit 4.50 w—w V" --_— Rood sery 1� q 17) mechanical exhaust 4.50 scnbe w new 144/ ad ttbn alteration U r_e Commerctal or industrial to be done residential 0- non-residential 0 18) type incinerator 30.00 vesting use T—` Other i.e..w store,wooer building or property -- —_—_-- 19) heater,solar,dothes dryers,etc. 4.50 -- Proposed use of 4-- 20) Gas piping one to Irxtr outlets _ 2.00 _ building or property` — 21) Mo-e tlian 4-per andel Type of fuel -oil 0 natural gas Q LPG O electric 0 OTIC Minimum Fee$25.00 SUBTOTAL - PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS,OR 5%SURCHARGE 1 �, IF CONSTRUCTION OR WORK IS SUSPENDED OR — A-,.;4DONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL "- AFTER WORK IS COMMENCED. TOTAL f? Special Conditions _ Date issued ��/ by C T� �.�'.. . .. .. .. .. Job Site Plan ... ... : .....;.. ;..�. ;.. ... ............ ........;......... ;... . ....;.. {.. .. �.. `. !.. • 1 ' ... .. .....•........ ..�I.T��f.I�-►� . r•. •.�.... .• • .. ..j... .•y....�.. ........... ..�.•..� • •.A....�.. . .1.. •�� • ...��. ...�.• ..�... .......... •...... •. •............ .�•... •........ •... .. • ...... • •..., ...•• .. .. ..I ... • .. ... .. . . .....rte. .. .. .. .. .. .. . . .. . . ' .. . . . . . ....;.... . ..�... ........ ..r. ..i•. ..r.... .. .. .•.. .. ..�....j.. ..�... .. ... ..i.. .. .. ...;.. ..;... Additional Instructions: Refrigeration line size ` Condensate Pump Yes ❑No ❑p()x New Registers Vibration Pads New Grills — Add Return Duct Add Supply Duct ----- -----. Special Needs ...................................................................................................................................................... C17YOFTIVARD COMMUNITY DEVELOPMENT DEPARTMENT C171i0EARD MASTER AST R PERMIT 13125 SW Nell Blvd. P.G.Box 23397,Tipf,Orpo977 (503)039-1175 PERMIT #. . . . . . . x+39- 41'71 DATE ISSUED: 01/29/93 SITE ADDRESS. . . : 14104 SW t_IDEN DR PARCEL: 2S104BB-03'700 SUBDIVI. ION. . . . : C, - 3TLE HILL ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :030 BUIL. DING REISSUE:: DWELLING UN 1 TS: 1 BASEMENT. . . . . . . . :0 s f CLASS OF' WORK. :NEW BE;DRMS:3 BATHS-3 ARAGE. . . . . . . . . . : 438 s f TYF!E: OF USE. . . :SF" FLOOR REUUI RET: SETBACKS------------- TYPE ETBACKS---.-----_--_- fYFF_= MJF CONST. :5N F=I RST. . . . : 11 22 s f LEFT. . . 15 f t R I UHT. :5 ft OCCUPANCY GRV-,. :R3 SECOND. . . :614 s f FRONT. :20 ft REAR. . :24 ft 5 fORIES. . . . . . . ..2 THIRD. . . . :O t3 f REQUIRED HEIGHT. . . . . . . . :21 ft TOTAL------: iH:;6 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 p e f VALUE. . . . . $ : 92340 PARK I NG S;7-ACES. . : I Remarks: PATH I ------------------------------------- PLUMBING SINKS. . . . . . . . . . : 1 FLOUR DRAINS. . . . 10 BACKFLOW PREVNT RS. . :0 LAVATORIES. . . . . .5 WATER HEATERS. . . " I TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CA F CH BASINS. . . . . . . ..0 WATER CLOSEIS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE ( Ft) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE DIST!. . . : 1 RAIN DRAIN (ft ) . :0 WASHING MACH. . . : 1 SF RAIN DRAINS. . el MECHANICAL _______._ __.______.__.___.__.________._. F'EE'S F=UEL TYPES -- _.___._______ UNIT HTRS. . :O type amoi.int by date r-eupt /GAS/ / / VENTS . . . . . :0 T'IF $ 1460. 00 JH 01 /29/93 9/9;3 MAX INPUT:O BTU VENT FANS. . :4 HPRT $ 41 r:. 00 JH 01/29/93 I- URN ( 100K . . : 1 HOODS. . . . . . : i BOLC. $ 267. 80 JLH 12/22/92 9 2:349:1, FFURN ) =100K . . :0 WOOD JOVFS. :O B5PC $ c:'1D. 60 JH 01/29/93 - PLOOR TURN. . . . :Q1 CLC) DRYERS. : i SSDC $ 280. 00 JH 01/29/93 - l3OIL_/C,'hIP ( 311E :0 OTHER UNITS: 1 PARK $ 500. 00 JH 01/29/93 - GAS OUTLETS: 1 1ylPRT $ 43. 50 JH 01/29/93 - Ownet- : - -____.__._...___.._......_._.._..._._.._...__.__.__.___.._.___..___-Mp'LC $ 1Q1. 88 JH 01/29/93 - YOUNIUUE HOMES M5V'L: $ c'. ICA JH 111/L29/93 - F1 0 AOX 2016 EPRT $ 155. 00 JH 01 9 3 - P5PL.. $ 75 JM 01/,29/93 - 11KE GROVE. OR 97035 ifictne #F: 624--5766 TOM KENYON 12904 SW BEDFORD T'IGARD OR 97224 'hone #F: 624-5766 Reg #F. . . 556343 $ 3159. 71 TOTAL This perait is issued subject to the regulations contained in the ------- RE UUIRE.D INSPECTIONS Tigard Municipal Code, State of Ore. Specialt Codes and 1 other Foot/faUnd Insp Fireplace It1sp applicable laws. All work will be done i "cc once w approved P Beam Strur.t Cas Line Insp plans. This pereit will expire if woe isYXthin 181 nst/Beam Meehan Ins1.11at �on Insp days of issuance, or if work is sus dedIAB days. Plm/landslaah Insp Gyp Board Insp PI-hl/Under,floar Rain drain Insp Kier-mittee SLynatl_1r,e : __.____..._.._. Mechanir_al Insp Water Line Insap Plumb Top 01St Appr/Sdwlk Insp 1 !7.5 i_1 e d By : ._._..__ F=r a m i n y Insp M e c_f1 a p i c a l Fina.1 �� Call fat^ inspection - 639•-4.175 CIIY of TIFA RD CITYOF746ARD SEWER CO1\1NLCJ1U1\1 I COMMUNITY DEVELOPMENT DEPARTMENT PERM 11' 13125 SW Hell Blvd. P.O.Box 23397,TIPM,OMWO 97223 (603)639'4'75 F,LRMIT #. . . . . . . . SWR9E-0403 639-4171 DATE ISSUED9 Vl1/2LJ/L)3 SITE ADDRESS- 31 14104 SW LIDEN DR PARCEL cS104BB---1713700 SUBDIVISION. . . . 11 CASTLE HILL ZONING: BLOCK. . . . . . . . . . t LOT. . . . . . . . . . . . . :030 TENANT NAME. . . . . : FIXTURE UNITS. . . t USA NO. . . . . . . . . . : DWELLING UNITS. . : 1 CLASS OF WORK. . . iNEW NO. OF BUILDINGS11 I YPE OF USE. . . . . zSF MF SURFACE- - : f INSTALL 'TYPE. . . . :BUSWR IM Hemarksli PATH I Owner: FEES y`(jUN1UUE HOMES type amai.Ant by date recpt F., 0 BOX 2016FORD PRMT $ 2100. 00 JH 01/29/93, INSP $ 35. 00 JH 01/29/93 LAKE GROVE OR 97035 Phone #: 624-5766 (-ontractc,rt CONTRACTOR NOT ON FILE F'IIdTIP If: $ LI—6'j=. IzIV,.. TOTAL Rey REQUIRED INSPECTIONS This Applicant agrees to comply with 811 the rules and regulations Sewer Inspect iori of the Unified Sewage Agency. The permit expires .180 days from the date issued. The total amount paid will be forfeited it the -rrsit expires. The Agency does not guarantee the accuracy of the .ide sewer laterals. if the sewer is not Iccaied at the a rement a,yen, the installer shall prospect 3 f all dirt,=09 from t/3 a" ,he distance given. If not so ocate f2aller ha purchase the in e A �A �, I t a at "lap and side Sewer" Permit and e Agency ill oiler otittee Sigilati-We : call for ina;pectjon 639-4175 316, /,3y CIT c r113In Sw llar Blvd. PLNCK/RECT #Y OIC TIGARD 10[lox 23397 1 COMMUNITY UI;Z 1?LOI MBN"1'Dpi AR"I'MENT Tigard,Oregon 97M PERMIT # /I-),5 T JZ-O 3.2 Z- (503)63%4171 DATE ISSUED JOB ADDRESS: /4//0 y sl'(J L-�t�D�`nt L��-�— TAX MAP/LOT 2,3 1 01-1 R 0- y 3 - SUB: ��+ I _ I�rLL LOT: ,� _ LAND USE: VALUATION: 3 vo OWNER SPECIAL NOTES NAME: G1(y lgorne s REISSUE OF: ADDRESS: ��F�IC,1 &L/& LAST REISSUE: FLOOD PLAIN/ PHONE: - �.�� _ SENSITIVE LAND- - CONTRACTOR APPROVALS REQUIRED SU 136 9 -000 J NAME: I&X7 /" eniy/1 _ PLANNING: ADDRESS: /off G'-/ S!✓ 3¢�)Fv. D ENGINEERING: 1) b'k Z �4 FIRE DEPT: PHONE: �y� 7�� _ OTHER: ` l( CONTR. BOARD #: J 56 3 S EXP DATE: I ""?64q ITEMS REQUIRED SUBCONTRACTORS: PLUMB: ear) wArf1kf- LIST/SURCONTRACTORS: MF-_CH: 4-4 MOOD - r t BUS TAX: _ _ ,-- ARCH ENGINEER �� CALCULATIONS: NAME: jTe ,^ A ✓ T TRUSS DETAILS: -- ----- ADDRESS: /Y h µ-' CItN 5 �� v9 — OTHER: ` PHONE: `f - 7 ti S J PROPOSED BLDG. USE: _ COMMvN TS: _/.,2�ce.� «, '2'�:��!m '��" 17 Ai'PI_I ANT S IGNA RE Received By: _-----s_�� Date Received: 1'ERM1I # ACCT # DESCRIPTION AMOUNT AMOUNT PD. GAL. DUE lyi3 f 10-432. 00 Building Permit FeesiL- 10-431 00 Plumbing Permit Fees _ 10-431 01 Mechanical Permit Fees _ 3. ,v_ _ a7. Y-? 10-230 01 State Building Tax (5%) Sv 3 .3L' ss Building av 60 _ Plumbing 7, 76' ` Mechanical /b 10-433 00 Plans Check Fee P -7 S" Z j'. F Building -�qG� Plumbing Mechanical 04 10-230 06 Fire A'yz u 1403 30. 202 00 Sewer Connection 30--444 00 Sewer Inspection 3 25 .448--02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 2.5-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees /35 u- 25-448-05 Mass Transit TIF Fees J IU 1 52-449 00 Parks System Dev Charge (PDC) _Soo 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) _ . � 24-445-01 W?ter Quality (Fee in lieu of) 24 .445-02 Water Quantity (Fee in lieu of) TOTAL 7L l �1 •_1_L nm/3587P.WPF rn,o 47 214 1"04 UL Alt. mi 04d mom. r' P CD kA z Pt FOLD • .. ,Q o .q �o .. ye • i�ae��ic-�; 'T// 3, AL PERMIT CITY OF TIGARD PER^IT #: ELC96 04:37 COMMUNITY DEVELOPMENT DEPARTME!' t DATE ISSUED: 07/05/96 13125 SW Hall Blvd.Tigard,Oregon 9722348199 (503)639-4171 PARCEL: 251 Vl4RLa-03700 SITE ADDRESS. . . : 14104 SW I-IDEN DR SUBDIVISION. . . . : CASTLE HILL ZONING:R-12 PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . 103121 Project Description: Installing a branch circuit for an A/C unit. ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCEI_l_ANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5008F. . . : 0 c.'01 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 ramp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERV I CE/FEEDER---_- __.__BRANCH CIRCUITS----- -.--ADD' L INSPECTIONS— - 0 NSPECTIONS-. _0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201. - 400 amp. . . . . . . 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC:: 0 IN PLANT. . . . . . . . . . . . 0 601 — 1000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION------------ 100Z+ amp/volt. . . . . : 0 )-4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ---------------------------------------------------- FEES ROBERT BRYAN type amoi.int by date recpt 14104 SW LIDEN DR PRMT $ 35. 00 CJS 07/05/96 96-281356 `,PCT $ 1. '75 CJS 07/05/96 96- 2811356 T I[7ARD OR 972,23 Phone #: Lontractor: G'RF ELECTRIC $ 36. 75 i(1TAL 15460 SE PARADISE LN — -- -- - — REQUIRED INSPECTIONS -- - -- - MULINO OR 97042 Wall Cover Elect' 1 Final Phone #: 50:3-829-4146 Elect' l Service Reg #. . : 101543 This permit is issued iubject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee S i gnat .ire applicable laws. All work will be cine in acrordance with approved plans. This permit will ex;iire if work is not started �'� ' within 180 days of issuance, or if cork is suspended for more CA.,L't��than 180 days. Issued By INSTALI_AT ION _..-- The installatio" is being made on property I own which is not intended for sale, lease, or rent. UWNEF1' S SIUNA LURE: _ _ -- DFaTE: INSTALLA i ION I HNA TURE OF SUPR. ELECT' N: _ Lc.l.. _ DATE: Q [(.:ENISL. NO: Call for inspecti.on — 639-417 ; f Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd Ayp Tigard, OR 97223 Planck/Rec. # 9(; �k/3.56 Permit # ij_C_�'-o r{ 3,7 _ Phone (503) 639-4171 Date Issued5/i(<' FAX (503) 684-7297 Issued by cr_r %N s r CITY OF TIGARD TDD No (503) 684-2772 Inspection (503) 639-4175 1. .lob Address: ''�JJ 4. Complete Fee Schedule Below: Name of Development r7 �N L/ni-�UL�r) Number of Inspections per permit allowed Address Service Included Items Cost(ea) Sum City/State/7_ip6�1 r Ll_ 7 Z __ 4s. Residential-per unit —� 4 '#' tooU art It or leas $11000 Each additional Soo as it or Name (�! name of business) portion thereof $2500 1 ❑ Residential Energy $2500 2 Each Menul'd Home or Modular Commercial EachLimit Dwelling Service or Feeder SBP 00 2a. Contractor Installation Only: 4b.Services or Feeders I_ Installation,alteration or relocation 2 Electrical Contractor,_e- e c l 200 amps or less $eo on 2 l 201 amps to 400 amps $6000 2 Address�2t a U S, Gi -- $12000 --- 2,r r(L L 401 amps l0 800 amps city�y,a l,✓1 r7 Criuta^7�� zip �4 801 amps to 1000 amps $tB0 00 2 Phone No.� , ,� �� - !q toe Over 1000 amps or volts $34000 2 Contractor's License Nu is k-)i- 1 -- Reconnect only $5000 _ Contractor's Board Reg. No. _/ (21 �z/ � 4c.Temporary Services or Feeders ��--� / Installation.n0eratiun or relocabm, 2 Signature of Su r. Elec'n 200 amps or less $5000 201 amps to 400 amps $7500 License No. _ hore N ut�l `� 401 amps to 800 amps _._ $10000 Over 800 amps to 1000 volts 2b. For owner installations: Sep-b'atwo 4d. Branch Circuits Print Owner'S Name New alteration or stdenston per panel a)The les for branch circuits Wit State ZI purchase or semke or binder fee. - Each branch circuit %5 00 _ Phorip No h)The Ion for branch circuits without 1 feta if IStallailor I5 bein made on rt I own which is purchase of eervke or feeder be 1, g property p Y First branch circuit I $3500 2 riot Intendnd for Sale, lease or rent. Each additional branch arcud $500 _ Owner's SlgnnturP __ _ 4e.Miscsll1111ttaous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or i"igahon circle -- $4U no 2 Each ign or outline lighting $4000 Signal circuit(s)or a hmded energy 2 Please check appropriate item and entet fee in section SB. panel alteration or edenston $40 00 4 or more residential units in one structure Minor Labels(10) $100 00 Service and feeder 225 amps or more _ 4f. Each additional inspection over System over 6(l0 volts nominal Classified area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 Per Per hour hour on $35 00 $5600 In Plant __ $5500 Submit 2 sets of plans with spr ication where any of the above apply. Not required for tempof ,ry construction services. 5. Fees: 5a. Enter total of above fees $ > > NOTICE 5°i Surcharge(.05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION subtotal AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan r.eO&.v if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ Trust Account N $ Balance nue $ j .mro-Wml4brV-stn