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8950 SW LOCUST STREET ly 00 r 0 c rn ! rn i 8950 SW LOCUST STREET CITE` OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd,, Tigard,OR 97223,1'503)639.4171 CERTAFICATE 0' 1-4:P1411 1913PA. 009910 tIE ADDRESS, a 06650 SW LOCU 3'l- I )BD I V 151 ON. . . . i 1'014N Or- ME_WC)CP ihJ I N b.p- ock. . . . . . . . . . 1...0T. . . . . . . . . . 004 ft.",P't S IV 1-1 ON- 1"'Ir; AS)S OF NEA4 'PE- Sr- 01- USL. . . Id /V'E OF- CONGTP:5N ,CUPANCY GRP. 6R,. ..,C UPANC.Y LOAD a I Install saindactured host on Ndingifoundation !<E-T WE'TNEl- 050 qw 1-13LUST ,GARD OR Hr"VFErev NORTIAWE'13T :*4N P31-'HAF:r-1."7R 10495 SE 86TH OVE IRILAND LIP, 97;,66 40rit? #- 7E39•-0,1119 .._ C 100601 j n Certif ic�a..tp griaiits occupi-muy vir the above f-pf Py- enc-ed bl-ti IdIng Or Pori i(In 'eraofani Y- f i ms that the buildi-tig hAj �jpcii Ynphpj (� cLa !� ted fr)j- rompli.all L specialty Cc)des fur the QrICPJP' P fky-id 115LlFIe d thp r fp�-Qnce(J PF, mit, was issi.ted. SPECIrON c • O O G O CD OR 9 E h— cri rn %id _ rU el) lz Y o in N i. it Lli r — � J QUJ LL CD3 *: - i Page No. 1 CASE HISTORY FOR CASE NO.: BUP97-0372 ELAINE ZEHNTBAUER 6 JALAN ZEHNTSAUER 08950 SW LOCUST ST 02/24/99 Action Description Req/ Schd/ End/ Action Noten Disp By Update Upd Code Sent Done Done Date By SUPA005 Application received / / / / 08/01/97 PASS JSD 08/01/97 JD BUPA010 Permit created / / / / 08/01/97 PASS JSD 08/01/97 JI.' SUPA020 Check for prcl. restrict. / / / / 08/01/97 PASS JSD 08/01/97 JD SUPA075 (F) Ready to issue / / / / 06/01/97 Need contractur's CCA info. jed PASS JSD 08/01/97 JD "UPA085 (F) Issue building permit ; / / / 08/01/97 PASS JSD O8/01/a7 JD BUPA800 Misc. Inspection 08/)1/97 / / / / 08/01/97 JD ` RUPAS70 Final Inspection / / / / 08/15/97 APP OS 08/18/97 GES SUPA950 Case Finaled / / / / 08/18/97 APP GS 08/18/97 GES BUPC960 Case Finaled / / / / 08/18/97 APP GS 08/18/97 GES CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 J BUP 1i)--_'�•�_ ateRequested 2/ �AM _—PM _— BLD -- LocationCuI�1� Suite `—.— MEC --- Contact Person _— Ph __— —_ PLM _ Contractns:, Ph SWR — EWILPJN6 Tenant/Owner ELC Retaining Wall ------- - ELR Footing - ---- -- Foundation Access: FPS Fig Drain ---- --- -- - Crawl Drain Inspection Notes: SGN Slab --_ 1/`,�l C�/lJ� Post& Beam SIT -- - Ext Sheath/Shear Int Sheath/Shear / --Cc P � `�— `- C Framing �� r `r/ 7A Z:---7 Insulation �`\ I --- :?� Drywall Nailing � Firewall a---Q-- Fire Sprinkler Fire Alarm -- -- Susp'u(,citing - �. --` `✓�/�.. -_ - ._------ --- Root -15M PART FAILOWM GING ---------------- Post& Beam Under Slab Top Out -- - ---.. Water Service Sanitary Sewer Rain Drains Final ---- - --- ----- —_.-_-_--------- -- PASS PART FAIL MECHANICAL - - ^------ - ---- -- - 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 ---------_---_--. —_-__ SITE ------------- Backfill/Grading ----- ---- -- ---- ---_- - ----- ----- ----- Sanitary Sewer Storm Drain ] ]Reinspection fee of$ _ ---required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE - _ - _ [ )Unable to inspect-no access ADA Approach/Sidewalk7 � (,t `J�-�� �Z�1 rj Other Date Inspector _.Ext _ -- Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: 0624 HATE ISSUED: D: 12 12/16/97 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL: 1 S 1 35AA-•00'300 `:3I TF ADDRESS. . . :08950 SW LOCUST ra 1 SUBDIVISION. . . . :TOWN OF MET7GFR ZONING- R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :OO4 JURISDICTION: TIG Pv-o.j ect De scr-i.pt ion . Installation of one service or feeder at 288 amps or less. ---RESIDENTIAL UNIT---- ---TF MF' ISRVCC/FEEDERS---- ---••---MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/I RR I GAT I ON. . . . : 0 EACH ADD' L. 5O0SF. . . : 0 201. - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 E,O1+•amps -1000 volts. : 0 MINOR LAPEL. ( 10) . . . : 0 -----•SERVICE/FEEDER___ --. ------HRANCH CIRCUITS------ ---- -ADD' L. INSPECTIONS-.-- 0 - 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HDUR. . . . . . . . . .. . . 0 401 - FOO amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT.. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 - --- -------- --- --F'L_AN REVIEW SECT I 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ` 600 VOLT NOM INPL. . Reconnect only. . . . . : 0 SVC/FDR > - 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: _ _ ------_-----._..__... _ __- - --- - -- -- -- - - -- - ------- FEES IEHN'TBAUER type amol-tnt by date r^ecpt 06950 SW LOCUST PRMT $ 60. 00 TJH 12/16/97 97--301817 TILARD OR 97223 SPCT $ -. 00 TJH 12/16/97 97-301817 Phone #: ContTactor: ________ .______..._____.____....__.________.____ ---•----.-_- _- __----____-_ PARKIN ELECTRIC INC. '1 63. 00 TOTAL_ :='0250 S MOl_LALA AVE -------- REQUIRED INSPECTIONS - - OREGON CITY OR 97045 Roi.tgh-in Elect' 1 Final Phone #: 245-1301 Elect' 1 Servir_e Reg #. . : 000351 this permit is issued subject to the requlations contained in the Tigard Municipal Code, State of Oregon 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 law requires you to follow the rules adopted by the nregon Utility Notification Center. lhose rules are Set forth to OAR :>2 001-8010 through OAR 952-4101-1987. You may obtain a copy of these rules or direct questions to DUMC by callinq (503)246-1987. F�ermittee Signatl_tre : 1" 1 nf.. ,,��29.elss4.ted By : _�' ------------------------------OWNER INSTALLATION The installation is beinq made on property T own which is not intended for- sale, lease, or, rent. OWNER' S SIGNATURE: DATE: --------_---.__-------CONTRACTOR INSTALLATION ONLY--- ------- -- --------____.. STGNATURE OF SUPR. ELEC' N: ['h---_-,! 2�t�;1C�ZG_t-.._._.._..._...._._...__._....... DATE• 1/1,157'7 LICENSE NO: +++ +++++i•+++++++++++++ i-++++++ }++++++-f-++-I-++++++++++++++++++++++++++++++++ h+ F++f Call 639-41.75 by 7:00 p. in. for, .an inspncti.an needed the next h+_tsinPss day +++++++•'-++•+++++i-+++- ++++++++++++•-1-++++•++++++++•++++•+++t++++++++•+•-F++++++{..4-i.+++++++ Id Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Nell Blvd. Tigard, OR 97223 Planck/Rec. # Permit # Phnne (503) 639-4171 Date Issued CITY OF TIGARD (503) 684-7297 ISSLJPd by1 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development _ _ Number of Inspections per permit allowed -- Address ����C `>W 1 a cLks�_ —_ Service included Itoms cost(01) Surn Citylstate2ip � ta. Residential- pe unit ^ 1000 eq II or 1668 $11000 Name (or name of business) Faris nddltonsl 500 aq if or --'a ---� portion therecl $25 00 Commercial❑ Residential tai. L meed Energy $2500 Fach Manul'd Home or Modular ? Parkin Electric, Inc. 20250 S Molalla Ave. Dwelling sonace or Feeder see 00 _ Oregon City,OR 97045 503-657.4958 fax:557-1059 4b.Services or Feeders (SukJ p�,,,,� \ Shin Contractors License#: 34-4C exp. 10-01-98 Irwtallation arferahon or relocation _ Supervisor: 4241-S exp. 10-01-98 201 amps to 400 amps 1 $8000 Contractors Board Reg#: 35151 exp. 10-12-98 401 amps to 600 amps $12000 Y Metro# 24 16 exp. I 1-0 1-99 601 amps to 1000 amps $180 Co Over 1000 amps or volts $34000 _ Owner: n.=nnarl only $5000 14 4c.Temporary Services or Feeders ) j Installation alteration.or relocation Signature of Supr. F_lec'n � t _ 200 amps or less $5000 License No Phone No. 201 amps to 400 amps $7500 _—_-_— 401 amps to 600 amps $10000 Over 800 taps to 1000 volts y� 2b. For owner installations: sea V above Print Owner's Name4d. Branch Circuits New nitaration or extension per panel Address a)The fpa for branch circuits With City -- State_-__— Zip—.–___— purchase or service or boder An. Each branch circum $500 _ Phone No. b)The lee lot branch orcins tvfill The installation is being made on property I own which is pumhow of oavko at bodw bo. not intended for sale, lease or rent. Fast branch circuit $3500 Each additional branch circuit $500 Owners Signature_ 49. Miscellaneous (Service or feeder not included) 3. Plan Review section (if required): Each pump or irrigation circle $40 00 Each sign or outline lighting $40 00 4 Signal ctrcud(s)or a limited energy Please check appropriate item and enter fee in section 5B. panel,alteration or extension _ $4000 4 or more residential units in one structs re Minor I ohms(10) $Ion no —_--_ Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N.E C Chapter 5 l'er'repect'o" $3500 _ Per hour $5500 In plan) $55 00 Submit 2 sale of plans with application where any of the above apply. Not required for temporary construction service-s. S. Fees: 5a. Enter total of above fees $ 1UL� NOTICE 5%Surcharge(05 X total fees) $ � — PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ S <<L 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 Review if required(Sec.3) _— A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal ti _ COMMENCED ❑ Trust Account M Balance Due (0 r mlrn,nd�NWc rym vp CITY OF TELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: EL.C•97-0789 13125 SW Hall Blvd., Tigard,OR 5722.4 (503)639-4'71 HATE ISSUED: 12/01/97 SITE ADDRE:.SS. . . :08950 SW LOCUST S T VIF1RCE:L: 1 S 135AA-00900 SUBDIVISION. . . . :TOWN OF MFTZGER ZONING:R•-4. 5 BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . :004 .JURISDICTION: TIG Pro J ect Descr i pt i cin : Installation of one (1) branch circuit or service feeder for heat pump at existing SFD. ---RESIDENTIAL- UNIT----- ---TEMP SRVC/FEEDERS---- _._.___.M I SCELLANEOUS- - 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L- 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . . 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ---_SERVICF/FEEDER----- -.----BRANCH CIRCUITS----_.--. __-.._ADD' L. INSPECTIONS-- _.. :: `00 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' I_- BRNCH CIRC: 0 1N PLANT. . . . . . . . . . . 0 601 - 1000 amp. . . . . : 0 ------------------PLAN REVIEW SECT I ON---------_----.---_ . 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : i 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > _ ,-'L'_5 AMPS. . : CLASS AREA/SPEC OCC. Owner: --__._ _..___._.__...._.____.__.._._.____ _.--_-._-----_______________ FEES 'FHNTBAUER type amoi.mt by date r^ecpt 08950 SW LOCUST F'RMT f 35. 00 TJH 12/01/97 97-x-301:3112 T IGARD OR 97223 SPCT f 1. 75 TJH 12/01 /97 97­3013117, Phone #: Contractor: PARE;I N ELECTRIC INC $ 7= TOTAL- 20250 OTAL_20250 6 MOL_L.ALA AVE - -- - - - REQUIRED INSPECTIONS OREGON CITY OR 9704 .; Roi.rgh-in Elect' l Final Phane #: 246-1301 Eler_t' I Ser-vice Reg #. . : 000351 This permit is issued subject to the regulations rontarned in the Tigard Municipal Code. State of Oregon Sperialty 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 190 days of issuance, or if work is suspended for more than 190 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1997. You may obtain a copy of these rules or direct questions to OUNC by calling 15031246-1997. S i g n a t ra r e : _.�ed&�,4? •CI s s r_r P ci ------------------------------OWNER INSTALLATION The installation is being made on property I own whirh is not intended far, sale, lease, or^ rent. OWNER' S SIGNATURE: _ ---i DATE: .-------_---__---_----.-_CONTRACTOR TNSTALLATION ONLY---- ---- ------------------ SIGNATURE OF SUPR. ELEC' N: 1 u �c� ,, ___ DATE: _ l� I��17 L_.I CENSE NO: '"f A2 a�' ++.++•++++•i+++++++++++++++++++++++++++++++++++++++++++++++++++++++•++++++-+++++•+++-1 Call 639-4175 by 7:00 p. m. for• an inspert i on nPeded the next bi_rsi.ness day ... .............. Community Development ELECTRICAL PERMIT APPLICA i 1ON 13125 SW Hall Blvd. rrI n qq- Tigard, OR 97223 Permit # �_ -V Date Issued 12 I Phone (503) 639-4171 CITY OF TIOARD FAX (503) 684-7297 TDD No (503) 684-2772 Inspection (503) 639-4175 9. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Address L Service Included Items Cost(ea) Sun, City/State/Zip -�r,Cxf d , 4a. Residential -per unit J i 1000 sq ft or less $11000 t Name (Or name of business)-. Each additional 500 sq.it or portion thereof $2500 _ Commercial ❑ Residential V Limited Energy $29,00 _ Each Manurd Home or Modular Parkin Electnc, Inc 20250 S Molalla Ave. Dwelling Service or Feeder 386.00 Oregon City, OR 97045 503-657-4958 fax: 557-1059 4b. Services or Feeders Contractors License# 34.4C exp. 10-01-98 Installation alteration,or relocation Supervisor 4241-S exp. 10-01-98 200 amps or less __ $6000 2 Contractors Board Reg#: 35151 exp. 10-12-98 201 amps to 400 amps 8n DO 01 amps to 600 amps -- $S20 00 2 Metro# 2416 exp. I 1-0 1-99 601 amps to 1000 amps $18000 2 �!r t1CC Over nett $5 amps or volts — 50 00 2 Reconnect only E50 00 4c. Temporary Services or Feeders Contractor's Board Reg. No. installation,&Iteration,or relocation Signature of Supr. Elec'n 200 amps or less2 7 - 201 amps to 400 amps $5000 License No. Phone No. _. 4r 1 amps to 600 amps -- $7500 — 2 Over 600 amps to 1000 volts $10000 2b. For owner installations: see"b"above Print Owner's Name 4d. Branch circuits _. _ New,alteration or extension per pane Addres'ae)The fee for branch circuits wffh City CitT State ,Zip v purchase of service or reader fee. Each branch circuit $500 _ Phone No. h)The fee for branch circuits without The installation is being made on property I own which is purchase ofsmicearfeeder faa.1 not intended for sale, leaseOr rent. First branch circuit $3500 Each eddltiona ranch Irc $500 Owner's Signature_____ _ _ __ _ 4e. Miscellaneous (Service or feeder not Included) Each pump or Irrigation circle _ $4000 _ 3. Plan Review section (if required): Each sign or outline lighting $4000 Signal circult(s)or a limlted energy Please check appropriate item and enter fee in section 5d. 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 Fprh additional Inspection over Classified area or structure containing special occupancy the allowable in any of the abov^ as described In N E C Chapter 5 Per Inspection $3500 Per hour $5500 In Plant $5500 Submit 2 sets of plans with application where any of the above - apply. Not required for temporary construction services. 5. Fees: NOTICE, 5a. Enter total of above fees $ �'rs►�-�—' 5%Surcharge (05 X total fees) $ PERMITS BECOME VOID 1F WORK OR CONSTRUCTION Su $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enteerotaf r evof line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review K required (Sec 3) $ A PERIOD OF 180 CAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. wdAmmn. ❑ Trust Account # Balance Due $ CITY CF TIGARD MAjTE=R C''[-PMTT DEVELOPMENT SERVICES r'E"RMIT +H. . . . . . . : M7T97- 0464 13125 SW Nall Blvd., Tigard,OR 97223 (503)639-4171 DriTr I rSLJED: 10/24/97 .1 T TF_" nDDRCSS, . . :09570 OW L_O(,-t.J)T GT LJBDIVI^ION. - :TOWN 01` METZGER 70NJTNJr7): R-4. O 131_OCN. . . . . . . . . . L..OT. . . . . . . . . . . . 004 JURTODICTION: TIG Resar•ks: Carport with attached breezeway to the house. ----------------------------------------------------------------- BUILDING ----------------------•-------------------------------- REiSST: STORIES.......: : FLOOR AREAS----.------- BASEMENT...: 0 sf REOUIREC SETBACKS—-- RE0UlRED•----.. 'LASS OF WORK.:OTR HEIGHT........: 15 FIRST....: 0 sf GARAGE.....: 672 sf LEFT..........: 0 SMOKE DETECTRS: TYPE OF USE...:SF FLOOR LOAD...o- 5C SECOND...: 0 sf FRONT.........: 93 PPRKING SPACES: TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGH'......... : 12 OCCUPANCY GRP,:R3 BDRM: 0 BATH: 0 TOTAL--------: 0 sf VALUE..{: 13000 REAR..........: 50 .-----------------•--------------------------------------------- PLUMBING ------------------------------------------------------ IIM(S......... @ WATER CLOSETS.: 0 WASHING MACH..: @ LAUNDRY TRAYS,: 0 RAIN DRAIN ft: 0 TRAPS.........: P, _AUATORIES....: @ DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN GRAINS: @ CATCH BASINS..: 0 TUVSHOWERS...; 0 GARBAGE DISP..: 0 WATER HEATERS. : C WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 -- - -- - --- --------------------- ------------------- MECHANICAL ----------------------------•---------- __ _ ___...------- FUEL TYPES--- ------- FURN ( 10V ,.: 0 BOIL/CMP ( 3RP: 0 VENT FANS.....+ @ CLOTHES DRYERS: 0 FURN 1=100K ..: 0 UNI` HEATERS.. : 0 HOODS.........: 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: T -RFSIDr"l?1PL '1NIT--- ---SERVICE/FEEuER---- -•-TEMP SRVC/FEFDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTION' 1000 SF OR LESS: @ 0 - ?.00 alp..: @ 0 200 asp,.- 0 W/SVC OR FDA.. : 0 PUMP/IRRIGATION: 0 PER INSPECTION: @ 7A ADD'! SOW. ., 0 201 - 400 asp..: 0 201 - 400 aep..: 0 1st W/0 SVC/FDR: 0 SIGNIOUT LIN LT: 0 PER HOUR......: 0 _IkITCD ENERGY.: 0 401 - 600 amp., : @ 401 - 600 amp..; 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT...... ; 0 MANF HM/SVC/FDR: 0 60l - IN@ amp.: @ 601+a8ps-100@ v: @ MINCP LABEL -10: 0 @0@+ aap,':olt.: (^ --.._......_ ___....__...._....-- PLAN REVIEW SECION ----_--__--_-._----.--_-__-.... ..--_-- reconnect only.: 0 )-4 RES UNITS..: SVC/FDR)=225 A,: 1 600 V NOMINAL: CLS AREA/SPC OCC: ------- - - ------ ------ -_--- ---- -- ELECTRICAL - RESTRICTED ENERGY ------------------------------------------------------ A. ---------------------------- --------------------.-A. SF RESIDENTIAL--------------------------- B. COMMERCIAL-------------------------------------------------------------------------- 4UDIO 1 STEREO.: VRC1111M T19TEM.,: AUDIO d STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC t.T: BURGLAR ALARM..: STH: :: BOILER.........: HVAC...........: LANDS CAPE/IRRIG: PROTECTIVE SIGNL: 9ARAGE OPENER..: CLOCK..........: INS'RUMENTITION: MEDICAL........: OTHR: :: :4VAC............. Dc?A/TELE COMM.: NURSE CALLS....: TCTAL N SYSTEMS: -' ']finer: -- ------- ------- -- Ca^tractor: ---- --- - - ------- TOTAL FEES:1 250.36 BRETT WEINEL OWNER This permit is subject to the regulations contained in the 9900 SW NORTH DAKOTA #4 Tigard Municipal Code State of Ore. Specialty Codes and al'. TIGARD OR 97223 other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is Phone A: Phone 4: not started within 18D days of issuance, or if the mark ' Reg A.. : 000000 suspended for more Van 180 days. ATTENTION: Oregon law _--------. .--___-._----_-___..__.___...._________.....__. requires you to follow reales adopted by the ^regon Utilit, fication Center. These rules are set forth in OAR 952-001-001@ through OAR 952-001-0080. Yor. say obtain copies of these rules or ect questions to OUNC by calling (503)246-19A7. -.-------------------------------------- ------------ REDUIRED INSPECTIONS ------------------------------------------------------- :ion Control Building Final _ 'ling Insp _ - -1dation Irsp ling Insp drain Irs; _ .' 7 r~<-1 . : r., u 41 5 Lr•r 7:�'1 Q' lu, in. f c .4 n i n s F.,e c_t• .i 0 r: T'1 f'P f(E l'1 1;1 1 e Plan Check# 0 CITY OF TIGARD Residential Building Permit Application Recd By _ 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd /0 TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. I D-7 17 V 503-639-4171 Date to DST -6_2q 1 F 503-684-7297 Permit# Mr-`1 011 (Tint or Type Caned- Z ?j- Incomplete or illegible applications will not be accepted - Name of Project - -- -- ---- --- -- Name —^--- —`— Job ��� P _ --- Address Site Address _ -- Architect Mailing Address - Na0e��) CityrState — Zip Owner Mailing Address Name -- �D0 5W _ -,�-1 Mailing Engineer Address;Qg General Name City/State ZipPhone Contractor J Contractor StDescribe�F — - —`--- work New Addition O Alteration O Repair O Mailing Address to be done Prior to permit _ Additional Description of Work: _ — issuance,a copy City/State Zip Phoneof all licenses are required if Oregor Const.Cont. Board Exp. Date ' PROJECT r\Oil fJ expired in COT Lic.# VALUATION $ 1� v ' database Mechanical Name — �� _NEW_CONSTRUCTION_ __ _ ONLY: _ _ �- Sub- UA/f- Sq. Ft. House: — Sq. Ft. Garage ' — Contractor Mailing Address Prior to permit Corner Lot YES N Flag Lot YES N issuance.a copy City/State Zip Phone (check one) V (check one) of an licenses Restricted Audio/Stereo Burglar are required if Oregon Const. Cont.Board Exp.Date Energy S`/stem Alarm expired in COT Lic# _ database Installationf., Garage Door HVAC Plumbing Name -- N D Opener Systems Sulo- (check all that Other: Contractor Mailing Address - Will the the electrical subcontractor wire for all YES NO restricted energy installations? Prior to permit city/state zip Phone issuance,a copy Has the Subdivision Plat recorded? N/A YES NO of all licenses are Oregon Const.Cont.Board Exp.Date required if Lic.# Reissue of MST#: Solar Compliance expired in COT (Calculation Attached) database Plumbing Lic.# Exp Date 1 hearby acknowledge that I have read this application,that the information given is correct, that I am the owner or authoriLed Name _ agent of the owner, and that plans submitted are in compliance with Oregon State laws Electrical _ _____ : -Sli'g lure of Owner/Agent; Date Sub- Mailing Address ^— �) ` 1 , y-- Contractor _ � tact P, rs n Name , _ phone# City/State Zio Phone il r r f� r y � )-Y Prior to permit FOR OFFICE USE ONLY: issuance, a copy Plat#: PMap/TL#: r of all licenses are Oregon Const.Cont Board Exp Date required if Lic# et kta Zone: _ Solar: Date expired In COT S _ - 10 � /� database Electrical Lic # Exp lam' j,9--z f-i L —, EhglneerJpgApproval: Plan i g�pproval: IF ,1 I SFREM DOC (DST) 4/97 M C. . . . . i SOON OWN MEMNON No ■■■wMI ■ ■■ vim ■■■■ A r �1 w ■ n n 'r ■■■m ■■IMn _ F ■■■■O ■ • �■ ■■■■��■■ ■mmmm■ ME IWIME■ ■■■ 1■ ME ■�■■ ■ ■ON ■■■■■ ONmom m ISM 0 ©�I i1■ M■■ QH o rT, 00 A-) nM C51 0 L z eN t.A 73 kA CA rf- ~ - oo r,l�t _-- �- -.—. ---r-- ON ov Ir I 11 ( I I I 1 I i j 1 • L I 1 L r c yam,�+ ' • ' 1 I � fOo V fi fe o °'Q, z w (n c p ` d ¢ C a to LJ r dd� F a p N c z� o 70 Ol r i N 7° s r CITY OF TIGARD MASTER PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST97-0382 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 09/ 5/97 PARCEL. 1 S 13'5AA--00900 SITE ADDRESS. . . :08950 SW LOCUST ST SUBDIVISION. . . . :TOWN OF METZGER ZONING: R••-4. 5 131_.00K. . . . . . . . . . LOT. . . . . . . . . . . ::7104 JURISDICTION: TIG Remarks: Install manufactured home. SDC credits for B11P974372 demo permit. ----------------------------------------------------- BUILDING ------------------------------------------------------------------- RE I S91: --- ---------------REIS91E: STORIES.......: l FLOOR AREAS--------- BASEMENr...: 0 sf REQUIRED SETBACKS---- REQUIRED------------- CLASS OF WORK.:NEW HEIGHT........: 0 FInST....: IBM sf GARAGE.....: 0 sf LEFT,.........: 50 SMOKE DETECTRS: TYPE OF USE...:FM FLOOR LOAD....: 0 SECOND...: 0 sf FRONT.........: 93 PARKING SPACES: 0 TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.......... 55 OCCIIPANCY GRP.:R3 DORM: 0 BATH: 0 TOTAL--- 1800 sf VALUE..$: Lr �l REAR..........: 22 -------------------------------------------------------------- --- PLIMIRIN6 -----_----i--�..----------•---------•------------------------- SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS.........: 0 LAVATORIES....: 0 DISHWWRS...: 0 FLOOR DRAINS..: 0 SEVER LINE ft: 109 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB/SHOWERS...: 0 GARBAGE DIS()..: 0 WATER HEATERS.: 0 WATER LINE ft: 100 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 - ------------•--------------•------------------------------ MECHANICAL - --- - - -------- ----------- ------ ------- -------if L TYPES----------- FURN ! 100K ..: 6 BOIL/CMG ( 3HP: 0 VENT FANS...... 0 CLOTHES DRYERS: 0 FURN )=100K ..: 0 UNIT HE-ATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0 MPP INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0 - ------------------------------------------------------------- ELECTRICAL ------------------------------------------- --------- - - ---- RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- -TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- -- -M15CELLANEOUS-- --ADD'L INSPECTIONS— �*W SF OR LESS: 0 0 - 200 ..P..: e e - 2" amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRI(3ATION: 0 PER INSPECTION: 0 LA ADD,L 5000.: 0 201 - 400 amp..: 0 201 - 400 amp. K Int W/O SVC/FDR: 0 SIGN/OUT I_IN LT: 0 PER HOAR......: 0 1.1MIIED ENERGY.: A 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANFL...: 0 IN PL.ANT......: 0 MANE HM/SVC/FDR: 1 601 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: 0 ----__ ---------------------------- PLAN REVIEW SECTION ---------------------------------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC- ------------------——----------------------- CC:---------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ----------------------------------------------------- A. SF RESIDENTIAL----------------------------- B. COMMERCIAL----------------------------------------------------------------------------- AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO b STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGI.QR ALARM..: 0TH: :: BOTIER.........; HVAC...........: LANDSCAPE/1RR1G: PROTECTIVE SIGNAL: GARAGE OPENER..: CLOCK,..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAr...........: DATA/TELE COMM. : NURSE CALLS....: TOTAL 4 SYSTEMS: 0 Owner: -- -- - _____- --------__-__ ---Contractor: ___._.._.__---_-----------____-- TOTAL FEESA 328.91 BRETT WEINEL_ SCHAFFER NORTHWEST This permit is subject to the regulations contained in the 9900 SN NORTH DAKOTA i4 JOHN SCHAFFER Tigard Municipal Code, State of Ore. Speciclty Codes and all 11GARD OR 97223 10495 SE 86TH AVL other applicable laws. All work will he done in accordancp PORTLAND OR 97266 with approved plans. This permit will expire if work is Phonp 11: Phone (1: 788-0710 not started within 180 days of issuance, or if the work ,5 Reg N..: 100601 suspended for more than 180 days. ATTENTION: Oregon law -------------------------------------------------- requires you to follow rules adopted by the Oregon Utilit; Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OK by calling (503)246-1967. -------------------------------------------------------- REQUIRED INSPECTIONS ------- ---- - -- --- - -- - Grading inspecti MFG Home Electri MFG Home Set-',In Footing Insp MFG Hnme Set-up Foundation Insp Rain drain Insp MFG Home Footing Hater Line Insp MFG Home Plumbin Appr/5dwlk Insp Issi.ied By: /:71 < Permittee Signati.ire : �4 +++++++4.-1-+++++++-*4-df-+ •++♦ +f++f+++++++++++++++++•f+++++#++f+++++++++++++++1 1 4 Cell 63` --4175 by 6:00 , m. for an inspection needed the next business day CITY OF TIGARD DEVELOPMENT SERVICES SEWER CONNECTION 13125 SW Nall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT PERMIT #. . . . . . . : SWR97-03'66 LATE ISSUED: 09/25/97 PARCEL: 1 S 1:35AA--00900 SITE ADDRESS. . . :08950 SW LOCUST ST SUBDIVISION. . . . :TOWN OF METZGER ZONING: R-4. 5 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :004 JURISDICTION: TIG TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CLASS OF WORK.. . . :NEW DWELT_I'NG UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: i INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf Remarks : Install mani.ifacti.tred home. SDC credits for BUP97-0372 demo permit. Owner: ------------------- -------- ----- --- --------- -__ _ FEES -- ..._ ....-----._._._._..._. BRETT WEINEL type amol.tnt by date recpt 9900 SW NORTH DAKOTA #4 INSP $ 35. 00 JSD 09/25/97 '37-299550 TIGARD OR '3722-1 EROS $ 64. 00 JSD 09/25/97 97-299550 ERPU f 20. 80 JSD 09/25/97 97-299550 Phone #: 624 979E' ERPC f :0. 80 JSD 09/25/97 97-299550 Cant ract or: SCHAFFER NORTHWEST JOHN SCHAF'FER 10495 BE 86TH AVE PORTLAND OR 97266 Phone #: 788-0710 f 140. 60 TOTAL Reg #. . : 100601. REQUIRED INSPECTIONS - This Applicant agrees to comply with all the rules and regulations Sewer Inspection _ o1 the Unified Sewage Agency. The permit expires 180 days from the date issued, The total amount paid will be forfeited if the _ permit expires. The Agency does not guarantee the acc:iracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase - a "Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAA - 952-01-0010 through OAA You may obtain copies of _ these rules or direct questiogrlo [NK by calling (503)246-1987. - c [ -,­,lied by,-. F'ermittee Signeti_ire• • �� _.__ ++++++++++++++++++++++•+++++++++++++++-++++++++++++++++++++++++++++++++++++++++++•+ Call 639-41.75 by 6:00 p. m. for an inspection needed the next bi_isiness day ++++++++++.++.+++++++++++++++.+++++++++++++++4-++++++++++++++t++ F+++++++++++ Manufactured Dwelling Permit Application �/,,_, s •nl�� City of Tigard l 13125 SW Hall Blvd 1 Tigard, OR 97223 (50,s) 639-4171 �' Q Jobsite Address: �� •�l) l L ta' Subdivision: i_ Lot# Office Use Only Valuation: — Planck/Rec #— Z– 13/<Corner Lot? Y C� -� --- Permit # e C', f / (N /� Reissue of Flag Lot? Y l__n/ c -{ c; Map & TL # l 5 Owner: _ {i �kIJIVAe – M Approvals Required Address: �{�LZ��-' . ' �+�r•.1�'\��..jL� � – Planning — Engineering 11' ��rr� Other Installer: ��n.YlC:te.T7`CfY` ld �, �� —L PL,- . Items Re ug, fired Address: � �. ._ � Subcontractors Ph ane: -7 I�� Truss Details p ^- Other ��� / � -G-3--7 L Contractor's License # l ��1,6 C 7 1 ��DGC� MDI License # 11�► l _LC� _._ (attach copies of current Oregon licenses) Subcontractors: Mfg. Dwelling Dealer: y ,LQn 7 PIumbiiig: -- � � c �_. Address: ,��U����� 1( x:1(2 Lr Mechanical: (attach copy of currant OR Contractor's License) l Phone: JOB DESCRIPTIONk V Applic , I nature & Phone nujer O Received by: i Date Received. r H\LOGIN\IERRFFMF,Arp Permit Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: J. Plumb: v Mech: V Plan Check (PLANCK) Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) ? ' Parks Dev Charge (PKSDC) �� �c) r ` 'c, t " Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) _ Office TIF (TIF-0) ±, Water Quality (WQUAL)/ Vi Water Quantity (WQUANT),,, Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck!USA (ERPLAN) Erosion l nck;COT (EROSN) PIP V °G C 6C to) TOTALS: CITY OF TIGARD DEVELOPMENT SERVICES F1.ITLDING PERMIT 13125 SWHall Blvd., Tlgerd,OR 97223 (503)639.4171 PERMIT #. . . . . . , , HUpSj7-0..7, DATE ISSUED: 08/01/97 PARCEL: 10133W-00900 -009OO r r1DDRESS. . . : 089'0 SW LOCUST CT : TOWN Or METZGER ZGNINO. R- 4. 5 ')r'►'. , . • . . . . . . LOT. , . . . . . :4 71.rRISDIr~TIO11.!:T1G ')!;!JE:: rl._QCR AREAS -- -- EXTERIOR WALL caONSTRIJr_,TTr]I�I r)SS OF WORK. :DE'M rJRST. . . . . 0 sf N: S: E: W: PE 7r" UGL'. . . .Sr- GF-J'0ND. . . : 0 s f PROTECT OPENING,"' 'PE OF CON T. :5N 0 sf N: S: E: W: CUPnNCY r"yRr-'. : R.3 TOTAL- _ . . _. ; 0 ;f ROOF' r:ONST: FIRE RET? : "UPANrY !._OAD: 0 BASEMENT. : 0 s f AREA SEP. RATED: ']R. ; 0 HT: 0 ft; GARAGE— z 2 s f OCCU SEP. RATED: MT? ; ME77. ? : REOD SETBACKS--------.._.-.-- OOR L..OAD. . . . . 0 p s f I.ErT: 0 ft RGHT: 0 f t- r I R SPKL..: GMOK DET. . : CL.L 'ING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: IRM^: 0 SAT1 1'): 0 is mr ^IJRrAc:E: 0 PRO CORK: PARK I NO: 0 _UE. $ -. 0 marks i Demolish house. Must have all utilities capped, FEES LINE ZE-HNTSAUE=R R• JA[_AN ZE:HNTBAUER type 0mc,,.t11t by dat.er-ecpt_.... ar 54•I rm rRwny DR PRMT $ ?5. 00 J51) 08/01 177 77 _A_?7Ali I RT1_AND OR 97212-5 5f L7T $ 1 . 25 JSD 08/01/97 97-297844. ER09 $ 2G-- 00 JT)D 08,101/97 '37-,:!")71-1/14 .ine #: ERPC 0 8. 45 JSD 08/01/97 '37v�_9784.4 r"RPr $ 8. 43 JGD 01 /01/r9 7 97 "REN OBRIST EXCAVA'riNG 170 Sr FORSTER RD r rLAN1) OR GG I -''?WE" 59. 15 TOTAL. '' •rl �1. . . OOOOc''1. REG! Rr'D INFiPF:CTIONS __.___....._ ii permit is issued subject to the regulations contained in the "igard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with ipproved pans, This permit will expire if work is not started ithin 180 days o` ±ssuance, or if work is suspended for more ,an 180 days. ATTENTION: Oregon law requires you to follow the ufe adopted by the Oregon LItility Notification Center. Those ales are set forth in OAR 95c-Oft-0010 through OAR 952-00101987, -i many obtain a copy of these -ules or direct questions to rAW. -a"•i ng 15031 c"46-1987. .__._____._.._.__.____..._..____... __....__._.__.____....._._.________.. mittee Giyrnhti.tu, � A 4 -T--1-++++++++++++++ 1 , -1-4-+4+++++4++-1 +-I.4.4-.+4.4-.} �_-1� 4-++++-1•++++-1-+++++41 4++4 (7,111 6739 417"J by G.*00 p. m. rut' An insPec:tion needed the next; business d.ay 4 4-++++++++++-1•++..1.++++++++1++++ l++++ I +++++ F 1+ I- 1-++++++++ h+r++}+ +++ f•I i+•} F t 1 Plan Check rte____ CT TIGARD Residential Building Permit Application Recd By S SW HALL BLVD. New Construction Additions or Alterations Oat*Recd / ? .,,ARD. OR 97223 Single Family Detached or Attached (Duplex) Date to P E. "03-639-4171 Date to DST ,73-684-7297 Pemtrt 'i' '°' 3•a Print or Type Calied _ _ Incomplete or illegible applications will not be accepted Name of Protect Name Jab Address Site Address W. Architect Mailing Address --- City/State Zip Phone Name . / l-&-ri ze hn• ice) Name Owner Madrng Addreee Fal• C C r •� crtyrSt • Zip honer Engm@er Marling Address !,r 1 12 Vic, - _-- Name city/state Mp Phone !general ,! !fir�r ��f!.5 C Describe work New O Addition O Alteration O Repair O .ontractor Marling Adeiresa to be r one: /'i L I:L __j,E /_ OJ Additional Destnpbon of Work: CY/St to ! 1 �t r/ � r 74 J�/ % Oregon Const Cont Board Lic t Exp. ate _ ttach Copy of =l ) I C- It Current COT Business Tax or Metro Exp. Dote PROJECT '1' � VALUATION Name !Aechanical 1 NEW CONSTRUCTION ONLY: Sub- Mad ng Address -- Sq. Ft. House: Sq. Ft. Garage Contractor C.tyrState Zip Phone Comer Lot YES NO Flag Lot YES NO (check one) (check c-ie) Oregon Const.Cont.Board Lic r Exp. Date Restricted Audio/Stereo Burglar 'tar:h Copy of Energy _ System Alarm :,,rront COT Business Tax or Metro o Exp. Date Installation Garage Door HVAC _�cernea t1pener Systems Name (check all that Other: rltimbing app ) Sub- Marling Address V - Will the electrical subcontractor wire for all YES NO ontractor restricted energy installations? cityistate Zip —' Phorx► Has the Subdivision Plat recorded? N/A YES NO Cregon Const. Cont. Board L,c.oI Exp. Date Reissue of MSTX: Solar Compliance attach Copy of __ (Calculation Attached) _ Current P!umomg L,c = Exp. Cate I heatby acknowledge that!have read this application, that the Ucenzes - information given is correct, that I am the owner or authonzed COT Business Tax or Macro x Exp Dete agent of the owner• and that plans submitted are in compliance - -- -- — -- with Oregon State laws. Name Signature of Owner/Agent. path electrical _ _ Sitb- Marling Address CcintactPirgon Name Phone# ontractor 1 'i t �:P M C,ty/State Zip Phone— FOR OFFICE USE ONLY: Plat* Map/TLAk Oregon Canst Cont Board Lic.r Exp Data — n Copy of Setbacks:� I Zone: Solar. :urrent E!ecwcat Lc.4 Exp. Date tenses COT Business Tax c•Metro# ExpDate _ Engineenng Approval- I Planning pproval: TIF: . ACL DOC iDST) i/97 0,jA `� Permit 0 AceL Deseritpion COT WA(;O Amount Amt. Pd. Bal. Due . MST Permit (BUILD) (UBU" Plumb. Permit (PLUMB) (UPLUMB) Mech. Permit (MECH) (UMECFI) ELC/ELR Permit (ELPRMT) (UELPMT) State Tax (TAX) (UTAX) BLDG: PLUMB: MECH: ELC/ELR: Plan Check MST: (BUPPLN) (UBUPLN) Plumb: (PLUMB) (UPLUMB) — Mech: - (MECPLN) (UMEPLN) CDC Review(BUILD) (CDCBLD) (UCDC) _ CDC Review(PLN) (CDCPLN) N/A Sewer Connon (SWUSA) (USWUSA) Reimbur. District ( ) ( ) Sewer Inspection (SWINSP) (USWINS) Partes Dev Charge (PKSDC) N/A Residential TIF (TIF-R) (UTIF-R) Mass Transit TIF (-r1F-M ) (UTIF-M) Water duality (WQUAL) (UWQUAL) Water quantity (WQUANT) (UWOANT) Erasion Control Prmt (ERPRMT) (UERPM-t) r — { , Erosion Planck/USA (ERPLN) (UERPLN) Erosion Planck/COT (EROSN) (UEROSN) Eire lite Safety (FLS) (UFLS) j TOTALS: I SFREMOL-OOC (OST) 6197 -----, las A k v yO Ft Ido us c V +0 U cJ,.)i✓ op 0 TIGARD Approved....CITY....... OF.......... .. .. ........ . Conc;ition311y Approved..... ..... . „( For only the wor as d in- PERMIT See Letter to. ollow....... ... ...... ...... ._ �-6SJobAddress: -- .- Loi-�.t-� `►; Ft Se ♦�a.c !"� OR-�c 9C,C,