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Case File ,,, r -'11"1 1 i I I 1 • ......o SITE PLAN GENERAL NOTES: • V I 1. PROVIDE A MINIMUM 4' DEEP GRAVEL BASE FOR ALL SIDEWALK AND PATIO AREAS. 2. PIPE ALL. STORM DRAINAGE FROM THE BUILDING „�r�� N TO A DISPOSAL POINT APPROVED BY THE " "��a — 2 E3UILDING DEPARTMENT. r 3 -'ROVIDE AND MAINTAIN POSITIVE DRAINAGE AWAY FROM BUILDING ON ALL SIDES. EL. 9S.oey '-igt L.Li ,. X 4. H BOUNDARY AND TOPOGRAPHY — — — ` _ _ N Q,' egi INFORMATION HAS BEEN PROVIDED TO �� --- ,��_`� EL. 105.00' I`-- o POLLARD HoSMAR DESIGNERS, INC. BY THE 3 S,zN I TAI�'1' CONTRACTOR, OWNER, OR ENGINEERING G GT i ----_____E\ _ CONSULTANT. POLLARD t HOSMAFt LX` — STORMfill .4:::› DESIGNERS, INC. WILL. NOT BE HELD LIABLE FOR _ �� THE ACCURACY OF THIS INFOFe IATION. IT IS 'Q L� THE SOLE RESPONSIBILI i OF THE id- CONTRACTOR TO VERIFY ALL. SITE CONDITIONS cJ"S'-I I" t • N 20'-o° \ Z CD INCLUDING ANY FILL PLACED ON THE SITE. THE Y lt �¢ CONTRACTOR MUST INFORM THIS OFFICE OF ` 4110. O ANY POT' NTIAL FIELD MODIFICATIONS NOT \ �^ CD SPECIFIED ON THE PLANS. U ----1 4. NON-STABILIZED FILL MUST NOT EXCEED 2:1 eal ) =6 _. rn SLOPE EXISTING cV }� \ 1 — S 1 NC `v 6. EXCAVATION MATERIAL REMAINING ON SITE IS 411= CD cn -1 RE DE E (I) TO BE CONTAINED BY AN APPRCVED SEDIMENT F.F.E. = 99,50' BARRIER. THE CONTRACTOR MUST VERIFY 9 I W O LOCATION WITH APPROPRIATE BUILDING OFFICIAL. ( Q Cg. 1. PROTECT STOCK PILES FROM OCTOBER let Q THRU APRIL 30th PER THE EROSION CONTROL 7 EXISTING GARAGE I Ilmmilm.,-"'� c HANDBOOK. 7 DRIVEGRAVFWAYFF.E. =99 (y).00' tU-1 • F S. NO CUTTING OR FILLING SHALL TAKE PLACE O WITHIN THE DRIPLINE OF AN EXISTING TREE CV UNLESS AN EXCEPTION IS APPROVED I'SY THE (� /AREA HEAT PUMP .-- LOCATED C) BUILDING DEPARTMENT. L�.r< j PROPOSED I "‹ w 2_ . ADDITION/ 69I-0't O (.6 — - ,/////////i - EX iGT1, N o I WATER LINE _, --si.--- _ _El) EL. 98.00' EL. 98.00' Allik. L.L. cri IIIIIII4 T""- 0 ilk SITE P L 4NI/16' 1 11-01 3 1033S.W. BONANZA 1.11.4Y TIGARD: OREGON 91224 PREPARED FOR ' F499183 OWN AND5ECKY HUDP ,,,,v+ ss. ,, i,n,VrAMz ,. i9Z �. ir umr®xi44,WA.er ,t T., ; . , t,*7rldtiikAki V#ahw7.74*s..i � .. i A .s*e, 1,5r ,.; z . wm6:1P^rth: tiu., r,� ,..,......,., ,..-_. n :rr� . �_ ts�lv''i�s � _-. . . '�',, . - .. ,_. . lhlU titikoStptiv4umooMk�k!u±":af+cF.its !oesspokiftt+ Stwn.,„jAy' NOTICE: IF THE PRINT OR TYPE ON ANY TI 11 r III III III III III III III III III IpIIT M 991111- III I lTTI1 Tri I NTH wilt I ill l 11 IIII 11 I _t i i I 1 1 r1. f h 11..r- r1 r i I r Ill rl-r r 1.T ii' ITTI- I r 11 111T1-11-1 1 II 1 1 1 1 1 1 1 1 1 1 I IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 2 3L 4 ____ ___ 5 6 7 9 10 11 12 L, oc� 66 _____ IT IS DUE TO THE QUALITY OF THE _ _ _ _ _ No.36 it — ORIGINAL DOCUMENT E 6Z SZ LZ 9Z 9 Z i� Z CZ Z TZ OZ 61 I 81 LI 91 91 PI CI Z1 II U 1 6 8 L 99 —^E Z 131al3w r11111111111111111111111111111111111111111.1.11111111[ II11 .111iffilllllil IR 11111.11111111111IIII1111 (111IIII11111111 .111111111111,1111111111II1111IIIIII11 11111111 1 11 I � _ II �► ►1111III IIIII'IiLI 11 111111 I 1lLl l I l l l f l l l l� �lil..1..11.1J. �1 1J . 11 1.1 _ 1 1 1�_lL. I I I I 41 I 1 la• 6X r `WY ..1.51ribilEtWJA•lia•Wala4 • r-• 0 10336 SW BONANZA WY sheer' CITY OF TIGARD CERTIFICATE OF COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (5030;9(4071 PERMIT 0 s MST93-0 639-4171 DATE ISSUED: 01/06/94 PARCEL: 2S114BC-03600 SITE ADDRESS. . . s 10336 SW BONANZA WY SUBDIVISION. . . . RIVERVIEW ESTATES NO. 2 ZONING:R-7 PD BLOCK LOT 073 CLASS OF WORK. :NEW TYPE OF USF. . . :SF OCCUPANCY GRP. R3 OCCUPANCY LOAD:226 4 TrNANT NAME. . . : Hemarkss PATH I Owners L H L CONSTRUCTION 7110 SW FIR LOOP S 160 TIGARD OR 97223 Phone 0: Contractors LHL CONSTRUCTION INC 7110 SW FIR LOOP ;10ARD OR 97223 Phone its 624-7714 #. . : 53769 occupancy of the above referenced building it hereby given, and certifies tv,e compliance with the State Of Oregon Specialty Codes for the group, oLrupancy, and use under which the referenced permit was issued. /1. 40/ FIRE DEPARTMENT BU LtQ INS17 : OP 1/ ae2v/11 ., 1,1,4 BUIL ING 0 :' 1g -IAL ----- POST IN CONSPICUOUS PLACE IMPACTION NOTICE City of Tigard Building Departarsat 13125 SW Ball Blvd. Tigard, Oregor. 9722 Inspection Line (Roc-O-Phone: 639-4175 Business Phone: 639 Inspection:____ Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Oas Line FINAL: Post/Beam Struct. San. Sewer Framing Bld -- Post/Beam Mech. Rain Drain Insulation ,I' f _ -Plumy Plbg. Underfloor Water Liinne� Oyp. Bd. _K� 1 h. ." Date Requested: l -'G t _// Time: kM PK Address: )L73 L,o ,/). -_ infirm-11;13 .3 fr Builder: 1--N1.• 111- ) 7/L; THE FOLLOWING CORR$Pzclfd ARE REQUIREDs "`' » ✓ i ,, TrA XS 40 6 11117 AhdrAjtfAr Nap Apr • API - • . - - - Inspector: <L-- -- Date:/_ (L, PROVED DI3APPROVEC APPROVED SUBJECT TO ABOVE —Call For Rainey. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 AUG 0 4 2000 IMPORTANT PERMIT NOTICE L Y; BUCKAROO ELECTRIC 16780 S UNION MILLS RD MULINO, OR 97042 Electrical Signature Form Permit #: MST2000-00210 Date Issued: 7/14/00 Parcel: 2S114BC-03600 Site Address: 10336 SW BONANZA WY Subdivision: RIVERVIEW ESTATES NO. 2 Block: Lc'• 073 Jurisdiction: TIG Zoning: R-7 Remarks: adding approx 381 sq ft Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: HURD, JOHN E III + REBECCA P BUCKAROO ELECTRIC 10336 SW BONANZA WAY 16780 S UNION MILLS RD i IGARD, OR 97224 MULINO, OR 97042 Phone #: Phone #: 829-5207 Req it: s IP 3954s LIC 89524 ELE 34-361c AN INK SIGNATURE IS REQUIRED ON THIS FORM X , t ��. 441/• Signa',ure of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD MASTER PERMIT • PERMIT#: MST2000-00210 44, DEVELOPMENT SERVICES DATE ISSUED: 7/14/00 =I 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 SITE ADDRESS: 10336 SW BONANZA WY PARCEL: 2S114BC-03600 SUBDIVISION: RIVERVIEW ESTATES NO. 2 ZONING: R-7 BLOCK: LOT:073 JURISDICTION: TIG REMARKS: adding approx 381 sq ft BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 23 FIRST: 173 of BASEMENT: if LEFT: 9 SMOKE DETEC i SRS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 208 sl GARAGE: of FRONT: 20 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: if RIGHT: 12 VALUE: $40.000 00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 391 00 II REAR: 89 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN c 100K: BOIL'CMP c 3HP: VENT FANS: CLOTHES DRYER: GAS FURN>•100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 4 WOODSrOVES: GAS OUTLETS: ELECTRICAL REti3OENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 • 200 amp: 0 • 200 amp: 1''SVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 • 400 amp: 201 •400 amp: let N10 SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 • 800 amp: EA.,DDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC/FDR: 801 • 1000 amp: 801•ampe•1000v: MINOR LABEL: 1000+amp/volt: PLAN REVIEW SECTION Reconnect only: >•4 RES UNITS: SVCIFDR>•225 A.: >800 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOM/PAGING: OUT[OOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANOSCAPEIIRRIG: PROTECTIVE SIGNL: GARA.JE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: IIvAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: TOTAL FEES: $ 864.81 Owner: Contractor: This permit is subject to the regulations contained in the HL'RD,JOHN E III +REBECCA P DJL CONSTRUCTION Tigard Municipal Code,State of OR. Specialty Codes and 10336 SW BONANZA WAY 14345 SW SPANIEL CT all other applicable laws. All work will be done in TIGARD,OR 97224 ` _ BEAVERTON,OR 97008 accordance with approved plans. This permit will expire if `�tV work is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION Phone: e Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Ree17: LIC 110875 forth in OAFt 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)248-1987. q'j-144q REQUIRED INSPECTIONS Eroslon,8418444 - Underfloor Insulation Framing Insp Mechanical Final Footing lnsp Footing/Foundation Dr; Shear Wall Insp Building Final Foundation Insp Mechanical Insp Insulation lnsp Post/Beam Structural Electrical Service Rain drain lnsp Post/BeamMdeQhanical Electrical Rough In Electrical Final IssueBy : L Permittee Signature : f ' I/(i(u,„t Call (503) -4175 by 7:00 p.m.for an inspection needed the next.pdsiness day CITY OF TIGARD Residential Building Permit Application Plan Ch - . . 13125 SW HALL BLVD. Additions or Alterations Recd B A TIGARD, OR 97223 Single FamilyDetached or Attached (Duplex) Date Recd &- 4 -6,0 g � p �_ Date to P.E.G-ZG-�'� V 503-639-4171 Date to DST6-.2100 F 503-684-7297 ( 1' ) Permit#M cf a0W aU.2lO Print or Type Called. Z VV/ -'//,-/o garz- Incomplete or illegible applications will not be accepted �9 , „Ire., fy4. 4it- ti ,1 Name of Project .. ll Name Job ‘-‘0,12-.9 WI O4 pa -0 ' wMy2-- AddressArchitect Mailing Address • Site Address • 4(Iv civ.) �IL.Loa, SLLtTE ti O 07 ` M� U►.E • Q.) 1.16009- City/State Zi1t Phone Name • T((xft►R-p+ oR 911.2.3 01'1-g15-/ o -�—- Name Owner Mailing Address 103SuJt u hNA W A pay LA¢o • NoSwtk a- '?� Engineer Mailing Address City/State Zi Phone g ao c� CI 631-14i31 City/State,,1 k� - 5%),) Lcz�P ‘Su ►tTEZia % t City/State Zip Phone • General Name -ncncOr 11 g1213 6Zq-9t5/ Contractor UL CoNc-rtZuU10N il-NC . �escribe work New O Additidn' Atteratlonn Repair 0 Mailing Address • to be done: Prior to permit Ii.ALA ,C SiO• 5asia,Cr• Additional Description of Work: A-DPits6t Z gAikcIcer fps vu issuance,a copy City/State Zip Phone 'W H give Or'aMilli t-kokstI 381 5W1' mit,ITlea of all licenses tC:AUV jot,. . OR 9 40O� c?/.-isle, are required if Oregon Const.1Cont.Board Exp.Date PROJECT expired in COT Lic.# I1 O , I-110""0"L VALUATION $ database '`Mechanical Name NEW CONSTRUCT 000 ON ONLY: Sub- OiAi i) Ceiq i( 149i1TN61 Sq. Ft. House: Sq. Ft.Garage Contractor Mailing Addreas Indicate the restricted energy installation by the electrical Prior to permit Pc(31)c 110 eAii`C/tJ U,--- issuance,a copy City/State te.Zip Phone subcontractor in the following areas of all licenses taut, 9O7Z ,,,3.455-011-/ Restricted Audio/Stereo are required if Oregon Const.Cont.Board Exp. Date Energy System . Alarms expired in COT Lic# Installations Vacuum Irrigation database �D41i.6l9 v/ 0/-6ZL. J System System Plumbing Name ., t (check all that Other: Sub- ."r F3 D v o if - apply) Mailing Address ' o Corner Lot YES NO FlagLot YES NO Contractor �� . ° ` f>' �/ r�i ' -- r (check one) (check one) ��' f'' Has the Subdivision Plat recorded? N/A YES NO Prior to permit City/State Zit Phone Issuance,a copy of all licenses are Oregon Cons'.Cont.Board Exp.Date required If Lic.# expired in COTI hearby acknowledge that I have read this application,that the correct, amthe owner or au database Plumbing Lia# Ex,t to - information given ithat I thorized agent � of the owner,and that plans a submitted are in compliance with Oregon State tws. Name .. *Signature of Owher/Agen(� /Cate Electrical �A UuatX -)�1'11 _ 6-2 1- Sub- Mailing AddressN(Cpf4act Perm Name Phone# Contractor �,(p'�Qj) $ 011,01) µU.(.5 VA?,? I`o t}�.I leu P D lv 91 3Z�o City/State Zip Phone . Prior to permit At u0 0it Q v`� 6,5,� A.4,fAy issuance,a copy 1 r l V'r ►r{ W 1 FOR OFFICE USE ONLY: of all licenses are Oregon Const Cont.Board Exp. Date required it Lic.# �1 Plat#: Map/T1.1: in COT tet5lrt '3-2Z-01 4.,5 I RISC-�2-':- . database Electrical Lic.# Exp. Date Setbacks: Zo Solar LElectrical Supervisor Lic.# Exp.Oatg dot . Engineering Approval: Planning Approval: TIF: I ''(�, I\dsts\forms\sfaddalt doc 11120/9f I Date Rec'd: CITY OF TIGARD Rec'd By: .__ SINGLE FAMILY ATTACHED OR DETACHED (New, Addition) Plan Check #: _ • APPLICATION/PLANS SUBMITTAL REQUIREMENTS Applicants: Please complete 1. APPLICANT NAME: 'fib 41-1J VAuf--D PHONE #: 6,4 - 3-/&() pt i-1 SITE ADDRESS: 033(c Sc--) pcNM.l� vsPt( ,11yR�` FAX # 3eV 1. 5 SITE PLANS (Fully dimensional, drawn to scale) labeled with: ❑ map & tax lot #, 0 subdivision name, 0 subdivision lot #, D site address, ❑ zoning, 0 applicant name, 0 phone number. Size requirement: 8-1/2" x 11" to a maximum 11" x 17" and NOT attached to building plans. A. North Arrow. B. Scale (any standard, architectural engineering only). C. Street Names. D. All building plans shall reflect actual building dimensions. E. Finished floor elevations (all levels, actual topographical). F. Garage finished floor elevation (actual topographical). G. Corner lot elevations (actual topographical). H. Driveway corner elevations. I. Zoning setbacks (front, side and rear). J. The location ofall public and private easements. K. The location, termination, and all invert elevations of all drainage piping (sanitary and storm) showing all elevations necessary to show positive gravity flow to the approved drainage device (i.e.: peepholes, storm lateral, sanitary lateral). L. Residential driveways, sidewalks and wheelchair ramps will be shown on site plans and will be in accordance with the CITY OF TIGARD standards. Drive-way cuts shall not be permitted within 30 feet of intersecting right-of-way lines nor within 5 feet of property lines. Weep holes/drain pipes will be installed 5 feet from adjoining property lines. Multiple driveways on individual parcels of land must have 30' of separation; joint use driveways require a formal agreement. M. Show all erosion control devices proposed for site; refer to UNIFIED SEWERAGE AGENCY (USA) Technical Guidance Handbook (Revised 1994), or telephone USA at 648-8621 for assistance. N. Show location of existing facilities and new or relocated structures (mailboxes, power poles, water meter, light pole, stop sign, etc...). O. Indicate property slope directions. P. Existing and finished contours when slope in any direction exceeds 20%. (ADDITIONAL REQUIREMENTS MAY APPLY, SEE GRADING POLICY). 1:ldstsVorms\sfreq doc 4/20/99 • • J _ r,„�,.,„.,.,,...n....uo.aYYadr "mlo n :.. ,.r, �.,r.+. rwrrn�w/rrmiissWowwlnarwbumtalia rrrwriwuufi:i.. SEE 35MM • ROLL# 22 FOR LARGE DOCUMENT 1 K .111 CITY OF TIGARD BUILDING INSPECTION DIVISION MST '20G - / 0 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested1-? Z- AM PM BLD Location / 633 - 7 Suite MEC Contact Person Ph S 72 -171-5-1? PLM Contractor Ph SWR UILDI -}— Tenant/Owner ELC Retaining Wall ELR Footing Access: _ Foundation FPS Ftg Drain - - Crawl Drain Insprction Notes SGN Slab Post --- ------------- — -- - SIT &Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: /•ASS PART FAIL - • ' BING Post&Bearn 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 ( J Please call for reinspection RE. I J Unable to Inspect-no access ADA Approach/Sidewalk Date Ins ector Other P Ext _ Final PASS PART FAIT_ i DO NOT REMOVE this inspection record from the job site. i'. CITY OF TIGARD BUILDING INSPECTION DIVISION MST a 'u-GUO'Z/U 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested F 2- _AM PM BLDLocation /(J 3.3 .Sw t - �w �'� _ Suite MEC Contact Person _ - Ph 5-77 -( /9 PLM Contractor Ph SWR BUILDING , Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundat'on / FPS Ftg Drain / r r L SGN --- Crawl Drain Inspection Notes: -Slab ---- SIT Post&Beam Ext Sheath/Shear Int Sheath/ShearFraming Insulation - -�- --- ---------------- - Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -_-- ------------____-- Roof Misc: - -- --- ----- 411111 Final PASS PART FAIL - - = PLUMBING '��---' ------ --- ----- Post&Beam Under -- - Under Slab TopOut -- --- ------------------------------_ Water Service Sanitary Sewer - - Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam Rough Rough In Gas I.ine ----- - -- Smoke Dampers Final - ---- - -- --FAIL CTRIC ervt - Rough In - ------..... _---- -UG/SlabLow Voltage Voltage Fir larm - PART FAIL ITE Backfill/Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call r inspection RE: Fire Supply Line [ ] forip ( ]Unable to inspect no access ADAAG} Other proach/Sidewalk Date 1 - Inspector_J �� _� Ext Final _ PASS PART FAIL - 0 NO4 REMOVE this inspection record from the job site. 1 a e o. O \• a 0 V 1;143 O a; v 1 0 O ° h ry O 4 ..z. pr C4 Q$'4 - t. ,1 t iii P 3 V 0.1 NI'S • u h •,v 3 — set ; iLU Ii CI • .....2,4 1.' . --ei :4. 1 :L2 [iia �u 4- 9� � CITY OF TIGARD 1--lERM I 1 tt• . COMMUNITY DEVELOPMENT DEPARTMENT DATE 1 SSUED: 08/ i!4/ 7" 1.3125 SW Hall Bivd.Tigard,Oregon 9722368199 (503)839-4171 1. LA • !: 0 3 W EON N R VERVIEW LSI 1:41 ;.? P- j nrs 1.1)f. . . . . •-:.,.,.. 1;, . ULLL,£NE UN If 6 013E hit:IN 1 0 .40 NE:W BEDR1S:4 8$41H6:3 EOLIR REi•1S • • - i4,EUUIRLD 1;206 5f LEFT. GELOND I406 s f 1 . eV, t t f — REQU I RED- H. _ , 1. 1 s 1 bIThJ4L DE*1 Uf11:„ AJR — pt VkLUE. • $ 1,3 1966 Pf-1 lit<1 NG EiPMLLEtz, . : 1 H L tfl 6 1 N N' 1.00 f L.,11f1 1' „ , „ 141 SPUN-LOW flf,61v),, WPTEN HEO1ERS. . . : 1 If . p ,. 1Jf1/SHOWEE LOONURv GPICH SEW04 LIN UREPI:iE EH10,44"51-1E . „ WER I f'1E 1' 1 I „ „ RAIN — _ ;N 1 N DR1,1 I Nb.. . : OH.. yr-L.:; - -- urci y anicaun t. h oats / VENIS tO TlF $ 1520. 00 JH 08/04/9„..: .144/ NPU 1 : BTU VEN r Nh. 41 $ :":5/2/34 001 WI1216/o4 •'URN I 001-c . . HE11.)06 41 b $ 3 A 4I EH 0 7/08/9 3 9 3 - 4 ' URN .1.11.11111.; . „ WL100',0fUVLE :0 $ „IP 69/la 4 QQ HN. t CLCI DRYERS : I SSOL $ 08/ /9 ! :2,1-1P10 0-1 1,IFF UN). 1 pwb-: $ oil,'fo4/v) Gos Mo RI $ /4.5. 01/1 JH 08/01+19, $ 1 41.'5 L CUNSi RUC 1 UN 01:51-1..; 4 .5H ø3/ 4/ kiSi4 PPP ! S it:L. 50 JH OH/04/9 PiPC $ 8. 13 ,111 kilt),e / „ 111--kfild OR '17, • rq - LUNI. 0 L3W f„,o11. ')7 ,• t -$.?4- i . 11 $ 3 4, ?3 r (iL. pert:: h 6S1A0 tope: t the rto1 ccntaintO In hp REG/Li I RED I NEPEC T UNS ltut:cica; tilde, State of Ore, Specialty Cedes anoL1 o1ner Foot/found 'nap Fir epic e Insp a:4f A°41 w14 Oil.1. bt Code i' accordance *lit:, approved Pcst/Beast Struct Gas Eine llisp ptratt will 1mpi,e • Post/Seam Mac Insul at; IonIrtsi nf' 1,..5,arce, if cork s: . 7 • — Utab Telp Out ftroutri n Insp pr Sch.. Morthaticat h- LnaA CITY OF TIGARD COMMpNITY DEVELOPMENT DEPARTMENT 1.3125 SW Hall Blvd.Tigard,Oregon 972230199 (503)6394171 / L. ^` ,- /� �36 GW al WY • 4 UN. IVERuTEW ES7ILO"ENU. .1.1 "T rn LU'. . . . . . . . - . . . . :013 XTURE. bWELLlN6 UNi . . `/^ ��. . ' , NU. uF ��LDlNG8� ^ : SiF. /OCL. ntract, nr: --^---^- -- — -- ------------ te tit w 0.1/.1 lU1A| /ieg #. . � ------- 01..1 i'4;1.1 Im*'LLiuN� ',hi 1. Clpp,i agrees ly *sitn al the Lk and Piat Iwm ewer ]napection toe f led Sewage Agency. The wilt *wp)ms I80 day e fru tho date memi^ irhm emo,.1trt pa td "mU be forfpted zr tnp p,'*# oxpn^ps, The 4genry Ws not guarantee the acmac/ r" ti.1 mme itwor \mmnuim, if the sewer Is not located at the *easm'ucz i,v,v, tnv Installer shill'. prospect fret /r a1. mrmtim^s froc the »lstwnoegiven. �If n/twA mw toutw*^ �o the mtai`*r s+e^� po��av l arid `/ �/çiLai 1H for inspec{ ` mn • . ^ . � A/ Cli?jj; »usswii,unwa. PLNCK/RECT 7`/a k __ CITY OF TIGARD PERMIT 0 11'131 3- 0 .3`5 COMMUNITY DEVELOPMENT DEPARTMENT Tb2rd.Orcgon9772) (503)639-4171 DATE ISSUED l JOB ADDRESS: / 0 33cv 6CYL-0-'YL )jez J TAX MAP/LOT oVS I iCIge, RV0'7.3 11 LOT: '7 (P1)) SUB: ��i.�cu2�\c�J �s� S 11 3 7 LAND USE: C,--- - VALUATION: 137, r1GG. OWNER SPECIAL NOTES NAME: /.41.. 6vts: 2Ur7-166) REISSUE OF: _ ADDRESS: 7//d S OJ fj_K LC) J / C' LAST REISSUE: _ rta ✓J 9 _ FLOOD PLAIN/ PHONE: -_ SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED 5(i/3(?..6 -'OU 1 l/ NAME: 54 tor oc c5uI.A/5‹ PLANNING: 5erdfke515,0 1471 di( ADDRESS: ENGINEERING: FIRE DEPT: PHONE: OTHER: 7//:- CONTR. BOARD 0( 5 376e 1 EXP DATE: JG -21 9 y ____..----- ITEMS REQUIRED SUBCONTRACTORS: PLUMB: , t'fil /,/(1n1i51;Al< LIST/SUBCONTRACTORS: M �- C2 v t//( 44 7Z11l? - L y6 '3 BUS TAX: ---- • ARCH/ENGINEER / CALCULATIONS: NAME: I .5e-OVO e / 1`,cern'c?74'1, . — TRUSS DETAILS: ADDRESS: OTHER: PHONE: 22-c 9_/e- / PROPOSED BLDG. USE: __ ._ __— -- - COMMENTS: i Cr.;t4� — — LI ( 0 Z ) APP ICANT SIGNATU E _ /g/c,_.; Received By: _ 9. _ Date Received: PERMIT # ACCT II DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE frit,tyj_,LoJ 10-432. 00 Building Permit Fees 7.2b1,u� ,� u 10-431 00 Plumbing Permit Fees 51' �• SU 10-431 01 Mechanical Permit Fees / yj," 10-230 01 State Building Tax (5%) 3G•71" Building el(r•,tit) Plumbing 813 Mechanical a L )�✓ 10-433 00 Plans Check Fee ��c(.�s ZS`D V, Building 30411 Plumbing Mechanical lr,Z j/ 10-230 06 Fire 54,A3-o3' 30-202 00 Sewer Connection 2-2-" 30-444 30-444 00 Sewer Inspection 3J , 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees Nit) l yl u 25-448-05 Mass Transit TIF Fees //0 /id 52-449 00 Parks System Dev Charge (PDC) - .56.0 Sao 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) / a..4-y 4.437) 24-445-01 Water Quality (Fee in lieu of) _ 24 -445-02 Water Quantity (Fee in lieu of) .2� _ �1 TOTAL. � v 5 l f.13 nm/3587P.WP1 V CiWOF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd Tigard,Oregon 97223.8199 (503)839-4171 PLUMBING PERMIT PERMIT # • PLM94--0135 639-4171 DATE ISSUED: 07/12/94 PARCEL: 2S114BC--03600 SI TL ADDRESS. . . : 10:3: 6 SW BONANZA WAY SUBDIVISION • RIVERVIEW ESTATES NO. 2 ZONING: R-7 PD BLOCK LOT •073 CLASS OF WORK. . :ALT GARBAGE DISPOSALS. . : MOBILE HOME SPACES. : TYPE OF USE •SF WASHING MACH • BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRP. . :R3 FLOOR DRAINS • TRAPS STORIES WATER HEATERS • CATCH BASINS • FIXTURES------------- LAUNDRY TRAYS •• SF RAIN DRAINS • SINKS URINALS GREASE TRAPS • LAVATORIES : OTHER FIXTURES • TUB/SHOWERS SEWER LINE (ft) • WATER CLOSETS. . : WATER LINE (ft ) • DISHWASHERS. . . . : RAIN DRAIN (ft ) • Remarks : BACK FLOW DEVICE Owner: —_.__._-._.---_. . _.__.__-__._.-.......-..___.--.-- .._._ ._ FEES JOHN HURD _. typeamo�u• t by date recpt 10336 SW BONANZA WAY PRMT $ 15. 00 SW 07/12/94 _. SPCT $ 0. 75 SW 07/12/94 — TIGARD OR 97224 Phone #: L L'n t ract or: --- .____. _. ---•-___—_. LANDSCAPE SERVICES CO 14311 SE WEBSTER RD MILWAUKIE OR 97267 __.__-•. Phone #: $ 15. 75 TOTAL Reg #. . : 5732 REQUIRED INSPECTIONS -...-..- -. - This perait is issued subject to the regulations contained in the RP/Backflow Prey _ Tigard Municipal Code, State of Ore. Specialty Codes and all other Final .n s p e c t i o n applicable laws. All work will be done in accordance with approved plans. This perait will expire if work is not started �`— within 180 days of issuance, or if work is suspended for lore than 181 days. I 'e,imittee Signature :/ ( !` e',,,(:- Issued By : '4W Cali t---,r- inspection - 639-4175 I City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hall Blvd. Permit # Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE Nam of Nos4oPoioof New Single Family Residences Only " os• , 0 1 BATH HOUSE$140.00 0 2 BATH HOUSE$195.00 Job - ,''''i O7 ' v?.'•I Wet( 0 3 BATH HOUSE$225.00 Address comm. Bp - Fee includes all plumbing fixtures in the dwelling and the first 100 feet - / „- .4,, . (.), J•,7 3 y of water service, sanitary sewer and storm sewer. See fees below. Name(a norm orWilma) /- FIXTURES QTY PRICE AMT /--/'V•E' 6 Sink 9.00 Mane Mims awe Lavatory 9.00 Owner .-'ti.l, C Tub or Tub/Shower Comb. 9.00 Waal* Do Sho•..er Only 9.00 Water Closet 9.00 Nom.Co'nom.N wow) Dishwasher 9.00 /t-) 1 I t; Garbage Disposal 9.00 Occupant ,,,i,,„9„mow m,o„ -" Washing Machine - 9.00 Floor Drain 9.00 Cey's•I• Z' Water Heater 9.00 ,.--_, Laundry Room Tray 9.00 Nom c Urinal 9.00 L tklv r.)S C 1-1-1C: J Vitt) c r. ., - _Other Fixtures (Specify) -� 9.00 won'a Mee- 9.00 Contractor 11 Z i'r' S.(- . G&41L-17-6-)z , 9.00 caryrlMle Bp 9.00 !TJ/ % c,0 '/-v/c t c- Oy,:- ,::-->7 <•,.-' Sewer 1st 100' 30.00 oma MIIIIMINDI Ni. City fkr. T..No Sewer-ea. Addit. 100' - 25.00 n r 3•2_ Water Service 1st 100' 30.00 I hr'eby acknowledge that I 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 3wner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100 30.00 I an registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00 ----_, number given is correct. (I exempt from State registration, please .------- give reason below.) Mobile Home Space 25.00 ` „, `i� _i":1,,___ . Back Flow Prevention ^` ' /,.'' 7r.-tDevice or Anti-Pollution Device 9 00 'pen.too(owner"`'a"') Dote Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new O addition 0 alteration 0 repair 0 Catch Basin 9.00 - to be done residential 0 non-residential 0 ~Insp. of Exist. Plumbing 40.00/hr , Specially Requested Inspections 40 00/hr Existing use of 1/ ' i building or property /[ '• l'ili P_. Rain Drain, single family dwelling __� 30.00 Residential backflow prevention -/ devices 15.00 Proposed use of ' building or property /' �r C'�'�j a '(Except residential backflow prevention devices) NOTICE 'Minimum Fee $25.00 SUBTOTAL --- -- -+ PEPMITS BECCME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NUT 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 IS COMMENCED. PLAN REVIEW 25% OF SUBTOTAL TOTAL Special Conditions Date issued by DEPARTMENT OF LAND USE&TRANSPORTATION Al!% WASHINGTONLAND DEVELOPMENT SERVICES DI 155 NORTH FIRST,HILLSBORO,ORVISION 97 24 COUNTY, INSPECTION ONE: 503REQ UE tSTS: 503/ 840.3561/693-4415 OREGON Page : 1 of 1 Date : 09/20/93 Time : 15 : 54 Permit Type : Residential Electrical Permit Permit # : 05044867 Permit Status : APPROVED Applied : 09/20/93 I Situs Address 1 10336 SW BONANZA WA TI Issued : 09/20/93 i Permit Title : SFR - NEW HOUSE Completed : Permit Descr . To Expire : 03/19/94 Project Title : SFR - NEW HOUSE Project # : P0034684 Project Descr . : * EROSION * : i Parcel Number : 2S1TI - Land Use District : Valuation : 0 Legal Descr . • Construction OTH Owner : INSPECTION - TIGARD Applicant Name : BUCKAROO ELECTRIC Classification : 900 y Applicant Addr . : 16780 S UNION MILLS RD Occupancy f MULINO OR 97042 Validated by : EB Applicant Phone: 829-1i768 Inspector Area : CONTRACTOR : BUCKAROO ELECTRIC Lic , C 34-361C 829-6768 Fee description Units Fee/Unit Ext fee Data Square Footage ( Enter Sq. Ft . ) 3000 210 . 00 Subtotal Electrical Fees : 0 210 , 00 State Surcharge of 5`k 0 10 , 50 Total Electrical Fees : 11 220 , 50 *** Fees Required *** ** * Fees Collected & Credits *** Receipt No, Date Payment 09/20/93 220 . 50 TOTAL THIS DATE ********* 220 , 50 Fees : 220 . 50 . 00 Adjustments : . 00 Total Credits : Total Fees : 220 , 50 Total Payments : 220 , 50 Balance Due: . 00 NOTICE' This permit becomes null and void If the work or construction for which It is issued Is not commenced within 180 days. Once construction has started, the permit becomes null and void If construction Is Interrupted fora period of 180 days. I certify that the Information presented by the applicant and his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of the structure or building permitted depends upo I my calling for Inspections at various times during the process of construction and the building inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the Bulla',iy Jepertment is solely at the risk of the applicant and such use or occupancy Is revocable until all inspection requirements are satisfied and approval is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which thepermit is Issued specifying that the use or occupancy of the building or structure is provisional and revocable until the sails ction of all inspection requirements a AP CANT'S SIONA URE ,�`— rWASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use & Transportation / 55Electrical Inspection Section APPLICATION 155 North First Avenue, #350-12 Hillsboro, Oregon 97124 Information: 503 6404470 Fax: 503 693-4412 Project/Permit PLEASE PRINT ' ,--/ ` Please complete all sections, 1 through 5. Number _ 1 �� f �. Date / 1. Location of Installation 4. Complete Fee Schedule below Address ii61 j 3 6 S Pit) )r]✓?UY)Zi l cJc t l� Number of Inspections per permit allowed Building // Service included: Items Cost(ea.) Sum City •f ' 19 a r LI Suite No. Tenant Name A. Residential- per unit (If commercial) i 10M sq.ft.or less P $110.00 — 1/0, a r 4 Each additional 500 sq.ft . Tax Lot Map No. or portion thereof l` $25.00 - Limited Energy $25.00 - 1 Thomas Map Book: Page: Section: Each Manufd Home or Modular Directions_ -- Dwelling Service or Feeder $68.00 7 B. Services or Feeders Commercial I ] Residential[j Installation,alterations or relocation 200 amps or less $60.00 2 201 amps to 400 amps $80.00 2 2a. Contractor installation only: 401 amps to 600 amps $120.00 —__—— 2 Electrical Contractor '/l . i 4% / 601 amps to 1000 amps $180.00 — 2 Address I(/ 7 y 0 az)i c?1 1 1 r /S ' 14 li e() OvRecor nnect onlps s or volts $ 40 .00 2 40.00 2 Date 7- `-0- X23 Job Number Property Owner C. Temporary Services or Feeders Contractors License No. 3 V- Contractorrs Board Reg. No. S 2- y Installation,alteration or relocation 200 amps or less $50.00 2 7 a / // 201 amps to 400 amps $75.00 — 2 Signature of Su r. Elec'n t� / $L` y� /`�� 401 amps to 600 amps $100.00 2 License No. ..5 5 c ()___ Phone No. 7 -- G) cQ Over 600 amps to 1000 volts see'B'above 2b. For owner installations: D. Branch Circuits New,alteration or extension per panel Print Owner's Name Phone No. a) The fee for branch circuits with purchase of service or feeder fes. Address _ — Each branch circuit $5.00 _ 2 b) The fee for branch circuits without City State _.- p purchase of service or feeder fes. First branch circuit $35.00 2 The installation is being made on property I own Each add'nl branch circuit__ $5.00 2 which is not intended for sale, lease or rent. E. Miscellaneous (Service or Feeder not included) Each pump or irrigation circle $40.00 2 Owner's Signature _____— Each sign or outline lighting $40.00 2 Signal circuit(s)or a limited 3. Plan Review section (if required) energy panel,alteration Please check appropriate item and enter fee In section 51. or extension $40.00 2 1 & 2 family dwellings over 320 amps s/c meter F. Each additional inspection over the allowable - - in any of the above 4 or more residential units in one structure Per inspection $35.00 Service over 225 amps; feeder 400 amps or more Per hour __ $55 00 [-__11= System over 600 volts nominal In Plant $55.00 Building over 3 stories in height Building over 10,000 sq. ft. 5. Fees �� ' Occupant load over 99 persons A. Enter total of above fees $Manufactured Structures Park or Recreational 5% Surcharge (.05 X total fees) $ /1'. .` "Vehicle Park; new, addition or alteration Subtotal $ Classified area or structure containing special B. Enter 250 of line A for occupancy as described in N.E.C. Chapter 5 Plan Review if required (Section 3) $Subtotal mit 2 sets of plans with application where any of the Less Btllk Label Fee $ ve apply. Not required for temporary constructionBalance Due .$ CCices. Z For Inspections call This permit becomes null rand void 11 the work authorized by the permit is not commenced 640-3561 or 693-4415 within 1/10 days from date o1 issuance of such permit or H the work authorized is suspended or abandoned et any Iles after work Is oornmenced for a period of ISO days. 24 hour recorder,one working day in advance of need Electrical Permits are non-refundable end noretranaterable 5/93 1 DEPARTMENT OF LAND USE&TRANS?ORTATION 40fti WASHINGTON LAND DEVELOPMENT SERVICES DIVISION � 11.EOUNTY� 155 NORTH FIRST,HILLSBORO,OR 97124 INSPECTION REQUESTS: 503/640-3561/693-4415 PHONE: 503/648-8761 ' OREGON i Page . i of 1 Date : 10/01/93 Time : 16 : 31 Permit Type : Residential Electrical Permit Permit # : 050454130 Permit Status : APPROVED Applied : 10/k1/93 Situs Address : 10336 SW BONANZA WA TI Issued : 10/01/93 Permit Title : SFR - LIMITED ENERGY ALL Completed : Permit Descr, : To Expire : 03/30/94 Project Title : SFR - NEW HOUSE Project # : P0034684 Project Descr , : * EROSION * Parcel Number : 2SITI - Land Use District : Valuation . 0 Legal Descr . : Owner : INSPECTION - TIGARD Construction : OTH Applicant Name : MASTERTECH SECURITY Classification : 900 Applicant Addr, : 355 BROADWAY Occupancy • ESTACADA OR 97023 Validated by : EB i Applicant Phone: 2.33-1168 Inspector Area : CONTRACTOR : MASTERTECH INC . Lic , C 3-277C 630-2565 Fee description Units Fee/Unit Ext fee Data Limited Entegy/Alter ,/Extension 1 40 , 00 40 , 00 Subtotal Electrical Fees : 0 40 , 00 State Surcharge of 5'3+ 02 , 00 Total Electrical Fees : 0 42 , 00 *** Fees Required * ** ** * Fees Collected & Credits *** Receipt No. Date Payment 10/01/93 42 , 00 TOTAL THIS DATE ********* 42 . 00 Fees : 42 . 00 Adjustments : . 00 Total Credits : • 00 Total Fees : 42 , 00 Total Payments : 42 , 00 Balance Due : . 00 NOTICE: This permit becomes null and void if the work or construction for which itis issued is not commenced within 180 days. Once construction has started, the permit becomes null and void if construction Is interrupted fora period of 180 days. I certify that the information presented by the applicant and his agent or agents in support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance upon false and misleading information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and US. of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. I a: cnowiedge that the granting of a permit does not grant authority to access private property or to use easements. I Furth knowledge that the use or occupancy of the structure or building permitted depends upon my calling for inspections at various times during th •• • ess of construction and the building Inspection staff verifying compliance with the various codes. Use or occupancy of the building or st permitted prior to approval by the Building Department is solely at the risk of the applicant and such use or occupancy Is revocable unt spvction requirements are satisfied and approval is given by the Building Official. I further acknowledge that a lien may be placed on the Me• property upon which the permit Is Issued specifying that the use or occupancy of the building or structure is provisional and revocable until 1 sfaction of ail inspection requirements. 0111♦ AP UCANT'S, ONATURE ANWASHINGTON COUNTY �f (l rt/'RESTRICTED Department of Land Use & Transportation R EST R I CTE Q Electrical Inspection Section 155 North First Avenue, 4350.12 ELECTRICAL ENERGY Hillsboro, Oregon 97124 APPLICATION Information: (503)t640-34700Fax: (503)693-4412 PLEASE PRINT ') Please complete all sections, 1 through 5. 71,9 [/ Project No._ Permit No.,� ' 1. Location of Installat/on Label No._ r-6,, Date Ir . 1• r Address i C�_. -- t L)r',iaN2 A Issued By r2 Office City \ ``l ,- _ Zip Code ---- 4. Type of work: Tax Map Map No. RESIDENTIAL Rest.icted Energy Cee $40,00 Thomas Map Book: Page Section (for all systems) __�— Directions Check type of work involved: r Audio and Stereo Systems* Commercial L...I Residential Burglar Alarm Tenant Name �'`� Telephone Systeme" (if commercial) Garage Door Opener' This permit becomes null and void if the work authorized by the Fire Alarm permit Is not commenced within 180 days from date of Issuance of such permit or H the work authorized is suspended or abandoned Heating,Ventilation and Air Conditioning Systems* at any time after work is commenced fora period of 180 days. Vacuum Systems" Electrical Permits are non-refundable and non-transferable. _I. Other__ _ 2. Contractor applicati n: , Electrical Contractor VRS�C application: c -uza1102_ COMMERCIAL Fee for each system S40.00 (see OAR 918-260-280) Address5, 1 R4 \-- q Date IU- l-9.3 Job Numb r Check type of work involved: Property Owner L !V.L Contractor's License No. __.3 a,-,-,T L, Boiler Controls Contractors Board Reg. No. SAcASp__- Clock Systems Phone No._.cI3�• Wat, Dat..Telecommunications Installations Fire Alarm Installation 3. Owner application: HVAC Instrumentation Print Owner's Name Phone No Intercom and Paging System Landscape Irrigation Control" Address — — Medical Nurse Calls 747 State Zip Outdoor Landscape Lighting" This permit Is Issued under OAR 918-320-370. The applicant agrees Protective Signaling to make only restricted energy installations(109 volt amps or less) Other under this permit and to do the following: -- — — 1. Only use electrical licensed persons to do Installations where required. (Certain residential and other transactions are exempt Number of Systems from licerssini. These have asterisks('). All others need licens- ing.) 2. Call for an inspection when all the Installations under this permit -Nr I4'erises ere roqu,red Licenses ere required for all other installations. are ready for inspection. 3. Purchase separate permits for all installations that are not ready 5. Fees for Inspection when the inspector is out to Inspect under this permit. Enter fees $ LW ( - e k' 4. Assume responsibility for assuming that all corrections required by the inspector are done,and 5. Assume responsibility for calling for a final Inspection when all of 5% Surcharge (.05 X total above) $ , r`> the corrections are completed. / / i The person signing this permit must he the applicant ora person Total $ �1 . �� authorized to bind the applicant. signature —__ —_—` Space below reserved for validation. Authority If other than applicant For inspections call 640-3561 or 693-4415 T -hour recorder, one work'ng day In advance of need ---- r- 11/92 DEPARTMENT OF LAND USE & TRANSPORTATION 411 WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY+ PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 t► ar;O448t. Project it P00 :44684 5t:atu. '1 nrE• F••� :x/2"/93 Issued r)9/20/0? Exp.ir( 04/ / P.?i•m t. i. 1..i •. :;1"R - NEW HOUSE :� 1. Ad:9ras 1U336 SW BONANZA WA T1 i w,:• c N�mc• INSPECTION Tri;P.J[. Ap;: i i cant Name? B TCKAROC ELF:i=T1n' (7:7—` 7 Y) I ri r C e c :ali1 • elivf T C/' Par_ d' f [ F.