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Permit - - ^ . CITY OF TIGARD ^ COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd. Tigard, Oregon 9722 3.8199 (503) 639-4171 MASTER PERMIT PERMIT #.......: MST95-0128 639-4171 DATE ISSUED: 03/27/95 . PARCEL: 2S112CB-14500 SITE ADDRESS...: 14967 SW KENTON DR 6umi-1VIGION....: ZONING: R-7 BLOCK..........: LOT.............: ------- ----- BUILDING REISSUE: ~��^DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf 0 � CLASS OF WORK.:NEt BEDRMS:0 BATHS:G GARA8E..........:0 sf TYPE OF USE...:SF FLOOR AREAS ---- REQUIRED SETBACKS_--------- TYPE OF COMST.:5N FIRST....:158 sf LEFT..:5 ft RIGHT.:0 ft OCCUPANCY GRP.:R3 SECONU...:0 sf FRONT.:0 ft REAR..:25 ft STORIES.......:1 FINBSMENT:0 sf REQUIRED -- HEIGHT........:12 ft TOTAL------:158 sf SMOKE DETECTORS.:Y FLOOR LOAD....:40 psf VALUE.....$: 10216 PARKING SPACES..:0 Remarks: ADDING A 10.5 X15 FT ADDITION ON REAR OF HOUSE PATH I ---- --------------------- PLUMBING ------ — --------- BlNKS. . . . . . . . . . :0 FLOOR DRAINS. . . . :69 BACKFLOW PREVNTRB. . :N LAVA7OR1ES. . . . . :0 WATER HE ATERS.. . :N TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :0 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS..:0 SEWER LINE (ft).:0 GREASE TRAPG.......:0 DlSHWASHERS....:@ WATER LINE (ft).:0 OTHER FIXTURES.....:0 GARBAGE DISP...:0 RAIN DRAIN (ft).:0 WASHING MACH...:N SF RAIN DRAINS..:0 --- — MECHANICAL --- — --------- FEES — -- FUEL TYPES----------- UNIT HTRS..:0 type amount by date recpt / / / / VENTS .....:0 BPRT $ 86.50 B 03/27/95 — MAX INPUT:0 BTU VENT FANS..:0 BPLC $ 56.23 BON 03/16/95 95-262980 FURN < 100K ..:0 HOODS......:0 B5PC $ 4.33 B 03/27/95 — FuHN >=100K ..:G WOODSTOVES.:0 FLOUR FURN. . .. :0 CLO DRYERS. : 0 8OIL/CMP < 3HP:0 OTHER UNITS7,0 GAS OUTLETS:0 Owner: --- � CRAIG CHRITENSON 14967 SW KENTON DR Ti6ARD OR 97223 Phone #: 691-0177 Contractor: -------- — JAY MILLER PO BOX 230459 TIGARD OR 97281 Phone #: 684-7543 Reg #..: 30109 ----- $ 147.06 TOTAL This peroit is issued bject to the regulations contained in the REQUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp , Gyp Board Insp applicable laws. All work will be done in ac nrdanco with approved Foundation Insp Rain drain Insp ` � plans. This pernit will expire if 1 80 Post/Beam Struct Mechanical Final days of issuance, or if worn is / ms ° 0,0,..4 ' da`s. 0 c+ Aeam Mechan Building Final / Crawl Drain Erosion Control � Permittee Signature: ___ ^Mechanical Insp / Framing Insp � Issued By: �. ' _ : Insulation Insp ____ __ ' ' Call for inspection — 639-4175 y r i b ` J P • Residential Building Permit Application , City of Tigard " � 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639 -4171 Jobsite Address: /A/967 S(e� �A✓la^v �� �S Lot iOff Y ..:: .:.:. : : :. . : . :::. . :. . ivi ion: o S ubd s S A 0 Q . .. , :::: , .... - , / .: ::..... , : ., : :::: : ::: . : ,. : : : .. �`Confa � < % > <�Ini ial s �'� ':`��'`:.��:: ii t Valuation: I r ` . - ' �< � ... . :....... ..... ........ :..:..:. • NeConstruction:, Only, :( F.00ta9e >:;: < ;::.. ;:.: >;s:::::<::'::: < .:::::....::... 5 1 ` � J . ... 1 a , >: :.> .::;::; ; . Rei ss ue of;;: :: ; .:.: :.: > ` ...• ::;:;;::.;:;::;:` isi;: <t ';: i; �:;.::;i o;;: ;; i.;::•. .; %; -: :::.;;::; <; :;i. : >.Y;i ' ?? `: 14S2,i ': ;:i :: ::ib z'. <..E ;3;�i: £`" :£;s; ii ::;':.:' ::7i'i ' ap & :^ ... :.. s.. 4 % i 0::.i: , 5 _ ": ?± ::.;. Map Tl_, # .:� f �.2�.. : ..:::J, y.5'.i�... Flag Lot? Y Lot? N t. Corner Lot Y 9 4 "a 1 a, �,✓ Appro a s. Required .,:<.:;...:.: :.::::. : ..:..:::::.::::.. :. :::; : ;: �/ Owner: (,Gc: r a Address: / q c l0 7 /G. m r G �— O /'�. Othe ' : :Iteirs>R uir e d ><> 3 Phone: ..:....... ���' �� "Su6co t t ractor: r": ont N : � ���' �� �� :5' i ?ji >: >: > �i : :o:i' S: ! N N Address: 3 ©f -iAti �23 Notes> ' » > ? :-::: >S<:' >! ; ::F .;`;< ` ;a ?`.s> »> ? . h n . D z s Poe 3 c 3 License # 0 Z Contractor's License cow on license) of current Ore Contact Name: l/C 5 ■/ .;' / [41 G / - ((attach �j Contact Phone: ( ,S ) 2 S ¥99 3 Subcontractors: Architect/Engineer: Plumbing: et.,- Address: Mechanical: i"i A-- (attach copy of current OR Contractor's License) Phone: ( ) JOB DE Rl TION: !S / D / ! o ft" D N �4 .4 Y /4 ce� 6zu �c�.4 ( 6 8 ) 2.re-! -- e/ o 4 ■ •p .i t Signature Applicant Phone number Received by: Date Received: H:Uogin \Cststresapp Permit # Account Description Amount Amt. Pd. Bal. Due r " /27)/15 Bldg. Permit (BUILD) $ 5 ` Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) c e 33 4, 33 Bldg: 4 .1( 3) Plumb: Mech: Plan Check (PLANCK) S 4 2-.1 62 33 Bldg: S a 2,3 Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF -R) Mass Transit TIF (TIF -MT) Commercial TIF (TIF -C) industrial TIF (TIF-1) Institutional TIF (TIF -IS) Office TIF (TIF -O) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: /Y706 62,5 fyl__,3 WASHINGTON DEPARTMENT OF LAND USE & TRANSPORTATION 11 i/YASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, INSPECTION REQUESTS: 503 /640- 3561/693 -4415 OREGON XXXXXXXXX - -> 640 -3470 Page : 1 of 1 Date : 04/10/95 Time : 11:15 Permit Type : Residential Electrical Permit Permit # : 05066164 Permit Status : APPROVED Applied : 04/10/95 Situs Address : 14967 SW KENTON DR Tl Issued : 04/10/95 Permit Title : SFR - 1 CIRCUIT Completed : Permit Descr. : PLAYROOM To Expire : 10/07/95 Project Title : SFR - 1 CIRCUIT Project # : P0049015 Project Descr. : PLAYROOM * EROSION Parcel Number : 251'1'1 - Land Use District : Valuation 0 Legal Descr. Owner : INSPECTION - TIGARD Construction : OTH Applicant Name : CHRISTENSON, KATHERINE Classification : 900 Applicant Addr.: 14967 SW KENTON DR Occupancy. : R3 TIGARD OR 97224 Validated by : MJF Applicant Phone: 639 -9700 Inspector Area : Fee description Units Fee /Unit Ext fee Data 1st branch W /out Feeder [Enter #] 1 35.00 35.00 Subtotal Electrical Fees: 35.00 State Surcharge of 5% 1.75 . • Total Electrical Fees: 36.75 * ** Fees Required. * ** * ** Fees Collected & Credits * ** Method Check # Receipt No. Date Payment UK 2384 04/10/95 36.75 TOTAL THIS DATE * * * * * * * ** 36.75 Fees: 36.75 Adjustments: .00 Total Credits: .00 Total Fees: 36.75 Total Payments: 36.75 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 for a period of 180 days. I certify that the information presented by the applicant and his agent or agents in support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance upon false and misleading information may invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use of this building or structure will be complied with whether or not specified on the plans or noted on, the plans correction sheets. I acknowledge that the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for inspections at various 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 prio • app • Building Department is solely at the risk of the applicant and such use or occupancy is revocable until all inspection re. . firemen • re - atisfie• : d approval is given by the Building Official. I further acknowledge that a lien may be placed.on the title of he prope u , on whit the p-- mit is iss specifying that the use or occupancy of the building or structure is provisional and revocable until the tisfac • of :11 inspe ion r . • PPU ANT'S SI t NATUR��f Oft WASHINGTON COUNTY Department of Land Use & Transportation ELECTRICAL PERMIT f. N Electrical Inspection Section 155 APPLICATION 155 North First Avenue, #350 -12 Hillsboro, Oregon 97124 Information: (503) 640 -3470 Fax: (503) 693 -4412 q Permit — Gj tO /43 4 Date — 0 " /5 PLEASE PRINT • Number Please complete all sections, 1 `through . 5 . 4. Complete Fee Schedule below 1. Location of installation Number of inspections per permit allowed Address Iyq 67 ! cld Keti Pr' Service included: Items Cost(ea.) Sum ____— Building A. Residential - per unit City f il�, Suite No. 1000 sq. ft. or less $110.00 4 Tenant Name Each additional 500 sq. ft (if commercial) N f or portion thereof $25.00 Limited Energy $25.00 1 Map No. Tax Lot Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 Thomas Map Book: Page: Section: Directions B. Services or Feeders Installation, alterations or relocation 200 amps or less $60.00 2 Commercial I Residentia 201 amps to 400 amps $80.00 2 401 amps to 600 amps $120.00 2 Over amps to amps amps $180.00 2 2a. Contractor installation only: Over 1000 amps or volts $340.00 2 Electrical Contractor Reconnect only $50.00 2 Address City State ZIP C. Temporary Services or Feeders Date Job Number Installation, alteration or relocation Property Owner 200 amps or less $50.00 2 Contractor's License No. 201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 2 Contractor's Board Reg. No. Over 600 amps to 1000 volts see "B' above Signature of Supr. Elec'n D. Branch Circuits License No. Phone No. New, alteration or extension per panel a) The fee for branch circuits with 2b.. For own r installations: &39 -9700 purchase of service or feeder fee. C � G� N/� / V1 f5 / 6 � Each branch circuit b ) The fee for branch circuits without 2 ��`� I Print Gl+fvner's Name Phone No. $5.00 of service or /eede, fee. 197 SW k nn i� First branch circuit , $35.00 2 Addres 0 n g 7, , !,` t ) Each add'nl branch circuit $5.00 2 ity tate ip E. Miscellaneous (Service or Feeder not included) Each pump or irrigation circle $40.00 2 The installation is bei r g mad: on p ! • erty\I own Each sign or outline lighting $40.00 2 which is not in'te • ° a. • -al lea -e :r Signal circuit(s) or a limited 1 / -i energy panel, alteration Owner's Signatu ` _ � � or extension $40.00 2 F. Each additional inspection over the allowable in any of the above 3. Plan Review section (if required) Per inspection $35.00 Per hour $55.00 Please check appropriate Item and enter fee In section 5B. In Plant $55.00 • 4 or more residential units in one structure . Service and feeder, 800 amps or more 5. Fees System over 600 volts nominal A. Enter total of above fees $ Classified area or structure containing special 5% Surcharge (.05 X total fees) $ occupancy as described in N.E.C. Chapter 5 Subtotal $ B. Enter 25% of line A for Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ above apply. Not required for temporary construction Subtotal $ services. ❑ Trust Account $ Balance Due $ 86,'75 For inspections call This permit becomes null and void if the work authorized by the h permit is authorized is minced 640 -3561 or 693 -4415 within 180 days from date of issuance of such permit or if the work authorized is suspended or abandoned at any time after work is commenced for a period of 180 days. 24 -hour recorder one working day in advance of need Electrical Permits are non - refundable and non- transferable. 8/94 w DEPARTMENT OF LAND USE & TRANSPORTATION 41 a • WASHINGTON . LAND DEVELOPMENT SERVICES DIVISION 155, NORTH FIRST, HILLSBORO, OR 97124 COUNTY, INSPECTION REQUESTS: 503 /640- 3561/693 -4415 OREGON Permit *: 05066164 Project 4: P0049015 Status : APPROVED Parse 1 of 1 Applied : 04/10/95 Issued : 04/10/95 Expires : 10/07/95 04/12/95 05:01 RESELEC Permit Title F1 - 1 CIRCUIT OTh Description PLAYROOM Bergun:04 /10/95 Job Address 14967 SW KENTON DR TI Owner Name INSPECTION - TIGARI) Region 0 Applicant Name : CHRISTENSON, KATHERINE Phone number 639 -9700 Valuation: 0 Approved_)(___ Inspector Comments: Rejected IVR- RESULTS REQUEST ERROR! • • Plumbing _.. _. • .. �.... _ Mechanical: Electrical: • Structrua.l : • General • Inspected by: 7 ' r NOTICE: This permit becomes null and void I the work or construction for which it is issued is not, commenced within 180 days. Once co struction has started, I n spec t therpern$Y 1).ecorine _nhiIIiaO'd:void if construction is interrupted for a period of 180 days. I certify that the information presented by the applicant and his agent or agents in support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance upon false and misleading information may invalidate this permit. All pprovisions of applicable laws and ordinances governing the construction and use C over of his bdilding.br.'%teucture will be complied with whether or not3e'pe`hitied o,Ethe plans or noted on the plans correctionAli ets. I ackn\N,ledge that VIZ 0 4 / t g of a p doe�vfnVotfgrant authority to:access private property or to use easements. I further acknowledge that the rite or occupancy of -r the structure or building permitted depends upon 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 Building Department is solely at the risk of the applicant and such use or occupancy is revocable until all inspection requirements are satisfied and approval is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit is issued specifying that the use or occupancy of the building or structure is provisional and revocable until the satisfaction of all inspection requirements. APPUCANT'S SIGNATURE CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639 -4175 Business Phone: 639 -4171 �} Inspection: c Footing Susp. Ceiling Sprink. Rough -in Al • Foundation Plbg. Underslab Mech. Rough -in Fireplace Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation -Mech. 0� Underflr. Insul. Shear Wall Gyp. Bd. - ElectI \ Gam- - Date Requested: 5/ /.S Time: AM PM Address: / 6; 7 = 2-QA- 9 - 20 0 Permit #: ( THE FOLLOWING CORRECTIONS ARE REQUIRED: • • Inspector: Date: �! )$ PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE 1 _= einsp. •