Permit -CI lY OF T MA R PERMIT •MST96 -0205
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/c3/96
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: `S 103DA -06100
SITE_ ADDRESS...: 13450 SW WATKINS AVE
SUBDIVISION • FANTASY HILL ZONING: R -3.5
BLOCK • LOT •16
Remarks: ADDING ON TO HOUSE PATH I
— BUILDING ---------- - - - - -- —
I REISSUE: STORIES • 1 FLOOR AREAS - - - - -- BASEMENT...: 0 sf REQUIRED SETBACKS - - -- REQUIRED------- -
, CLASS OF WORK.:ADD HEIGHT • 13 FIRST • 480 sf GARAGE • 360 sf LEFT : 13 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 0 sf FRONT • 40- PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 5
OCCUPANCY GRP.:R3 BDRM: 0 BATH:_0 TOTAL - - - - -: 480 sf VALUE..$: 37193 REAR • 75
-- - -- PLU l: ING -------------- - - - - -- —
SINKS • 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0
LAVATORIES' • 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB /SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
- - - -- — ------- - - - - -- MECHANICAL ----- - - - - --
FUEL TYPES FURN (100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 0 CLOTHES DRYERS: 0
/GAS/ / / FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 1 W00DSTOVES • 0 GAS OUTLETS...: 0
------------ - - - - -- --- ---- - - - - -- ELECTRICAL --
- - RESIDENTIAL UNIT --- — SERVICE /FEEDER -- -- - -TEMP SRVC /FEEDERS -- --- BRANCH CIRCUITS - -- - -- MISCELLANEOUS - - -- - -ADD'L INSPECTIONS -
1'A@ SF OR LESS: 1 0 - 200 asp..: 0 0 - 200 asp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 ' PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 400 asp..: 0 201 - 400 asp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: @ PER HOUR : 0
LIMITED ENERGY.: 0 401 - 600 asp..: 0 401 - 6'YYY asp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - 1m asp.: 0 601 +a®ps -1000 v: 0 MINOR LABEL -10: 0
1'x1+ agp /volt.: 0 -------- ---- -- -- PLAN REVIEW SECTION - - - --- —
Reconnect only.: 0 ) =4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC:
- -- - - - - -= -------------- - - - - -- ELECTRICAL - RESTRICTED ENERGY --------------------------
A. SF RESIDENTIAL -- B. COMMERCIAL---------------------------
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: ..
HVAC DATA /TELE COMM.: NURSE CALLS • TOTAL i# SYSTEMS: 0
Owner: - - - - - -- Contractor: ---- - - - - -- TOTAL FEES:$ 547.70
DAN PAPEN GRAND SPORT CONSTRUCTION
13450 SW WATKINS 21030 S MOSSY ROCK CT
TIGARD OR 97223 OREGON CITY OR 97045
Phone 4: Phone 4: 657 -2226
Reg 4..: 110433 '
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This pergit will expire if work is not started within 180
days of issuance, or if work is suspended for gore than 180 days.
- ---------------------------------- ---- - --- -- REQUIRED INSPECTIONS --------------------------------------
Footing Insp Mechanical Insp Shear Wall Insp Mechanical Final
Foundation Insp Electrical Servi Insulation Insp' Building Final
Post /Bean Struct 41eetticaL-Servi -. Gyp Board Insp Erosion Control
Post /Bea® Mechan Electrical Rough Rain drain Insp
Crawl Drain Framing Insp � lectrical
Permittee Signature: Issued B k.11 �. � 44"400g
Call for inspection — 639 -417
; r
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
Jobsite Address: n S LU Li t T 1 i " 5
Subdivision: PA /a , 7 Lot #
Office Use Only
Contac
Valuation: 37 /72
o ® Result t Date / / Initials
New Construction Only: (Square Footage) Planck/Rec # c 7 tYK
House: �� Garage: 3 3 U Permit # M5/ d l3 2 . S
Reissue of
Corner Lot? Y � % Flag Lot? Y Map & # n �� � ��jP! (,'00
Zone I�
Owner: IJI) Ij cb C i ��' l� f PL ii• Plat # -G.V li�hvt t 4
Approvals Required
Address: l 39' s C" 3L) . s
Planning Setbacks OL Solar
1— I ul 6 of L Engineering
Other
Phone: (S'Ye3 ) ��. 3 c � .° -&l
Contractor: s pe Items Required
. , �tHrV� � � 1
Address: c i ®�l'� , (11 cSS�/ /� o�C.✓l i Subcontractors
Truss Details
£Ct. \ �i� 0'Z 9 )041 Other
Notes
Phone: (CO') )
Contractor's License # 1/ Oj 3
(attach copy of current Oregon license)
Contact Name: R .1.1 -
Contact Phone: (S ) 4 36a _ I q 6
Subcontractors: Architect/Engineer:
Plumbing:
Address:
echanical: 4/6
(attac O
h copy of current R on
Ctractor's LicenseL
I " ' te Phone: ( )
eG i r r r Z c I /
JOB DESCRIPTION:
Applicant Signature Applicant Phone num / r
Received by: Date Received:
H Jog \d tsVesapp
Permit * Account Description Amount Amt. Pd. Bal. Due
-O US
5� Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH) s. *ONE
E44C //d //o
State Tax (TAX)
•
Bldg: //• qs -
Plumb: IC. 95 l 6 9 _5
Mech: fi m ec/
( k)
Plan Check (PLANCK) / ca- P.; I qg
Bldg: /
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit T1F (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (T1F -1)
Institutional T1F (TIF -1S)
Office TIF (TIF -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) GU (P-
�, GJ
Erosion Planck/USA (ERPLAN) c/) r
_ Erosion Planck/COT (EROSN)
i OTALS. 73 • �) • 1 . U
r Community Development ELECTRICAL PERMIT APPLICATION
13125
Tigard, OR a 97223 Permit # M✓ q - O ) - / s
AlAivikOilif, Date Issued 5237 ) .. Phone (503) 639 -4171
'` FAX (503) 684 -7297
CITY OF TIGARD 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 Service included' Items Cost(ea) Sum
City /State /Zip 4a. Residential - per unit '
1000 sq. ft or less $110.00 1 / 00 4
Name (or name of business) Each additional 500 sq ft or
portion thereof $25.00
Commercial ❑ Residential . Limited Energy $25.00 1
Each Manufd Home or Modular
C lazvo 5 i-�. �.�j c� i - Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
�Il 4b. Services or Feeders
Electrical Contractor /41)01/0 ..tiedrj. Installation, alteration, or relocation 7 (/ 2
200 amps or less $60.00
Address 2 / y SE / 7 QV 201 amps to 400 amps . $80 00 2
Cit /// 5 60 State Ole ZI �/ /� 7l 2 401 am to 600 amps $120 00 2
Y p 3 $18000 2
Phone No. . /g u Ov er 1000 amps
U 1 amps amps amps
Over or volts $340 00 2
Job NO. %Zq s Reconnect only
$50 00 2
contractor's license NO. 3 'i - 374 ' C--- ; 4c. Temporary Services or Feeders
Contractor's Board Reg. No. ZZI4 I Installation, alteration, or relocation
Signature of Supr. Elec'n �% ` 200 amps or less 2
-// Z
License No. t3r Phone � �� if,J�-z /b! 201 amps to 400 amps $50 00
401 amps to 600 amps $75 00 2
Over 600 amps to 1000 volts $100.00
2b. For owner installations: see "b" above
4d. Branch Circuits
Print Owner's Name New, alteration or extension per pane
Address a) The fee for branch circuits with
purchase of service or feeder fee. 2
City State Zip Each branch circuit $5 00
Phone No. b) The fee for branch circuits withou
The installation is being made on property I own which is purchase of service or feeder fee. 2
not intended for sale, lease or rent. First branch circuit $ 00
Each additional branch circuit $5.00
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $40 00 2
Each sign or outline lighting $40.00
-
Signal circud(s) or a limited energy 2
Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40 00
4 or more residential units in one structure Minor Labels (10) $100 00
_ 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 Per inspection $35.00
Per hour $55.00
In Plant $55 00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
5a. Enter total of above fees $
NOTICE 5% Surcharge (.05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. word\comdevleleo ❑ Trust Account #
$
prm app
Balance Due
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
•
IMPORTANT PERMIT, NOTICE
APOLLO ELECTRIC
2742 SE 42ND AVE
HILLSBORO OR 97123
Electrical Signature Form
Permit # MST96 -0205
Date Issued.: 05/23/96
Parcel • 2S103DA -06100
Site Address: 13450 SW WATKINS AVE
Subdivision.: FANTASY HILL
Block Lot: 16
Zoning • - R - 3.5
Remarks:
ADDING ON TO HOUSE PATH I
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 work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: ELECTRICAL CONTRACTOR:
DAN PAPEN APOLLO ELECTRIC
13450 SW WATKINS 2742 SE 42ND AVE
TIGARD OR 97223 HILLSBORO OR 97123
Phone #: Phone #:
Reg #..: 102291
i
-9g°1 S ure
Signat o Super srng E ec icia
Please-return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639 -4171, ext. #310
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing M
PIbg.Und /FIr /Slab Plbg. Top Out Insulation
Post/Beam Struct. Mech. Rough -in Gyp. Bd. • -:Id.
San. Sewer Gas Line Appr /S Reins.
Other:= /�- Ge- LC�C�Gi/��
Date: 1 C l / '' A. 1 M. P.M E
- 0 W
Address: / 345
Tenant: / q/ Ste: ee: MST: 5 --
Con / r 3 (� 1 ! lQ (a�ic�T' MEC: G d�
PLM
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
, rte 4v
In pector: -40• Date: /D/ 7 /C
APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE I'
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing v Ziain Drain Cover /Service FINAL:
Fou tion ,5_ Line a Coming - Plumb.
R11:=
PIbg.Und /Flr /Slab Plbg. Top Out V t Insulation ✓7 /i - Elect.
Post/Beam Struct. r -ch. Rough' yp. B. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: 9�/d / f A.M. P.M. Entry:
Address:
Tenant: Ste: MST: 9 C� 0 It
/� BUP:
Con /Own: �_?�' �P �P MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
1 ci.2, .
w� 5 �-✓,
Inspector: Date: q / ° te
K APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
l �
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain o■er /ServicD FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath ;4570 -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: $ 1 LA. A.M. P.M. Entry:
Address:
3 .S l�
Tenant: Ste: MST: ci , 0 a 0,c
Con Own: -
� - ( e cf. F. BUP:
MEP:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
4 _ ICIPt 1>n e j'10
In)cIAPPROVED spector•. / : ✓ - ! _j Date� �
DISAPPROVED /CALL FOR REINSP. CF CO
Apt
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL: �f
Foundation Water Line Ceiling - Plumb.
Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
)s/Beam Strut Mech. Rough -in Gyp. Bd -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: 7- 3 ° 9 (o A.M. P.M. Entry:
Address: 1 31-/So " w q
Tenant: Ste: MST: / 6 a 20 c
nn BUP:
Con /Own: ( <V $ " MEC:
3 , ELM:
$/ ELC:
THE FOLLOWING CORRECTION ARE REQUIRED: ELR:
- -- _
Pas t'- s7■ oe� �E +c. 4 JUST SST
VAPo2
4-2,42...a-/z_ (
/VD o LC & L E2 Cam, G -
Inspector: � Date:
_APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
ri ation Water Line Ceiling - Plumb.
am Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer � Line Appr /Sdwlk Reins.
Other:
?OA
Date: - 7 — S — 6 M. .M. Entry:
Address: 1 ?j '7 S& U..J PA ) (4
.enerrft:g4 / YL f G 1 " Ste MST: % —6)--0)
n - _ - BUP:
Con /Own: kirCI lam' MEC:
/� / PLM:
- 1 3tO - 6gtoy ELC:
THE FOLLOWING CORRECTIONS ARE R OUIRED: ELR: c; c /�/�-
Inspector: Date: 7/0•."
APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE �� \PO In ction Line: 639 -4175 Business Phone: 639 -4171
ooti oun Rain Drain Cover /Service FINAL:
datio Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: • a- - - A.M. P.M. Entry:
Address: l _j 5
Tenant: Ste: MST: lo O ...,(15
BUP:
Con /Own: MEC:
PLM:
ELC: -
THE FOL OWING CORRECTIONS ARE REQUIRED: ELR:
Q
T ; V\ N \`t, "14
e_t - 1/4-N---L,1---- & .
- '1-sz._ \9-e-A----.)‹. 1/4....-1
L () '— - Qr'''. -
r
a
Ins ector:
` Ins ector: Date: i�C, Z S p
U APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
1........z,..03?
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171 ,
Footing Rain Drain over /Service FINAL:
Foundation Water Line /Ceiling - Plumb.
ost/Beam M her a heat# rammg -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insul tion - Elect.
Post/Beam Struct. '�ech Rough -in� yp. Bd. . _ ' . —Bldg.
San. Sewer Gas Line " Appr /Sdwlk " . Reins._
Other: - -
Date: k- 7- 94 A.M. P.M. Entry:
..Address: /J y3 . 4./ ci ..- 4..r.�
Tenan( - Ste: MST: 4. 44- C5 2 ° ■
j
j� BUP:
Con /Own: I ! MEC: n :
PLM: ' ;''
ELC•
THE FOLL• 1 G COPR• *TIO , BARE RE* - RED: ELR:
o i � /- ' • \
�� f a-
M
V. 1 k s Y ` __-?
.re_
0 ° , tii._ -
WI k ccrss -) ; 7e6 ci) T s
. VZ -12-X1 `S T •
I pector: ■ ` Date: ! (D
APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
1
l
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: A.M. l. Entry:
Entry:
Address:
Tenant: Ste: MST: % G
‘� C
Con /Own: � BUP: �. MEC:
PLM:
ELC: (7
TH FOLLOWING CORR TIONS REQUIR D: ELR: _
(1)
Inspector: 1 Date: g/ -7 /6;'(
_APPROVED _AISAPPROVED /CALL FOR REINSP. CF CO
Z.--t.,