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InitiallyGood h. t� h� 0� r N Jill i DiN V �i It I �I M1 L`4, ,.,�. 12176 3W AMES LN ELECTRICAL PERMIT PERMIT #: ELC96--0401 � CITY OF T DATE ISSUED: O6/24/96 - COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 21-3110BB-04 100 13125 SW NII Bivd.Tigud,Oregon .97223•Btpp-15��03118I0-4171 31 1 k. 1 iL1 1t ..�'�. . [ i b ..�W A6 SUBDIVISION. . . . : ARLINGTON RIDGE ZONING: R--:3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O18 Project Description: Installing two branch cir•cLr,its. ---RESIDENTIAL, UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS-- — 1000 SF OR LESS. . . . : 0 0 -- 200 amp. . . . . . . : 0 PUMP/I RR I GAT ION. . . . : 0 L-ACH ADD' L 5OO8F. . . s 0 :'01 - 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 11O) . . . : 0 -----SERVICE/FEEDER---- -.---BRANCH CIRCUITS----- ---ADD' L INSPECTIONS— 0 NSPECTIONS---- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 ._01 4O0 amp. . . . . . : 0 1st WIO SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - E100 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 1 IN PLANT'. . . . . . . . . . . : 0 j 601 - 1000 amp. . . . . . 0 -------------_ -- -I='LAN REVIEW SECTION----------------- 1000-4- ECTION-------------.--- 1000+ ae,p/volt. . . , . : 0 ) =4 RES UNITS. . . . . . . . : ) 1,00 VOLT NU;IINAL. . Reconnect on] ,,. . . . . : 0 SVC/FDR ) 225 AMPS. . : CI_(ASS AREA/SPEC OCC. : Owner.: __._.____.__.____._.--________________________---.---.___-- _ FEES BORRELLI type amount by date recpt 12176 :3W AMES LN PRMT $ 40. 00 CJ'S 06/24/96 96- 280914 SPCT f 2. 00 CJS 0�_,/24/96 96 -280914 TIGARD OR 97223 Phone #s Contractor: -----------------__-------------_.-_--__--_-___-_-.__._____________- ------- JPC ELECTRICAL SERVICES INC $ 42. 00 TOTAL 4040 SE INTERNATIONAL WAY ----- - REOUIPED INSPECTIONS - MII_WAUKIE OR 97222 Wall Cover Elect' l Final Phone #: 503 -654-3325 Elect' 1 Service Reg #. . : 93774 This permit is issued subject to the regulations contained in the Tigard Muntcrpal Code, State of Ore. Specialty Coos and all other Permittee Si gna h i-ir-e applicable laws. N11 work will be done in accordance with approv?. plans. This permit will expire if work is not started within 188 days of issuanre, or if work is suspended for more than 160 days. I ssoed By --____-----OWNER INSTALLATION ONLY------------ - ---- --------- The installation is being made an property I own which is not intended for sale, lease, rent. OWNER' S SIGNATURES DATE: _-_-________.------------CONTh ICTOR INSTALLATION ONLY--- ------------- --_- - -___ SIGNATURE OF SUPR. ELEC' N: 121 �/ 1_ ^_- DATE: I. I CENSE NO: Call for inspection - 639-4175 Community Development ELECTRICAL PERMIT APPLIC4.TiON 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # fL[jf;� 1p 4462( Phone (503) 639-4171 Date Issued fL,�L /F� _ CITY OF TIGARD rAx (503) 684-7.97 Issued by �`" DD No. (503) 684 2772 Inspection (503) F39-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development /� ' w/ Number of Inspections per permit allowed — Address��7��U ` Alin t-S CJ�}V `, Sorvlcv Incl)clod Items Cosgoa! Sum City/State2ipT / /L•C/g !l ©rte ` � T 4s. Residential- per unit 4 ,Q !J n 1000 94 It 01161A _ $11000 I F-'t-�/�-IC.�l-< ( Fach additional 500 sq It or Name (or name of business) Portion thereof $25 00 Commercial❑ Residential(� Faded anergy $25 00 —-- Each Mnnufd Norrw or Morndar Dwelling Servlcu or Fonder $88 00 2a. Contractor installation only: 4b.Services or Feeders Inelalletion.alteration or relocation Electrical Contractors C1 tt -e i Q N 200 ams or lase $60 00 _ Address4lijo 201 amps to 400 am pe $8000 _ Ci M f t.vAu-� G- State Zi )c !A 401 amps to 800 amps $12000 1 City p ` 801 amps to 1000 amps $18000 _ Phone NO. CSq, Sul S .&I e, -27'x+ Over 1000 amps or volls $34000 Contractor's License No. .314 - 3 7.,�L. Reconnect only -- $5000 Contractor's Board Reg. No. C'–, t. 7 71�- _ 4c. Temporary Services or Feeders Installation.alleralion or relocation Signature of Supr. Elec'n / ' 200 amps or less $5000 201 amps to 400 arnpe $7500 License No, N! /,S Ph6ne o. SN .3 3.2 s` 401 amps to 800 amps $10000 Over 000 amps to+000 volts 2b. For owner installations: see V above 4d. Branch Circuits Print Owner's Name _ r+ew alteration or exlensfor , anal Address a)The fee for hranch cira.4t.Yarn -- City State Zip pumhe"of eeryke or A",r AM. _ Each hranchcactut $500 Phone No. _ b)The fee for branch arcuds rldthout 'The installation is being made on property I own which is purchase of"tyke or Awfar Ara. not intended far sale lease or rent. Fast ofanch circuit r $3500 3 i.f..o Each addoonal branch u,aid ^1_ $5 00 Owner's Signature _ 4e. Miscellaneous (Service or feeder not included) 7 3. Plan Review section (it required): Each pump or Irrigation circle $4000 Each sign or outline fighting $4000 SK-ial clrcud(s)or a Ivnded energy Please check approprist^item and enter lee in sectiof 58. par%.,alteration or extension $4000 4 or more restdenbal whts in one structure i Mine Labels(10) $10000 Service and feeder 2:. ^or 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 Inspectrnn $3500 P Per hour S1,500 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: NOTICE Se. Enter total of above fees $ C>C> 5%Surcharge(05 X total fees) $ n PERMITS BECOME VOID IF WORK OR CONSTRUC TION Subtotal $ 4j aP AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF I Sb. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FUR Plan Review if required(Sec 3) $ S A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS ubtots! $ COMMENCED. ❑ Trust Accovnt 0 $ Balance flue $ H r) rmf ap�NWc qm sip Gc4 A/ed ur l- 16 CITY OF TIGARD DATE ISSUED: 05/14/96 13`125 SW Hall Blvd.Tigarri,Oregon 972211,8199 (503)639-4171 SUBDIVISION. . . . . ARLINGTON RIDGE ZONING: R-3. 5 -------------------------------------------------------------------- TYPE OF USE. . . . :SF UNIT HEATERS. , s 0 VENT FANS. . . : 0 � FUEL 0-3 . . . DOMES' INCIW. ~ ' 0 NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. s 0 Remarks : ADD AIR CONDITIONER Oviner: FEES GARY AND JUDY LIORRF-1-1-1 type amal.int by date recpt 12176 SW AMES LANE PRMT $ 25. 00 JMH 05/14/96 96-279403 TIGARD OR 97224 CONTRACTOR NOT ON FILE ------------ Heg #. . : REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Ins,) Tigard Municipal Code, Stat� of Ore. Specialty Codes til all cther Mecoanical !Tisp approved plans. (his permit will expire if work is not started Vinal Inspection within 189 days Qf issu4nee, or if work ir -ended for more than IN days. issi-ted By : z LI , Call for inspection 639-4175 _ _ _ .City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 sw Hall Blvd. APPLICATION Permit # Tigard, OR 97223 ��� (503) 639-4171 M — escnption I I 0 Table 3A Mechanical Code UT", PRICE AMT AMm Jobf t Cj 1) Permit Fee — 0- -0- 10.00 Address . �I 2) Supplemental Permit 3.00 -- — Furnace to 10 BTU i 1) incl ducts &vents 600 1., . ... Furnace Tt36a6b'"gTQ-+— 2) incl. ducts &vents 7.50 Owner .• _ r o—or—u—mance 3) incl. vent 600 rr--rrw„:1SuspendM heater, wall eater 4) or floor mounted heater 6.00 — u ... Vent not incl. in Occupant 5) appliance permit i 3 00 —� .. -Re—pair—o eating, re iy 6) cooling, absorption unit 600 of er or comp, heqt purr:p, air conM. B . i 7) to 3 HP; absorp unit to 100K BTU w 6.00 }� oiler or comp,beat pi�m air coni ... -2 c') n V r I I I e , 8) 3-15 HP, absorp unit to 500K BTU Ill 00 Contractor . "—moi offer or comp heat pump, air coni— n L� 11 9) 15-30 HP; absorp unit .5-1 mil BTU _ 1500 -- • _�T of er or comp,Heat pump, air cond 1_ 4 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50 hereby acrnow a ge that have read this application, tat t�Fe— 9751er or comfit pump, air con information given is correct. that I am the owner or authorized 1 1) > 50 HP, absorp unit 1 75 mil BTU— 37 50 agent of the ow,ier, that plans submitted are in compliance w th Air handling unit to ' 4.50 L State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM Board, that the number given is correct (If exempt from State Air han2ling unit registration, please give reasnn below.) 13) 10.000 CTM + - 750 Non portable 14) evaporate cooler 450 Vent fan connected 15) to a single duct 3.00 _ enti anon system no 16) included in appliance permit 450 ,,.•, . , Hood serve y 17) mechanical exhaust 4.50 escn a wor. new a ton alteration i_1 repair r_ r UOMMerCI21 or industrial to e done residential ) non-residential 0 18) type incinerator 3000 b Existing use o ter i.e, wo stove, water building or property —_ _ 19) heater, solar, clothes dryers. etc. 4 50 — Pr000sei use of 20) Gas piping one to four outlets ?00 building or propert —_-- 211 More than 4-per outlet (each) 200 Type of fuel -oil O natural gas 7„) LPG electric (DNOTICE ~� Minimum Fee $25 00 SUBTOTAL PERMITS BECOME VOID I,:WORK OR CONSTRUCTION — C— AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5` SURCHARGE IF CONSTRUCTION OR`NCRK IS SUSPENDED OR ----- ^/� ,ABANDONED FOR A Pr'RIOD OF 180 DAYS AT ANY TIME. PLAN REVIEW 25% OF SUBTOTAL AFTER WORK iS COMMENCED TOTAL Special Contlitions _. -- _ — --- —._. Date >sued —� --'.:y _------- --- M LLOOiMO,lT9�MECMv47 Home Layout .....i i.... ... ... ... .. ... .. .. .. .. .. .. ....... :. :: r. ... r• . .. ... .....If1.1Yf.•n� •..r'• �r-�_.. ... .. ..r r. ..r r. ..• •• ,: .'•ri ww�rw « r.11'Ii5/fflM , ... rr .r. .. ... .. ... • • i .. .r ... .. ... .. ... •. •.. •• .•• .. .. ... ... •• r.. .. ..• .. ... .. ... ....j ....... o :' ::.....I:... ::. :. :: .. .: : " : .................... ............ ........... 00 ................. .. ......... ....... ............................................. ...................... .... ....................................... ......... ....................... ................. ................ ......................... ....I :: ..... ::... ::..... ::. ............. ............................. ................I............................ ::.. ....... ::. .: ... .. ... .................... :... .... ............................. .......... .. .... ....I ::..... ...... ... ::.1... ... . i..... ........ ............ ;: :: :: .. ... . . . .. . ... .. .. .. ... ..... ...... .......................................... ..... ..� ... ............. Wind ws Doors Walls Root � Floo� rs Windows ._.._._---- Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. N A-. Tigard, OR 97223 Planck/Ree. # Permit # 4 -_ 7-- __ Phone (503 639-4171 ��_� ) Date Issued FAX (503) 684-7297 Issued by .. 0 ( �.-- CITY OF TIGARD TDD No. (503) 684-2772 -��— Inspe,1ion (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development- 704 WOw 1")r _ Number of Inspections per permit allowed - Addressk Sw -1,1l S Service included Itwns r;ost(ea) Sum City/State/Zip re&A`2 0 61L 4a. Residential- per unit J� 4 1000 sci Il or less _ $11000 • �,-� - Each edd4lonol 500 sq 11 or r Name (or name of business) _ portion thereof _1 $21100 Commercial❑ Residential Each Limit Energy (2500 _ ach Menul'd Noma or Modular Dwelling Service or Feeder woo _ 2a. Contractor instalintion only: 4b.Services or Feeders Installation,alteration,or relocation ? Electrical Contractor i,1 �� 1 L'i t! r s' 200 amps or less $60 00 2 -yr'-'- 201 amps to 400 amps $80 U0 2 Address r '�' `' _1Y�'= '' r — 401 amps to 600 amps $12000 _� 2 city 1nr. , I %Af. Ajo _ State L 1- 7_ip 601 amps to 1000 amps $18000 2 Phone No._]iii7 1 Over 1000 amps or volts $34000 2 Contractor's License No. 1 Reconnect only $5000 Contractor's Board Re No. r g. 4c.Temporary Services or Feeders InslallaUon,alteration,or relocation Signature of Supr. Elec'n_ < < = Nt 200 Amps or lees $soon _ 2C'amps to 400 amps _ _ $15 00 License No.__L is` Phone No.J- 'I • 'i,7_I 7 401 amps to 600 amps Over 800 amps to 1000 volts 2b. For owner installations see•b•ab(we 4d.Branch Circuits Print Owner's Name ___ New,sheration or extanaron pei panel Address _^ a)The fee for branch cucrnls with pumhase of"nike or AMW Ne. 2 city _ State__ Zlp_ Each branch circud $5 00 Pholoe No. b)The fee for branch circuits without The installation is being made on property I own which is purche"of semks a Aasdar AN. 2 First cranrh circuit $1500 not intended for sale, lease or rent. Each additional brand,circuit Owner's Signature _ 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (if required): Each pump or irrigation circle $4000 Each sign or outline lighting S4000 Signal circuit(s)or a limdod energy Please check appropriate item and enter fee In section 5B panel,alteration or extension $4000 4 or more residential units in one structure Mv»r Labels(10) $10000 _Y _ r Service and feeder 225 amps or more 4f. allowable in any of the above Each additional inspection over System over 600 volts nominal the allowable Classified area or structure containing special occupancy as described in N E.0 Chapter 5 Per houourr r+ $3500 Par h $5500 _ In Plant S5500 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 5s. Enter total of above foes $ 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 vi of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Reeview if required(Sec 3) $ Subtotal $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED ❑ Trust Aecount# $ Balance Due — f ,_-'.�1,� `I— raMronWvWcprm app LEP , XICAH OCCUPANCY OF ���� PERMIT 0. . . . . . . : MST95--0,:!J*6 5 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 11 /30/9 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCEL: 25110BB-04100 '-�W iilrlL�3 Ll ITL SUBDIVISION. . . . : ARLINGTON RIDGE Z ON ING:R- S BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :018 CLASS OF WORK—NEW TYPE OF UGE-^.. . . :C"F OCCUPANCY (3RP. V OCCUPANCY LOAD Remarks : PATH 1 Owner: Phone Q Contractor: KEITH LUCAS DEYELOPMEN1 16230 BE DABMAR RD MILWPUKIE OR 97267 Phonp #: 706--3009 Reg #. . t 85459 This Certificate grantc occupancy of the above referenced building or portiot, thereof and confirms that the building has been inspected spected for comp ante with the State aj Oregon SpF --iolty Cvdea for the group,, ocrupancy, and jnj r.,r ,i(:,h the referenced pr- --i) t wa,% issued. T I)'!I fi. fikr T n R BUILDING 0 FICIAL. PW3T IN ['OW3F-',ICUOLK*: PLACE TER , CITY OF TIGARD PERMIT mos#. . PERMIT COMMUNITY DEVELOPMENT DEPARTMENT DATE TS)SUED: 06/19/95 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCE-L: 2251 10 B B --041100 ­JITE ADDRESS. - - - 12-176 SW AMES LN ZONING: R-3. 5 SUBDIVISION. . . . ORLINGTON RIDGE or,1-/ . . . . . . . . . . LOT. . . . . . . . . . . . . :018 BUILDING DWELLING UNITS2: 1 BASEMENT. . . . . . . . :0 5F REISSUE: GARAGE.. . . . . . . . . _627 5f CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 Tyr_,E OF USE. - - :7r FLOOR ;:REAS—------- -- PCOUIRED SETBACKS TYPE OF CONST. :CN FIRST. . . . : 1256 sf LEF"r. . :25 ft RIGHT. :J.:! ft OCCUPANCY GRP. :P3 SECOND. . . : 1509 f I—RONT. :25 ft REAR. . :ES -f t f REQU I RED— STORIES. . . . . . . : FINBSM;�NT:0 SMOKE DETECTORS. :Y HEIGHT. . . . . . . . :123 ft TOTAL - -- --- - - :,:�,'765 sf FLUOR LOAD. . . . :40 p5f VALUE. . . . . PARKING SPIACES. . : I Remar-ks . PATH I P'LUMBING 61 NKS. . . . . . . . . . FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : 1 LAVATORIES. . . . . :` WATER HEATERS. . . : 1 TRAP'S. . . . . . . . . . . . . . :0 TUB/73140WERS3. . . . :3 LAUNDRY TRAYS. . . --0 CATCH BAS INS. ., . . . - - Z-0 WATER CLOSETS. - : 3 SEWER LINE ( ft ) . :0 GREASE TRAPS. . . . . .. . :0 DISHWASHERS. . . . : I WPTCR LINE (ft ) - '- 100 OTHER FIXTURES. . . . , '0 GARBAGE DISP'- - - : J RAIN DRAIN (ft ) . :0 WASI-41 NG MACH. . . : 1 !-:,r PAIN DRAINS. . : 1 FEES - --- MEC1­1AN I CAL y date I-ecpt FUEL TYPE5----- UNIT 14TRS. :0 t y 1.) l.)e amknt d..-i "A[-)/ VENTS :0 SWM $ 100. 00 0 06/19/951 SWM t 100. lzlo D , iX INPUT.0 BTU VENT FANS. . :4 JRN ( 100K HOODS. . . DPRT 1, 65`5. 50 B 06/19/95 1P.1\1 ) =100K WOOCSTO')ES :►� Br-,L(: $ 41.1 08 JA 0'5/i '5/93 9 7-1 i-'(' OCIR FURN. . . . :0 CL2 DP'.ERS. 1 B5PC $ 32. 78 P 06/19/95 )IL/CMP OT1]FR UNIT S: 1 PARK $ ":010. 1-00 Ek 06!'t9/9 111)/1315 GAS OUTLET�3: 1 mr,wr $ 45. 00 B 06/19/95 — .met, " PLC M5PC 4; 2. e5 B 06/19/95 '16 _ZT1A .22.55. 00 D lz / 11) 1)5 P5PC t 11. 25 E`1 06/ 19/95 EROr3 41 611. 00 B 12161119/9"1 lone #: E R r'C 1 120. 60 S 061,19/95 ontt-actor: ­­ -- - - -- , - 111A LUCAS DE --- .--- 1--- --CRPC $ 20. 80 B 06,119/95 DEVELOPMENT Tir s 1550. 0 0 B 06 "Ir31/95 _ SE DALAMAR RD 11-W.711KIP. Or 972'67 ione *r: (86-3009 F- .g 3844. 71 TOTAL '-is Permit is issued subject to the regulations contilliPO in the REOU I RED I Nf3PECr 1 ONS State of Ore, Specialty Covs and all other Footing insp Pl 'Amb Top Out ,iplicable :Bard Municipal Code,laws. All wo-k will be done iv accordance with apprived Foundation Insp Fr-aming Insp Fir,eplac-r- Insp laps. This permit will expli-e if w00, is rlot�t ted within 180 PICst/peam Str-uut -P) Sys of issuance, or if worts is vispende f _:rt,,, days. p,ost/Beam Mechan Ca- Line In- Ins Insp or Z_ C)-Awl Drain .tlation Ne v,lm/i.m(Js1ab Imp Gyp Dzar-d fn�:p Rain cly-airl I n s P P,LM/Undet-fl out mectianical Insp Watei- Line Insp (J D Cal I fat- Inspectic)n - CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINA /W— Post/Beam Mech. San.. Sewer Gas Line � . Plbg. Underfloor Rain Dr<<in Framing GPlumb? Alarm Watei Line Insulation IMech Underflr. Insul. Shear Wall Gyp. B-J. ert. Date Requested: l 1 ( .3U [ �� _Time: —AM PM Address: ,� ( _ (� ���yy2y 7 `ll ►'1 Builder: P > > a er mit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: j 012 Inspector:— ._ � Date: —APPROVED _DISAPPROVED ! `APPROVED SUBJECT TO ABOVE Call For Reinsp. L'.1% CITY OF T I GARD PERMIT.)EW #PERMITCONNECTION COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/19/95 13126 SW Hall Blvd,Tigard.Oregon 97223*8199 (503)639-4171 PARCEL: 2S110DB--04100 3I l I". ODDRESS. 12176 SW AMTS LN 3U13DIVISICN. . . . : ARLINGTON RIDGE ZONING: R- 3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .01G TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . : :::LASS OF WORK,— -NEW DWELLING UN I TS. . : I FYPE OF USE'- - -SF NO. OF BUILDINGS: 1 I NSTALL TYPE. . . . :BUSWP 1MF,ERV SURFACE. f ?emark,, : �]wner. FEES GARY AND JUDY LAORRCLA-1 type anio1jr1t; 1.) date reupt PRMT $ 2,200. 00 B 1216/19/95 ­ INSP $ 375. 00 B 06/19/95 - Phone �clntractcjr: CONTRACTOR NOT ON FILE 0 T1 e # 2235. 00 TOTAL R e q REQUIRED INSPE=CTIONS This AppjjC&rjt agrees to comply with all the rules and regulations Sewer Inspection if the Unified Sowige Agency, The permit expires 180 days from 9;e date issued. TI-e total amount paid will be forfeited if the permit expires, Thi, Agency does mot guarantee the accuracy of the side sewer later&i, If the sewer is not located &t the measurement given, the installer shall prospect 3 feet in all directions from . ...... the distance given. If not so located, the inqAler shall purchase "Tap and Side Sewer' Permit and the Age ill install a lateral, Permittee C_,lIa I t - Lw 1 S,.,I-(e d L hA VU Call for inspection 639-,4175 ✓v , CO . lY Residential Bidding Permit Application City of Tigard 13125 SW Hall Blvd, Tigard, OR 97223 I (503) 639-4171 .lobsite Address: LE4 17G i V1/ A.► -r r, tane_ ' i � Subdivision: 4C,4_1NLr'7aN &0ID6V Lot# 16 Office Use OnIY ✓ _ Planck/Rec # .S 10,41 _ I valuation: Permit # hl5 1 -6 246 Corner Lot? ( N Reissue of Flag Lot? Y Map & TL # J/U/_3� U�fIDL) u ( N� �k Owner: �i d T40y 60egY L� — Approvals Required _�;dRv" __1 C (+(C � Address. --- Planning , i 1CyL ( . _�1 3 - Engineering 11 Phone Other (01to-dj. 4 1 Vt't.LtWx Contractor: _KEr 1711 Ita;ns Required- Address: ,E'a Subcontractors _. O/L71771 l - Truss Details _��, �} Phone: 7 '(r� - s'oOrs Other` "o C `�c A `Lv�l. , Contractor's License # RSYS (attach copy of c1jrrent Oren license) , e Ti Contact Name & Phone. Kk (T'14 3QQ5 Suoccntractors: Architect]E[,-1lneer: I)141�t(_ 97TG✓A-L Plumbing: Address: S-/`,( Ali✓ /,0/ Mechanical: <�� A Fix,4- 57,f �6 r,:- <, �` c' 7 fD�ln Q^''"� 7�oy (attach copy of current OR Contractor's License) Phone. �'2- Z-`/ JOB DESCRIPTION Cy•UirlZlcCT �i�.`cyC� F�f/�/L�y' S�O�,t/GE _ y Applicant Signature & Phone number Received by: Date Received: �.� Permit # Account Description Amount Amt. Pd. Bal. Due 3 -O'Lt L Bldg. Permit (BUILD) Plumb. Permit (PLUMB) ) tel. Mech. Permit (MECH) �_ State Tax (TAX) s; Bldg: .?.?•7,f Plumb: jf - Mech: 2-2 ) Plan Check (PLANCK) j 3/ Bldg: Plumb: Mech: I h L ) / cu,�.Gj ^• c,21 Sewer Connection (SWUSA) t.;2u0 o � Sewer Inspection (SWINSP) 3 ' � Parks Dev Charge (PKSDC) ! j 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 Qualib/ (WQUAL) Water auantity VQUANT) L. fe Safer: (FLS) Eta si-)n Cntrl Pcrrnit (ERPRMT) ;n PiancKlUSA (ERPLAN) � Ero ;ior, Planck/COT (EROSN) �, 58'29. p TOTALS: C� cG1�L�L � - _ PLOT PLAN Township .— Range —__--_M--- Section _--Tax Lot Address: 4QLA16-ryN /? I ON 1 � — V' I ( � I 1 A ; s C t - ^S' ; I I4 L �F cap ` ,•%' ,1','r'�N� �C ' ^� -� N SCALC IPAraLYi�,�� ,(PIC I Z dly It- P � ^s r I i 7 12 ti s'r A JE, f F_►4 es ��� C,or:�r��L Flr�c/�l'r Building Permit or Building Permit Application Number: — rr.r ry-in PLUMBING PERMIT CITY OF TIG4A.RD PERMIT #. . . . . . . : IvIST95- DATE ISSUED: 06/19/95 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd.Tigard,Oregon 9722301199 (503)639-4171 P A R C E.L- 2::)1 10 E,D--041 i2)C, 3. 1 7C A4 i' 1.1 TE ADDRES'.- - - . I- -) f7i .2iMES LN _:JUBDIVISION. . . . : ARLINGTON RIDGE ZONI NG: R­3. 5 3LOCK. . . . . . . . . . .. LOI.. . . . . . . . . . . . . :018 LASS OF WORK. . :NEW GARBAGE rT5POSAL3. . : 1 FYPE OF USE. . . . :SF WASHING MACH. . . . . . . .. I BACKFLOW PREVNTRS. . : 1 XCUPIANCY GRP. . .R3 r7 LOOP DIV741NS. . . . . . . ..0 TRAPS. . . . . . . . . . . . . . ..0 3TOR I ES. . . . . . . . :2 WATER HIEATERS. . . . . . .11 CATCH r-"ASINS. . . . . . . :0 i_i1iU1',JDFY TRAYS. . . . . . :'b SF RAIN DROIN:i. . . . . . I I 1\1 K S). . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 'L-.Avn'rORIEG. . . . . 5 OTHER FIXTURES. . . . . :0 TUB/SHOWERS,. . . . : SEWER LINE (ft ) . . . . :0 AATEP CLOSETS. . :3 WATER 1...TNF. (ft ) . . . . : 100 OMHWASHER5. . . . . 1 RAIN DRAIN (ft ) . . . . :0 e':ILM"P.s - PIPTH I 3WNER.- S7 W I I �jwil $ 100. 00 B 06/19/95 BP R T $ E115113. 5121 S 06/10/95 13PLF $ 4 L26. 0 8 JA 051/25/95 95-26591 : U )PC 32. 713 B 06/1131/95 PARK $ 500. 00 S 06/19/95 P]JAMI'DiTIg m P P.'r s 45. 00 1-3 06/] 9/9 3 MPLC $ 11. 25 0 06/19/95 l"13Pc $ 2Z 13 06/1 1)1/95 Od d r e S 3BTI 1 $ C25. 00 06/19/95 j.t y f,At e .• P5Pc $ 11. `: D 06/19/95 i_Lj EROE; $ 64. 00 B O6/19/95 R e q 1#: Additional fees; T-)o t �I i u w 11 11 V 1­L. . . . . . . REQUIRED INSPECTIONS This pe,--mit is issued subject to the r-eg- .ilati0n$ Lentained in the Tigard Municipal Footing Insp Insulation Inst Code, State of Oce. Speu:ta) Ly Codes and all Fo--indaLion Insp Gyp board lnip other-, applicable law=. All wov-k will bu done Post/Beam Citt-LtUt Rain drain Insp in accor-dance with approved plans. This Pust/Peam Mechan Water- Line Inst per-mit will expire if wc - k is not star-'ted Cr-awl Drain Wa t e V, Ser-Vice .11, within 180 (Jays of issuance, cv^ if vici k is Plm/undsl.Ab Insp App-f-/Sdwlk Insp sui,pended for more than 180 days. VILM/Undpt-flcor Mechanical Final Mechanical Insp Plumb Final Plumb Top Out Blailding Final Fi-aminy Insp Et-csion Contra' Fi-i-eplace Insp Gas Line Knsp A. _oriZed Plumbing Contractor- Signature Call Fuv- inspection - 639-4175 C 0 T1 t V-a C t 0 t- lq D t e S