Case File III
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j L>it CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 __
BLIP
ask, Y )-NDale Requested AM PM BLD
Location �� li� f"d-t 1. � �.- _ Suite MEC
�.Z-.Contact Person Ph PLM;
Contractor Ph SWR
BUILDING _ Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation NOT REQUESTEII FPS
Ftg Drain FOUND DUiUNG RESEARCH
Crawl Drain NO INSPECTION(s) IN FIIX, SGN —
Slab SIT
Post& Beam
Ext Sheath/Shear L
Int She- i/Shear —
Framing --- -- -- --------- ----- — --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ---
Roof
Misc. — - ------ - — —_
Final —
PAS ART FAIL --- —_— --- -
Po—sT'&13eam
Under Slab
Top,Out
Water Service:
Sanitary Sevie., I�j�� ----_—_.__--- ------- --- —
Rain Drains
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 —_ --_ -- —
Fina!
i'ASS PART FAILSITE
Backfill/Grading - -- —'—
Sanitary Sewer
Storm Drain f Zeinspection fee of$ re.,,.v ed before next inspection. Pay at City Hell, 13125 SW Hail Blvd
Catch Basin j I Please call for reinspection RE: [ )Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other P — —
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the fob site.
CIN OF TIaG,ARD SEWER GUNNEL I I Jt',l
COMMUNITY DEVELOPMENT DEPARTMENT PERM I I-
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)839-4171 PERMIT #. . . . . . .
63-� DA'TE ISSUED:
14.4'..05 SW ra11E.tj'
ARLINGI'ON RIDC ZONING: R-3. 5
. . . . . . . . .. . 1-0T . . . . . . . . . . . . . QJ I'-
X'11)R E UNITS. . .
OWLI-1. ING UNIT S. J
S1: No. OF BUILDINGS: 1
I i_!_. T'r F'F-'. LAUSWk [MP1 1-0V
��E'M,Wksb : PF4'FH I
FEES
L.)k1rR(4Cr(JR" 11\1L type ;A M Q I..k 1-1 t Ly Coate (I
':)W PkUli- lt- HWY PR M-1 2EOO. 00 JD 02/1'1/9b "I LEI
LUX Lr'.�44+`J4 I NSP i W J U oc�
GR 1) IL8 I
actor'.
NCT ON F- ILL
Done # 00 TOTAL
HEOL)IRED 1 NISPE L f I C)N�
;ri5 Applicant agrees to comply with ail the rules and reguiations bCA W F,lr. I T1 S p P.t I C1 11
of the Unified Sewage Agency, The permit P%,pires i80 days tram
the date issued. The totai amount paid will be forfeited if the
permit empires. The Agency does not guarantee the accuracy of the
bide sewer laterals. it the sewer- is net iocated at the measurement .......
given, the installer shall urospFct 3 feet in all directions from
.hp distance given. If not so located, the installer shah purchase
a :ap ano Sice Sewer Permit ano the Agency will in^.ali a iaterai.
In I.t. t;0 N i U I t- "k t P
0009 1"�
7-7
W-1 ul 'i 11:15 %Y503 894 7297 CITY U TPARD ZU1j1'(:►03
Residential Building Permit Application
City of Tigard
1312.5 SW Hall Blvd. ((
Tigard, CAH 9722: CONTRACTORS, INC. pp
(503) 639-4171 1 1810 S.W. PACIFIC HWY,
11A eaeeet F.O. 80x 23454
Jobsltn •Address: Li, 2285 S_w: tr2s ! 'I' 71GARD
�r�a, ►:a
- 06TCe We nn!y
Sut)dlvlslon: Arlington_RidLe� Lot * I = 1
w_ Plan--R/Aec
V3lu3tl0M: Ao6 (7.11 f
Corner
Lot? Y 1'ermrt
Reissue of
Flag Lot? Y (d '
Map &-rl_0 ,cj .4
Owner: �_"' D r.unLral Lars_ Inc_. App miU aln:Required:
+dclre55: 11610 Pacific Hwy. , P.O. Box 23454 Planning
Tisnrd..OU 9Z281 ,�...�� a Engineen!1g
Phone: 639-6881� Other
Contractor, DWD Conti-c tors, In _ It6n15�pec ul Irt
Address: Same SubcontraC,ors
Phone: 639-6881 \iCVilerlkt'�_' �
-
aontractor's license # ,1 'u3 '
(attach copy of current Oregon license)
Contact Name & Phone: Hal C. Wiggins -639-6881
P:306-8916
Subcontractors: M:250-1591ArchitectlEnginser: Alan Mascird & Assoc.
Plumbing: MP Plumbing Co. Address. 1305 NW 18th Ave.
Mechanical: Bell Heat .ng Portland, OR 97209
(at'aa` copy of currint OR Contractors License)
Phone: 225-0933
JOB DESCRIPTION: Single Family Residence
639-6881
Applicant Signatur & Phane number
Received by: '_ Cc _ Date Receive::___ ar' —
N•wP upu:AMDFvtAE s,�r a .
Residential Building Permit Application
Cit} of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) C39-4171
Jobsite Address:
Office Use Only
Subdivision: _ Lot #
Planck%R2c #
Valuation:
Permit # _
Corner Lot? Y N
Reissue of
Flag Lot? Y N
Map & TL #
Owner: Approvals Required
Address: Planning _
Engineering
Phone: Other
Contractor: --_ Items Required
Address: _—_ _� Subcontractors
---- Truss Details
Phone: Other
Contractor's License #
(attach copy of current Oregon license)
Contact Name & Phone: _
Subcontractors: Architect/Engineer:
Plumbing: _ _ Address: _--
Mechanical: —
(attach copy of current OR Contractor's Licenje)
Phone:
JOB DESCRIPTION:
Applicant Signature & Phone number
Received oy: Date Rsceived: '
N IWORMCOMDEY'RESAPP
-Permit# Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) Ga rte'
Plumb. Permit (PLUMB)
Mach. Permit (MECH) �� U
State Tax (TAX)
Bldg: 3�'
I
Plumb: Z ,
Mach:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech: _ fl
t 410-5--005y Sewer Connection (SWUSA) 2 e,V
Sewer Inspection (SWINSP)
Parks Uev Charge (PKSDC)
Residential TIF (TIF P} _
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-0) _.
Water Quality (WQUAL) _ / L
Water Quantity (WQUANT) �—
Fire Life Safety (FLS) _
r Erosion Cntrl Permit (ERPRMT)
Erosion Planck]USA (ERPLAN)
Eros-'.un Planck/COT (EROSN)
TOTALS: 1S
DEPARTMENT 01'LAND USE A TRANSPORTATION
WASHINGTON LAND DEVELOPMEW SERVICES DIVISION
155 NORTH FIRST,HILLSBORO, )R 97124
IVdoo-zt,"%_ CO 1NW, INSPECTION REQUESTS. 503/640-3561/693-4415
OREGON
NOTICE This permit becomes null and void If the work or construction for which`t Is Issued is not commenced within 180 days. Once construcflon 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 beat of our knowledge. I ackncNledge that the Bullding Departments 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 compiled with whether or not ap.-;fled on the oiars or noted on the plans correction sheet!. I acknjwledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the uze or occupancy of
the structure or building permitted depends upon my calling for Inspections at various els- -r•uring 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
SuCding[)apartment Is solely at the risk of the applicant and such use or occupancy Is revocable anti,all inspecu•�n requirements are satisfied and
a,rproval Is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon ich the permit is issued
aper„fyiog that the use or occupancy of the building or structure Is prov!slonai and revocable until the satl%factlor,of all Inspection requirements
APPILICANT'S SIGNATURE
WASHINGTON COUNTY
Depailmerit of Land Use &Transportation RESTRICTED
Elec:tri rt T
Inspection. Section ELECTRICAL
ENERGY
155 North First Avenue, #350-12 it
Hillsboro, Oregon 97124 A LI CATI C►
Information: 50;:t 1;40-347 (0 Fax: 503)693-4412
PLEASE F`Rliff
Please comp;pt6 , , , Permit No.
1. Location of installation Date q-1 L/-25
Address s i A Mi..5 LM ed-1-
city
,city zip code U ,9 q 4. Type of work:
Map No. Tax Lot __ RESIDENTIAL Restricted En-.rg-ems—$40,00
Thomas Map Book: Page Section (for all systemb.1
Chem type of work Involved:
Directions _._..- ------ — ( C f I e cyn(X AI-luIC1(.�
Audio and Stereo Systems'
Commercial ❑ Residential Burglar Alarm
Telephone Systems*
Tenant Name Garage Door Opener"
(if commercl il) _ _ Fire Alarm
Heating,Ventilation and Air Conditioning Systems*
2. Contractor application: Vacuum Systems'
Other
I I I''1 I Ii COMMERCIAL Fee for each system $40.00
(dee OAR 918-284260)
U _ _. Q ((�C, r Check type of work involved:
(1 1 2G7''t+ . I I I 98 .
Contractor's Board Reg. No. - Boiler Controls
Phone No.
Clock Systems
Data Telecommunications Installations
Fire Alarm Installation
3. Owner application: HVAC
Instrumentation
Print Owner's Name Phone No. Intercom and Paging Systerr,
_ Landscape Irrigation Control*
Address Medical
_ ___ _ ____._,"_ Nurse Calls
City State Zip Outdoor Landscape Lighting*
This permit Is Issued undo, OAR 918-320.370. The applicant agrees Protective Signaling
to make only restricted energy Installations(100 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 licensing. These have asterisks O. All others need licens- --
Ing.)
2. Call for an Inspection when all the installations under this permit "No licenses are requrrea Licenses are required nor all other installations
ane ready for inspection.
3 P.'chase 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 $
4. Assume responslbllltp 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) $ ,7C
the corrections are completed.
The person signing this permit must be the applicant or a person Trust Account $
authorized to bled the applicant.
Signature Total $
Authni.ty if other than applicant _ This permit becomes null and void If the work authorized by'he
-o permit Is not commenced within 180 days from date of Issuance
For Inspections call of such permit or If the work authorized Is suspended or abandoned
640-3561 or 693-44 15 at any time after work Is commenced for a period of 1 ac days.
Electrical Permits are non-refundable and non-transferat 1e.
24-hour recorder, one working day in advance of need
BL24.114
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hatl Blvd., TI•gard,OR 97223 (503)639.4171
r
1
City of Tigard P'._UMBING PERMIT APPLICATION Planck/Rec. # _
1312.5 SW Hall Flvd. Permit # -.t; -01
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FE + ST. SURCHARGE
' •N Ow'•"^^� -� --- New Singis Farniiy-Rssldences opiy,
^d•••" --�-- ❑ 1 BATA HOUSE$140.00 ❑ 2 BATH HOUSE 1195.00
Job C1 3 BATH I IOUSE$235.00
Address «. '^ --"--r'. -v- Fee Includes all plumbing fixtures in the dwelling and the Ant 100 reet
of water service, sanitary sewer and storm sewer. See fees below.
FIXTURES i CITY PRICE AMT
Sink 9.00
Lavatory -- -- --- 9.00
Owner Tub or Tub/Shower Com ib. 9,00
'�• t'"i Shower Only - Too
Water Closet 9.00 -
-_. "•~ ^~^^• """~'� --- -- Dishwasher 9.00Y
Oarbago Olsposal� 9,00
Washing Machine 9.00
Floor Urain 9.00
"r*••• _ +b Wa,er Heater 9.00
Laundry Room Tray _ 9.00
"•^• Urinal 9.00
1 Other Fixtures (Specify) - 9.00
Conti actor ----- _•-- - 9.00
9.00
aM,rr" zb "• ------- - - - 9.00
Sewer 1st IOU' 30.00
ere"R.r.r.6-rw. - " c:,n..T.n.. Sewer-ea. Addit. 100' --- -- 25.00
Water Service tet 170' 36.00
I hereby acknowledge diet I have read this application, that time Water Service ea. AddiL 200' - 25.00
Information given Is correct, timet I am the owner or authorized agent of - --the owner, that pians submitted aro In compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
I am registered with the Construction Cont.-actor's Board, khat she Storm S Rain Drain AddlL 100' 2500
number given Is correct. (If exempt from State registration, please --
give reason below.) Mobile florae Space 25.00
Bask Flow Prevention
Device or Anti Pollution Device 9.00
"r•"•.r•r "'«"r °�'• Anv Trap or Waste Not
Connected to a Fixture 9.00
Describe work new O ddilion (j alteration U repair U Catch Basin 9.00
to be done residential ! non-residential 0 Insp. of Exist. Plumbing 4o.00ftir
Specialty Requested Inspertlons 40.00Rrr
Existing use of
Rain Drain, single family dwelling� 30.00
building or properly -_,
Residential backrlow prevention
devices 15.M
Proposed use of --
bullding or property -� _ _
'(EYcspf resldenf/al backflow
prevenflon devices)
NOTICE 'Minimorn Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION -
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED ----- ---
FOR A PERIOD 0!' 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
TOTAL
Special Conditions -- _
�•_� _ �_ Dale Issued by
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MAR 2 7 1997
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