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12334 SW CHANDLER DRIVE 4' N W E a d 12334 SW CHANDLER DR CITY CSF T I GARD ✓ COMMUNITY DEVELOPMENT DEPARTMENT MAST ER l--,L- RMIT 13125 SW Hall Blvd.—igard,Oregon 97223o8199 (503)639-4171 PERM 11 #. . . . . . . : DATL- IS'SULD: 02/02/95 Pi-)RCLL.- -'z-'S1J-0BB-AR005 -W CHONDLER D10 BDIVISION. . . . . ARLING'TON RIDGE ZONJNG: R-3. 5 Oclj\. . . . . . . . . . . BUILDING 1':351_L- DWELL ING UN 1 1`3: 1 BASEIVIEN1.. . . . . . . . :0 f OF WUHv, NEW BEDRMS:3 BA['H::):3 UARAGE. . . . . . . . . . .. .106 f -1) 'KIS y P I C. (IF' U S L 3F F[A)OR ARF.01. REO.U.1% SL If_ e V,L OF CONST. :5N F I RST. I f Lt-F 1. - :20 f t R I GHT. :5 ft i 1= FROM". f"t REAR. . : 15 ft A.UVPNCY GRP. :R'7' U R i E'S. . . . . . . .2 FINBSMEN'r :O sf R E 0 U I RE 1)- I GH I . . . . -.28 1-t TGT AL- SMOKE.. 1:1[:_1 LE TURS. ; Y OUR LOAD. . . . :40 psf VALUE. . . . . C.-O PARKING CiPOCCE). : I mar kis : POTH I I..,LUMBING NK:-3. . . . . . . . . . : 1 FLOOR DRAINS. :0 r Ifl-v1\11 pl:. HVPfL)H1Eb. . . . . :4 WATER HEATERf' - I . . . . . . . . . . . . . :0 LAUNDRY TRAYf:. 0 . . . . . . . :0 1 1.6 SEWLR LINE ( ft ) - :0 GRLASE I RAPS. . . . . . . ..0 : 1 W01ER LINE (ft ) . : 1X10 QTHF::11' FIXTURFH'.*a. . . . . .1111 �aF13HUL UISP. : 1 RAIN DRAIN ( ft ) . CA MLLHANIC:AL ELS V 1.)P VENTS . . . . . .0 T.,F $ 1550. 00 JF Oci-. 0 E'!95 - 0 D 1*[J VLI\I'i' FANb. . UWfli $ 1,0171. 0 0 J h 0 0 2/9 5 1000 . . :0 HOODS. . . . . . : I SWM 4 !00. 00 J F' 02/02/95 ) =1011IR — : 1 14U0l'-510VL-S,, :0 FAPRT $ 705. `'0 J 1 0 /O5 -0-JR :0 GLU DRYERS. - 1 13P1_L $ 4�ti. b8 JF 12/16/94 94--L 59 ? 0 OMER UN11'S-. 1 1: $ 3"-1. C-8 J r- 0 2 5 - GAIS OUTLETS: I V`ARK $ 500. 00 JF OE/02/95 - NPRI $ 41). 00 JF I;),: .1.?/9;3 - ,-UNLY MPL C S I 41CA i F 441 TF- LA T H 6 eLib. 140 JF- O0,/02/95 0 Y L 141,4; 1 .1 . t, JF 0i'/9.J 950.0 E 14 0 88. 110 JF 02 02 9`J r,-rr r, . 0. 60 J1= 0"�:,,/IA 2 1)5 1`1 RPC ,,8. 60 JF' 02/02/95 39 1 E,1. 1 U,1"Pl- Is pjj•sjt is issued subject to the reg.,latiors contained in the RLUUIRED 1051-'EC110NE1 .gara Municipal :ode. Stati, of D,e. Specialty Codes and all other Fvot/fol,mci Insp Fir-epI.Rc:-P insr, a�-,Dhcabie laws. G11 work will be done in accordance with aoproved vlost /,Be�Am Gas Line? In-,p nlars. 'his permit w;1l eipire if work is not started Within 169Post/l-.eam Mecs(.i -han Inlat ion Insp days cf issuarm or if work is suspended f :ass Insp Gr)yBoar-d Insp "p, PI-MiLinderf I ocr, Rain drain I n,;v &-m mectlal)ic--al 1115P Watet- LinF? Insp Plumb fop [.flit Appr-/9dwIk Insp oo 1-vam:tlly ITISP Mechanic--al I inol L CITY OF -71 IGARD SEWER CONNECTION PEIRMYT COMMUNIT%1' DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SWR9 .,- 13125 SW Hall Filvd.Tigard,Oregon 9;223*8199 (503)832-4171 E07-7 ISSUED: 02/02/9r,-: PARCEL: 2S110BB-AR005 -.,L (IDD RE'b `3W CHANDLER DR SUBDIV151ON. . . . : ARLINGTON RIDGE ZONING: R-3. 5 BLOCK,. . . . . . . . . . . x-O'l.. . . . . . . . . . . . . :005 T-LNAN T NAM;.:. . . . USA NO. . . . . . . . . . FIX-FU`2E UNITS. . . Cl-A;q ('.)F WO RI . . . NEW DWELL ING UN ITS. . : J TYFL OF UEik . . . . . :GF NO. OF' BUILDINGf,E). INS114LL 1-YV`1-- . . . :BUSWFR IMPERV SURFACE. . 1,ernar-ksi : PHI I ,,mer,: FLLS 1NEY I type mol-int by date v,ecpt AJURLE. d4 SW URLENBURG RD [..,RMI' $ 2200. 00 JF Oc-./02/95 - !I1"F 0135 1 N"F1 $ -'5. 00 JF 0.:' /02/95 !H (L"NIJ UH 9/223 ,one #,,, C-93-9550 Gontrac2tot,: �NTRAG-OP V-101 ON F'11_E. -,one 212-35. 00 TOTAL REUUIRED INSPECTIONS This Applicant agrees to comply with ail the ruies and regulations SPINE-Y' JnSpeCtiOn of the Unified Sewage Agency. The pewit expires IN days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of t^e side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in ill directions from the distance given. If not so located, the A i- purchase , 1 , stall lite I P "'ac and Side Sewer' Dersit and the V V�l U t e P 1 11 T0i 0e7l 1 - pe i t c i E,39-417`. w Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jabsite Address: Z 3 A Subdivision: Zrd.,s..- Lot # Office Use Only S _ valuation:2.(_ Y 3 %( -" Planck/Rec #- -- « �- Corner Lot? Y N ) Permit2- -•-� Reissue of Flag Lot? Y (N ) - Map & TL # 1 L:Cv, Owner: Mme"1e�! - Approvals Required Address: _12,222-C) S�6) C�reed h�_ tet' /3S Plannin � ,,;.� 4--�cti. _ Md- Cg- 874:1 Engineering Phone: -_— `1 - ri S SO -- _ Other Contractor: _ I;avJ �_i_CL�'- Items Required / Address: —/02. 1-c SCJ (��e / _ Subcontractors- 4?�jo(, blZ 7 Z23 Truss Details Phone: Othern, Contractor's Contractor's License # (attach copy of current Oregon license) ell -� Contact Name & Phone: i ? )3__jS5--C Subcontractors: Architect/Engineer: As! .' �� Age Plumbing: uo Address: X10 jet Z/ r--r — Mechanical: �. :.i__l "1_�, a I'L�siu , rU2 g 7C F. r (attach copy of current OR Contractor's License) Phone: 9 Z -`d i Z`7 JOB DESCRIP ON: A /?6"gur & P one number Received by: Date Received: N tiWORMCOMDEV,RESAPP C) Permit # Account Description Amount Amt. Pd. Bal. Due /}1sK/ wU Z Bldg. Permit (BUILD) a$. Sc, p J-0 . Plumb. Permit (PLUMB) ZZ S.. 1 v _ Mech. Permit (MECH) �� State Tax (TAX) Bldg: S.? Y Plumb: S� _ Mech: Plan Check (PLANCK) U, , �' S �, u S Y Bldg: _ Plumb: Mech: c, Sewer Connection (SWUSA) ;2,J too Sewer Inspection (SWINSP) r,rks Dev Charge (PKSDC) Sic► Sou Resider,,-al TIF (TIF-R) _ Mass Transit TIF (TIF-MT) _ Commercial TIF (TIF-C) J Industrial TIF (TIF 1) Institutional TIF (TIF-IS) _ Office TIF (TIF-O) Water quality (WOUAL.) / ' _ jSL) Water quantity (WgUANT) Fire Life Safety ;FLS) Erosion Cntrl Permit (ERPRMT) _ Erosion Planck/USA (ERPI_AN) •y1,f U ,1_,� '0 Erosion Planck/COT (EROSN) TOTALS: NOV 03 '94 11 :05 N0 .010 F -01 CHICAGO TITLE INSURANCE COMPA14Y OF OREGON 99(K) S. . OKEF.MiURG ROAD, PORTLAND, ORbGON 47221(501) 684.8954 t4oVe-rn6c Ir 0' Date: Getyeie 1994 To: City of Tigard From; Linda VanDyke-Cnkayv Title Insuraria Company Ref Arlington Ridge Subdivision -Tigard,Oregon Cost contributton for extension of S.W.Aaarde Lot Number. Lot 5, Arlington Ridge T his Is to verity that for the above referenced lot. Bull":nlain Lend and Development Company has paid the required $1,424.25 cost contribution for the e.1ension of S.W, Gaarde. At the time our office closed the above retemnoad lot sale, $1,424.25 ..vas withheld trorn the sale proceeas and Is being held In escrow. The e::crow account is being maintained by First Arnerican Title Insurance, Tanasbourne ofllce, 2615 N.W. Town Centre Drive, Beaverton,Oregon 97008. For furlher informatlon, please contact Jody Johnson at 646.0320. -- da an Dy e Escrow Officer Chicago TINe Insurance Company 9000 S.W Greenburg Road Portland, Oregon 87223 Tip?HL r .t� `J I -- `� -- -- - 440 o • qui. - - �. eD CO 4 - �G I Kr-V i2-iz -q4 DEPARTMENT OF LAND USE & TRANSPORTATION 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 Apr.l •_ /2h/a'ti 1 glued ,)6/08/9n PESELEC' Per-mit Tit.l. 8 F R NE14 1.1.11-16E i)Tli 7:,L Addx-esr l 4 i4 7,W �::HANULE'P DR TI Owner NA-cle INSPiC'TION - TIGAPI' Ft�r1ic. r� Applicant Name CASCADE ELEr'TR I C Phone number 64 1- 92013 datu: .� Al�prrvta Irnrpectc,r 0,. Mrrserjt.r ; -.. .....__ _.. . ._ .._._ ._ . ._�.. ._.. ...._..,__... ..� . _--. r..,._.. _...... __ _...... _. .�_�. RFQIlEt.T ETti I umbi ro HIla A%J.t^a I L.. !r't r1 �:•al r r U ua11 CITY CSF TIGARD ELECTRICAL PERMIT COMMUNITY DEVFLOPMENT DEPARTMENT RESTRICTED ENERGY 13125 SW Hell 91vd.Tigard,Oregon 97223+8199 (503)839.4171 PERMIT #: ELR96-0210 DATE ISSUED: 06/26/96 PARCELS 2S110BB-02800 �.IITE ADDRESS. 5,.5 1 :;W CIil-INUL_EE:R DR �iUBDIVISION. . INGTON RIDGE ZONING:R-3. 5 BLOCK. . . . . . . . . LOT. . . . . . . . . . . . . :005 fro._ject Descr^ip, s Installing burglar alarm. A. RESIDENTIAL---------- AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR AL.ARM. . . . : X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . s CLOCK.. . . . . . . . . . . . MEDICAL. . . . . HVC4L. . . . . . . . . . . . . : DATA/TELE COMM. . . NURSE CALLS. . • . . • . . - VALUUM SYSTEEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE- OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. - OTHER. . : _—TOTAL # OF SYSTEMSs 0 ilwner ---- ___.___________.____._________---__._.___.__._—.—_._--_ FEES bREGG NEWSTRAND type amount by date recpt 1ID220 SW GREENBURG RD I'RMT $ 40. 00 CJS 06/26/96 96-281027 � JITE #135 5VICT $ 2. 00 CJS 06/26/96 96-281027 PORTLAND OR 9722:3 Phone #S 293-9550 !,ontr^actors 44DT SECURITY ALARMS f 402. 00 TOTAL ,703 NE HANCOCK — REQUIRED INSPECTIONS - -- -- PORTL.AND OR 97212 Wall Cover, Elect' 1 Final I1hone #: 503-284-3265 Eler_t' 1 Ser^vice Reg . . : 59944 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State cf Ore. Specialty Codes and all other Per^m i t ee Si gnat ure applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. Issued By ...— ------------------------OWNER INSTALLATION — ► he installation is being made on pr-oper^ty I own which is not�intended�for, ale, lease, or- rent. ; IWNER' S SIGNATURES -- _ DATE: -----------------------CONTRACTOR INSTALLATION SIGNATURE OF= 5Ur'R. ELEC' N s r21q!_l.ea(�_.__ DATE a otb 96__ iCENSE NOs Call for inspection — 639-4175 I Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 PERMIT#G996-Q a 1Q -� Phone(503)639-4171 FAX(503)684-7297 DATE ISSUED_6_ 3,6-9C _ TDD No. (503)684-2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED BY Is rx�rr,,c1Y PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INST LLATION 4. TYPE OF WORK Id, t /s;- V- -2 � RESIDENTIAL—Restricted Energy Fee. . . . . . . . . $_40.09 (FOR ALL SYSTEMS) City State Zip Check Type of Work Involved: PERMITS ARL NON I RANSrERAELE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 190 DAYS. Burglar Alarm ❑ Garage Door Opener' 2. CON T RA( TOR APPI KATION Heating Ventilation and Air Conditioning System' Contractor n S'fS1ENta "-l)e c2 _ -41 Vacuum Systems' 703 NF Nf,NCOCK ❑ Other Address IWILAND,ON 91212 --- (50312g13265 - Dale COMMERCIAL—Fee for each system . . . . . . . . . 0 (SEE OAR 918-260-260) Property Owner v�-� Check tape of Work Involved: Contractor's Board Reg. No._ _ ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# _ ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation 71 ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address - ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control" City State Lip U Medical This permit is issued under OAR 919-:520.370.This applicant agrees to make only ❑ Nurse Calls restricted energy Installations 1100 vols amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting' following: 1. Only use electrical licensed per-„ms to do Installations where mquired.(Certain El Protective Signaling residential and other transactions are exempt from licensing.These have ❑ Other asterisks(').All other,tired licensing). — --- 2 Call for an inspection when all of the installations under this permit are ready for Inspr-tion at 503.639-4175. ❑ - Number of Systems 3 f'urclrase separatr permits for all Installations that am not ready for inspection when the inspector is out to inspect under this permit. •No licenses are required. Licenses are required for all other installations 4. Assume responsihility,for assuring that all corrections rrquired by the inspector arr done,and 5. Assume responsibility for calling for a final inspection when all of thr S• FEES corrections are completed. The person signing for this it m .t he the applicant or a person a. Enter Fees $ U U authorized to hind a ap -ant. L__� b. 5%Surcharge(.05 x total above) $ a D Signature //f TOTAL $ . �O Authority if other than applicant ENERGAP.CHP t DEPARTMENT OF LAND U30E&TRANSPORTATION WASHINGTON L AND ISION 155 NORTH FIRST,DEVELOPMENT LLSBORO,ORSERVICES 97124 COUNTY, INSPECTION REQUESTS: 503/640.3561/693-4415 IV XXXXXXXXX--> 64U-34'/U OREGON Page 1 or 1 Date U6/14/95 Time 15 : 16 Permit 'Type Residential Electrical Permit Permit # U50687137 Permit Status APPROVED Applied U6/12/95 Situs Address 12334 SW CHANDLER OR '1'1 Issued U6/12/95 Permit 'Title SVR - E;LE:C/LOW VOLTAGE: Completed Permit Jescr. To Expire 12/U9/95 Project Title Sk''H - NEW HOUSE Project # PUU510343 Project Uescr. * EROSION Parcel Number 2SITI - Land Use District Valuation U Legal Uescr. OWner : INSPECTION - 'TIUARD Construction O'TH Applicant Name MASTER'TE;CH Classification 900 Appilcant Addr. : PU BOX 995 Occupancy E;S'TACADA, Ukt 9'/U23 Validated by KKP Applicant Phone: 1530-2565 Inspector Area k''ee description Units k'ee/Unit Ext fee Data ------•--------------------------------------------------------------------- Llmited Energy/Alter ./Extension 1 4U . UU 40 , UU Subtotal Electrical k''ees : 40 , 00 State Surcharge of 5% 2 , 00 'kotal Electrical k''ees : 42 . 00 ** k'ees Required *** *** Nees Collected & Credits *** ---------------------------- -------------------------------------------- Method Check # Receipt No , Date Payment DEP' 06/1'L/95 42 . UU k''ees : 42 . UU Ad3ustments : , U0 'Total Credits : . UU Total Nees : 42 , UU 'Total Payments : 42 . UU 8aiance Due: UO 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(his 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 he compiled 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 pr rmitted depends upon my calling for Inspections at various times during the process of construction and the building Inspection staff verifying compliance with the vailous 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 sperifying that the use or occupancy of the building or structure is provisional and revocable until the satisfaction of all Inspection requirements. APPLICANT'S SIGNATURE WASHINGTON COUNTY RESTRICTED Department of Land Use &Transportation Electrical I tion Section ELECTRICAL ENERGY 155 North Firstirst Avenue, #350-12 Hillsboro, Oregon 9712,1 Information: (503)640-3470 Fax: (503) 693-412 APPLICATION PRINTPLEASE Please complete all sections, 1 through 5.. Permit No. 1. Location of installation Date Address--1 `�� `� � a 4 city ____ Zip Code -_ 4. Type of work: Map No. _ _ Tax Lot - RESIDENTIAL Restricted Energy Fee $40.00 (for all systems) Thomas Map Book: Page _ Section Check type of work involved: Directions _ - Audio and Stereo Systems* Commercial ❑ Residential Qx Burglar Alarm Telephone Systems* Tenant Name Garage Door Opener* (if commercial) - __ __ Fire Alarm Heating,Ventilation and Air Cond:tioning Systems' 2. Contra.-tor application: Vacuum Systems' Electrical Contractor_MAS-'EeTE0-44 Address PQ- 13 oiL 9 9 S ---- -- COMMERCIAL Fee for each system $40.00 City — TA.0 ASA State fg_ Zip 9-6L� (see OAR 918-260-260) Date_'0/1 S Job Number Check type of work involved: Property Owner _ Contractor's License No. -Z-kq-('t E Contractor's Board Reg. No. 161 3$1 Cooler Controls Phone No. — (aZ-ZS(aZ- Clock Systems Data Telecommunications Installations Fire Alarm Instullation 3. Owner application: HVAC Instrumentation Print Owner's Name Phone No. Intercom and Paging System Landscape Irrigation Control* Address Medical Nurse Calls City State tp Outdoor Landscape Lighting' This permit Is issued under 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. ollowing:1. Only use electrical licensed persons to do installations where required. (Certain residential and other transactions are exempt Number of Systems from licensing. Tnese have asterisks('). All others need licenc- ing.) 2. Call for on Inspection when all the installations under this permit "No licenses are required. Licenses are required for all other installations are ready for Inspection. 3. Purchase separate permits for all Installations that are not ready 5. Fees 60 for Inspection when the Inspector Is out to inspect under this permit. Enter fees $ �Q 4. Assume responsibility for assuming that all corrections required by the Inspector are done,and .05 Surcharge 5% X total above $ 5. Assume responsibility for calling for a final Inspection when all of g ( ) the corrections are completed. Trust Account -� $ The person signing this permit must be the applicant or a person �O / •3 ` -- - authorized to bindlh>>;.Jppfica�nt.. d� Signature — – T/ - Total $ r� Authority If other than applicant __ -_ -___-__ .__—__—___ This permit becomes null and void if the work authorized by the permit Is not commenced within ISO days from date of issuance For inspections call /� of such permit or It the work authorized is suspended or abandoned 640-3561 or 69.3-441 5 El any Electrical time after work Is commenced fora period of era days EleetrlcN Permits are non-refundable and non-transferable. 24 hour recorder, one working day in advance of need Pi ,•,, DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 +� COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415 OREGON NOTICE This perrcit becomes null and void If the work or construction for which It is Issued Is not commenced withlo 180 days Once construction ties 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 tris building or structure will be compiled with whether or riot specified on the plans or noted on the pians correction sheets. I acknrrdedge that the granting of a perrnil does riot grant authority to t ccess 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 prior to approval by the Building Department Is solely at the risk of the applicant and such time or occupancy Is revocable until all Inspection requirements are satisfied and approval is given by the Building Ofllcint. I further acknowledge that a lien may be placed on the title of the property upon which the permit is issued specifying that the time or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inspection requirements APPLICANT'S SIGNATURE WASHINGTON COs ELECTRICAL PERMIT Department of Landd Use & Transportation Electrical Inspection Section H55 NortFirst l bo oh Oregon Ve97124 350-12 APPLICATION Information: (503) 640-3470 Fax: (503) 693.4412 Permit • Number Date -Please complete all sections, I through 5. 4. Complete Fee Schedule below 1. Location_ of Installativr? r, Number of Inspections per permit allowed Address 1 �� y S j-?,� 1(� ft`� Service included: Items Cost(ea.) Sum Cit ' Suilding — — A. Residential-per unit y C C tilt@ IUO. 1000 q ft orless $110.00Tenant Name _ O q Each additional 500 sq n (if commercial) _ or portion thereof _ - $25.00 Map No. Limited Energy $25.00 1 — —'TaX Lot --- Each Manuf'd Home or Modular Dwelling Service or Feeder $68,00 — 2 Thomas Map Book: Page: Section: B. Services or Feeders Installation,alisralions or relocation 200 amps or less $60,00 2 Commercial Residential K' 201 amps to 400 amps $80,00 401 amps to 600 amps $120.00 _ _ 2 2a. Contractor Installation only: 601 amps to 1000 amps -- $180.00 — 2 Electrical ContractorOver 1000 amps or volts __ $340.00 _— 2 "I 'L oaf iii, $Fftonnect only -- $50.00 Address --- 2 City ) State f ,_ IP r C. Temporary Services or Feeders Date 1 C_-�.�,;_ Job Number -- —T Installe"on,alteration or rolr,^-,-on Property Owner - < - 200 amps or less $50.00 2 Contractor's License h:o. 201 amps to 400 ar,lps $75,00 2 Contractor's Board Reg. No. --- 401 amps to boo amp: $100.00 _ 2 Over 600 amps to 1000 volts see'B'above Signature of Supr. Elec'n - D. Branch Circuits License No. -&Yc PhOn@ NONew,alteration or extension per panel a) The fee for branch circuits with 2b. For owner Installations: purchase of service or feeder lee. Each branch circuit $5,00 _ 2 rinl )caner s ams one o. _ b) Thin fee for branch circuits without purchase of service or feeder lee. First branch circuit ___ $35.00 2 _ Each add'nl branch circuit $5.00 _— 2 tfie — - - E. Miscellaneous (Service or Feeder not included) Each pump or irrigation circle $40.00 _ 2 The installation is being made on property I own Each sign or outline lighting $40.00 — 2 which is not intended for sale, lease or rent. signal circuit(s)or a limited -- energy panel,alteration Owner's Signature —__ or extension $4000 2 F. Each additional inspection over the allowabl,? it any of the above 3. Plan Review section (If required) Per inspection $3500 Per hour $5500 Please check appropriate hem and enter fee In section 50. In Plant — $55.00 __._4 Cr more residential units in one structure _-__Service and feeder, 1300 amps or more 5• Fees System over 600 volts nominal A. Enter total of above fees $ f_ i ---Classified area or stricture containing special 50% 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 here any of the Plan Review it requir,,A (Section 3) $ -- — above apply. Not required for temporary construction Subtotal $ services. $ ------- [71 Trust Account J For inspections call Balance Due $ I This permit becomes null and void If the work er.--thori[ed by the permit Is nal commeocsd 640-3561 or 693-4415 within 180 days from data c,4 i wujnce of such permil or M the work authorized is 24-hour recorder, ore working y suspended or abandoned a1 any time efts,work is commenced fw•period of 100 days. da in advance of need Electrical perm9s oe non efundable and non transferable. 8,54 February 1, 1996 CITY OF TIGARD OREGON MONEY Sot IRCE INC 10220 SW GREENBURG RD#135 PORTLAND, OR 97223 ko RE: PERMUr#SW ,- 42---at 12.334 SW CIIANDLER DR � * iw/r fti�r We issued a pennit for this project on 2/2/95, however we have no record of any inspection bein perlirrmed. Permits expire if there has not been an inspection performed for over 180 days. In that case, the Building Division may require a new application and fees to commence or continue work. The City may also pursue civil enforcement if work has proceeded without the required inspections. Please advise (he. Ili 'ding I)ivision, IN WRITING, within 15 days regarding (lie status of this project. You may request additional time to complete the project. Respond, IN WRITING, to: Building Division, 13125 SW Hall Blvd., Tigard OR 97223. Be sure to include the following information: I. Permit N. 5w2 t - OCA Z- 2. 2. Address of property. C k4-,3DU t fir, 4. Your day time phone number. fir'3 2 9 3 9 S S 0 If you are ready to schedule an inspection, please call our 24-hour Inspection Recorder at 639-4175. k -�,eQ� i�bo�aL 90 �o .N L .�•vs �,e /�1LlKIf�O�IS C �` -tiy� rr onb,rC� 5�� C-0 �� rJ l 4,)0►ZIL -? to,P5UN.r'J ��7/qS�u � S6e V 1, 7 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 CITY OF T I Gsk R D COMMUNITY DEVELOPMENT DEPARTMENT FDLUMBI NV F,ERhI l 1 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)830.4171 F•'F_RM 1 F It. . . . . . . : Mb 1 9 DP-ft T SSUcU: 01c'/02/95 PARCEL: c 51 101�L� -AR21V_I� i l-L AUDRF C�':i. . . : 1 �, �+ SW (HANDLER DF2 JBD I V I S 1 ON. . . . . ARLINGTON RIDGE ZONING: R-3. 5 OC:K. . . . . . . . . . . L_.QT. . . . . . . . . . . . . :005 i_ASS OF W0141%. . :NEW GARPACiE D 1 aF'C)SA1..5. . : 1 VVE: LIF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW F,RELVN'f R5. . : 1 "C'UFANCY (.7 : I� ; 1`1_0011 DRAlNS. . . . . . . : Vl 1.RAP!. ,. . . . . . . . . . . :SCI IURI ER I XTUREIS--._._....._ _. LAUNT)PYEATFRS TRi YS. . . . . . .0 �F T�AlBASINS 1Ar TN5. . . . . . . ` !RAINS. . . . . : 1 iIVFc.E,. . . . . . . . . . : 1 GREASE TRAF''Ci. . . . . . . :0 aVATORJE.S. . . . . . 4 01HER 1=i X I UF2E :,. . . . . :0 IB/SHOWERS. . . . : SEWER LINE ( ft ) . . . . :0 L.F1 GLUE'h_iI:.. . : ., WA1'1=R L. IM-- (ft) . . . . . J00 r-IW(4S'HEH5. . . . : 1 RAIN DRAIN (ft ) . . . . :0 ,�wt_It; __.__._._.__.___....._____ FEES-•.._.__.______.__ JIJEY" SaUlRci-_ TIF 10. ill 0 Jr- 02/02/1)5 'lil EiW GRUENHURG RD SWhI $ 180. 00 JF 02/02/95 - j 1 1 k_ 41133 r:,Wlrl 41 100. 010 Jr" 02/oil i 9 j ):-( I L-AND UR 97x_'23 £{F'RT $ 105. 50 JF 0c/02/95 ,one #: ?93--9550 5P'LL $ 4' tfi. 58 .JF 1c3/ 16/94 1)4 B5p, . 35. 211 JF 02/02/9:, mbIn(4 ContY-ac.t 1-41%4. 00. 00 JI Q12/0-,/,)5 MF'RT $ 48. 00 J•F' 0210c-19E. m e : MD WHITED PLIJMBICNG MF='L.0 F 112. 1110 JI 0.7:'/Or?/')'=; - ldre It (('Zj ,ti�lC.1 "S( ►�'.�K pt I+1:VII 4 _. 40 J 0c: 02 95 C)(tier r---..1 3LiII-I •i 4-.i:,.:r. 4CIV1 ,.1 F' 1br/Vl.e'/ ) i p ct??" � .. F-'honeit ,. G2GJ- i6eI s _ p�C,F�C.; b 11. cG� JF 11le 02 95 - ! #:___..'v�{-*7(;2_ _._.....____...___. Oddit iona1 i'eeS not Shown here. . . ,. - - - - REOU.IRED INSF-'F_CTIC1NS - r. r, Permit )' s is,l_1Gd ��_IlaiPct to the r P{�-. . ations contained in the Tigard Mi.1nicipal F=oat/found Insp Rain drain Insp !e, 5t,:ttp oP C) 1a. '.,pecrcail; y (: Odes and all Post/Beam Str uct Water- Linn Insp ner applicable laws. All work will be done F'nst /Ream Mechan Appr/Sdwlk Insp ac_cor•dGmc,,, with ,Appr,civec) L,la �s. Chis 1='11111/l_tndslab Insp Illecn,anical mit will expire if wnr^k is not started VILM/Underfloor V'lumb Final thin 180 d.iys ref issuance, nr if work is MechGanicz-.ri JnsD Building Final ,�perlded for mOv-P than 1E1111 diays. Plumb Top Out Erosion-Contr-ol Fiaminq Insp Wtr- Fr,ocifinq f'• E- fireplace Iris,) Crawl Drain fI Cias Line Insp F=tg Drain F+ . _ _m` t Insulation I n s F:r Gyp Board Ins1D harIzed F'lumbin Coat �I_tor �;: g gnat ulr-e Fa-- inspection ,ltract•or Notes: a Tu: Att: Jeannie Flaig Date: June 22, 1996 �11111 Ix smoda Sax MEET OUR ON-AIR TALENT Hal Mur y Who is your tkvoHte smoot jazz artist" H.M.: Warren Hill, becau he puts SOUL into VVI 11YA, ISS( Z2.1the sax. 0: Favorite Quotes? V H.M.: "No matter ere you go, there you are". 0. Why do you en' y working at 106.7 kkjz" H.M.: Iadmire his format from a distance when I worked for a n smooth jazz format in Dallas. and I U * ' always tho ht that someday it would be really cool to work for mooth jazz station. I love to communicate with list ers, whether in per-,on nr over the Dhone. A Montinore Co c Series This summer we w' be con ping the traditonfSllnda�' emoon conce at the bea,,tiful MMonti ore Vineyards he 1996 Mt. Hood Festival of jazz concerts will tak place from I pm to 4-. The hottest show of the summer is the Nit. pm on the f6fl. ing dates Jul 21-Patrick Lamb od Festival of Jazz, celebrating its 15 year July 28- T i Grant with Patrick Lamb amb arm rsary Enjoy the talent of Grover August 8- Michael Allen Harison Washin on Jr.. A-1 Jarreau. Bob James. Th,- k- Septem er I- Michael Allen Harrison Temptatio - Spyro Gyra and many more With one of th reatest line-tips in its history, Admiss' n is free and picnic baskets are this is an event you n't want to miss. 106.7 welco e Listen to 106.7 kkjz for details kkjz would like to sen ou to this premier ons sal guest stars for these very special musical event of the summe ' o enter, simply s o ft aftei Dons ofja7.7.atMontinoreVineyards fill out the entry form below and it back to o us r --------------------------------- 1 Wln TUNS TO At 1996 MT. flOOD ffSTIVft Of All! NA%lr n1RT1 IDAY HOME ADDRESS ZIP CODE WORK rAX WORK PHONE HOME PI]ONE One entry per person please. No purchase necessary. Cont—est rules available at KKJ7 front desk.1 FAX to:497-2333. All entries must he received by 5 pro on July 5.1996 rax it.,,tire wn,v of i0t,",L1,11 11%,41 kllv%\willeolle 11,4 le'emc the twN%slellet bill%willd like tu p1c" lorwird theit natne. tqnpam,Mkv phone.lax=M,ci,and hurneaddrm,lo 106.7 kkp.2222 SW(ohittibi;L Sime.130.P11111iiiil. ()R 91201, ittetition Stn xib Sax Fs,-..,r tlix its at 7121;-042 If fur ativ rea"voi do n,q mkh it,weeh eour",it%%A rit"stata," mniplx tax itt,at 224-6342.md%sell rcnl_,\e\viu munbc hoii die Int. It%,,it hmcm\l tpionow a wtitnictili,picue feel tree to L,cdll mm 2121,11-01100 —`------ —————————————_------J 07/08/96 08:28 MONEY SOURCE ( 76847297 NO.750 P001 JIMa n .ly • Vrc , e , no lis ' FAC'SIMILli,' I'RANSMI"I TAI., Dale To Number of Pages-Including Trnnsinimil Regarding _� - � A _ j - ----- 07/08%96 08:28 MONEY SOURCE : 76847297 NO.750 P002 0 SEESERGER Q ODERGROUNO UTILITIES,INC 2840 SC 39n+OOP SUITE 9 11""19000 OR 4+123 _y 7.a•W A— TA S 16wiu P_a_ 3 y » P.D. R,I ;D%EW%k04A. CAPP Folz+ . 'E2 ram. s*44-4 ,y u. �� c co de 5, l��c Qom. pkv_. r1 Mfr.; !6 76 a. CITY OF TIGARD CERTIFICATE GF OCCUPANCY COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST95--000Q 13125 SW Hall Blvd.Tigard,Oregon 07223.9100 (503)930-4171 DATE ISSUED: 06/14/96 PARCEL_.: uS i 10BB--02600 L. 12334 SW CHANDLER LAR IIBI)IVISION. . . . t ARLINGTON RIDGE ZONING:R-3. 5 OCK. . . . . . . . . . I LOT. . . . . . . . . . . . . 1005 CLASS OF WORK. :NEW T YPE OF USE. •SF IJ( CUF'ANCY GRP. �� OCCUPANCY LOAD:2 Remarks : PATH I MONEY SOURCE I U N720 SW GRE:ENBURGi RD ''MIL #135 I URTL,AND OR 9 7PR3 17-11-10ne #1 293-9550 MONEY 5OUPCEr t Q1c'.:0 SW GREENLAURG RD STF J35 1 I I+ARD OR 972213 ! 'home #: 293-9550 ''pII #. . : 87781 his Certificate gr•arrt.t? ouc kipancy of the above refer•enred L)Ll i ld i ng or portion thereat and confi.r-m1: that the bi.lilding has liven inspected for compliance with the State of Oreg.,n Specialty Codes for the group, ec 1_Ipancy, and use under which the referenced permit was issued. 11)I_.UING INS, CTOR BUTI_DING OFFICIAL. POS? IN CONSPICUOUS PLACE I I CITY OF T MECHANICAL PERM IT DEVELOPMENT SERVICES PERMIT #. .. . . . . . MEC97-0133 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/15/97 F : 2S 1 10BB--02800 SITE ADDRF_SS. . . : 1233+ SW CHANDLER DR ARCEL. SUBDIVISION. . . . : ARLINGTON RIDGE ZONING: R-3. 5 BLOCK. . . . . . . . . . . I._O1.. . . . . . . . . . . . . :005 .JURISDICTION; TIG ---------------------------------- CLASS OF WORK. . :NEW FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :H2 VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL_ TYPES-------------- 0•-3 HP. . . . : 1 DOMES. I NC I N: 0 .3--15 HFA. . . . : 0 COMML. I NC I N: 0 MAX INPUT: 0 RTU 15-30 HF'. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS'?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS- -- - ---- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K BTU: 0 = 1.0000 cfm: 0 GAS OUTLETS. 0 FURN ) =100K BTU: 0 ) 10000 cfm: 0 Remarks : instl 1 boiler/compress/heat pump Owner-: -------------------------------------------------------- FEES GREG NEWSTRAND type amol.cnt by date - ---recpt_ _ 12334 SW CHANDLER PRMT E 25. 00 TAT 05/15/97 97---294644 TIGARD OR 97223 5PCT $ 1. 25 TAT V15/15/97 97-294644 Phone #: f.;o n t r~act o r: - - -- __ -- ------------ -------- '.'jL.INSET FUEL CO PH BOX 4C-'=,87 PORTLAND OR 97242 __..__._._------------------.__---___--- Phone #: 503--234--061 .1 $ 26. 25 TOTAL -- Req #. . 0000::-13 ------- REQUIRED INSPECTIONS -------- This permit is issued subject to the regulations contained in the Post/Beam TT•)Sp f igard Municipal Code, State of Ore. Specialty Codes and all other Mechanical. T n s p applicable laws. All Mork will be done in accordance with Misc. Inspection ~— �— approved plans. This permit will expire if work is not started Final Inspection within 188 days of issuance, or if work i suspended for more ttan 188 days. m i t,i e e 5 i gnat c r,e d �_ Y C f - - ------- i s s oa e d B y : 17611 for inspection 639-4175 City of Tigard MECHANICAL PERMIT Planck/Rec. 4 13125 SW Han Blvd. APPLICATION Permit # Tigard, OR 97223 (503) 639-4171 w w.«.,,...•. escnpuon Table 3A Mechanical Code QTY PRICE AMT JobI r .7 `' , ,�� `' c oc"-Nc u - !.,-',,T) Permit Fee -0- -0- 10.00 Address -ryhd- 2) Supplemental Permit 3.00 »,« .. �..•.., Furnace to 100,000 BTU -J.2'c �1 �_ka 7 C�(\c 1) incl.duds&vents 6.00 M..•.p n.sa». ^�• Furnace 100,000 BTU . Ownef 2) incl, duds&vents 7.50 w• —"� FloorFurnance C�-LV'\Cy r)A3) incl. vent 600 .m. « aw•••w Suspended heater,wall heater , 4) or floor mounted heater 6.00 �--vim■' Vent not incl.to Occupant 5) appliance permit 3.00 :rysw oRepair of heating,refrig. 6) cooling,absorption unit 600 f i er or comp, heat pump, air Gond. 7) to 3 HP absorp unit to 100K BTU t 600 4�•v •w ^^^• Boiler or camp, heat pump, air Gond. 8) 3-15 HP absorp unit to 500K BTU I i.CC Contractor ,, o o er or -amp,heat pump, air con NC(- I_PIV 9) 1530 HP bscrp unit 5-1 mil BTU 15.00 SOU•l�j.•a..n N. Gry as N. Boiler or col 1p,heat pump, air cond. 10) 3050 HP abs-)rp unit 1 1.75 mil BTU 2250 hereby ackiiowlpdge that I have read this application, that the der or comp, heat pump, air con . information given is correct, that I am the owner or authorized agent 11) >50 I-IP absorp unit 1.75 mil BTU 31.50 of the owner,that plans submitted are in compliance with State Air handling unit to laws,that I am registered with the Construction Contractors Board, 12) 10,000 CFM - 4.50 that the number given is correct. (It exempt from State registration, i�nonding unit please give reason below.) 13) 10,000 CTM . _ 7.50 - -' Non portable 14) evaporate cooler 4.50 —' Vent fan connect 15) to a single dud 3.00 -- Ventilation system not r� 1� f �lA� �� I I 16) included in appliance permit _ 4 50 17) mechanical exhaust 4.5C Describe wore k newer addition v •iteration repair Commercial or industrial to be done resiren aF"Ir non-residential Q 18) typo Incinerator — 30.00 tsung use c r er t.e.,wcx stove,water building or property 19) heater,solar,clothes dryers,etc. —_ 4.50 Proposed use of 20) Gas piping one to four outlets 2.00 building or property 21) More than 4-per outlet Type of fuel -oil O natural gas Q LPG O electric Q --- NOTICE — — Minimum Fee 35 00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION _ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE IF CCNSTRUCTICN OR WORK IS SUSPENDED OR -- ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED. TOTAL 2L, Spacial Conditions �(��r� I 1 �� f Date issued --- --- .--by. ---------_.__-_. 4uCdAAT wntovM.• Tl � bl w � n � r �►r h 1 a I CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT PERMIT #: EL.C97-0320 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/30/97 PARCEL : ._'S 1 10BB-0c'800 C 1 TE ADDRESS. . . : 12334 SW CHANDLER DR SUBDIVISION. . . . :ARLINGTON RIDGE ZONING: R-•-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003 JURISDICTION: TIG Pr,o.ject Description : Adding branch circuits ------------------------------------ ——RESIDENTIAL -_------------- _ —RESIDENTIAI__ IJIV I T----- ----TEMP SRVC/FEEDERS----- --------MISCELLANEOUS----- 1000 ---••-MISCELLANF_OUS----- 1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP'/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE L-TG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER---- _- --..----BRANCH CIRCUITS- -- - -----ADD' L INSPECTIONS _.._..._ 0 -- =00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPE:C:TION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 --_---------- - -FLAN REVIEW SECT ION---------------__--. 1.000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL.. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -...________._.___---------- ---__._____..------..____._.__..__.___.._..__.___. FEES GREG NEWSTRAND type amol.int by date recpt 12334 SW CHANDLER PRI'lT $ 35. 00 JDA 05/30/97 07--x'954:'60 TIGARD OR 97223 SPCT $ 1. 75 JDA 05/30/97 07-295260 Phone #: Contractor: --.._.._.--_-__._---.--..---._--------•------.---____._--•---________.._..__.__--------_-------_-___ GRF ELECTRIC $ ;.,G. ?5 TOTAL 15460 SE PARADISE LN REQUIRED INSPECTIONS - -- 111 1L I NO OR 97042 Elect' 1 Final I_ l o n e #: 503-829-41,46 001015 ----- —_ --- This permit is issued subject to the regulations contained in the 1 i Bard Municipal Code, State of Ore. Specialty Codes and all other Germ i t t e e S i onat ore Applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started " within IBA days of issuance, or if work is suspended for more than IBA days. sued By -- - - I NSTAI...I_AT I ON - 111e Installation is, being made on property I own which is not intended for lease, or rent. I'WNE R' S SIGNATURE: DATE: -------_-..__--------CONTRACTOR INSTALLATION ONLY -- --- ------------------ -- 1 GNATURF OF SUPR. ELEC' N: � DATE: I f,FNFF NO: Call for inspection -- 639-4175 CITY OF TIGARD Electrical Permit Application Plan Check a 13125 SW HALL BLVD. Recd By _A TIGARD OR 97223 Date Rec'd- Date to P.E. Phone (503)639-4171, x304 Print or Type Date to DST Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit a ti��7=f-1t,�'t Fax (503) 684-7297 Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development ��,_ Number of Inspections per permit allowed Name(or name of business) lV��Cy: fiService included: Items Cost Sum Address_ 2 3 j _ C' Lit - 4a. Residential-per unit City/State/Zip_ l _ _ I Each 0sq.ff.or less $110. 00 __ 4 h additional)500 sq ft.or Commercial El Residential Lid' portion thereof -_ $25.00 1 Limited Energy _- $25.00 Each Manul'd Home or Modular Dwelling Service or Feeder $68.00 - 2 2a. Contractor installation only: (Attach copy of all current licenses 4b.Services or Feeders Electrical Contractor_ z-/I^- I r�L t�.t L Installation,alteration,or relocation r� -l� G Y -- 200 amps or less $60,00 __ 2 Address- ( '��a-it l_�� 201 amps to 400 amps $80.00 City ,,yL,;,,.�. State��(,ZZip�_ 401 amps l0 600 amps $120.00 2 Phone No. U f 7 C(^] I 601 amps to 1000 amps - $180.00 2 Job No. Over 1000 amps or volts $34000 - 2 Eler. Cont. Lice. No d 6_#Y C- Exp.Date- 1 7 Reconnect only $50.00 2 OR State CCD Reg. No. /d t-'�`-f 2 Exp.Date 4c.Temporary Services or Feeders COT Business Tax or Metro No. 91-1 L _Exp.Date Installation,alteration,or relocat,n /",/ 200 amps cr less $50.00 -e� 2 Signature of Supr. ElecIn_ ' 201 amps to 400 amps $75.00 - 2 - 401 amps to 600 amps -- $10000 2 7 'V, Over 600 amps to 1000 volts, License No. Exp.Date-_ jo q - see"b"above. Phone No.__ -T-'-'"-� 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The lee for branch circui!n with purchase of service or Print Owner's Name _ _ feeder fee. Address Each branch arcuit $500 2 -' - b)The fen fur blanch circuits City State_ Zip_ -- without purchase of Phone No. _- _-- �_ _ service or feeder fee. - First branoh circuit $35.00 ✓ 2 The installation is being made on property I own which is not Each additional branch circuit_ $5.00 -_ 2 intended for sale. lease or rent. 4e.Miscellaneous Owner's Signature_ (Service or feeder not Included) 9 w Each pump or irrigation circle $40.00 - 2 Each sign or outline lighting $40.00 _ 3. Plan Review section (if required):' Signal circuit(s)or a limited energy panel,alteration or extensionMinor Labels(10) $40.00$100.00 _-�-- 2 _ - Please check appropriate Item and enter fee in section 5B. -- ___4 or more residential units in one structure 4f.Each additional Inspection over `-Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.00 ---- _____Classified area or structure containing special occupancy Per hour �- $55.00 as described in N.E.C.Chapter 5 In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 5a.Enter total of above fees $ 5 Surcharge(.05 X'clot fees) $ --�--� N TI E Subtotal $ - 5b.Enter 25°0 of line 5e for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Sec.3) $ -NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED ❑ Trust X count d___ X. , S Total balance Due 1 eSTS\F(G%AN' Rev Owe, CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 6394171 Date Requested: A.M. P.M. MST: Location:_ � -s r _1A BUR Tenant:_ Suite: Bldg: MEC: —Ql3 Contractor: _ I IJ Phone: PLM: Owner: Phone: ELC: ELR: SIT: BUILDING BLDG(can't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beamo— -sV9—ea m' Co ver/Service Sewer/Storm Footing Roof UndFI/Slab Rough-In Cei!ing Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundatiou Insulation Sewer Hood/Duct Reconnect Vault Bsmt.Damp Drywall Storrs Furnace temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath File Spklr/Alm Crawl/Found IN Heat Pmnp Low Volt Approved Approved ov Approved Approved Appr/Sdwlk Not Approvcd Not Approved _ ved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL 17 Call for reinspection O Reinspection fee of S_ required before next innVec_�tion O l Inable to inspect Inspector -- — Date: _ 1? 1)age--4_of t. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line`: 639-4175 Business Phone: 639-4171 Date Requested: / / A.M. MST: Location: _ C_ 13UP: Tenant: suite: Bldg: MEC: C Contractor: Phone: f - PLM: owner' Phone: LLC: - ELK: SIT; BUILDING DiLDG(con't) PLUMBING MECHANICAL. ! �TRIFAL SITE Site Post/Bewn Post/Bcam Post/Beam Sewer/Storm Footing Roof UndFVSlab Rou -In Slab Framing Top Chit GasLine Ceiling Water Line Foundation Insulation Sewer Rough-In UG Sprinkler I iood/buct Reconnect Vault Bsmt Damp Drywall Storm Furnace Ternp Servicc MISC. Masonry Ceiling Rain Drain A/C UG Slab r Shear/"cath Fire Spk1r/AIm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL --�° c-a--L/Y 2 �r- _D — M tax o A • O Call for reinspection O Reinspection fee of 3 _required before next inspection. 0 Unable to inspect Page of CITYOF T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00592 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/8/03 PARCEL: 2S 110BB-02800 SITE ADDRESS: 12334 SW CHANDLER DR SUBDIVISION: ARLINGTON RIDGE ZONING: R-3.5 BLOCK: LOT: 005 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: _BOILERS/COMPRESSORS_ HOODS: _ FUEL TYPES 0 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS _ OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: rias fireplace inu•rl Owner: _ _ FEES _ NEWSTRAND, GREGG G + DEBORAH K Description Date Amount 12334 SW CHANDLER DR -- �— TIGARD, OR 97223 1\11,( III 1'rn1ul Icc 10/8/03 $72.50 I,i\_ 10/8/03 $5.80 Phone: ___ Total $78.30 Contractor: L.UDEMAN'S FIREPLACE & PATIO 12675 SW BEAVERDAM RD BEAVERTON. OP 97005-2129 REQUIRED INSPECTIONS Phone: 503-640-0409 Mechanical Insp Final Inspection Reg#: LIC 51469 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 Flans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC by calling (503)246-6699 Issued By: t [ J , �- ja L e Permittee Signature: �- Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day 08. 2122 2001 14. 13 FA11 503691729T Clt; of Tigard iZ002 Mechanical Permit Application Daltreeeived.16 t' pervutna �L�� 11L '� l li �1 City of Tigard Poject/appl.no. Expire dere: C;tyo/Tignri Address- 13125 SW Hall Blvd,Tigard,OR 972<3 - Photic: (503) (;39.4171 Date issued: B Rccnptno.: Fax: (503) 398-1960 Case file no.: Paymeattype: Building pe no-� i� Land u� approval: 1 7 1"bl'i, family dwcilillg ut aCt=Wry ❑Cuttunet6al/industrial 0 Multi-family J T:naut irnpruvetnent O New construction R'fCdditiontalterauon/replacemeni 0 Other. a ' SITF INFORMATION1 Job address: /1�? sl_1 q,,t e• Lp Indicate equipment quuitities in boxes bedew indicate the dolls Dldg.no.: _Suite no.: value of all mechanical materials,equipment.labor.ovedicad. Tax nudtax lut/accou_nt no.: profit_Value S Lotfi CC, k_ Subdivision: `— 'See checklist for important application information and Proieet name: «/��,e q - - jurisdiction's fee schedule for residential permit fee. City/county. -7-16 gr�Q _ z;F._y 7�a at Desenpnon and location of woric on prrmiscs: 7r-- W�7— 22-_r2s 5 r�— - Fee(eio TOW Fst-date of compictionfinspeclion: /47- i _ Duni Rea.odv Rmodvi --- ----�— -- lAithandlinit VA(.: —.J Tenant lmpruvement or change of use: Is existing space healed or conditioned''U Yes J No unit CTM isti Is existing spare iasilated9 O Ycs U No Air conditioning(site plan requuud) Alterapon of existingPAL eystem 1 1 Boilericompreasors Busimm)tame: �r State boiler ptamit no.: - �— HP Tons AIU/H I Addtcss./,G75.,�l�J�_�.u� Ftretsmokedampers/duct smokcactactors City 1er� — SWet:Q i�POt1'$ �E7eaipurnp(site planrequtred) — - -�---- E-mail: - ---- tnsu(Ureplaee ttmace/bvrner _iftf/P _ S/y�9 ov Including ductw�orktvew liner O Ycs U No -.CCBAQ.: _-�� inrtal rt•placurt ovate cites-suspended, -- -- Crty/nwtro Gc.no.: wall,or floor mounted Name(piezw..print). t,. 4e7 vcnttor appusncco cr iYisnfurnace Rcftigtrano� Absurption units BTU/ti ► Name: gyp - Chillers— _- HP — — -- - ('umrncsorn-- HP Address: � -- ---- Enrirow ititmW a hatut and eestdAhoa: City: —------ State r Appliencevent Phone: Fa) E-mail: ter exhaust — —�-- a. 000_s,Type U Win.FokhenAtirrim T — ood h stem Nam : C4 �!q*2 Fxhaast fin with ffingla duct (bath fent) Multng addttss: /.,'�3 3 �/ S+G f_ oP� aF�3-'uu switin a ut tram catuna or A,. City:'�%(pqr Ge $tare ZIP: a �piping mW '—m(upto 4 to Type LPG NG Oil Phone: e7 A (f7 FaX: E inial: Fuel piping each additional over 4 outlet - - taxesaptptta;tsc ematacrtqutreil) e: Number of outlets Addiv-11 Decorau ye frrplace C' State: ZIF: Insert-ty�e onc: Fat: E moil. W0000dstove/palatsrove (Other Applicaet's signature.. nate: � _Q 0 tmn Name(print) 4CXPd Ne su jarirdrytm�ieor naY�rads,oksz rel jsndicyon for was�e/etttsaem.I Permit fee ........S /d C' C, Notice Tltiz permit application - Cl Yue �Md. std Minimum fee................S ;� -5C expirrs if a permit L:not obtauted Plan renew(at _ . _ —`1— within 190 dais alter it has been atil S _ `z Flpe i State samharge(8%)....S -dam X, at o db.WW-.0 ..e.a.�.cry -- accrpted x mnplete �.ys I TOTAL .......................3 ?Y.30 �'adAotAer dtAao.a - --�'°°"'--� a.00e,t�r6iODlJC�n CITY OF TIGARD 24-Hour BUILDING Inspection Line: (50,$)639-4175 INSPECTION DIVISION Ausiness Line: (503)639-4171 MST — BUP Received — _— Date Requested- ��3 AM � PM _ BUP Location 3 (f-1- 6-12 Suite_ MEC !/ ,MEC Contact Person --___ Ph (_ ) _�0 7 —� 7T. PLM Contractor _ Ph ) _— — SWR BUILDING Tenant/ ___ — �'t 4"d-1 ,,,,J., EELC Footing - ----- 0 O EL Foundation Access: - Ftg Drain ELR _ - Crawl Drain Slab Inspection Notes: SIT - Post& Beam -_-._ -_-- -- -----__--- Shear Anchors -- - Ext Sheath/Shear Int Sheath/Shear _ Framing --- - - Insulation Drywall Nailing - - - - ---- Firewall liter f Fire Sprinkler - --- - -- -- - - Fire Alarm Susp'd Ceiling --- - - Roof \ Other: ------- ---- --- --- - _-_-- Final PASS_ PART FAIL ---_._.-.__-�-------.-- --.-._-- _-- -._-. LUMBING - Post&Beam Under Slab - ---- -- -- ---- --- --- Rough-In Water Service ----- - - - - ---- - Sanitary Sewer Rain Drains - --- -- ------- Catch Basin/Manhole — Storm Drain - - --�- - -- - Shower Pan Other: -- -- -- -- ---- --- --- - zz - F,nal PASS PART FAIL MECHANICAL Post& Beam ,J P(iugh-In ,w --- - - - _------ - - -- -- G.is Line r i� Smoke Dampers ----— --- ._ .-.- ------- -- - - t=ll PA RT FAIL - --- ----__.- - ----- ------ -- ---- CTRICAL - ----_____-...---.---- Service -----.-`-------_------- -- --------._...------------ Rough-In ---_-- -_ -----_-__- _-__ -- - U(':3/Slab Low Voltage --- --- - -- - --- ---- ---- �- _--..- Fire Alarm Final Reinspection fee of$_ -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: -- ________- U Unable to inspect-no access F lie Supply Line /' ADA �( � Approach/Sidewalk Date_ 1 I Inspector ,i ( �� --- Ext —_--_ Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD RECEIr-"T OF PAYMENT RECE 1171T NO. 05-261285 CHECK, AMOUNT 4408. 21 NAME MONEY SOURCE INC CASH AMOUNT s 0. 00 ADDREESS PAYMENT DATE t 02/02/95 SUBDIVISION 1-"IIJRPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID BUILDING PERM 705. 50 PLUMBING PERM 225. 00 MECHANICAL PE 48. 00 ST. SUILD PER 48. 93 I-4-AN CHECK FE ;220. 58 SEWER USA 2200. 00 SEWER INSPECT 35. 00 PARKS SDC 51710. 00 [420 QUALITY FACILITY FEE 180. 00 H2O OIJANTITY FACILITY FEE 100. 00 1 EROSION CONTROL PERMITFEE 86. 00 EROSION CONTROL PLAN CK 17,ROSION CONTRnt- 28. Ella rr;oj rpnl%ItN, .F,0, 1 U-IT 1-; j I (it I,Fl Y w.tq I J (1- 11 1 1411. •9/f- 110INIFY !AIIJHV:Ir-, 1441, F41,111011-11 1 It.1 YIYII INI 1 14-111- I'I1HP0!iK 1 0 1.-(1Y011. N I 01TIIIIANT III I 'tifl,11-NI 1, 11,14 I� CITY OF T I GARD – P.F"C"F:I PT Or, 1-1AYME=NT RECEIPT NO. :95--P67"1*,. � CHECK AMOUNT : 15. 00 ' NAME K I IRK, RONALD I- CASH AMOUNT : 0: 00 11 (=ODRESS a PE ISLE'Y—KIRK, TANYA 11 PAYMENT DATE a 06/23/95 2,;03 SW ARDEN SUBDIVISION PORTLAND DR 972=01–• t-13 POSE OF PAYMENT ANOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID I'. 1`!I t i(;EL..L..WNE0USi MST95--0002 J5.. 00 (I� I� I( t C'c j Pi T Nc5PE(:";T FV.. I G c � +. I I v Vi I ll;jtl;ti Ithl.l � �' + + 'E 1'i•+ ,tfl i + t 1'1 + i I t.N•1,lI1411 •r 1.ri'�t' }illtll11.11 �f�+.'FdF�f-a o �4'� `� IJI 1;►aPJI t + 1 o ! tI IVI . 1 1'�ill f + rv:1 ++I I rrrlll rJl rtlN�llldt ! ' e.►Y.t - 1tl +I.rllt+ � t'Ifi•.. , R11.1.11 F+Vol 11 •►k}. 1,�i;h 4:1 Ju.l►I 1i t l ! f f i I 11-11`F111 t I