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8288 SW CHAR COURT -..—ja Inc SOB 23291 , 'rigard, Or 97281 Jay Miller Bldr LQ3-•604 _ 1 ESTA-T- COL-ONY ES INS _��Ot 22EY P/\RK) ,' 288 SW CH A F\ -- ' • - �� 1 ' e : Qen �aut �c Crwlsace n to c�(e , �-� - Ma torl7� S erline u ide�r� I :� �t�d [�l�Ye y--.g I� �tLLQ—QRX Cv� /0 Op/- 0 i0 tb �i\Q� C . tA 1 l NO � ` % j P / j4,`fie( Etoo ,, I H r �. C) C�,,° ---- i \ , N-Y � LusTP�, � I � r , f � 16b a S LT o 31 \ *-4 C A✓ CT fL NOTICE: IF THE PRINT OR TYPE ON ANY jr(r111 � � Iillllllllllll III � � SII III � III I�T -rCT r�� rIr _r�r � Ir rr1 -1 � � -i � il � � � � � ill il � .� � i ili " Ill i i Ili Ill ► Ii cll i � r � l � ill r � III ire 11111 1 ill III Ililll � Ill ill Ili I � ,., I I ! I T I I 1 l I I f I l l IMAGE IS NOT AS CLEAR AS THIS1 I ( I I I I r NOTICE, �__�___ _ - 3 _ _ . 6 _ ._ __-- _ _ �3 _ 10 11 12 �� IT IS DUE TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENT E 6 z 8 z L z 9 z 5 z z E Z T ti U z_^-6 i 8 [ — G t �91 � T fi [ s t z T -�i i T 6� 8 L - 9 J v_ I I I 9 I F z T IIIIIIII�IIiI �IIIIII► Iill,lil��lllIIIIIIII. III, �111111 1111. .1111III� !,;,,IIIIIIIIIfill (illtilllLll (IIIILIIIIIillililiiil�lfilllliiilll�llllIIII1111IIIIfiIIII!II(ILlllllll!IIIIIIIIII(11.1111111.1 111lllllLlllllll l llll�� �llllll Illf�ll i OD N 00 07 Ln E x 0 r, H I 8288 SW CHAR CT L.L kT l F i L,H I L Ui CITY OF TIGARD PE.RMIr t4. . . . . . . :. .. . . . . .Y Mir145--01 COMMUNITY DEVELOPMENT DEPARTMENT DATE 1513UE D: 09/ 14/95 13126 SW Hall Blvd.Tigard,Oregon 07223.8100 (503)830-4171 F'HR( Eel_: c' 1 l..::VIE►--.i k-400 i I Iw AllDRL_jb. . . : Oth?.88 fsW CHAR t. ,AMUIVISION. . . . : COLONY CREEK NO. t, ZONIN(.): R-•7 bt.00K. . . . . . . . . . . LOI.. . . . . . . . . . . . . . I c,2 M.ASS OF WORT;. :NEW TYF'1= OF USE. . . :DUP OCCUPANCY GRP. :5N OfICUPANC;Y LOAD:&!." marks : PATH I DUF,Lr--'X _ O'e MILLER t' I.I BOX P381459 1.1.. Pr) OR 97.:18 t,riF �i: 684--7543 L=�ticrne li: Reg 4. . : 30101) Ihi -3 Cter^tifi<-:ate yrants or_CLlpatlCY of t h F.- ;above t-efer^encd building or pot—tion thimi-eof and confit-ms ttiat the building h4S bper7 insper_te for (-ompl iance with the ':,tate of Or egon Specialty Codes for- the gr-ol oCCLI ic:y, and �ise uncier- whia:h the r-eferenciad permit was issued. � r'��T� r�tNl� �3PECTOEt L',I,; I.i l ldr, i1r f ICIAl. F'C)c-;-r IN (ONEIP I CUOUS; PLACE_ CITY OF TIGARD MASTER PERMIT PERMIT #. . . . . . . : M5T95­0147, COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUEn! C4/0b,'95 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PARCEL : 2SI12BB--14400 5 1 T L fol)DiiL 55. 06"66 SW CIJAR C ' SUBDIVISION. . . . : COLONY CREEK NO. 4 ZONING: R-7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 122 BUILDING REISSUE.: DWELLING UNITS:2 BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :NEW BEDRMS:8 BATHS:4 GARAGE. . . . . . . . . . :572 sf TYPE OF USE. . . :DUP FLOOR AREAS— ------- REQUIRED SETBACKS—----­ TYPE OF CONST. :5N FIRST. . . . : 185` 5f LEFT. . :[-., ft RIGHT. : 10 ft OCCUPANCY GPP. :R3 SECOND. . . : 1308 s FRONT. :2O ft REAR. . :28 ft STORIES. . . . . . . :2 FINBSMENT:O sf REOUI IACIG14T. . . . . . . . j22 ft 3160 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . is 213632 PARKING SPACES. . :2 Remarks : PATH I DUPLEX PLUMBING . . . . . . . . :2 FLOOR DRAINS. . . . :0 BACKFLOW P,REVNTRS. . -.':, LAVATO IES. . . . . :4 WATER HEATERS',. . . :2 TRAPS. . . . . ' :0 :4 LAUNDRY TRAYS. . . :0 CATCH BASI�"S ­ :0 wwrEr CLOSETS. . :4 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . ..0 DISIAWASHERS. . . . ."2 WATER LINE (ft ) . :200 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . t2 RAIN DRAIN (ft ) . :O WASHING MACH. . . :2 SF RAIN DRAINS. . :2 MECHANICAL FEES FUEL TYPES- UNIT HTRS. . :0 type amal-int 1.3 y date recpt /GAS/ VENTS . . . . . :0 TIF $ 3100. 00 JD 04/05/95 95--,:-'63760 MAX INPUT:O BTU VENT FANS. . :6 SWM $ 180. 00 JD 1214/05/95 95-263760 FURN < 10011 . . :0 HOODS. . . . . . :` 113WM $ 100. 00 JD 04/05/95 95--263760 FURN ) =100K . . -.2 WOODSTOVES. :O BPRT $ 718. 00 JD 04/05/95 95-261-- 760 FLOOR FURN. . . . :0 CLO DRYERS. : 2 DPLC $ 466. 70 JD 03/22/95 95­2,E�3207 BOIL/CMP 3FIr-1:0 OTHER UNITS:2 05PC $ 35. 90 JD 04/05/95 95 2,63760 GAS OUTLETG:2 PARK $ 500. 00 JD 04/05/95 95-263760 Own er- -----._____.._.._.__.__...______... ..____.. ._._...__...._... _._..MPPT $ 74. 00 JI) 04/05/93 95-26376171 JAY MILLER MPLC $ 18. 50 JD 04/1215/95 95--263760 P 0 BOX 230459 MEPC $ 3. 70 JD 04/05/95 95-26,23760 PPRT $ 336. 00 JD 04/05/95 95--263760 TIGARD OR 971218 P 5 P C $ 16. 80 JD 04/1215/05 95. 2637(oli r.-.'hone #: 684-7543 EROS $ 88. 00 JD 04/05/95 95--263760 Contractor : - - _...____.___.__..__..., _....__.__. _ .____ _._...___..-[:RPC[..RPC $ 88. 60 JD 04/05/95 95-263760 JAY MILLER ERPC $ 28. 60 JD 04/05/95 95-263760 PO BOX .7-130459 TIGARD OR 97281 Phone #: 684-7543 Reg #. . : 30109 5694. 60 TOTAL This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS Tigard Municipal Code, State of D". Sptciaity Codes and all other Footing Insp PlLimb Top Ol.it applicable laws. All work will be dose in accordance with approved Foi.indation Insp Framing Insp plans. This permit will expire if work is not started within 184 Post/Beam Struct Gas Line Insp days of issuance, or if work is suspended for more than 18e days. Post/Beam Meehan Insulation TnF1 Underfloor ins,_tl Gyp Board Insp 1- i,rrnittee Crawl Drain Rain dl-ain PLM/Underfloor Water- Line Insp By . Met--haniral Insp Water ',ervice In Call. for- inspection -- 639-4175 SEWEP CONNECTION CITYOF TIGA, TD PERMIT #. . . . . . . . SWR95-01 L,�COMMUNITY DEVELOPMENT DEPAR MINT DATE ISSUED: 04/05/95 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (603)839.4171 F'ARCEL : 2c.3112BB-14400 CITE ADDRESS. . . . 0":'88A SW CHAP CT SUBDIVISION. . . COL�iO CREEK NO. C ZONING. P--7 ELOCR. LOT. . . . . . .. . . . . . 12 12 TENANT NAME— — : USA NO. . . . . . . . . . : FIXTURE UNITS— : CL-.ASS OF WORI-/,. . . :NEW DWELL-I NG UN I TS. . : I TYPE OF USE. . . . . :DUP NO. OF BUILDINGS: i INSTALL TYPE. . . . :BUf:WR IMPERV SURFACE. . . Remarks : PIATH I DUPLEX M-4ner: FEES JAY MILLER type a m o�..t n t b y date r9cpt P 0 BOX 230459 PRMT $ 2200. 00 JD 04/04/95 95-263760 1 NSP $ 35- 00 JD 014/04/95 95-• 37G0 TIGARD OR 97218 Phone #: 684-7543 Cont rac-tor- CONTRACTOR NOT ON FILE Phone .2'E'35. 00 TOTAL Reg ------ REQUIRED INSP,ECTIONS Thib Applicant agrees to cjsply with all the rules and regulations Sewer Inspection J the Unified Sewage Agency. The persit expires 180 days frov the date issued. The total asount paid will be forfeited if the pereit expires, The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the seasuresent given, the installer shall prospect 3 feet in all directions froo tht, distance given, If not so located, the installer shall purchase a "Tap and Side Sewer" Pereit and thefigency will in5t�I a lateral. Permittee S i g n a t it) e .- fa0--W*-) lls5l.ted Dy : �uk aw*t— Call for inspection 639-4175 J CITY OF EWER CONNECTION PERMTI GoARID PERMIT #. . . . . T . ^ 5- . COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUEb: 04•/05-•�/g�5/95 01.x5 ,, 13125 SW Hall Blid.Tigard,Oregon 97223.8199 (503)639.4171 I1'r ADDRESS. . . : 8288B SW 0-013 CT PARCEL: c'Si 12BB- 14401<'1 ,)UBD I V I E3I ON. . . . : COLONY CREEK NO. 6 ZONING: R-7 5LOC:K. . . . . . . . . . . LOT. . . . . . . . . . . . . 1122 L-:.NAN7 NAME. . . . . . I!.:,A NO. . . . . . . . . . : FIXTURE UNITS. . . :i_AS5 OF WORF;. . . :IVEW DWELLING UNITS. . : 1 ' YGf: OF' USF'. . . . . :DUPE N0. OF BUILDINGS: 1 Nf;TALI_ TYPE. . . . . I3U4,WR IMPERV SURFACE. . - : sf ,?emarks : PATH I DUPLEX lAY MILLER type amol.rnt by date recpt 0 BOX 230459PRhir # 2200. 00 JD Q14/04/95 95-263762' If;ARD OR 97218 INSP $ 35. 00 JD 04/04/95 95--2G376C 1-lone #: 684--7543 anty-actor : - .___._ ._ .. ... ... . _.....-._. -_.---.-.--._..---__._....._... :ONTRACTOR NOT ON FILE 1`•I-� 7ne #: $ 2235. 00 TOTAL Rerl #, . - - --- REQUIRED I NSPECT I ONIS This Applicant agrees to comply with all the rules and regulations sewer ins:prectiori of the Unified Sewage Agency. The permit expires 168 days from ` the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the --- side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from —" the distance given. If not so located, the installer shall purchase a °Tap and Side Sewer" permit and the gency will i tail a lateral. _ - - -- - g r m i t t e e _s 1 e d Lay Call for- inspection - 639-4175 Residential Building ✓ u g Permi t Application City of Tigard �,�joL 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: SW Subdivision: ( (7�C V1� RE'k -`�IG�Y�, (c Lot #_I Office Use Only valuation: 3 3 L Planck/Nec # � ��� "r " Corner Lot? � N Permit# T - i Flag Lot? y CN Reissue of _ Map & TL#-..: I > ,/Owner: Al j �I t - }} Approvals Required '`�� Address: _ 610)( 1 — Planning — Engineering Phone: �L ���� Other Contractor: Items Re ulred Address: AAA Subcontractors Truss Details Phone: --- Other��-'L� .�►! (�f��<.1 �'� -��P� ✓Contractor's License # (attach copy of curreht Oreton license) j a V'V,I ontact Name & Phone:, ,� I T"V c0SvE "jFF F—C-A( IL m7r (o, Subco actors: Architect/Engineer: �ICc� Y i(1 11 ✓PlumbinL 9 �)6110 �' Address: . I ,/ Mechanical: (attach copy of current OR ontractor's license) -?0 �Os Phone: ,L JOB DESCRIPTION: A ilicant Signature & Phone number n r• Received by: 4 Date Received: N WOROICOMOMRESAPP Permit# Account Description Amount Amt. Pd. Bal. Due C Y Bldg. Permit (BUILD) 21Y Plumb. Permit (PLUMB) (a Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: j. Plan Check (PLANCK) ��'. -� ���� ,3 j, 7,o./ Bldg: Plumb: Mech: /} •�?� ✓ it Sewer Connection (SWUSA) d f Sewer Inspection (SWINSP) i �� ✓ Parks Dev Charge (PKSDC) SG 0 Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Ccmmercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) -- Water Quantity (`NQUANT) - Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) v Erosion Planck/COT (EROSN) v? k' _ �2 ��0 TOTALS: ��G) _5�.. ( J i' I C, I �' C� I SEE 35MM ROLL# 22 FOR LARGE DOCUMENT i CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Holl Blvd.Tigard,Orogon 97223.8199 (503)839-4171 PLUMBING PERMIT PERMIT #. . . . . . . : MST95--01'I DATE ISSUED: 04/05/95 PARCEL: 4 �"i11,_:BB 1440171 !:TE ADDRES`;. . . : 08286 SW CHAR CT ,�BDIVISION. . . . : COLONY CREEK NO. 6 ZONING: R-7 'A-00-1. . . . . . . . . . LOT. . . . . . . . . . . . . : 1122 CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . :,' MOBILE HOME SPACES. : TYPE: OF USE. . . . :DUP WASHING MACH. . . . . . . :8 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :5N FLOOR DPAINS. . . . . . . :4 TRAPS, . . . . . . . . . . . . . . STORIES. . . . . . . . .. R WATER HEATERS. . . . . . : 18 CATCH BASINS. . . . . . . :57 LAUNDRY TRAYS. . . . . . :52 SF RAIN DRAINS. . . . . -' SINKS. . . . . . . . . . ..3 URINALS. . . . . . . . . . . . . 1 GREASE TRAPS. . . . . . . . 6 LAVATORIES. . . . . : 2 OTHER FIXTURES. . . . . :30 TUI /53HOWERS. . . . :22' SEWER LINE t ft ) . . . . :8 WATER C1-..O SETT. . : 4 WATER LINE (ft) . . . . : 0 D:ISHWASHERS. . . . :0 RAIN DRAIN (ft ) . . . . : 160 :;emai-Ps. PATH I DUPLEX OWNER: -.._._____.-________._____..__..._..______._.. _-----______- ._______FEES----------------_- .JAY MILLER TIF t 3100. 00 ,JD 04/05/95 95-2637(,0 P O BOX 12:30459 SWM $ 180. 1210 JD 04/05/95 95-x'63160 SWM $ 100. 00 JD 04/05/95 95 -E6,3760 TIGARD OR 97218 BPRT $ 718. 00 JD 04/05/95 95-263760 Phone #: 064_7543 LAPI_C $ 46 L,. 7 Q JL 03/22/95 95 -26 3L*QI DSPC $ 35. 90 JD 04/05/95 95-.263760 ^lumbinlg Contractor: - PARK 4 500. 00 .JD 1b4/05/95 95-`6,;7 V, �LL MPRT 74. 00 JD 04/05/95 95--26L760 Name :. _ .__S.@�-�S—�/✓ -)n MF'I__C 1 10. 50 JD 04/05/9:1 95- 263760 Address :) 5,k-_, a(2 M5PC 6 3. 70 JD 04/1715/95 95_G63760 : C.C�„rState -_--,___-_- 1 PRT 336. 1210 .JD 04/05/95 9 ; Z.G;:,'7C 4' Zip:�? F'5F:'C $ 16. 80 JD 04/05/95 95--263760 P11- mbin __ g L 3 Additional filer not shown here. . . RECU I REI? I NSPECT I ONS This permit is issued subject to the rey Ulations contained in the Tigard Municipal Footing Insp Gyp Board Insp Code, State of Oi-e. Specialty Codes and :.All Foundation Insp Rain drain Insp other" applicable laws. All work will be done Post /Ream Strutt Water- Line ITT=p in accordance with approved plans. This Post/Beam Meehan Water- Service It permit will expire if work is not started Underfloor insul Appr/Sdwlk Insp within 180 days of issuance, or if work is Crawl Dr-ain Mechanical Fina] ,_Ispended fore more than ISO days. PLM/UnderfIoor Plumb Final Mechanical Insp Building Final Plumb Top O�_tt Er-osion Control Framing Insp J Gas Line Insp Insulation Insp lumbi rig n -.Coctor SiB ratU+-e Cal ] for- inspection - 6313-4175 DEPARTMENT OF LAND USE b TRANSPORTATION WASHINGTON LAND 55 NORTH FIRST,DEVELOPMEHi LSBORO,ORSERVICES v97124 COUNTY, INSPECTION REOUESTS: 503/640-3561/693-4415 OREGON �crixxxxxxx-._ , Gr4il—,:14 /0 Page Date : U4/2.8/`:e , 'Time 14 : 4'/ Y Permit # 0�j0610t,'1 t,_rt �lr t:rt.�li(.)vI:IJ Apr-ilied 04/28/91,, t.'!•iiW C,l T. 1,SU3r U4/2.8/W t t. lr t'kt - I`t.w at .'u1t'-A I,'c:.,mP.leted 1-1F < N):.W ;f 122P'-A Project # PU049h,l , r,.'t sir.. * r'ki061(iN L Larj.ci Use Di-trict t. iN::, 'TION 'C1C3AIiD construction UTH i 1 ir11 ;V.J lU�' u M LLL- _'i +' 'ktlC Classification yUU i -'ant. At 1,1c . . tt i 3 N1, k,A:,L.1W i Ci ;�'1 Uccupanc•y R 3 H1LL;,I3IJk0:, UH ')'/124 Validated by LU i1C:rltit NI�•..,ru� : b41:1 -t,',`,6 Inspector Area h' ee descr'.Lptlon 0 its k C'e blit Ext fen' Data e ( Entchr �' . Et , ] 1.U1i0 160 , 00 iil,rEkectrii-aL Fees : 1bU , UU itw ._+uicti Inge of t+% 8100 t ci 1. 1� i c-!'t.t i r.'ci i !�:•@�; : 1!;,f3 . U 0 ('C k1 F'r:;u 1 rCC(I * A f * * 'k (-'r:-'�'::i (.'U l l ra t't l•''r.j h Credits A ► x Method c.'he': 1t it Receipt No . Lute I'.:lymc�rit 1.'Y 41ZJ 04/2t3/9b 168 . 011 11,8. 0 11)ni . 0U a (.'r ec.) s U U -i.l F ,_tyme;;1 16N , 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 this permit Is true and correct to the best of our knowledge. I acknowledge thit the Building Department's reliance upon false and misleading Information may Invalidate this permit. All provisions of applicants laws and ordinances governing the construction and use of this building or structure will be complied with whether or not specified on the plans or noted on the plane correction shoats. I acknowledge that the granting of a permit does riot g:nt authority to access private property or to use easements I further acknowledge that the use or occupancy of the structure or building permitted 'spends upon my calling for Inspections at various times during the process of construction and the building Inspection staff verifying compliance.vith the various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department Is solely at the rlsi 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 Ilan may be placed on the title of the property upon which the permit is Issued specifying that the use or ocrupancy of tho building r i structure is provisional and revocable until the satisfaction of all inspection requirements. APPUCANT'S SIGNATURE WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use &Transportation Electrical Inspection Section APPLICATION 155 North First Avenue,#350-12 Hillsboro,Oregon 97124 Information: (503)640-3470 Fax: (503) 693-4412 / -( PRINTPLEASE Permit Please completesections, . , Number __-- Date 1. Location of installation 4. Comp lete Fee Schedule below �Q 1 Address � S J J �_ (�1, C�t ,J Number of inspections per permit allowed Building Service included: Items Cost ea. City �i �,n�� p Suite No. Cost(ea.) Sum Tenant Name A. Residential-per unit (if commercial) — / 1000 sq.ft.or less _—. $110.00 4 �SI ( Each additional 500 sq. Map NO.�- Tax Lnt ft or portion thereof -- $25.00 S Limited Energy __ $25.00 t Thomas Map Book: Page: Sr-chnn. Each Manuf'd Horne or Modular Directions Dwelling Service or Feeder ___ $6e,00 B. Services or Feeders commercial❑ Reside ntial � Installation,alterations or relocation 200 amps or less $60.00 2 2a. Contractor installation only: 201 amps to 400 amps ___ $80.00 2 Electrical Contractor -+,tvI t c r el c I p c•_ 401 amps to 600 amps $120.00 _ 2 601 amps to 1000 amps _— $180.00 2 Address ��_.^ _��' E �+k �,� Over 1000 amps or volts _— $340.00 2 City _fit�JJ��'�M state 19 ' zlp� lj Reconnect only $5000 Date Job Number _ Property Owner S A9 M-f-, n A,..L AS4_ _ C. Temporary Services or Feeders Contractor's License No. 79 y-- / tt b c Installation,afteralion or reltx--itip n Contractor's Board Re No3 ►y ai ` 200 amps or less _ $50.00 __ 2 Reg. , �'�' —— 201 amps to 400 amps __. $75.00 —_ 2 401 amps to 600 amps _�. $100.00 _____ 2 Signature of SUpr. EIeC n Over 600 amps to 1000 volts we"B"above License No,:.:�.�_r 1�_ Phone No. _,� ��-�/,�`� 0. Branch Circuits 2b. For owner installations: New,alteration or edension per panel a) The fee for branch circuits with riff nt 0wnnr s Fhn.• -- Phone No, -- purchase of service or feeder fee. Each branch circuit $5.00 ress b) The fee for branch circuits without purchase of service or feeder fee. zip First branch circuit _ $35.00 _ _The Installation is beingnlade onpropertyl own Each llaadd'nlbranchSerycircuit_— $5.00 E. Miscellaneous (Service or Feeder not included) Which is not intended for sale, lease or rent. Each pump or irrigation circle $40.00 Owner's Signature Each sign or outline lighting $40.00 Signal circuit(s)or a limited energy panel,atteratlon 3. Plan Review section (if required) or extension — $40.00 — Please check appropriate item and enter fee in section 5E. F. Each additior►al inspection over the allowable 4 or more residential units in one structure in any of the above Service and feeder, 800 amps or more Per inspection -- $35.00 p Per hour __ $55.00 _System over 600 volts nominal In Plant ___ $55.00 _Classified area or structure containing special occupancy as described in N E.C. Chapter 5 5. Fees h- Submit 2 sets of plans with application where any of the A. Enter total of above fees $ above apply. Not required for temporary construction 5% Surcharge (.05 X total fees) $ services. Subtotal $ This permit becomes null and ,id if the work authorized by the permit is B. Enter 25% of line A for not commenced within I So days from date of issuance of such permit or Plan Raview if required (Section 3) $ ------- If the work authorized is suspended or abandoned at any time after work SubtotalIs commenced for a period of 180 days. Flectrical Permits are non $ refundable and non-transferable. ElTrust Account _ For Inspections call (G 681-3699 or 681-3698 Balance Due $ 24-hour recorder, one working day in advance of need BL28 3'95 k 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 � „ r �► : r 7c�::t: # kt>o4�34� Sta+ i 1w,.> t�9/2t3/�', �� i'.1*Nil t?4/ifs/'4"J ENT• , rn,;• t , a.+ 1'iLle SFR NEW #i22F"-A r : pt i.<a n Addr4as 3288 SW CHAR CT 'TI w,,-.r Name INaPE-;::Tl()N - TIGA.RD it"mnt Name T & M ELE!:'TFxc r:um2r,�r 648-6556 Va.iejatic rA;;y :rai DEPARTMENT OF LAND USE b TRANSPORTATION WASHINGTON LAND 5SERVK :S DIVISION 5 NORTH FIRST,DEVELOPMENT LLSBORO,OR 971224 COUNTY, INSPECTION REQUESTS: W3/640-3561/693-4415 OREGON X%{XXXXXXX---_l 1540-34 /1.) (je 1 of 1 Date 04/18/9t) 'l'in.e 14 4b 1lesjcienticil L: ectrical 1-'ermit hermit # 0b 6"/0'/1. t itch L)V1,L) Applied 04/28/9b its Adrlrc, 8,:88 :DW C'r1AK t.",I' T1 iasue(l O4/21:1 9 t: 'Title SF'k - NEW #] 121. --1i Completed r Deo cr . To Expire :t ti.r L18 •- NEW Project. N P0049'.)4'/ ir•: t 1.>r"5C2. * t'14()SI(_)� i. Nl:: ,kurt 2,,b 1'1'.1. - !,and U :ta 01e;trict : .It:ic)n u 11NSPE(-".1'lON - 'VIGAkU Cow--t ruction 0,11i . cant Name 1' & M ELl:-'CT1UC C:la:sification 90o A, 1.l( . : 833 NtL BALL)Wl.N ST occupaticy RJ H!.1_I.:'_�Hfr)k 9'/124 Validated by : LL. 1141 -h556 l.nspector Area Units ee/1.1r:it Lxt Lee Data �.lat e 1' 1::a(4 [ Enter Sq. N't f 2001) 160 . 00 +.oi:CtJ. L i e c t r ir.a 1''r es : 160 . UU :•,l1.rCh,:11'rje ()i 5't•, 8 . 00 —.al F,1.c:cttical F'eeo : 1t)8 . 00 :- rye., iU.rquirer_l +� kir 1•'eecq Collected & C'rcdit::: * k � Method Checle it Receipt No , bate Payment CK 412J 04/28/91) 168 . 11() !'UTAL '11i I S UA'I'}--. A *ak*kk ,r 168 . 0t) Uitnt(3Rt.:; : U T(4,si1 Credits : 01) .ital Fees : 16ti . I.) 'I'r:!.a1 Nayme.ntt : 16b , 00 b,;.i.1.anc'e Uue : ()1.) 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„old 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 Gest of our knowledge. I acknowledge that the Building Department's reliance upor,(arse 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 specified on the pians or noted on the plans correction sheets. I acknowledge that the granting of a pen,04 does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of the structure or building permitted depends uoon my calling for Inspections at varlouN times during the process of construction and the building Inspection staff verifying cm ipllance 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 tha applicant and such use or occupancy Is revocable until all Inspection req-,lrements are satisfied and approval Is given by the Building Official I furtr+or acknowledge that a leen may be placed on the title of the property upon which the permit Is issued specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all inspection requirements APPLICANT'S SIGNATURE WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use &Transportation Electrical Inspection Section APPLICATION 155 North First Avenue,#350-12 Hillsboro,Oregon 97124 Information: 503 640.3470 Fax: 503 693-4412 PLEASE PRINTPermit q)(tI0l'1/ , l • -ase • •lete all . through �J1Q Number / Date 1. Location of Installation 4. Complete Fee Schedule below Address �l J J _ ' c '� Number of Inspections per permit allowed r� Building ery Service Included: Items Cost(ea.) Sum City / t�A Suite Wo _ i errant Name A. Residential-per unit (if commercial) _ _�� J 1000 sq,it or less $110.00 Ma) N". �5�� Tax Lot Each additional 500 sq.If I or portion thereof - $2500 homa Limited Energy — $25.00 T Map Book: Page: Section: Each Manuf'd Home or Modular Directions _ __ __-_ Dwelling Service or Feeder __._.._ _. $68.00 B. Services or Feeders Commercial n Residential -1 Installation,alteratL.,.rs or relocation I 200 amps or less -- $60.00 _ _ 2 2a. Contractor installation only,• 201 amps to 400 amps ___— $80.00 2 Electrical Contractor / �'1 i c. /L�� 401 amps to 600 amps $120,00 — 2 Z, 60 Imps to 1000 amps $180.00 __ 2 Address 3 3 N E fi K JAI ave 1000 amps or volts $340.oa —_.._ 2 City _it ��c i»a State 0v1d_._ ZIP U 11d. Reconnect only $50.00 _ ______ 2 Date Job Number Property Owner ,Aw C. Temporary Services or Feeders Contractor's License No. ;3 L, _ V c installation,alteration or relocation Contractor's Board Reg. No. , , 3�1 s 200 amps to less $60.00 �— 2 201 amps to 400 amps $75.00 � _- 2 401 amps to 600 amps --. $100.00 __ 2 Signature of Supr. Elec'n Over 600 amps to 1000 volts see"B"above License No,r) j�! ') Phone No. D. Branch Circuits 2b. For owner installations: alteration or extension per panel The fee for branch circuits with Print owners dame Phnne Nr, purchase of service or feeder fee. Each branch circuit ___— $5.00 ad—raiss b) the fee for branch circuits without purchase of service or feeder fee. cff State lip First branch circuit $35.00 — —__ 2 Ear_h ndd nl branch circuit_._ $5.00 — 2 The installation is be:,ig made on property I own F. Miscellaneous(Service or Feeder not i►icluded) which is not intended for sale, lease or rent. Each pump or irrigation circle $40.00 2 Each sign or outline lighting _ $40.00 _ 2 .vner r `iynature Signal clrcuft(s)or a limited energy panel,alteration 3. Plan Review section if required) or extension - $40.00 Please check appropriate Item and enter fee in section 5B. F. Each additional inspection over the allowable 4 or more residential units in one structure in any of the above Per inspection $35.00 _Service and feeder, 800 amps or more Per hour $55 00 System over 600 volts nominal In Pl,nt $55.00 --- _Classified area or structure containing special occupancy as described in N.E.0 Chapter , 5. Fees Submit 2 sets of plans with application where any of the A. Enter total of above fees above apply. Not tequired for temporary construction 5% Surcharge (.05 X total fees) $ services. Subtotal $ Thls permit becomes null and void it the work authorized by the permit is B. Enter 25% of line A for rr,l commenced within 180 days from date of issuance„f such permit or Plan Review if required (Section 3) $ —----- rf the work authorized is suspended or abandoned at anv time after work Subtotal $ is commenced for a period of 180 days. Electrical Perm.ts are non I , $ —" refundable and non-transferable. Trust Account For inspections call Balance Due $.1..� 681-3699 or 581-3698 24-hour recorder, one working day in advance of need BL28 195 DEPARTMENT OF LAND USE do 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 693-4418 06'707 , vY,:, e-ct A P(1049547 it.aL.a ; API Pag0r 1 t �.t A/2Hft1r, 1S urrs1 U4/ ;Hf!+`� Exlalr�tfi: 10), 06/07/" RESELL; 1'it.l« SFR - NEW #lk2F-6 CATH Auldr-eEx 8288 SW CHAR CT 7'I r Mama- I NSPECT I ON - 4'I DART) t i arit Narno T & M ELECTRIC. riumber vFilusi "o A; .,. ...._ .__._._ .._ _ ...._.�_._.w... __. ._. ___...._. . _ _ _ _._..._...,..... ....._....__ ._ .. _ .._ _.. IVR-R� REQUEST FP.Pt- r i If I C I 1'Y OF T I GORD - RFCF I PT OF G,AYMF t j"r REr•CE"I F'T NO. i CHECK AMOUNT ('.:'64. 00 ' r�r�rt1 s J MIL.L.E.R BE_DR, INC' MGH AMOUN1 0. 00 Ii�f;I�ffE:}3�3 t r'! BOX 23i?91 POYMFNT DATE e i,14l0-4 9 5 AtJE3llIVIAICIh! s 4 F''O(�"CI.,ANI7 OR 9'72A] --- fJf t-'C:1F:iE: OF PAYMENT AMOUNT PAM PURPUSE DF VlAYME:NT AMOUNT' PAID ItUlI.,DINC PERM MST95 -004 71 n. 00 PUMPING PERM 336. 00 .HANIC;A!_ PE 74. 00 ST. BUILD PFP 56. 40 I rihl CH'c'-CK FE ?�. SEWER IDSA S)WR9' -j -0134 44M, 00 -I:Wf- R INSPFVC'E 70. 00 PARKS M `.00, 00 � ? ,:�IL►E NTIAL. TRAFFIC FEES1430. 40 MASS TRANST'r TIF` F=E VEn tc.*o. 00 is?f1 GLIAL.ITY I=ACILIT`/ Ff-F- 1 (aV1. 00 Ei '11) (AJONTITY FA(.:ILI1'1• FEES 100, 00 yl.! f .IN CONTROL PE=RMI'rFC'-E 814. 00 TON (::(�NTP(.)L. FLAN VK ::'f3. CIO ,r_ii:;It1N CONt'F3M. ,'L1. f,0 ,N SW CHOP CT i.11 1 INY CRE f'-'K F" 3TATE"t,: 06 L(I F !r (,I T Y f1F T T GFaRE'► R CF"l F'i' Or' ('f11't it"N1" RVI:'(' T t"I N(1. CHF(:(( F)MOUIJT OM1= a 3fi�' Mll_r FR Mllk_U('::F1, INC: (.'.'f'3Ei WMf.1(!IVT 0. 01,11 li ltl'F :7 f'U NOH PA`r'MEN'T 11A C- 41 ►,6!1�=, (lid ,111�17t!� it TON c'Tc'fdl .. �k►'C1:7E OF PAYMENi 0Mf;UN1 PAID PURPORT: Or, C'F'iYMEitJI AMD(INT V111 11) 1 ir►FN( IGa(. 'CFtr�fF'T(' FEc:�; 1430 00 MASI*PflN•;IT fir FE:E 1�'Ch. 17t4* , �Zn >W 0 M t:T. C11-Y llr-. fIBARD RFC FlFST OF r,r4N'mr-rqr J r'T NO. CiMOUNT t 7641. 013 imt: JAY MILLER, RUILDER, INC. AMOUNT 0. 00 (4(;DKESS PIC) Box 23291 I.ltiyllFNf DATE 05/301/rVI PURIVAND, OR 'A)n D I V 194 1 ON 97281 - P!J1RP05f.: OF PAYMENT 01110UNT 1-10) 1) PURPOSET OF V,(11011-Nr AMOLINu f,,(A r cj 0i"O QUAL.TTY F()(.-,TLTTY FEE: (60. 00 HPO CHUAN 111Y FACILITY F-ELF I oill., 00 SD(,- 941f. 00 C.-AlY OF, Ulcli:IRD Rr F Ot. P4YMUNT RP"'CIPT NO. 9!"1 6 3"07 OM01111,17 * 00 9(.)ME rlTlJ,.V-P VIL)TI DE�P. INC. 1-1WL1OMOUNT 0.olb IDD RE CIS o "I;J,S t f AyMF_N,T, DATF-, 0.3 P :/'95 POR I L.AND, 133 JPD I V I I ION 9 r 11 1:15F PURPOSiF ()F i'.AYMF:NT AMOUNT r,rin) OF PAYMENT AM0104"r PslIt� 114 r. 3 5OR 00 lsl IiW WAR CT. AMOUNT PPI TD 00