11540 SW GLENWOOD COURT-2 •
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspectior Line: 639-4175 Business Phone: 639 4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Cei"ng
Post/Beam Mech. Shear/Sheath Framing -Meeh.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation lect
Post/Beam Struct. Mech. Rough-in Gyp. Bd. Bldg.
San. Sewer Gas line Appr/Sdwlk Reins.
Other:
Date: ; —.P.M. Ent,Y��
Address:
Tenant: _ — Ste: MST:
` p,, BUP-
Con/Own: `9_ c��� -- MEC: -.
— PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: EL.R:
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Inspector ._ Date:3
PROVED —.DISAr'PROVED/CALL FOR REINSP. CF O
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection. _
' Footing Susp. Ceiling Spink. Rough-in Appr/Sdwlk •
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Stiuct. Pibg. Top Out Eljjj Ro�ugh-in ,' FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg. r
Plbg. Underfloor Rain r)rain Framing -Plun,b.
Alarm Water Line Insulation -Mech.
Underflr. Irsul. Shear Wall Gyp. Bd. t.
Date Requested: C' Time: A _)�_PM
Address:
Builder.: k-A-c Z v$ `7 /f( Permit #:7`2
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i Inspector: /,/ Date:
APPROVED DISAPPROVED ,APPROVED SUBJECT TO ABOVE
_Call For Reinsp. � -
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CITY OF TIGARD BUILDING INSPECTION NOTICE
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spection Line lRec-'O-Phor:e): 639-4175 Business Phone: 635-4171
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11 Inspectiuri
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
d`Vin."•`A�i
Foundation Plb . Underslab Mich. Rough-in Fireplace �►
Post/Beam Struct. Plb . To Elec. Rough in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. h
g Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
rt~
Date Requested:— V /l_i J Time: AM �_PM
Address:- �'` �} -- •(/, p —
Builder: Permit #:L;j'"—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Innspa�ctor. ,` Date.
vAPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call }-or Re.insp.
Job. 17327
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # `1s- -rj ?i��E �/ •
Permit ;;
Phone (503) 639-4171 Gate Issued to lo-- 05- _
CITY O!!:TIOARD FAX (503) 684-7297 Is-ued by c-1
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TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Allen & Myrna Pinkerton Number of inspections per permit allowed
_ ;t
Address 11540 SW Glenwood Ct Service includedItems Cost(ea) Sum j
Tigard OR 97223 4a. Residential- unit
CitylState/Zip 9� Pa
Allen & Myrt to 1000 sq it or lase $1 to 00 _
—
Name (or name of business) Pinkrart�n F.ach aMilrorml 500 sq 1t or
portion thereof $25 00
Commercial❑ Residential ® Limited Energy $2600
Each Manutd Home or Modular 2 4fi1♦
Dwelling Service or Felder $08 00
2a. Contractor Installation only: 4b.Services or Feeders
I _Ilatton,alteration,or relocation 2
Electrical Contractoyr Ticee Electric X00 amps or Ines $8000 2
Address PO Box 15009 201 amps to 400 amps � $8000 2
Ci Por an State OR Zi 97215 40t amps m loo amps $120 010 2
7 p_ 601 amps l0 1000 amps $18000 2
Phone No. 233-8801 A—_ Over 1000 amps or voltc V4000 _ 2
Contractor's License No. 26-126C Reconnect onit $5000
Contractor's Board Reg. No.� 166 v� 4c. Temporary Services or Feeders
Installation,alteraPon or relocation 2
Signature of Supr. Elec'n� ✓ 200 amps or lose $5000 2
201 amps to 400 arnpn $7500 7 ay
License No. 21115 Phone No.---2n"i_- 401 amps to 800 amps $10000 '
Over 900 amps to 1000 volts ——
2b. For owner installations: see W above
4d. Branch Circuits t
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Print Owner's Namew New,alteration or extension per pa,-
Address a)l he lee for branch circuits filth
purchase of servlcs or Miter M. 2
city State__, Zip___ Each branch circuir $500
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Phone No. b)The Ila for branch caciuls wifhorn
The installation is being made on property I own which is purchose of servke or Moder M. 2
not intended for sale, lease or rent. first btannh runup 1 V: 00 35.00 2
Each ndtl!iorial branch rirrnil —� $500 Will&+
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) r
3. Plan Review section (if required): Each pump or irrigation cirHo $4000
Each sign or outline lighting $4000
Signal rircurt(s)or a limited energy 2
Please check appropriate Item and enter tee in section 58. panel.alteration or extension $40 00
_ 4 or mnre rosidefitial units in one structure Minor Labels(to) $10000 _
Service and feeder 225 amps or more
system over 600 .rolts nominal 4f. Each additional inspection over
_Classified area or n1ructure containing special occupancy the allowable in any of the above
as described in N.E C. Chapter 5 Per inspection $0500
Per hour $55 00
-----
Submit 2 sero In Plant $5S00
of plans with application where any of the above --
apply. Not required for temporary construction services. S. Fees:
NOTICE
5e. Enter total of above fees $ 70.00
5%Surcharge(05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Sub'otal $ 73,5
Enter 25%of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. 0.00
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec.3) $ _
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS rrSubtotal $ 73_50
COMMENCED LJ Trust Account# $ 0.00
Balance Due s 73.50
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CITY GF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT •
PLUMBING
13126 SW Hall Blvd.Tigard,Oregon 97223.8160 (503)639-4171 ' . :
PERMIT
##.. . .. .. . .PERMIT
. : PLh19!3--0c''3r-'
639-4171 DATE ISSUED: 10/06/95
PARCEL: 1 S 1.34BD-1~d56-00
ADDRESS. . . : 11540 SW GLENWOOD CT'
ENGLEWOOD N0,2' ZONING: R--4. 5
t '*. . . . . . . . . . . LOT. . . . . . . . . . . . . : 144
-ASS OF WORK. ALT �-- GARBAGE D 1 SPf75ALS. . : 1 MOBILE HOME SPACES. :
'TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
OCCUPANCY GRP. . : R3 FI_OOP. DRAINS). . . . . . . : TRAPS. . . . . . . . . . . . . .
STOR_ES. . . . . . . . : WATER HEATE:RS. . . . . . . CATCH BASINS. . . . . . . :
LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
I rINKS. . . . . . . . . . : 1 URINALS. . . . . . . . . . . . . GRE(ISE TRAPS. . . . . . . .
—AVnTORIES. . . . . : OTHER FIXTURES. . . . . • e
TUB/SHOWERS...-- ;EWER LINE (ft ) . . . . :
WATER CLOSETS. . : WATER LINE (ft ) . . . .
DISHWASHERS. . . . : 1 RAIN DRAIN (ftl . . . . :
Remar^I<s : One ai.+ eration of a i,esidenti4al sink, dishwasher, and a gat-Mage dispose+:I
uw .er: — ____._____.__________.______.______._____--_--_--._.______.. FEES
i PINKEnTON type amo'_mt by date r•ecpt
11540 SW GLFNWOOD CT PRMT E 27. 0@ CS 10/1 6/95 9`i 271363
5P(--T $ 1. 35 CS 1.0/:7.16/95 95-271363
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TIGARD OR 97223
Phone #:
. I
OREGON CITY PLMNG & HTNG
611 7TH STREET
OREGON CITY OR 97045
Pli o n e V: 656-8558 f 28. 35 TOTAL_
Req #. . . 002132
-_ -- - REOU I RED INSPECTIONS
This permit is issued subject to the regulations contained in the Watei, Line Insp
Tigard Municipal Code, State of pre. Specialty Codes and all other Mi sc. Inspection
Applicable laws. All work will be done in accordance with Final Inspection
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.
Permittee S i g n a t i.i r e:
Call for inspection — 639-4175
City of Tigard PLUMBING PERMIT APPLI-;ATION Planck/Rec. # /SS-.� 7136
13125 SW Hall Blva. Permit # rl/VO` - z�0A
Tigard, OR 97223 •
(503) E39-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
wm.•a••7•a New Single Famfly.Residences Only
Ad&- r_l 1 BATH HOUSF $140.00 O 2 BATH HOUSE$195.00
Job ❑ 3 BATH HOUSE$225.00
Address cMwar. ZIP Fee includes all pl7:mbing fixtures in the dwelling and the first 100 feet
�\r�V Lj, �•� Cf �7 Z L _ of water service, sanitary sewer anc storm sewer. See fees below.
•m«T.�m••ra�..••. 1� FIXTURES QTY PRICE AMT
Sink rC_ 9.00
M•+w�••• Ph• Lavatory 9.00
Owner 7` �� Tub or Tub/rower Comb. 9.00
ons•• .m Shower Only 9.00
Water Closet 9.00
N- ^•m•^7 a»^••• Dishwasher
Garbage Disposal 9.00
Occupant „•,,,a ie,•- �^•� Washing Machine 9.00
Floor D sin 9.00
�•• ze Water Heater 9.00
Laundry Room Tray 9.00
vm• Urinal 9.00
OREGON CITY PUMBING1 NUTIN G fes. Other Fixtures (Specify) 9.00
a.+•o ..• I Qu 911111% ani. 9.00
Contractor A...nw ft aNO Ia, 9.00
tb 9.00
Sewer 1st 100' 30.00
s 'IM•P•v^^^7+• c"y so 7u"° Sewer-ea. Addit. 100' 25.00
I 1�-\'�1 L �^1�4,8 !L 61 v`N Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00 i
information given is correct, that I am the owner or authonzed agent of
the owner, that plans submitted are in compliance with State lawbi, that Storm &Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Board, that the ;corm &Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please
give reason be w.) Mobile Home Space 25.00
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Back Flow Prevention
\� Device or Anti-Pollutiun Device 9 C0
•^y d•9+^ 0-7• Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new O addition (.) alteration „_ repair O Catch Basin 9.00
to be done residential non-residential Q Insp. of Exist. Plumbing 40.00/hr
~^ Specially Requested Inspections 40.00/hr `
Existing use of
building or property Q Rain Drain, single family dwelling 30.00
Residential 4ackflow prevention I
�e devices 15.00
Proposed use of W
building or property _ _ -- --
'(Except residential backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITF BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF o',SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25% ,)F SUBTOTAL
��_
Special CondiGe-
TOTAL
___ Date ssued _ by_�_
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